Skip to Content
U.S. National Institutes of Health
Last Updated: 06/29/15

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN IRAQ

Cancer All cancers
excl. non-melanoma
skin cancer
Breast Hematological Urological Lung Head and Neck Brain, nervous system Colorectal Stomach Gynecological Liver
New Cancer Cases 25666 4542 3788 3119 2269 2030 1323 1266 936 923 678
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 50.74 100 0 73.75 25 44 100 70 33 56.67 5
Number (#) of patients needing surgery 13023 4542 0 2300 567 893 1323 886 309 523 34
Average length of stay (ALOS) for surgery 6.91 5 0 8 10 6.8 9 9 5 6.33 10
# of surgery beds/day 246.50 62.18 0.00 50.38 15.53 16.63 32.60 21.84 4.23 9.07 0.93
CHEMOTHERAPY % of patients requiring chemo 72.12 100 100 62.5 50 66 100 90 66 66.67 20
# of patients requiring chemo 18509.55 4542 3788 1949 1135 1340 1323 1139 618 615 136
ALOS for chemo 3.44 3 6.5 3.5 3 3.4 3 3 3 3 3
# of chemo beds/day 174.33 37.31 67.41 18.68 9.32 12.47 10.87 9.36 5.07 5.05 1.11
RADIOTHERAPY % of patients requiring RT 56.98 100 32.5 41.25 90 71 100 25 50 40 20
# of patients 14623.20 4542 1231 1287 2042 1441 1323 317 468 369 136
# of admitted patients 3655.80 1136 308 322 511 360 331 79 117 92 34
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 50.05 15.54 4.21 4.40 6.99 4.93 4.53 1.08 1.60 1.26 0.46
ONCOLOGY BEDS Maximum # of beds/day 471 116 72 74 32 35 48 33 11 16 3
# of 24 bed oncology wards 20 5 3 4 2 2 2 2 1 1 1
ONCOLOGISTS Hematologist Oncologists 8 0 8 0 0 0 0 0 0 0 0
Surgical Oncologists 28 10 0 5 2 2 3 2 1 2 1
Radiation/Clinical Oncologists 129 23 19 16 12 11 7 7 5 5 4
Urologic Oncologists 7 0 0 7 0 0 0 0 0 0 0
Gynecologic Oncologist 2 0 0 0 0 0 0 0 0 2 0
Neuro-Oncologists 3 0 0 0 0 0 3 0 0 0 0
Pathologists 52 10 8 7 5 5 3 3 2 2 2
PHARMACY Onco-Pharmacists 80 20 12 16 8 8 8 8 4 4 4
Onco-Pharmacy Technicians 120 30 18 24 12 12 12 12 6 6 6
PALLIATIVE CARE Palliative Care Specialists 52 10 8 7 5 5 3 3 2 2 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 176 55 15 16 25 18 16 4 6 5 2
Medical Physicists 59 19 5 6 9 6 6 2 2 2 1
Linac Engineers 15 5 2 2 3 2 2 1 1 1 1
Radiation Oncology Nurses 59 19 5 6 9 6 6 2 2 2 1
Linacs / Co 60 Megavolt Units 30 10 3 3 5 3 3 1 1 1 1
# of Brachytherapy units 15 5 2 2 3 2 2 1 1 1 1
# CT simulators 15 5 2 2 3 2 2 1 1 1 1
# of treatment planning computers 15 5 2 2 3 2 2 1 1 1 1
# of dosimetry/QA package 15 5 2 2 3 2 2 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 300 75 45 60 30 30 30 30 15 15 15

RESOURCES NEEDED IN CITIES BASED ON GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2011

Baghdad Al-Mawsil
Population 6150000 1475000
New Cancer Cases 4684 1124
SURGERY % of patients needing surgery 50.74 50.74
Number (#) of patients needing surgery 2377 570
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 44.99 10.80
CHEMOTHERAPY % of patients requiring chemo 72.12 72.12
# of patients requiring chemo 3378 811
ALOS for chemo 3.44 3.44
# of chemo beds/day 31.81 7.63
RADIOTHERAPY % of patients requiring RT 56.98 56.98
# of patients 2669 640
# of admitted patients 667 160
ALOS 5 5
# of RT beds/day 9.13 2.19
ONCOLOGY BEDS Maximum # of beds/day 86 21
# of 24 bed oncology wards 4 1
ONCOLOGISTS Hematologist Oncologists 2 1
Surgical Oncologists 5 2
Radiation/Clinical Oncologists 24 6
Urologic Oncologists 2 1
Gynecologic Oncologist 1 1
Neuro-Oncologists 1 1
Pathologists 10 3
PHARMACY Onco-Pharmacists 16 4
Onco-Pharmacy Technicians 24 6
PALLIATIVE CARE Palliative Care Specialists 10 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 33 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, chemotherapy or radiation therapy
  3. Number of 24 bed oncology wards = (Oncology beds per day)/24
  4. Number of Hematologist Oncologists = (2/1000)*hematology 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 Gynecologic Oncologists = (2/1000)*GYN cancer cases
  8. Number of Urologic Oncologists = (2/1000)* urological cancer cases
  9. Number of Neurologic Oncologists = (2/1000)* brain cancer cases
  10. Number of Pathologists = (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 = 1 head nurse + 1 nurse specialist + 13 nurses for each 24 bed oncology ward.
  21. The table below lists the estimated number 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 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 GYN cancer 20 5 80 3 80 5
Corpus uteri GYN cancer 80 5 20 3 20 5
Ovary GYN cancer 70 9 100 3 20 5
Gynecological cancers 56.67 6.33 66.67 3 40 5
Larynx Head and neck 50 9 50 3 75 5
Lip, oral cavity Head and neck 40 9 80 3 80 5
Nasopharynx Head and neck 0 0 100 3 100 5
Other pharynx Head and neck 40 9 80 3 80 5
Thyroid Head and 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
Urological 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