UKRAINE BURDEN OF CANCER

(1)

Total # cancer cases (2018)

Total # cancer deaths (2018)

169,817 98,226

28.0%

aPAF, cancer deaths ^bPAF, cancer cases ^cPAF, melanoma cases

TRENDS

Estimated past and future trends in total cases per year (breast and lung) Probability of premature death from cancer per year

INVESTMENT CASE (2019)

*Lower middle income

At this income level, investing in a package of essential services and scaling-up coverage will:

Costs per year Projected lives saved per year

Cancer Country Profile 2020

UV (2012)^c Occupational risk (2017)^a

61.5% 1.9%

43,993,643

Premature deaths from NCDs (2016)

Cancer as % of NCD premature deaths (2016)

11.6%

PAFs

(population attributable fractions)

187,154

Alcohol (2016)^a Infections (2012)^b Obesity (2012)^b

12.3% 5.7%

UKRAINE

BURDEN OF CANCER

30.4%

Total population (2019)

Tobacco (2017)^a

11.2%

3.4%

13.1%

5.5%

3.9%

9.9%

3.7%

6.5%

5.5%

8.4%

2.6%

2.5%

14.0%

2.5%

2.9%

15.6%

6.0%

5.1%

8.5%

Breast Bladder Cervix uteri Colorectum Corpus uteri Kidney Lung Pancreas Prostate Stomach

Most common cancer cases (2018)

Incidence Mortality

0 1,000 2,000 3,000 4,000 5,000 6,000 7,000 8,000 9,000

2020 2022 2024 2026 2028 2030

12.15%

11.74%11.55%11.53%11.72%11.88%

11.38%11.55%11.47%

10.50%

9.97%9.61%9.73%9.77%

9.50%

9.27%9.08%8.90%8.71%8.52%8.34%8.15%7.97%7.78%7.59%7.41%7.22%

7.03%

8.88%8.68%8.47%8.27%8.07%7.86%7.66%7.45%7.25%7.04%6.84%6.63%

6.43%

2.00%

7.00%

12.00%

17.00%

2000 2005 2010 2015 2020 2025 2030

Past trends Projected linear trend SDG target 16,471

17,251 18,958

16,881

18,322 18,377

15,000 15,500 16,000 16,500 17,000 17,500 18,000 18,500 19,000 19,500

Breast cancer Lung cancer

2012 2018 2040

- 0.50 1.00 1.50 2.00 2.50 3.00 3.50 4.00 4.50

2020 2022 2024 2026 2028 2030

US$ (per capita)

(2)

HEALTH SYSTEM CAPACITY

aper 10,000 cancer patients

WORKFORCE

aper 10,000 cancer patients

Quality of mortality registration*** 2007-2016 Medium 2019 yes

# of radiation oncologist^a 2019 n/a

2019 5.8

# of mammographs^a 2020 24.7 # of surgeons^a n/a n/a

# of CT scanners^a 2020 22.3 # of radiologist^a 2019 396.4

# of MRI scanners^a 2020 8.9 # of nuclear medicine physician^a 2019 n/a

# of PET or PET/CT scanners^a 2020 0.2 # of medical & pathology lab scientists^a n/a n/a

Integrated NCD plan 2019 operational 2019 1.6

NCCP (including cancer types) 2019 n/a 2019 3 cancer(s)

MPOWER measures fully implemented and

achieved 2018

1

Pathology services 2019 generally available

Cancer management guidelines 2019 yes 2019 generally not

available Palliative care included in their operational,

integrated NCD plan 2019 no

2015-2017 63

Breast cancer screening program 2019 yes *Defined daily doses for statistical purposes (S-DDD) per miliion inhabitants per day Breast cancer screening program: Starting

age, target population 2019

50 GLOBAL INITIATIVES

Elimination of Cervical Cancer Global Initiative for Childhood Cancer

HPV vaccination programme coverage 2018 n/a 2020 1442

Cervical cancer screening 2019 yes Early detection programme/guidelines 2019 no

Screening programme type 2019 opportunistic Defined referral system 2019 no

Screening programme method 2019 PAP smear

Screening participation rates 2019

Early detection programme/guidelines 2019 yes

Defined referral system 2019 yes

Annual cancer cases (0-14 years old) Palliative care availability:

community/home-based care 2019 generally not

available Available staff in Ministry of Health who

dedicates significant proportion of their time to cancer

# of medical physicist^a

Early detection programme/ guidelines for 4 cancers (breast, cervix, colon, childhood)

Cancer Country Profile 2020

High quality PBCR

2019 5.4

FORMULATING RESPONSE

# of external beam radiotherapy (photon,electron)^a

UKRAINE

<10%

Annual cancer cases (0-14 years old) Bone marrow transplantation capacity

# Public cancer centres per 10,000 cancer patients

# of treatment services (surgery,

radiotherapy, chemotherapy) 2019 3 Availability of opioids* for pain

management Availability of population-based cancer

registry (PBCR)** 2019

313

71 24 136 71 23 804

Acute lymphoid leukaemia Hodgkin lymphoma Burkitt lymphoma CNS, low grade tumours Retinoblastoma Wilms tumour Other childhood cancer