LIBYA BURDEN OF CANCER

(1)

Total # cancer cases (2018)

Total # cancer deaths (2018)

6,308 3,375

16.2%

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)

*Upper 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

13.2% 2.7%

6,777,453

Premature deaths from NCDs (2016)

Cancer as % of NCD premature deaths (2016)

0.2%

PAFs

(population attributable fractions)

9,410

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

13.7% 5.1%

LIBYA

BURDEN OF CANCER

24.6%

Total population (2019)

Tobacco (2017)^a

11.9%

6.1%

5.1%

10.7%

4.8%

10.6%

4.0%

3.4%

5.0%

3.5%

5.3%

3.9%

3.8%

12.0%

6.1%

16.7%

3.4%

5.8%

2.8%

5.2%

Breast Bladder Cervix uteri Colorectum Leukaemia Lung Non-Hodgkin lymphoma Pancreas Prostate Brain, CNS

Most common cancer cases (2018)

Incidence Mortality

0 100 200 300 400 500 600 700 800 900

2020 2022 2024 2026 2028 2030

5.66%

5.70%5.74%5.77%5.80%5.83%5.85%5.92%5.99%6.03%6.06%6.15%6.21%6.27%

6.40%

6.54%6.59%6.64%6.68%6.73%6.78%6.83%6.88%6.93%6.98%7.03%7.08%

7.13%

5.98%5.84%5.70%5.56%5.42%5.28%5.13%4.99%4.85%4.71%4.57%4.43%

4.29%

2.00%

7.00%

12.00%

17.00%

2000 2005 2010 2015 2020 2025 2030

Past trends Projected linear trend SDG target

679 753 709

668 1,261

1,700

- 200 400 600 800 1,000 1,200 1,400 1,600 1,800

Breast cancer Lung cancer

2012 2018 2040

- 1.00 2.00 3.00 4.00 5.00 6.00 7.00 8.00 9.00

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 No coverage 2019 yes

# of radiation oncologist^a 2019 n/a

2019 n/a

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

# of CT scanners^a 2020 98.3 # of radiologist^a 2019 95.1

# of MRI scanners^a 2020 52.3 # of nuclear medicine physician^a 2019 15.9

# of PET or PET/CT scanners^a 2020 1.6 # of medical & pathology lab scientists^a n/a n/a

Integrated NCD plan 2019 not in effect 2019 7.9

NCCP (including cancer types) 2019 n/a 2019 0 cancer(s)

MPOWER measures fully implemented and

achieved 2018

2

Pathology services 2019 generally available

Cancer management guidelines 2019 no 2019 generally not

available Palliative care included in their operational,

integrated NCD plan 2019 no

2015-2017 31

Breast cancer screening program 2019 no

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

age, target population 2019

n/a

GLOBAL INITIATIVES

Elimination of Cervical Cancer Global Initiative for Childhood Cancer

HPV vaccination programme coverage 2018 0 2020 374

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

Screening programme type 2019 n/a Defined referral system 2019 no

Screening programme method 2019 n/a

Screening participation rates 2019

Early detection programme/guidelines 2019 no

Defined referral system 2019 no

**The incidence estimates for this country have a high degree of uncertainty because they are not based on population based cancer registry

***The mortality estimates for this country have a high degree of uncertainty because they are not based on any national NCD mortality data

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

Registration activity

2019 9.5

FORMULATING RESPONSE

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

LIBYA

n/a

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

54

14

6 14

14

248

24

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