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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN ZAMBIA

Cancer All cancers
excl. non-melanoma
skin cancer
Gynecological Kaposi sarcoma Urological Breast Hematological Esophagus Head and Neck Colorectal Stomach Liver
New Cancer Cases 10593 2589 1942 878 824 782 583 427 329 276 230
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 40.24 56.67 0 73.75 100 0 20 44 70 33 5
Number (#) of patients needing surgery 4263 1467 0 648 824 0 117 188 230 91 12
Average length of stay (ALOS) for surgery 5.91 6.33 0 8 5 0 9 6.8 9 5 10
# of surgery beds/day 69.01 25.44 0.00 14.18 11.28 0.00 2.87 3.50 5.67 1.25 0.31
CHEMOTHERAPY % of patients requiring chemo 73.12 66.67 70 62.5 100 100 90 66 90 66 20
# of patients requiring chemo 7745.28 1726 1359 549 824 782 525 282 296 182 46
ALOS for chemo 3.44 3 3 3.5 3 6.5 3 3.4 3 3 3
# of chemo beds/day 72.95 14.18 11.17 5.26 6.77 13.92 4.31 2.62 2.43 1.50 0.38
RADIOTHERAPY % of patients requiring RT 51.98 40 50 41.25 100 32.5 90 71 25 50 20
# of patients 5505.71 1036 971 362 824 254 525 303 82 138 46
# of admitted patients 1376.43 259 243 91 206 64 131 76 21 35 12
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 18.84 3.54 3.32 1.24 2.82 0.87 1.80 1.04 0.28 0.47 0.16
ONCOLOGY BEDS Maximum # of beds/day 161 44 15 21 21 15 9 8 9 4 1
# of 24 bed oncology wards 7 2 1 1 1 1 1 1 1 1 1
ONCOLOGISTS Hematologist Oncologists 2 0 0 0 0 2 0 0 0 0 0
Surgical Oncologists 9 4 0 2 2 0 1 1 1 1 1
Radiation/Clinical Oncologists 53 13 10 5 5 4 3 3 2 2 2
Urologic Oncologists 2 0 0 2 0 0 0 0 0 0 0
Gynecologic Oncologist 6 6 0 0 0 0 0 0 0 0 0
Pathologists 22 6 4 2 2 2 2 1 1 1 1
PHARMACY Onco-Pharmacists 28 8 4 4 4 4 4 4 4 4 4
Onco-Pharmacy Technicians 42 12 6 6 6 6 6 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 22 6 4 2 2 2 2 1 1 1 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 67 13 12 5 10 4 7 4 1 2 1
Medical Physicists 23 5 4 2 4 2 3 2 1 1 1
Linac Engineers 6 2 1 1 1 1 1 1 1 1 1
Radiation Oncology Nurses 23 5 4 2 4 2 3 2 1 1 1
Linacs / Co 60 Megavolt Units 12 3 2 1 2 1 2 1 1 1 1
# of Brachytherapy units 6 2 1 1 1 1 1 1 1 1 1
# CT simulators 6 2 1 1 1 1 1 1 1 1 1
# of treatment planning computers 6 2 1 1 1 1 1 1 1 1 1
# of dosimetry/QA package 6 2 1 1 1 1 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 105 30 15 15 15 15 15 15 15 15 15

RESOURCES NEEDED IN CITIES BASED ON GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2010

Lusaka Kitwe
Population 1747152 501360
New Cancer Cases 1334 383
SURGERY % of patients needing surgery 40.24 40.24
Number (#) of patients needing surgery 537 154
Average length of stay (ALOS) for surgery 5.91 5.91
# of surgery beds/day 8.69 2.50
CHEMOTHERAPY % of patients requiring chemo 73.12 73.12
# of patients requiring chemo 975 280
ALOS for chemo 3.44 3.44
# of chemo beds/day 9.19 2.64
RADIOTHERAPY % of patients requiring RT 51.98 51.98
# of patients 693 199
# of admitted patients 173 50
ALOS 5 5
# of RT beds/day 2.37 0.68
ONCOLOGY BEDS Maximum # of beds/day 21 6
# of 24 bed oncology wards 1 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 2 1
Radiation/Clinical Oncologists 7 2
Urologic Oncologists 1 1
Gynecologic Oncologist 1 1
Pathologists 3 1
PHARMACY Onco-Pharmacists 4 4
Onco-Pharmacy Technicians 6 6
PALLIATIVE CARE Palliative Care Specialists 3 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 9 3
Medical Physicists 3 1
Linac Engineers 1 1
Radiation Oncology Nurses 3 1
Linacs / Co 60 Megavolt Units 2 1
# of Brachytherapy units 1 1
# CT simulators 1 1
# of treatment planning computers 1 1
# of dosimetry/QA package 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 15 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