Cancer in an African Community, 1897-1956

Davies, J. N. P.; Elmes, Sally; Hutt, M. S. R.; Mtimavalye, Laban A.R.; Owor, R; Shaper, L

doi:10.1136/bmj.1.5378.259

Cited by 51 publications

(7 citation statements)

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“…There must be some question as to the accuracy of the estimates of person-years at risk, therefore, particularly with respect to the age distributions, although no better data are, of course, available. Davies et al (1964) reviewed hospital records from Mengo Hospital (in Kyadondo County) from 1897 to 1956. They noted that the general pattern of malignant diseases admitted to the hospital changed little over this period.…”

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confidence: 99%

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et al. 2000

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Incidence rates of different cancers have been calculated for the population of Kyadondo County (Kampala, Uganda) for four time periods (1960–1966; 1967–1971; 1991–1994; 1995–1997), spanning 38 years in total. The period coincides with marked social and lifestyle changes and with the emergence of the AIDS epidemic. Most cancers have increased in incidence over time, the only exceptions being cancers of the bladder and penis. Apart from these, the most common cancers in the early years were cervix, oesophagus and liver; all three have remained common, with the first two showing quite marked increases in incidence, as have cancers of the breast and prostate. These changes have been overshadowed by the dramatic effects of the AIDS epidemic, with Kaposi's sarcoma emerging as the most common cancer in both sexes in the 1990s, and a large increase in incidence of squamous cell cancers of the conjunctiva. In the most recent period, there also seems to have been an increase in the incidence of non-Hodgkin lymphomas. So far, lung cancer remains rare. Cancer control in Uganda, as elsewhere in sub-Saharan Africa, faces a threefold challenge. With little improvement in the incidence of cancers associated with infection and poverty (liver, cervix, oesophagus), it must face the burden of AIDS-associated cancers, while coping with the emergence of cancers associated with Westernization of lifestyles (large bowel, breast and prostate). © 2000 Cancer Research Campaign

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et al. 2000

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“…Most striking was the high occurrence of KS in areas of sub-Saharan Africa, with marked differences between regions, age and tribes (Oettlé, 1962;Davies et al, 1964;Taylor et al, 1972;Templeton, 1973;Biggar et al, 1984;Dictor and Attewell, 1988).…”

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Classic Kaposi's sarcoma in Arabs living in Israel, 1970–1993: A population-based incidence study

1998

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“…The Kampala Cancer Registry (KCR) was one of the earliest cancer registries on the continent of Africa. Its establishment in 1951, with the aim of determining incidence in the population of Kyadondo County (Davies and Wilson, 1954), was stimulated by the finding of a peculiar pattern of cancer from the early records of Mengo Hospital, the first missionary hospital in Uganda (Davies et al, 1964). Results for 2 time periods have been published: 1954-60 (Davies et al, 1965), and 1968-70 , with a review of some of the differences between the 2 series in the latter publication.…”

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Cancer in Kampala, Uganda, in 1989–91: Changes in incidence in the era of aids

Wâbwire-Mângen

et al. 1993

Intl Journal of Cancer

259

155

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Re-establishment of the cancer registry in Kyadondo County, Uganda, has allowed estimation of incidence rates for the period September 1989 to December 1991. The results are compared with earlier data from the same area, and from other African cancer registries. The most striking feature is the emergence of Kaposi's sarcoma as the leading cancer in males (almost half of all registered cases) and the second most frequent (17.9%) in females. This parallels the evolution of the epidemic of AIDS. There were also marked increases in the incidence of both oesophageal and prostatic carcinoma, while the incidence of cancer of the penis and the urinary bladder declined, possibly as a result of improved standards of hygiene. In females, the incidence of cancer of the cervix has more than doubled since the 1950s, and is now among the highest recorded in the African continent.

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Cancer in an African Community, 1897-1956

Cited by 51 publications

References 0 publications

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Classic Kaposi's sarcoma in Arabs living in Israel, 1970–1993: A population-based incidence study

Cancer in Kampala, Uganda, in 1989–91: Changes in incidence in the era of aids

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