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U.S. National Institutes of Health
Last Updated: 01/15/14

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN ZAMBIA

Cancer All cancers
excl. non-melanoma
skin cancer
Gynecological Kaposi sarcoma Urological Hematological Malignancies Breast Esophagus Head and Neck Colorectal Liver Stomach
New Cancer Cases 10119 2058 1871 1048 745 709 517 407 303 294 242
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 40.24 56.67 0 73.75 0 100.0 20 44 70 5 33
Number (#) of patients needing surgery 4072.05 1166 0 773 0 709 103 179 212 15 80
Average length of stay (ALOS) for surgery 5.91 6.33 0 8 0 5 9 6.8 9 10 5
# of surgery beds/day 65.93 20.22 0.00 16.93 0.00 9.71 2.55 3.33 5.23 0.40 1.09
CHEMOTHERAPY % of patients requiring chemo 73.12 66.67 70 62.5 100 100 90 66 90 20 66
# of patients requiring chemo 7398.68 1372 1310 655 745 709 465 269 273 59 160
ALOS for chemo 3.44 3 3 3.5 6.5 3 3 3.4 3 3 3
# of chemo beds/day 69.68 11.27 10.76 6.28 13.26 5.82 3.82 2.50 2.24 0.48 1.31
RADIOTHERAPY % of patients requiring RT 51.98 40 50 41.25 32.5 100 90 71 25 20 50
# of patients 5259.35 823 936 432 242 709 465 289 76 59 121
# of admitted patients 1314.84 206 234 108 61 177 116 72 19 15 30
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 18.00 2.82 3.20 1.48 0.83 2.43 1.59 0.99 0.26 0.20 0.41
ONCOLOGY BEDS Maximum # of beds/day 154 35 14 25 15 18 8 7 8 2 3
# of 24 bed oncology wards 7 2 1 2 1 1 1 1 1 1 1
ONCOLOGISTS Hematologist Oncologists 2 0 0 0 2 0 0 0 0 0 0
Surgical Oncologists 9 3 0 2 0 2 1 1 1 1 1
Radiation / Clinical Oncologists 51 11 10 6 4 4 3 3 2 2 2
Urologic Oncologists 3 0 0 3 0 0 0 0 0 0 0
Gynecologic Oncologist 5 5 0 0 0 0 0 0 0 0 0
Pathologists 21 5 4 3 2 2 2 1 1 1 1
PHARMACY Onco-Pharmacists 28 8 4 8 4 4 4 4 4 4 4
Onco-Pharmacy Technicians 42 12 6 12 6 6 6 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 21 5 4 3 2 2 2 1 1 1 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 64 10 12 6 3 9 6 4 1 1 2
Medical Physicists 22 4 4 2 1 3 2 2 1 1 1
Linac Engineers 6 1 1 1 1 1 1 1 1 1 1
Radiation Oncology Nurses 22 4 4 2 1 3 2 2 1 1 1
Linacs / Co 60 Megavolt Units 11 2 2 1 1 2 1 1 1 1 1
# of Brachytherapy units 6 1 1 1 1 1 1 1 1 1 1
# CT simulators 6 1 1 1 1 1 1 1 1 1 1
# of treatment planning computers 6 1 1 1 1 1 1 1 1 1 1
# of dosimetry/QA package 6 1 1 1 1 1 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 105 30 15 30 15 15 15 15 15 15 15

CANCER INCIDENCE IN CITIES BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2010

Lusaka
Population 1742979
New Cancer Cases 1398
SURGERY % of patients needing surgery 40.24
Number (#) of patients needing surgery 563
Average length of stay (ALOS) for surgery 5.91
# of surgery beds/day 9.11
CHEMOTHERAPY % of patients requiring chemo 73.12
# of patients requiring chemo 1022
ALOS for chemo 3.44
# of chemo beds/day 9.63
RADIOTHERAPY % of patients requiring RT 51.98
# of patients 727
# of admitted patients 182
ALOS 5
# of RT beds/day 2.49
ONCOLOGY BEDS Maximum # of beds/day 22
# of 24 bed oncology wards 1
ONCOLOGISTS Hematologist Oncologists 1
Surgical Oncologists 2
Radiation / Clinical Oncologists 7
Urologic Oncologists 1
Gynecologic Oncologist 1
Pathologists 3
PHARMACY Onco-Pharmacists 4
Onco-Pharmacy Technicians 6
PALLIATIVE CARE Palliative Care Specialists 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 9
Medical Physicists 3
Linac Engineers 1
Radiation Oncology Nurses 3
Linacs / Co 60 Megavolt Units 2
# of Brachytherapy units 1
# CT simulators 1
# of treatment planning computers 1
# of dosimetry/QA package 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 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 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 Malignancies 0 0 100 5 40 5
Leukaemia Hematological Malignancies 0 0 100 7 20 5
Multiple myeloma Hematological Malignancies 0 0 100 7 20 5
Non-Hodgkin lymphoma Hematological Malignancies 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 10 most frequently occurring cancers