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Last Updated: 06/29/15

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN MYANMAR

Cancer All cancers
excl. non-melanoma
skin cancer
Lung Head and Neck Gynecological Breast Stomach Liver Colorectal Hematological Esophagus Urological
New Cancer Cases 63633 8504 8210 7280 5648 4913 4912 3862 3862 3437 2222
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 42.74 25 44 56.67 100 33 5 70 0 20 73.75
Number (#) of patients needing surgery 27198 2126 3612 4125 5648 1621 246 2703 0 687 1639
Average length of stay (ALOS) for surgery 6.91 10 6.8 6.33 5 5 10 9 0 9 8
# of surgery beds/day 514.79 58.21 67.25 71.53 77.32 22.19 6.72 66.61 0.00 16.94 35.89
CHEMOTHERAPY % of patients requiring chemo 71.12 50 66 66.67 100 66 20 90 100 90 62.5
# of patients requiring chemo 45253.88 4252 5419 4854 5648 3243 982 3476 3862 3093 1389
ALOS for chemo 3.44 3 3.4 3 3 3 3 3 6.5 3 3.5
# of chemo beds/day 426.21 34.92 50.44 39.87 46.39 26.63 8.07 28.55 68.73 25.41 13.31
RADIOTHERAPY % of patients requiring RT 55.98 90 71 40 100 50 20 25 32.5 90 41.25
# of patients 35618.57 7654 5829 2912 5648 2457 982 966 1255 3093 917
# of admitted patients 8904.64 1913 1457 728 1412 614 246 241 314 773 229
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 121.90 26.19 19.95 9.97 19.33 8.41 3.36 3.30 4.30 10.59 3.14
ONCOLOGY BEDS Maximum # of beds/day 1063 120 138 122 144 58 19 99 74 53 53
# of 24 bed oncology wards 45 5 6 6 6 3 1 5 4 3 3
ONCOLOGISTS Hematologist Oncologists 8 0 0 0 0 0 0 0 8 0 0
Surgical Oncologists 57 5 8 9 12 4 1 6 0 2 4
Radiation/Clinical Oncologists 319 43 42 37 29 25 25 20 20 18 12
Urologic Oncologists 5 0 0 0 0 0 0 0 0 0 5
Gynecologic Oncologist 15 0 0 15 0 0 0 0 0 0 0
Pathologists 128 18 17 15 12 10 10 8 8 7 5
PHARMACY Onco-Pharmacists 180 20 24 24 24 12 4 20 16 12 12
Onco-Pharmacy Technicians 270 30 36 36 36 18 6 30 24 18 18
PALLIATIVE CARE Palliative Care Specialists 128 18 17 15 12 10 10 8 8 7 5
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 428 92 70 35 68 30 12 12 16 38 11
Medical Physicists 143 31 24 12 23 10 4 4 6 13 4
Linac Engineers 36 8 6 3 6 3 1 1 2 4 1
Radiation Oncology Nurses 143 31 24 12 23 10 4 4 6 13 4
Linacs / Co 60 Megavolt Units 72 16 12 6 12 5 2 2 3 7 2
# of Brachytherapy units 36 8 6 3 6 3 1 1 2 4 1
# CT simulators 36 8 6 3 6 3 1 1 2 4 1
# of treatment planning computers 36 8 6 3 6 3 1 1 2 4 1
# of dosimetry/QA package 36 8 6 3 6 3 1 1 2 4 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 675 75 90 90 90 45 15 75 60 45 45

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

Yangon Mandalay
Population 3713166 952570
New Cancer Cases 4850 1245
SURGERY % of patients needing surgery 42.74 42.74
Number (#) of patients needing surgery 2073 532
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 39.24 10.07
CHEMOTHERAPY % of patients requiring chemo 71.12 71.12
# of patients requiring chemo 3449 885
ALOS for chemo 3.44 3.44
# of chemo beds/day 32.49 8.34
RADIOTHERAPY % of patients requiring RT 55.98 55.98
# of patients 2715 697
# of admitted patients 679 174
ALOS 5 5
# of RT beds/day 9.29 2.38
ONCOLOGY BEDS Maximum # of beds/day 82 21
# of 24 bed oncology wards 4 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 5 2
Radiation/Clinical Oncologists 25 7
Urologic Oncologists 1 1
Gynecologic Oncologist 2 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 9
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