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U.S. National Institutes of Health
Last Updated: 01/08/14

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN IRAQ

Cancer All cancers
excl. non-melanoma
skin cancer
Gynecological Hematological Malignancies Breast Urological Head & Neck Lung Brain, nervous system Colorectal Stomach Esophagus
New Cancer Cases 19901 6401 4170 3041 2476 2130 1303 884 761 617 230
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 52.24 56.67 0 100.00 73.75 44 25 100 70 33 20
Number (#) of patients needing surgery 10397 3627 0 3041 1826 937 326 884 533 204 46
Average length of stay (ALOS) for surgery 6.81 6.33 0 5 8 6.8 10 9 9 5 9
# of surgery beds/day 193.94 62.90 0.00 41.63 40.00 17.45 8.92 21.78 13.13 2.79 1.13
CHEMOTHERAPY % of patients requiring chemo 79.12 66.67 100 100 62.5 66 50 100 90 66 90
# of patients requiring chemo 15745.07 4268 4170 3041 1548 1406 652 884 685 407 207
ALOS for chemo 3.44 3 6.5 3 3.5 3.4 3 3 3 3 3
# of chemo beds/day 148.29 35.05 74.21 24.98 14.83 13.09 5.35 7.26 5.63 3.34 1.70
RADIOTHERAPY % of patients requiring RT 63.98 40 32.5 100 41.25 71 90 100 25 50 90
# of patients 12731.66 2560 1355 3041 1021 1512 1173 884 190 309 207
# of admitted patients 3182.92 640 339 760 255 378 293 221 48 77 52
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 43.57 8.76 4.64 10.41 3.50 5.18 4.01 3.03 0.65 1.06 0.71
ONCOLOGY BEDS Maximum # of beds/day 386 107 79 78 59 36 19 33 20 8 4
# of 24 bed oncology wards 17 5 4 4 3 2 1 2 1 1 1
ONCOLOGISTS Hematologist Oncologists 9 0 9 0 0 0 0 0 0 0 0
Surgical Oncologists 22 8 0 7 4 2 1 2 2 1 1
Radiation/Clinical Oncologists 100 33 21 16 13 11 7 5 4 4 2
Urologic Oncologists 5 0 0 0 5 0 0 0 0 0 0
Gynecologic Oncologist 13 13 0 0 0 0 0 0 0 0 0
Neuro-Oncologists 2 0 0 0 0 0 0 2 0 0 0
Pathologists 40 13 9 7 5 5 3 2 2 2 1
PHARMACY Onco-Pharmacists 68 20 16 16 12 8 4 8 4 4 4
Onco-Pharmacy Technicians 102 30 24 24 18 12 6 12 6 6 6
PALLIATIVE CARE Palliative Care Specialists 40 13 9 7 5 5 3 2 2 2 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 153 31 17 37 13 19 15 11 3 4 3
Medical Physicists 51 11 6 13 5 7 5 4 1 2 1
Linac Engineers 13 3 2 4 2 2 2 1 1 1 1
Radiation Oncology Nurses 51 11 6 13 5 7 5 4 1 2 1
Linacs / Co 60 Megavolt Units 26 6 3 7 3 4 3 2 1 1 1
# of Brachytherapy units 13 3 2 4 2 2 2 1 1 1 1
# CT simulators 13 3 2 4 2 2 2 1 1 1 1
# of treatment planning computers 13 3 2 4 2 2 2 1 1 1 1
# of dosimetry/QA package 13 3 2 4 2 2 2 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 255 75 60 60 45 30 15 30 15 15 15

CANCER INCIDENCE IN CITIES BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2011

Baghdād Al-Mawṣil
Population 6150000 1475000
New Cancer Cases 4067 976
SURGERY % of patients needing surgery 52.24 52.24
Number (#) of patients needing surgery 2125 510
Average length of stay (ALOS) for surgery 6.81 6.81
# of surgery beds/day 39.63 9.51
CHEMOTHERAPY % of patients requiring chemo 79.12 79.12
# of patients requiring chemo 3218 772
ALOS for chemo 3.44 3.44
# of chemo beds/day 30.30 7.27
RADIOTHERAPY % of patients requiring RT 63.98 63.98
# of patients 2602 624
# of admitted patients 650 156
ALOS 5 5
# of RT beds/day 8.90 2.14
ONCOLOGY BEDS Maximum # of beds/day 79 19
# of 24 bed oncology wards 4 1
ONCOLOGISTS Hematologist Oncologists 2 1
Surgical Oncologists 5 2
Radiation/Clinical Oncologists 21 5
Urologic Oncologists 2 1
Gynecologic Oncologist 3 1
Neuro-Oncologists 1 1
Pathologists 9 2
PHARMACY Onco-Pharmacists 16 4
Onco-Pharmacy Technicians 24 6
PALLIATIVE CARE Palliative Care Specialists 9 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 32 8
Medical Physicists 11 3
Linac Engineers 3 1
Radiation Oncology Nurses 11 3
Linacs / Co 60 Megavolt Units 6 2
# of Brachytherapy units 3 1
# CT simulators 3 1
# of treatment planning computers 3 1
# of dosimetry/QA package 3 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 60 15

Key to Calculations

  1. Number of beds/day = number who require surgery*ALOS/365.25
  2. Oncology beds per day = beds for surgery + beds for chemotherapy + beds for radiation therapy
  3. Number of 24 bed oncology wards = (Oncology beds per day)/24
  4. Number of Hematologist oncologists = (2/1000)*hematologic malignancy cases
  5. Number of Radiation Oncologists = (5/1000)*total number of cancer cases
  6. Number of Surgical oncologists = (number of surgeries)/480. This is based on 2 surgeries per day, 5 days a week for 48 weeks)
  7. Number of GYN-oncologists = (2/1000)*GYN cancer cases
  8. Number of Urologic Oncologists = (2/1000)* urological cancer cases
  9. Number of Neuro-Oncologists = (2/1000)* brain, nervous system cancer cases
  10. Number of pathologist = (2/1000)*total number of cancer cases
  11. Number of Pharmacists = 4* number of 24 bed oncology wards
  12. Number of Pharmacy Technicians = 6 * number of 24 bed oncology wards
  13. Number of Palliative Care Specialists = (2/1000)*total number of cancer cases
  14. Number of Medical Physicists = (4/1000) * number of patients requiring radiation therapy
  15. Number of Radiation Technicians = (12/1000) * number of patients requiring radiation therapy
  16. Number of Linac Engineers = (1/1000) * number of patients requiring radiation therapy
  17. Number of Radiation Therapy nurses = (4/1000) * number of patients requiring radiation therapy
  18. Number of Linacs = (2/1000) * number of patients requiring radiation therapy
  19. Number of Brachy therapy units/CT simulators/treatment planning computers/ dosimetry/QA package = (1/1000) * number of patients requiring radiation therapy
  20. Number of nurses = 15*number of 24 bed oncology wards (1 head nurse + 1 nurse specialist + 13 nurses for each 24 bed oncology ward).
  21. The table below lists the estimated percentage of patients requiring surgery, chemotherapy and radiation therapy for the different types of cancers as well as the average length of stay (ALOS) in hospital (in days) for each of these treatments.
Type of cancer % of patients requiring Surgery ALOS % of patients requiring Chemotherapy ALOS % of patients requiring Radiation therapy ALOS
Cervix uteri Gynecological 20 5 80 3 80 5
Corpus uteri Gynecological 80 5 20 3 20 5
Ovary Gynecological 70 9 100 3 20 5
Gynecological cancers 56.67 6.33 66.67 3 40 5
Larynx Head & Neck 50 9 50 3 75 5
Lip, oral cavity Head & Neck 40 9 80 3 80 5
Nasopharynx Head & Neck 0 0 100 3 100 5
Other pharynx Head & Neck 40 9 80 3 80 5
Thyroid Head & Neck 90 7 20 5 20 5
Head and Neck cancers 44 6.8 66 3.4 71 5
Hodgkin lymphoma Hematological Malignancy 0 0 100 5 40 5
Leukaemia Hematological Malignancy 0 0 100 7 20 5
Multiple myeloma Hematological Malignancy 0 0 100 7 20 5
Non-Hodgkin lymphoma Hematological Malignancy 0 0 100 7 50 5
Hematological Malignancies 0 0 100 6.5 32.5 5
Bladder Urological 100 9 50 3 50 5
Kidney Urological 75 9 50 3 20 5
Prostate Urological 20 9 50 3 65 5
Testis Urological 100 5 100 5 30 5
Urologica cancers 73.75 8 62.5 3.5 41.25 5
Brain, nervous system 100 9 100 3 100 5
Breast 100 5 100 3 100 5
Colorectal 70 9 90 3 25 5
Gallbladder 33 9 66 3 50 5
Kaposi sarcoma 0 0 70 3 50 5
Liver 5 10 20 3 20 5
Lung 25 10 50 3 90 5
Melanoma of skin 100 3 50 3 50 5
Esophagus 20 9 90 3 90 5
Pancreas 10 10 50 5 50 5
Stomach 33 5 66 3 50 5
All cancers excl. non-melanoma skin cancer average of top 10 cancers