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AJPH First Look, published online ahead of print Feb 18, 2010
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AJPH.2009.164236v1
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American Journal of Public Health, 10.2105/AJPH.2009.164236

Research and Practice

Trends in Childhood Leukemia in Basrah, Iraq, 1993–2007

Amy Hagopian 1*, Riyadh Lafta 2, Jenan Hassan 3, Scott Davis 1, Dana Mirick 4, Tim Takaro 5

1 University of Washington
2 Mustansiriya University
3 Basra University School of Medicine
4 Fred Hutchinson Cancer Research Center
5 Simon Fraser University

* To whom correspondence should be addressed. E-mail: hagopian{at}u.washington.edu.


  Abstract

Objectives. Through a sister-university relationship between the University of Basrah and the University of Washington, we analyzed Ibn Ghazwan Hospital's leukemia registry data to evaluate trends in childhood leukemia since 1993.

Methods. We documented leukemia cases among children aged 0 to 14 years for each of the last 15 years. Population data were obtained from a 1997 census and various subsequent estimates to calculate rates.

Results. We observed 698 cases of childhood leukemia between 1993 and 2007, ranging between 15 cases (2.6 per 100000 annual rate) in the first year and 56 cases (6.9 per 100000 annual rate) in the final year, reaching a peak of 97 cases in 2006 (12.2 per 100000 annual rate).

Conclusions. Childhood leukemia rates in Basrah more than doubled over a 15-year period. The test for trend was significant (P=.03). Basrah's childhood leukemia rate compared unfavorably with neighboring Kuwait and nearby Oman, as well as the United States, the European Union, and other countries.

Key Words: Child and Adolescent Health, Cancer, Geography, Global Health, Injury/Emergency Care/Violence




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E. Greiser and W. Hoffmann
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A. Hagopian, R. Lafta, J. Hassan, S. Davis, D. Mirick, and T. Takaro
HAGOPIAN ET AL. RESPOND
Am J Public Health, September 1, 2010; 100(9): 1557 - 1557.
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