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1PANAMA|CANCERPROFILEPANAMASOCIODEMOGRAPHICINDICATORS1Totalpopulation:3,571,200Averageannualdeaths:18,100Lifeexpectancyatbirth(years):Total:76Male:74Female:79Adultliteracyrate:93.
6%GrossnationalincomeUS$percapita:6,570RISKFACTORSPrevalenceof:Total(%)Male(%)Female(%)Currenttobaccosmokersamongadults2,a14.
023.
04.
0Currentuseofanytobaccoproductamongyouth212.
715.
110.
2Fruitandvegetableintakeinadults1,bAlcoholconsumers,past12months3Lowphysicalactivityinadults1,cObesityamongadults(BMI≥30)123.
219.
725.
1HPVprevalence(womenwithnormalcytology)4Notes:a:age-standardizedprevalenceoftobaccosmokinginadults(15years+),2011;b:%whoeat5ormoreservingsoffruitandvegetablesperday;c:%whoarephysicallyactiveforlydifferentfromzeroatp=0.
05.
3PANAMA|CANCERPROFILECANCERPLANSANDCANCERREGISTRATION6NationalintegratedNCDpolicy,strategyoractionplanIsthereanationalintegratedNCDpolicy,strategyoractionplanNotineffectIscancerincludedintheoverallNCDplanYesFirstyearofimplementationN/ACancerpolicy,strategyoractionplanIsthereacancerpolicy,strategyoractionplanUnderdevelopmentFirstyearofimplementationN/ACancerregistryIsthereacancerregistryYesScope(nationalvs.
subnational)NationalTypeofregistry(populationvs.
hospitalbased)PopulationbasedLastyearwithavailabledata2011CANCERPRIMARYPREVENTIONPOLICIESTobaccocontrol2SmokefreeenvironmentsAllpublicspacesarecompletelysmokefreeRaisedtaxesontobaccoTaxesare57%ofthefinalpriceHealthwarninglabelsaboutthedangersoftobaccoLargewarningwithallappropriatefeaturesBansontobaccoadvertising,promotionandsponsorshipBanonallformsofdirectandindirectadvertisingOverweightandobesitypreventionandcontrol6Isthereapolicy,strategyoractionplanforreducingoverweight/obesity(Firstyearofimplementation)Yes(2009)Harmfuluseofalcoholpreventionandcontrol6Isthereapolicy,strategyoractionplanforreducingharmfuluseofalcohol(Firstyearofimplementation)Yes(2008)HPVvaccinationinnationalimmunizationprogram7YesYearofintroduction/targetagegroup/deliverystrategy2008/girlsaged10/mixedEstimated3-dosecoverage(calendaryear)67%(2010)HBVvaccinationinnationalimmunizationprogram8YesYearofintroduction/targetagegroup1999/newborn-2m-4m-6m;10-11years;healthworkersEstimated3-dosecoverage(2012)85%CANCERSCREENINGCervicalcancerGuidelines9AretherecervicalcancerscreeningguidelinesavailableYesGuidelinerecommendations(tests/agegroups/frequency)Paptest/21-59yearsofage(or2yearsaftersexualdebut)/every2yearsHPVtest/30-64yearsofage/every3yearsAvailabilityandcoverageofscreeningservicesCervicalcytology6GenerallyavailableinthepublicandtheprivatesectorsVisualinspectionwithaceticacid6GenerallynotavailableinthepublicandtheprivatesectorsScreeningcoverage914.
1%withPaptest(2008)4PANAMA|CANCERPROFILECANCERSCREENINGBreastcancerGuidelines10AretherebreastcancerscreeningguidelinesavailableYesGuidelinerecommendations(tests/agegroups/frequency)BSE/allwomen/monthlyCBE/allwomen/anycontactwithhealthcareproviderMammography/baselineat35;annualorevery2yearsinwomenaged40-50years;annualinwomenover50yearsofageAvailabilityandcoverageofscreeningservicesClinicalbreastexamination6GenerallyavailableinthepublicandtheprivatesectorsMammography6GenerallynotavailableinthepublicsectorandgenerallyavailableintheprivatesectorScreeningcoverage.
.
.
ColorectalcancerGuidelinesAretherecolorectalcancerscreeningguidelinesavailable.
.
.
Guidelinerecommendations(tests/agegroups/frequency).
.
.
AvailabilityandcoverageofscreeningservicesFecaloccultbloodtestorfecalimmunologicaltest6GenerallyavailableinthepublicandtheprivatesectorsExamorcolonoscopy6GenerallynotavailableinthepublicandtheprivatesectorsScreeningcoverage.
.
.
CANCERTREATMENTANDPALLIATIVECARERadiotherapy11Oralmorphine6Availabilityofservicesinthepublichealthsector6GenerallyavailableAvailabilityinthepublichealthsectorGenerallynotavailableTotalenergyteletherapyunits/millioninhabitants1.
4CoveredbyhealthinsuranceorpublicallyfundedYesTotalradiotherapycenters2AppearsinthenationallistofessentialmedicinesYesRadiationoncologists11Opioidconsumption12Medicalphysicists7Totalmorphineequivalence,percapita3.
21Chemotherapy6Community/homecare6AvailabilityofservicesinthepublichealthsectorGenerallyavailableArecommunity/homecareservicesavailableinthepublicsectorforpeoplewithadvancedstagesofNCDsGenerallyavailableNotes:.
.
.
:Informationnotavailable;N/A:Notapplicable;m:months;BSE:breastself-examination;CBE:clinicalbreastexamination.
Sources:(1)PAHO/WHO.
NoncommunicableDiseasesintheAmericas:BasicHealthIndicators2011.
WashingtonD.
C,USA,2011.
(2)PAHO/WHO.
TobaccoControlReportfortheRegionoftheAmericas,2013.
WashingtonD.
C,USA,2013.
(3)WHO.
GlobalInformationSystemonAlcoholandHealth,retrievedAugust28,2013,fromhttp://bit.
ly/17zhuqZ.
(4)ICO.
InformationCenteronHPVandCancer,retrievedAugust28,2013,fromhttp://www.
hpvcentre.
net/.
(5)PAHO/WHOMortalityDatabase,2012.
(6)PAHO/WHOSurveyonNationalCapacityforthePreventionandControlofNon-communicableDiseases,2013.
(7)MarkowitzLEetal.
Vaccine.
2012Nov20;30Suppl5:F139-48.
(8)PAHO/WHOComprehensiveFamilyImmunizationUnit.
ImmunizationCountryProfiles,retrievedAugust28,2013,fromhttp://bit.
ly/1dn4Td3;ImmunizationReportedCoverageintheAmericas,byvaccine,retrievedAugust28,2013fromhttp://bit.
ly/1dn59ZK.
(9)MinistryofHealthofPanama.
Normasdeprevención,detecciónyguíasdemanejoyseguimientodelaslesionespreinvasorasdelcuellouterino.
RepúblicadePanamá.
2010,retrievedAugust28,2013from:http://bit.
ly/14mtvPX.
(10)MinistryofHealthofPanama.
Normastécnico-administrativasymanualdeprocedimientos.
Programasaludintegraldelamujer.
2007,retrievedAugust28,2013from:http://bit.
ly/15dve9Y.
(11)WHO/IAEADirectoryofRadiotherapyCenters(DIRAC)Database,retrievedAugust28,2013fromhttp://www-naweb.
iaea.
org/nahu/dirac/.
(12)UniversityofWisconsin.
WHOCollaboratingCentreforPainPolicyandPalliativeCare,OpioidConsumptionDatabase2010,retrievedAugust28,2013,fromhttp://www.
painpolicy.
wisc.
edu/countryprofiles/amro.