JORDAN BURDEN OF CANCER

(1)

Total # cancer cases (2018)

Total # cancer deaths (2018)

10,898 5,813

20.7%

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

0.0% 2.1%

10,101,697

Premature deaths from NCDs (2016)

Cancer as % of NCD premature deaths (2016)

1.5%

PAFs

(population attributable fractions)

11,264

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

9.0% 7.2%

JORDAN

BURDEN OF CANCER

21.7%

Total population (2019)

Tobacco (2017)^a

19.7%

4.9%

10.1%

4.8%

10.5%

4.1%

3.6%

3.5%

4.1%

3.2%

11.3%

3.5%

10.1%

6.1%

17.6%

2.8%

2.2%

6.0%

0.7%

4.6%

Breast Bladder Colorectum Leukaemia Lung Non-Hodgkin lymphoma Prostate Stomach Thyroid Brain, CNS

Most common cancer cases (2018)

Incidence Mortality

0 100 200 300 400 500 600 700 800 900 1,000

2020 2022 2024 2026 2028 2030

6.32%

6.36%6.43%6.55%6.71%6.71%6.68%6.54%6.43%6.25%6.07%5.84%5.60%5.42%

5.16%

4.88%4.78%4.69%4.59%4.49%4.40%4.30%4.20%4.11%4.01%3.91%3.82%

3.72%

4.81%4.69%4.57%4.45%4.33%4.21%4.09%3.98%3.86%3.74%3.62%3.50%

3.38%

2.00%

7.00%

12.00%

17.00%

2000 2005 2010 2015 2020 2025 2030

Past trends Projected linear trend SDG target 1,237

583 2,143

1,141 3,926

2,652

- 500 1,000 1,500 2,000 2,500 3,000 3,500 4,000 4,500

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 Low 2019 yes

# of radiation oncologist^a 2019 n/a

2019 n/a

# of mammographs^a 2020 38.5 # of surgeons^a n/a n/a

# of CT scanners^a 2020 110.1 # of radiologist^a 2019 n/a

# of MRI scanners^a 2020 58.7 # of nuclear medicine physician^a 2019 26.6

# of PET or PET/CT scanners^a 2020 6.4 # of medical & pathology lab scientists^a 2004 1835.2

Integrated NCD plan 2019 not in effect 2019 3.7

NCCP (including cancer types) 2019 under development 2019 1 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 231

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

40 GLOBAL INITIATIVES

Elimination of Cervical Cancer Global Initiative for Childhood Cancer

HPV vaccination programme coverage 2018 n/a 2020 504

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

Screening programme type 2019 n/a Defined referral system 2019 yes

Screening programme method 2019 n/a

Screening participation rates 2019

Early detection programme/guidelines 2019 no

Defined referral system 2019 yes

***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

High quality PBCR

2019 12.8

FORMULATING RESPONSE

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

JORDAN

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

100

34 14 25 25 26

280

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