Incidence

Communicable diseases are on decline due to effective control measures and effective prophylaxis. Tropical infections and parasitic diseases will account for only 16% of death- a marked fall from 1985 figure of 35%. Non-communicable diseases which are on increase throughout the world are expected to cause 54% of all deaths by the year 2015. Cancer is currently the cause of one tenth of all deaths (WHO). In the Western world cancer is the second leading cause of death in adults. Children between the age of 1 and 14 also suffer from this menace, however it is still rare in younger generation. In UK cancer afflicts approximately 1 in 650 children. The incidence of cancer varies considerably area wise. Hungary has 246.5 Cancer in males in 100,000 population which is one of the highest figures in contrast to 83.5 in Mexico one of the lowest in the world.

1985 2000 2015
Male Female Male Female Male Female
All causes 1158 1165 897 790 846 745
Infections 478 47 215 239 152 175
Neoplasm’s 43 51 88 74 108 91
Circulatory 145 126 253 04 295 239
Pregnancy 0 22 0 12 0 10
Prenatal 68 132 60 48 40 30
Injury 85 65 82 28 84 29
Other 239 293 280 285 167 171

Estimate and projected mortality rates ( per 100,000) by sex, for major causes of death, India, for 1985, 2000, 2015 (Source World Bank Health Sector Priorities Review)

1990 2000 2010
Total Male Female Total Male Female Total Male Female
Malignant Neoplasms (all) 505 253 252 703 371 332 964 533 431
Mouth and oropharynx cancers 80 48 32 104 63 41 138 85 53
Oesophageal
cancer
51 26 25 67 35 32 89 47 42
Stomach cancer 44 28 16 58 37 21 77 50 27
Colon and rectum cancer 21 11 10 27 14 13 36 19 17
Liver cancer 13 9 4 17 12 5 23 16 7
Pancreas cancer 8 4 3 10 6 4 13 8 5
Trachea, bronchus, lung cancer 35 29 6 92 74 18 168 141 27
Melanoma and other skin cancers 2 1 1 2 1 1 2 1 1
Breast cancer 35 - 35 44 - 44 56 - 56
Cervix uteri cancer 49 - 49 61 - 61 79 - 79
Corpus uteri cancer 3 - 3 4 - 4 6 - 6
Ovary cancer 12 - 12 15 - 15 19 - 19
Prostrate cancer 12 12 - 16 16 - 21 21 -
Bladder cancer 7 5 1 9 7 2 13 10 3
Lymphomas and multiple lymphomas 18 11 7 24 15 9 30 19 11
Leukaemia 16 9 7 19 11 8 24 14 10
Other cancers 103 60 43 134 79 55 173 104 70

Deaths due to malignant neoplasm’s in India 1990, 2000,2010 (in thousands)
Source: global burden of disease. Christopher, J.L. et al

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