Epidemiological Surveillance System The surveillance is designed

Sistema de Vigilancia Epidemiológica y Reporte – SIVER
Epidemiological Surveillance System
The surveillance is designed as a
comprehensive and integrated system of data
collection, production and dissemination of
information.
M. Graciela Abriata, Coordinadora del Sistema de Vigilancia Epidemiológica y Reporte – SIVER/INC .
Epidemiological Surveillance System
– SIVER
“Good surveillance does not necessarily ensure the making of the
right decisions, but reduces the chances of wrong ones”
Institute of Medicine, 1988
Networking for the surveillance of risk factors for NCD in Latin America and the
Caribbean. OMS-OPS
M. Graciela Abriata, Coordinadora del Sistema de Vigilancia Epidemiológica y Reporte – SIVER/INC .
Epidemiological Surveillance System
Data sources
S.S. Salud
O. S. Nacionales y
provinciales
Population-based
Cancer Registries
Analysis and
PAMI
INDEC - Census
SIVER
ONGs
dissemination of
technical and
scientific
information
Hospital-based
cancer registries
Mortality
Risk Factor
Surveys
Registros
Civiles
M. Graciela Abriata, Coordinadora del Sistema de Vigilancia Epidemiológica y Reporte – SIVER/INC .
Epidemiological Surveillance System

Population-based cancer
registries 2010
 4 provinces covered: 10%
 3 local registries: 6%
 6 Discontinued activities: 26%
 4 developing provinces: 8%
Without registry
Developing registries
Discontinued activities
Active registries
Population covered: 16%
M. Graciela Abriata, Coordinadora del Sistema de Vigilancia Epidemiológica y Reporte – SIVER/INC .
Epidemiological Surveillance System

Population-based cancer
registries 2013
 11 provinces covered: 22%
 4 local registries: 8%
 3 Enable to guarantee quality: 13%
 2 developing provinces: 4%
Without registry
Developing registries
Can not guarantee good quality data
Active registries
Population covered: 30%
M. Graciela Abriata, Coordinadora del Sistema de Vigilancia Epidemiológica y Reporte – SIVER/INC .
Epidemiological Surveillance System
PBCR
Extent
Bahía Blanca
Catamarca
Chaco
Chubut
Córdoba
Entre Ríos
Jujuy
La Pampa
Partido Gral. Pueyrredón
Mendoza
Misiones
Neuquén
Río Negro
San Juan
Santa Fe
Santiago del Estero
Tierra del Fuego
Tucumán
Local
Province
Province
Province
Local
Province
Province
Province
Local
Province
Province
Province
Province
Province
Local
Province
Province
Province
Population
301572
334568
984446
413237
1329604 / 3066801
1158147
611888
299294
618989
1579651
965522
474155
552822
620023
52509 / 30000701
804457
101079
1338523
Start year of
activity
CanReg
4
5
5
4
4
4
4
4
5
4
5
4
4
5
4
5
4
5
Data sent
1989 VII-VIII-IX-X
2011
2002
2002
2003
X
1990 VII-VIII-X
2003
2005
IX
2012
2002
X
2013
2009
X
2003
2013
2003
X
2012
2003
X
2010
CI5
Published
VIII-IX-X
X
VII-VIII
X
X
M. Graciela Abriata, Coordinadora del Sistema de Vigilancia Epidemiológica y Reporte – SIVER/INC .
Estimated age-standardised incidence rates in men and women.
Argentina, 2008.
Breast
Prostate
Lung
Colorectum
Cervix uteri
Bladder
Stomach
Kidney
Pancreas
Ovaruy
Oesophagus
Larynx
Women
Men
ASR x 100000
0
5
10 15 20 25 30 35 40 45 50 55 60 65 70 75
M. Graciela Abriata, Coordinadora del Sistema de Vigilancia Epidemiológica y Reporte – SIVER/INC .
Age-standardised incidence rates in men by PBCR of: Bahía Blanca,
Santa Fe, La Pampa, Entre Ríos, Córdoba, Neuquén, Tierra del Fuego,
Chubut and Jujuy compared with IARC estimated ones.
Prostate
Lung
Colorectum
País (IARC 08)
Bahía Blanca (2003-07)
Bladder
Santa Fe (2003-06)
Stomach
La Pampa (2003-07)
Entre Ríos (2003-09)
Kidney
Córdoba (2004-09)
Mendoza (2005-09)
Pancreas
Neuquén (2003-05)
T. del Fuego (2003-10)
Oesophagus
Chubut (2004-08)
Jujuy (2003-07)
ASR x 100000
Larynx
0,0
10,0
20,0
30,0
40,0
50,0
60,0
70,0
80,0
M. Graciela Abriata, Coordinadora del Sistema de Vigilancia Epidemiológica y Reporte – SIVER/INC .
Age-standardised incidence rates in women by PBCR of: Bahía Blanca,
Santa Fe, La Pampa, Entre Ríos, Córdoba, Neuquén, Tierra del Fuego,
Chubut and Jujuy compared with IARC estimated ones.
Breast
Cervix uteri
País (IARC 08)
Colorectum
Bahía Blanca (2003-07)
Lung
Santa Fe (2003-06)
Ovary
La Pampa (2003-07)
Pancreas
Entre Ríos (2003-09)
Córdoba (2004-09)
Thyroid
Mendoza (2005-09)
Corpus uteri
Neuquén (2003-05)
T. del Fuego (2003-10)
Leukaemia
Chubut (2004-08)
Stomach
Jujuy (2003-07)
Gallbladder
Non Hodgkin
Lymphoma
ASR x 100000
0,0
10,0
20,0
30,0
40,0
50,0
60,0
70,0
80,0
90,0
100,0
110,0
M. Graciela Abriata, Coordinadora del Sistema de Vigilancia Epidemiológica y Reporte – SIVER/INC .
Is there any plan for developing cancer registries in the country?
 Technical and epidemiological training within the framework of
one of the program's objectives: "to coordinate actions for the
strengthening and development of PBCR"
 Organizing meeting for technical and methodological consensus
to ensure the quality and comparability of data.
 Technical assistance preparing data for CI5
 Training in cancer survival analysis to estimate Relative Survival
 CanReg 5 training
 To enable the PBCR to be part of the RITA’s discussion forum
(coding, staging, training in the software use and epidemiological analysis)
M. Graciela Abriata, Coordinadora del Sistema de Vigilancia Epidemiológica y Reporte – SIVER/INC .
•
Are the government and other relevant
authorities in the country committed to cancer
registries?
• What are the main obstacles?
• Which are your support requests
M. Graciela Abriata, Coordinadora del Sistema de Vigilancia Epidemiológica y Reporte – SIVER/INC .
Muito obrigado
Thank you very much!
¡Muchas gracias!
[email protected]
M. Graciela Abriata, Coordinadora del Sistema de Vigilancia Epidemiológica y Reporte – SIVER/INC .