, .

,
.

1981
.

190 , 5000
, 50000
.
328

77
5
98
(, , ,
, )
148

1996

1998

2000

2002

2004

11785

11312

8601

3788

2676

1241

2284

1276

4051

3560

3890

47002

44232

62284

55544

51451
42850

45875
42087

41582
38906

41157
39916

39435
37151

30298
29022

31108
27075

29271
25711

32963
29093

( )

2006

12072
12544

2000
2001

24777
2006

22929
25075

17744

2005

2004

2003

15273

11893

1999

2002

11965

11001

14037

1998

1997

1996

.
( )

2006

2005

2004

2003

2002

2001

2000

1999

1998

2182

1997

1996

( )
5259 5348

4589
4197

3725

3261

2600 2733 2575

1902

14081
13958

2000
2001

2006

2005

2004

2003

13302

18692

19665

17583

15260

14153

1999

2002

14117

11676

1997
1998

12120

1996

( )


( )
1179

1233
1118
1017
848

387

2001

2002

2003

2004

2005

2006

 (
)

5091,5

5307,5 5188

4475,5
3579
3266

220

220

1996 1997

3496
3236 3420,2

200

200

200

1998 1999

3893

190

2000 2001

4133,5

190

170

2002 2003

190

190

2004

2005 2006

190

2006

2005

2004

2003

2002

893 859

2001

2000

775

1999

879 863

1998

1997

1996

( )
1387 1434 1301 1487

1005 1039

2006

2005

2004

2003

34764

42285

50189

40120

2002

40977

33943

37336

39106

22965

21398

14286

2001

2000

1999

1998

1997

1996

1996-2006

-1996
1996
1993
1984
1982
1993
1993
4 1993-2003
2004
2004

HDM-I (1997/China)
Theraplus (2005/Holland)
ROCS (1997/USA)
(2002/Germany)

Teragam (2005/Czech)
GWGP-80 (1995/China)

GZP-6 (1998/China)
AMRA (1998/France)

HDR-Chamber- (1997/USA)
UNIDOS- -(1997/Germany)

- 51%
.

47%

.


( )
1200

971.5
1000

858

820

728

800

603
600

639

610

2001

2002

480
367

400

274

200

1997

1998

1999

2000

2003

2004

2005

2006


/1999-2006 /
100000
90000
80000
70000
60000
50000
40000
30000
20000
10000
0
1999

2000

2001

2002

2003

2004

2005

2006

2005 12
14-
246

: I 2006 - 2009
II 2010 - 2013

2006 ,
, , ,
AALM ,

,
, ,
,
,
16
327
, 130 , , 121
.

 / /,
/20002005 /

100000

329,2

341,3

353,2

363,2

356,1

289,7

119,3
92,3

2000 year

138,2

142,7

141,7

134,8

133,6

112,1

114,6

110,1

106,4

110,4

2001 year

2002 year

/ /

2003 year

2004 year

2005 year

 / 2000-2005
, /

(
)

(
)

674 (39%)

505(31%)

II

341(20%)

II

292(18%)

III

224(13%)

III

189(12%)

IV

152(9%)

IV

138(8%)

33(2%)

95(6%)


/ 100000 2000-2005 /
50.8
46.4

24.1

25.7
14.2

11.0

13.7

16.0

18.0

12.9
3.0

4.6


/2000-2005 /

- 28.7

- 37.3

- 2.2
7.1
1.3
8.7

- 14.7



/ 2000-2005 /

; 19,8
; 43,2

; 1,04
; 2,9
; 11,5
; 8,4

; 13,06

 ( 5
)

5.5%

2.3%

0.9%
0.4%

0.8%

19.2%

1
5-6
10

1-2
7-8

70.9%

3-4
9 -10


I, II

( 5- )

28.6%

26.1%
8.0%
1.6%

11.3%

 5-

( 5)

34.6%

23.5%

5.1%
8.4%

8.4%


/2000-2005 /
53,6

53,6

55,64

53,2

56,34
48,9

33,9

10,6
1,8
2000

36,52

34,5

32,7

10,4

1,3
2001
I

34,8
30,9

11,6

8,9

9,08

9,67
3,01

4,5

1,3

2,5

2002

2003

2004

2005

II

III

IV


14

, 2
51
300
1200
19 739 499-
.

 ,
, .

AFP 400/

,
,

,
,

(70-90 )

(HPV)

( ),

3
( )
.
,


3
.

:
,




,

, ,

( 1998 100000
122,2, 2006 100000 137,0
)
,
( 80,0
)

( 62.5


)

, ,

( 15-17 151193 10

)

(
42,2% )

.

, ,
,

.

, ,


,
,
.

,


.
,
,

ASSESSMENT OF STRATEGIES FOR EIGHT COMMON CANCERS

++ effective; + partly effective; largely ineffective

$ less expensive; $$ more expensive

Site of cancer

Prevention

Mouth/ pharynx ++ $
$

Early detection

Curative
therapy

Palliative care

++ $

++ $

++ $
++ $

$$

Esophagus

Stomach

++ $

++ $

Colon/rectum

++ $

Liver

++ $

++ $

Lung

++ $

++ $

Breast

++ $

++ $

++ $

Cervix

++ $

++ $

++ $

++ $

Example of programme processes

in cervical cancer screening
Community
Level

Primary

Secondary

Level

Level

Tertiary
Level

Pathology
lab

Cytology
lab
PAP test
PHC
center

Detection

Colposcopy
clinic

Gynecology
Oncolody
Units

Diagnosis

Treatment

Components of a cervical cancer prevention and control program