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Home , Banaras Hindu University, Pindra, Sir Sunderlal Hospital, Varanasi district

Cancer Incidence and Mortality in District, U ar Pradesh State, : 2017

First year report of the Populaon based Cancer Registry (PBCR)

oaoa smaark kedX Tata Memorial Centre

Varanasi District

Pindra Cholapur

Baragaon Harhua Chiragaon

Sevapuri Varanasi Arajiline

Kashividyapeeth

Centre for Cancer Epidemiology (CCE), Mumbai, India Tata Memorial Centre (TMC), Mumbai, India Homi Bhabha Naonal Instute (HBNI) Homi Bhabha Cancer Hospital (HBCH) & Mahamana Pandit Cancer Centre (MPMMCC), Varanasi, U ar Pradesh, India Instute of Medical Science, , (BHU), Varanasi, U ar Pradesh, India Mahamana Pandit Madan Mohan Malaviya Cancer Centre (MPMMCC) was inaugurated on 19th February 2019 by the Hon. Prime Minister Mr. in the presence of Mr. Ram Naik --Governor of U ar Pradesh (UP), Mr. Yogi Adityanath Chief Minister of UP, Mr. Ratan Tata --Chairman, Tata Trust and Dr.R A Badwe Director TMC, Mumbai. Key handover ceremony of Homi Bhabha Cancer Hospital, Lahartara to Mr. Sanjeev Sood Director, Administraon-- TMC and Dr. Pankaj Chaturvedi Dy Director, CCE TMC by Mr. Sanjay Deka from Tata Trust Mumbai

ii Cancer Registry Principal Invesgator, Co-- Principal Invesgators and Co Invesgators

Tata Memorial Centre (TMC), Mumbai

Name Role Designaon Dr. R. A. Badwe Principal Invesgator Director- TMC Dr. Rajesh Dikshit Co-- Invesgator Director CCE, TMC Dr. Pankaj Chaturvedi Co-- Invesgator Deputy Director CCE, TMC Dr. Atul Budukh Co- Principal Invesgator Professor of Epidemiology

Homi Bhabha Cancer Hospital (HBCH) and Mahamana Pandit Madan Mohan Malaviya Cancer Centre (MPMMCC), Varanasi

Name Role Designaon Dr. Satyajit Pradhan Co-- Principal Invesgator Director HBCH & MPMMCC Varanasi Dr. Bal Krishna Mishra Co-- Invesgator Deputy Director HBCH & MPMMCC Varanasi Dr. Divya Khanna Co- Invesgator Asst Prof, Prevenve Oncology/ Focal Person for PBCR & HBCR Dr. Naveen Khargekar Co--- Invesgator Office In Charge, Prevenve Oncology

Banaras Hindu University (BHU), Varanasi

Name Role Designaon Prof. V. K. Shukla Co- Principal Invesgator Director, IMS (Former) Prof. Uday Pratap Shahi Co- Invesgator HOD Department of Radiotherapy (Former)

District Health Authories Name Role Designaon Dr. V B Singh Co- Invesgator CMO

iii Populaon- Based Cancer Registry Varanasi Staff

Name Designaon Mr. Rajesh Kumar Vishwakarma Field Supervisor Mr. Anand Narayan Sharma Field Supervisor Mr. Amit Kumar Pandey Field Invesgator Mr. Ranjan Kumar Singh Field Invesgator Mr. Kuldeep Singh Chauhan (Now shi ed to HBCH Sangrur) Field Invesgator Ms. Varsha Tripathi Data Entry Operator Mr. Abhishek Kumar Pandey Field Invesgator Mr. Rahul Kumar Varma Field Invesgator Mr. Vijay Kumar Maurya Field Invesgator Mr. AmanRiguvanshi Field Invesgator Mr. Fahad Mahmood Field Invesgator Mr. Shivam Tiwari Field Invesgator Mr. Priyanshu Kumar Field Invesgator Mr. Saurabh Kumar Singh Field Invesgator

Technical staff from Centre for Cancer Epidemiology – TMC, Mumbai

Name Designaon Mrs. Sonali Bagal Research Co- ordinator Ms. Shraddha Shinde Scienfic Assistant Mrs. Suchita Yadav Scienfic Assistant Dr. Priyal Chakravar Sr. Project Co- ordinator

Supporve staff from the Hospital-- Based Cancer Registry, HBCH MPMMCC, Varanasi

Name Designaon Dr. Payal Singh Research Co- ordinator Mr. Shahid Husain Khan Scienfic Assistant

Office Address: Populaon- Based Cancer Registry Mahamana Pandit Madan Mohan Malaviya Cancer Centre (MPMMCC), Sundar Bagiya, Near Sunderpur, Banaras Hindu University Campus, Varanasi- 221005 U ar Pradesh, India Contact: Email: [email protected], [email protected] iv Contents

Sr. No. Topic Page Number

1. Objecve of the project 1

2. Populaon covered 1

3. Registraon method 1

4. Cancer incidence and mortality- all sites 2

5. Leading cancer sites by sex 3

6. Cancer pa ern in urban and rural areas 4

7. Leading cancer sites in urban and rural area 5

8. Comparison of cancer incidence rate with other Indian registries 7

9. Highlights 10

10. References 11

11. Acknowledgments 12

v 1. Objecve of the project

Tata Memorial Centre (TMC), Mumbai an autonomous instute under the Department of Atomic Energy, , has started a populaon- based cancer registry in Varanasi district on April 1, 2017, with the help of Sir Sunderlal (SS) Hospital, Banaras Hindu University (BHU) and district health authority of Varanasi district.

The objecve of the cancer registry is to measure the burden of cancer in terms of incidence and mortality and to know the pa erns of cancer in the district.

2. Populaon covered

The cancer registry covers the eight blocks of the district- Arajiline, Baragaon, Chiraigaon, Cholapur, Harhua, Kashividyapeeth, , and Sewapuri covering a populaon of 3,676,841 as per census 2011. The registry covers urban areas including Ramnagar (NPP) as well as 1295 villages of the district. Around 57% of the populaon of the district is rural. The esmated populaon of Varanasi district for the year 2017 is 4 million.

3. Registraonmethod

Trained field invesgators of the cancer registry regularly visit the villages as well as different hospitals, pathology laboratories, medical , cancer control cells, and the birth and death registrar office to collect cancer incidence and death cases. The registry staff interacts with village sarpanch, Auxiliary Nurse Midwife (ANM), Accredited Social Health Acvist (ASHA) workers, and primary health centre staff periodically to get to know the cancer cases diagnosed in the area as well as cancer deaths that have occurred in the village. With the help of ASHA workers, the registry staff interacts with the paent's relave and they note down the informaonavailable.

In the urban area, the staff interacts with the local municipal corporators and local leaders to get informaon about the cancer cases diagnosed in the community. The informaon received from ASHA workers/paent's relaves/local leaders are further confirmed at the paent's treang hospital.

A er confirming the paent's residence (resident of the district for at least one year) and duplicate checking by senior staff, the case is registered in the prescribed format. The data entry is carried out in CanReg5 so ware.

1 4. Cancer incidence and mortality- all sites

In the year 2017, the cancer registry registered 1907 cancer cases. There were 1058 male cases and 849 female cases. The age- adjusted incidence rate for males is 59.2 per 100,000 populaon and for females, it is 52.1 per 100,000 populaon. In the year 2017, the cancer registry registered 762 cancer deaths including 429 male deaths and 333 female deaths. The age- adjusted mortality rate for males is 24.4 per 100,000 populaon and for females, it is 20.8 per 100,000 populaon.The cancer incidence and mortality rates for all sites for males and females are presented in figure 1.

Figure 1: All sites cancer incidence and mortality rate by sex: 2017 (Varanasi district)

70 Incidence

Mortality 59.2 60 52.1 50

on

40

30 24.4 20.8

AAR per 100,000 popula 20

10

0 Male Female

2 5. Leading cancer sites by sex

In males mouth, tongue, lung, liver, prostate, larynx, stomach, gall bladder, oesophagus and brain are the leading cancer sites. The top ten leading cancer site in males are presented in figure 2. In females breast, cervix uteri, gallbladder, liver, ovary, mouth, tongue, stomach, brain, and lung are the leading cancer sites. The top 10 leading cancer sites in females are presented in figure 3.

Figure 2: Leading cancer sites in males (figures in parenthesis indicate the percentage)

Mouth 19.0 (31.9%) Tongue 3.9 (6.6%) Lung 2.8 (4.6%) Liver 2.5 (4.1%) Prostate 2.5 (4.0%) Larynx 1.9 (3.0%) Stomach 1.8 (2.8%) Gallbladder 1.6 (2.6%) Oesophagus 1.6 (2.6%) Brain, NS 1.5 (2.7%)

0.0 5.0 10.0 15.0 20.0 AAR per 100,000 populaon

Figure 3: Leading cancer sites in females (figures in parenthesis indicate the percentage)

Breast 13.3 (26.1%) Cervix uteri 9.5 (18.0%) Gallbladder 5.0 (9.3%) Liver 2.7 (5.1%) Ovary 2.6 (5.2%) Mouth 2.2 (4.1%) Tongue 1.3 (2.4%) Stomach 1.2 (2.2%) Brain, NS 1.1 (1.9%) Lung 1.1 (2.0%)

0.02.0 4.0 6.0 8.0 10.0 12.0 14.0 AAR per 100,000 populaon

3 6. Cancer pa ern in urban and rural areas

The cancer registry covers 57% rural area and 43% urban area. We have observed the difference in the cancer incidence rate in urban and rural areas. The urban area cancer incidence rate in males is 63.2 per 100,000 populaon whereas it is 55.6 per 100,000 populaon in rural areas. In females, the rural area cancer incidence rates are higher as compared to the urban area. The cancer incidence rate by the area and sex is menoned in the figures 4. We have observed the under reporng of the cancer death in the urban area as compared to the rural area. The all site cancer mortality by the area and sex is menonedin figure 5.

Figure 4: All sites cancer incidence rate by area and sex: 2017 (Varanasi district) Urban 70.0 63.2 Rural 60.0 55.6 54.5

on 49.5 50.0

40.0

30.0

20.0

AAR per 100,000 popula 10.0

0.0 Male Female

Figure 5: All site cancer mortality rate by area and sex: 2017 (Varanasi district)

35.0 Urban 30.2 30.0 28.3 Rural

on 25.0

20.0 16.5 15.0 11.2 10.0

AAR per 100,000 popula 5.0

0.0 Male Female

4 7. Leading cancer sites in urban and rural areas

In males, mouth cancer incidence rate is higher in the urban area (22.4 per 100,000 populaon)as compared to rural areas (16.2 per 100,000 populaon); 38% higher in urban area. In females, breast cancer incidence rate is higher in the urban area as compared to rural areas respecvely 14.8 and 12.3 per 100,000 populaon; 20% higher in urban area. In contrast, the cervix uteri cancer incidence rate in rural areas is almost double than the urban area (rural 12.2 per 100,000 populaon and urban 6.2 per 100,000 populaon).The leading cancer sites by sex and area are presented in figure 6 to 9.

The difference in the cancer burden and pa ern in the rural and urban may be due to different lifestyles, food habits, educaonlevels, and access to the diagnosis and treatment facilies.

Figure 6: Leading cancer sites in urban area: male

Mouth 22.4

Tongue 4.6

Lung 2.8

Prostate 2.5

Oesophagus 2.1

0.0 5.0 10.0 15.0 20.0 25.0 AAR per 100,000 populaon

Figure 7: Leading cancer sites in rural area: male

Mouth 16.2

Tongue 3.4

Liver 3.3

Lung 2.8

Prostate 2.4

0.0 5.0 10.0 15.0 20.0 AAR per 100,000 populaon

5 Figure 8: Leading cancer sites in urban area: female

Breast 14.8

Cervix uteri 6.2

Gallbladder 4.1

Ovary 3.5

Mouth 2.1

0.0 5.0 10.0 15.0 20.0 AAR per 100,000 populaon

Figure 9: Leading cancer sites in rural area: female

Breast 12.3

Cervix uteri 12.2

Gallbladder 5.7

Liver 4.2

Mouth 2.2

0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 AAR per 100,000 populaon

6 8. Comparison of cancer incidence rate with other Indian registries

Figure 10: Age Adjusted Incidence Rate of all cancer sites in males

Meghalaya (2012 2014) 169.6 Delhi (2012) 149.4 Thiruvananthapuram District (2012 2014) 132.0 Nagaland (2012 2014) 125.8 Cachar District (2012 2014) 125.4 Kollam District (2012 2014) 120.5 Chennai (2012 2013) 116.1 Mumbai (2013 2014) 111.0 Pasighat (2012 2014) 107.4 Bangalore (2012) 105.4 Naharlagun (2012 2014) 103.5 Bhopal (2012 2013) 101.5 Kolkata (2012) 100.9 Ahmedabad Urban (2012 2013) 98.5 Paala District (2012 2014) 97.9 Chandigarh (2015 2016) 96.6 Dibrugarh District (2012 2014) 92.8 Sikkim State (2012 2014) 90.7 India (2018) 89.8 Nagpur (2012 2013) 89.4 S.A.S. Nagar District (2015 2016) 87.3 Pune (2012 2013) 77.6 Tripura State (2012 2014) 76.4 Aurangabad (2012 2014) 72.0 Sangrur District (2015 2016) 61.5 Manipur State (2012 2014) 60.5 Wardha District (2012 2014) 60.2 Varanasi District (2017) 59.2 Mansa District (2015 2016) 55.2 Barshi Rural (2012 2014) 53.9 Barshi Expanded (2012) 40.9 0.0 50.0 100.0 150.0 200.0 AAR per 100,000 populaon

Reference: 1 to 7

7 Figure 11: Age Adjusted Incidence Rate of all cancer sites in females

Delhi (2012) 144.8 Chennai (2012 2013) 126.2 Bangalore (2012) 125.9 Thiruvananthapuram District (2012 2014) 120.4 Mumbai (2013 2014) 119.7 Paala District (2012 2014) 111.2 Bhopal (2012 2013) 108.3 Kolkata (2012) 103.4 Kollam District (2012 2014) 101.7 Pasighat (2012 2014) 101.4 Chandigarh (2015 2016) 100.9 Naharlagun (2012 2014) 100.5 Sikkim State (2012 2014) 100.3 S.A.S. Nagar District (2015 2016) 96.2 Cachar District (2012 2014) 95.2 Nagpur (2012 2013) 94.5 Meghalaya (2012 2014) 94.4 India (2018) 90.0 Nagaland (2012 2014) 84.9 Pune (2012 2013) 84.9 Dibrugarh District (2012 2014) 78.6 Ahmedabad Urban (2012 2013) 76.5 Aurangabad (2012 2014) 73.0 Manipur State (2012 2014) 68.6 Sangrur District (2015 2016) 68.3 Wardha District (2012 2014) 66.7 Mansa District (2015 2016) 66.0 Barshi Rural (2012 2014) 60.4 Tripura State (2012 2014) 54.9 Varanasi District (2017) 52.1 Barshi Expanded (2012) 52.0 0.0 50.0 100.0 150.0 200.0 AAR per 100,000 populaon

Reference: 1 to 7

8 Among males, out of every 3 cancer cases, 1 case is of mouth cancer registered at Varanasi district. Mouth cancer rate is higher in the Varanasi district. Comparison of mouth cancer rate is shown in figure 12.

Figure 12: Age Adjusted Incidence Rate of mouth cancer in males (C03- C06)

Gadchiroli (2015 2016) 22.3 Varanasi District (2017) 19.0 Ahmedabad Urban (2012 2013) 18.1 Bhopal (2012 2013) 14.3 Nagpur (2012 2013) 12.8 East Khasi hills district (2012 2014) 11.6 Kamrup Urban district (2012 2014) 10.5 Mumbai (2013 2014) 10.1 Delhi (2012) 9.5 Wardha District (2012 2014) 8.6 Chennai (2012 2013) 8.5 Meghalaya (2012 2014) 7.9 Pune (2012 2013) 7.7 Aurangabad (2012 2014) 7.4 Cachar District (2012 2014) 7.1 Kolkata (2012) 6.8 Thiruvananthapuram District (2012 2014) 6.6 Kollam District (2012 2014) 6.6 Dibrugarh District (2012 2014) 6.3 Nagaland (2012 2014) 5.4 Barshi Rural (2012 2014) 5.1 S.A.S. Nagar District (2015 2016) 4.9 Chandigarh (2015 2016) 4.9 Tripura State (2012 2014) 4.5 Paala District (2012 2014) 4.4 Sikkim State (2012 2014) 4.3 Bangalore (2012) 3.9 Barshi Expanded (2012) 3.8 Sangrur District (2015 2016) 2.7 Mansa District (2015 2016) 2.5 Naharlagun (2012 2014) 1.4 Manipur State (2012 2014) 1.4 0.0 5.0 10.0 15.0 20.0 25.0 AAR per 100,000 populaon

Reference: 2 to 8

9 9. Highlights l Varanasi populaon- based cancer registry is the first cancer registry in the UP state of India. The registry was established on 1st April 2017. l 14 staffs were recruited in this project and they were provided training in the cancer registraon process at Tata Memorial Centre, Mumbai. l The registry covers 4 million populaon of the district (Urban area and 1295 villages from 8 blocks). Around 57% populaon of the district is rural. l The staff has collected the cancer cases data from all the cancer centres/ private hospitals/ laboratories in Varanasi and around the area. The staff has interacted with more than 6700 community leaders to gather cancer cases informaon. l In the year 2017, the cancer registry registered 1907 cancer cases. In males, there were 1058 cases and in females 849 cases. l The age- adjusted incidence rate for males is 59.2 per 100,000 and for females, it is 52.1 per 100,000. The incidence is in comparison with other registries in the country. l 1 in 15 men and 1 in 17 females are at risk of developing cancer in the Varanasi district. l Mouth cancer is predominant cancer in males. Out of every 3 cancer cases, 1 case is of mouth cancer.1 in 48 males is at risk of developing mouth cancer in the district. l In males, mouth cancer incidence rate is higher as compared to other cancer registries in the country. Mouth and tongue cancers are the leading cancers among males. l Breast, cervix uteri, and gallbladder cancers are the leading cancers in females. l There is a difference in the cancer pa ern in the rural and urban areas. The mouth cancer burden is high in urban areas as compared to rural areas. The cervix uteri cancer incidence rate is double in the rural area than in the urban area. l This is the first year report of the cancer registry and we have noted under- reporngof the cancer incidence and mortality cases. We expect an improvement in the cancer registraonprocess in the coming years. l Few private laboratories and hospitals have not provided the cancer paents data to the cancer registry. l The major cancer burden in Varanasi district is due to the mouth, tongue, breast, and cervix uteri cancer. These cancers are preventable. This report recommends iniaon of the awareness programs in schools, colleges, and community as well as for the primary health centre workers, and government medical officers. It is also recommended that there should be easy access to diagnosis of symptomac/likely cases and the confirmed cancer cases should be provided treatment at the cancer centres. l The public health department of the U ar Pradesh state should implement these acvies with the technical help from the TMC Varanasi. l As in this area, the tobacco prevalence is high, there is a need for awareness programs about tobacco and their effect on health. Tobacco is the major risk factor for non communicable diseases. The awareness regarding NaonalTobacco Quit Line Number1800-- 11 2356 is required. l The populaon- based cancer registry in the Varanasi district will be used to monitor cancer trends and to evaluate the effects of prevenon and treatment. l The cancer registry will act as a foundaon for the epidemiological studies for common cancers in these areas. 10 10. References

1. Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F (2018). Global Cancer Observatory: Cancer Today. Lyon, France: Internaonal Agency for Research on Cancer.Available from: h ps://gco.iarc.fr/today , accessed 07.01.2020

2. Naonal Cancer Registry Programme-- Indian Council of Medical Research: Three year report of PBCR 2012- 2014, Bengaluru 2016.

3. Chandigarh Populaon--- Based Cancer Registry Report: 2015 2016 Tata Memorial Centre, Mumbai and Post Graduate Instute of Medical Educaonand Research (PGIMER),Chandigarh

4. SAS Nagar Populaon--- Based Cancer Registry Report: 2015 2016 Tata Memorial Centre, Mumbai and Post Graduate Instute of Medical Educaonand Research (PGIMER),Chandigarh

5. Mansa Populaon--- Based Cancer Registry Report: 2015 2016 Tata Memorial Centre, Mumbai, and Post Graduate Instute of Medical Educaonand Research (PGIMER),Chandigarh.

6. Sangrur Populaon--- Based Cancer Registry Report: 2015 2016 Tata Memorial Centre, Mumbai, and Post Graduate Instute of Medical Educaonand Research (PGIMER),Chandigarh.

7. Cancer Incidence and Mortality Greater Mumbai 2013- 2014, Mumbai Cancer Registry,Mumbai.

8. Cancer Incidence and Mortality in Rural and Tribal Gadchiroli, Maharashtra, India: 2015- 2016

11 11. Acknowledgments

Our special thanks to Hon'ble Prime Minister Shri Narendra Damodardas Modi, Govt. of India and Hon'ble Shri Yogi Adityanath, Hon'ble Chief Minister, Government of U ar Pradesh We gratefully acknowledge the support received from Prof. Rakesh Bhatnagar, Vice- Chancellor, Banaras Hindu University, Varanasi, UP

Department of Health and Family Welfare, Advanced Centre for Treatment, Research Govt. of India and Educaon in Cancer, Kharghar, Navi Dr. Harsh Vardhan, Union Minister Mumbai Mr. Ashwini Kr Choubey, State Minister Dr. Sudeep Gupta, Director, ACTREC Ms. PreeSudan, Secretary, H&FW Dr. HKV Narayan, Dy. Director, ACTREC Dr. Navin Kha ry, Dy. Director, CRC- ACTREC Department of Health and Family Welfare, Dr. Prasanna Venkatraman, Dy Director, CRI- U ar Pradesh ACTREC Mr. Jai Pratap Singh, Cabinet Minister, UP Mr. Umesh Kumar V. Mote- Sr. AO Mr. Atul Garg, State Health Minister, UP Mrs. Anuradha Narayanan- DCA Dr. Rajneesh Dube, Principal Secretary, Mrs. Kusum Pednekar- Jr. PO, CCE Medical Health & Family Welfare Mr. Tukaram H Medar- AAO, CCE Mrs. V.Hekali Zhimomi Secretary, Medical Mr. Suryakant Shedge- Asst Accts Officer, CCE Health & Family Welfare Shri Pankaj Kumar, Secretary, Medical Health Banaras Hindu University & Family Welfare Prof. Rakesh Bhatnagar, Vice Chancellor Prof. R. K. Jain, Director, Instute of Medical Varanasi District Administraon Sciences Shri Deepak Agarwal (I.A.S.), Commissioner Dr. S. K. Mathur, Medical Superintendent, S S Shri Kaushal Raj Sharma (I.A.S.), District Hospital Magistrate Dr. O. P. Upadhyay, Former Medical Shri Amit Pathak, (I.P.S.), S.S.P. Superintendent, S S Hospital Dr. V.B Singh, CMO Varanasi Dr. S. K. Gupta, Professor Incharge (Trauma Shri Gaurang Rathi, IAS, Municipal Centre), Commissioner Varanasi Shri. V. K. Singh, Joint Registrar, IMS Shri Ram Narayan Yadav, District Economics and Stascal Officer Varanasi District Health Department Dr. P P Gupta, ADL CMO Tata Memorial Hospital, Mumbai Dr. Saurabh Singh, District Consultant, NTCP Dr. CS Pramesh, Director- TMH Shri Rajesh Kumar Sharma, DHEIO Dr. Banavli S, Director- Academics Block Development Officers Mr. Sanjeev Sood- Director Administraon Chief MedicalSuperintendent , Community (Project) Health Centre Mr. Anil Sathe, CAO- TMC Incharge, Primary Health Centre Mr. Suryakant Mohapatra, JCFA- TMC HEO, PHC and CHC Mr. T Anbumani- Project Counsultant ANM and ASHA, Community Health Worker Mr. Vijendra Tiwari, DCA- TMC and Anganwadi at Village Mrs. Ruchita Dhanvade, AAO Mr. Benny George, HRD Officer Community Leader Mr. Chandrakant She y, Jr AO Parshad of Respecve Ward and Sarpanch of Mrs. Anagha Kadam, AAO Village Mrs. Varsha Pal, Stenographer- TMH

12 Mahant, , Department of Pediatric Medicine, IMS BHU Godawliya Varanasi Dr. RajniPrasad, Professor and Head Dr. Shrikant Mishra, Priest, Shri Kashi Shri Sunil Kumar, Sr. Office Assistant Vishwanath Mandir Sister Incharge Shri Ram Ruchi Tripathi, Priest, Shri Kashi Vishwanath Mandir Department of Paediatric Surgery Prof. S.P. Sharma, Professor & Head Instute of Medical Sciences, Banaras Hindu Dr. Vaibhav Pandey, Associate Professor University Mr. Ashish Pandey, Data Entry Operator

Department of Radiotherapy and Radiaon Department of Otorhinolaryngology (ENT) Medicine Dr. Rajesh Kumar, Professor & Head Dr. Sunil Choudhary, Associate Professor & Head Department of Hematology Dr. A K Asthana, Professor Dr. M. Rai, Professor Dr. Lalit Mohan Aggarwal, Professor Dr Kailash Kumar Gupta, Professor Dr. Abhijit Mandal, Associate Professor Dr. Ritusha Mishra, Assistant Professor Apex Hospital, Varanasi Dr. Himanshu Mishra, Assistant Professor Dr. S.K Singh, Chairman Dr. Ankita Patel Non- Teaching Staff Department of Mr. Vijay Radiotherapy and Radiaon Medicine Shri Siya Ram Yadav, SO Opal Hospital, Varanasi Shri Vishal Dubey Dr. Pramod Rai, Chairman Shri Raj Nath Nisad, STA Mr. Tarun Banrajee Shri Jitendra Kumar, MRD Secon Shri Jilmit Yadav, STA Heritage Hospital, Varanasi Smt.Meena Kumari Tripathi, STA Dr. Anshuman Rai Shri Ram Adhar Yadav Mr Saurbh Rai

Department of Surgical Oncology Popular Hospital, Varanasi Dr. Manoj Pandey, Professor & Head Dr. A.K.Kaushik, Director Dr. H. S. Shukla, Professor Dr. Sandeep Kumar, Oncology Dr. Mallika Tiwari, Associate Professor Dr. Rakesh Kumar, Oncology Dr. Tarun Kumar, Assistant Professor Dr. Neville JF, Assistant Professor Prakash Deep Hospital, Varanasi Dr. Deepak, Director Department of Pathology Mr. R P Singh, Manager Dr. Vijay Tilak, Professor and HOD Dr. Amrita Ghosh Kar, Professor Prakash Pathology and Radiology, Varanasi Dr. S .P. Singh Department of Radio Diagnosis and Imaging, Mr. Subash IMS BHU Dr. A Verma,Professor and HOD Ray Diganosc Center, Varanasi Dr. R. C. Shukla, Professor Dr. Apurv Veer Sharma Mr. Pradeep Kumar Medical Record Secon, SS Hospital, BHU Dr. Anil Kumar Singh, Senior Technical Lal Path, Varanasi Assistant Dr. Navneet Kumar Dr. Sandeep Kumar Sharma, Stascal Assistant Mr. Deepak, Assistant 13 S.G Lab, Varanasi Dr. Sambit Swarup Nanda, Assistant Professor Dr. Y N Gupta Dr. Ajay Choubey, Assistant Radiaon Mr. Somesh Patel Oncologist

Dr Mohan Kumar Lab, Varanasi Surgical Oncology Dr. Mohan Kumar Dr. Durgatosh Pandey, Professor & Surgeon Dr. Aseem Mishra, Assistant Professor D S Research Center, Varanasi Dr. Sudhendu S. Sharma, Assistant Surgeon Mr. Ashok K. Trivedi Dr. Soumi ra Saha, Assistant Professor Mr. Manish Srivastava Dr. Gautam Prakash, Assistant Professor

Death and Birth Registraon Department Medical Oncology Muncipal Corporaon, Varanasi Dr. K. Sambasivaiah, Professor Dr. A K Dubey, Retd. Health Officer, Varanasi Dr. Anuj Gupta, Assistant Professor Shri Santosh Singh, Senior Clerk Dr. Akhil Kapoor, Assistant Professor Mr. Mahendra, Computer Incharge of Record Secon Palliave Medicine Dr. Somnath Dey, Assistant Professor Kamla Nehru Memorial Hospital, Dr. B. Paul Thaliath, Radiaon Oncologist Anaesthesia Crical Care and Pain Mr. Alok Mishra, HBCR Incharge Dr. Udai Singh, Consultant (Anaesthest) Dr. Uddalak Cha opadhyay, Assistant Mo Lal Nehru Medical Collage, Allahabad Professor Dr. Virendra Singh, HOD, Medical & Radiaon Dr. Sunil Kumar Valsareddy, Assistant Oncology Professor Dr. Anil Maurya Pathology Kir Hospital, Allahabad Dr. Shashikant Patne, Professor Dr. VK Agrawal, Director Dr. Zachariah Chowdhury, Assistant Professor Dr. Ipsita Dhal, Assistant Professor Sanjay Gandhi Post Graduate Medical Dr. Neha Singh, Assistant Professor , Dr. Avinash Gupta, Assistant Professor Prof. Rakesh Kapoor, Director, SGPGIMS Dr. Parul Tripathi, Assistant Professor Dr. Punita Lal, Head, Radiotherapy Dr. Shaleen Kumar, Professor Microbiology Dr. Rahul Sarode, Assistant Professor Mahamana Pt. Madan Mohan Malaviya Dr. Vijeta Bajpai, Assistant Professor Cancer Centre (MPMMCC) and Homi Bhabha Dr. Sujit Bhar, Assistant Professor Cancer Hospital (HBCH), Varanasi Mr. Madho Singh, Chief Administrave Officer Biochemistry Mr. Major Nisha Baloria, Sr. AO Dr. Prabha Gavel, Assistant Professor Dr. Akash Anand, Assistant Medical Superintendent Radiodiagnosis Mr. R P Jaiswar, Admin Co- ordinator Dr. OP Sharma, Professor

Radiaon Oncology Nuclear Medicine Dr. Ashutosh Mukherjee, Professor Dr. Shantanu Shivajirao Pande, Assistant Dr. Resham Srivastava, Assistant Professor Professor Dr. Ajay G V, Assistant Professor Dr. Lincoln Pujari, Assistant Professor

14 Dental and Prosthecs surgery IT Department Dr. Lokendra Gupta, Assistant Professor Mr. Dhirendra Yadav, IT Coordinator Miss. Anusha G, Computer Programmer Transfusion Medicine Mr. Chaitanya K, Computer Programmer Dr. Akshay Batra, Assistant Professor Mr. Akshay Jadhav, IT Technician C Dr. Siddharth Mial, Assistant Professor Mr. Rahul Kori, IT Technician C Mr. Aurangzeb Khan, IT Technician C Nursing Department Mr. Pintu Gupta, IT Technician C Dr. Rajni Sharma, Assistant Nursing Mr. Kapil Dev, IT Technician C Superintendent Mr. Deepak Yadav, IT Technician C Mr. Ramnivas Sharma, Nursing Officer Miss. Sriparna Acharyya, Nursing Office

15 Tata Memorial Centre, Mumbai

Centre for Cancer Epidemiology, ACTREC, Kharghar, Navi Mumbai

“Cancer is curable, if detected early”