Cancer
Cases In Iraq Are Increasing
IRIN Report
04 October, 2004
Electronic Iraq
A
bag hooked up to a metal pole on wheels delivers chemotherapy medicine
to Sura Najim, 42, as she lies in a bed at the country's leading radiation
hospital in the capital, Baghdad.
Najim knows that
later she will get sick and feel weak, unable to get out of bed. Right
now, however, the college professor is calm - able to talk about the
breast cancer she is trying to beat. Already, she has had surgery to
remove the cancer in one breast and several courses of chemotherapy
over the last four months to make sure it has not spread.
"I discovered
a mass in my body and went to the doctor," Najim told IRIN. "She
discovered that it was malignant, so I had to have an operation."
Iraq's health care
system seems able to handle its cancer patients at the moment, Dr Thikra
Najim, a specialist in gynaecology and obstetrics, told IRIN. But the
number of cases appears to be rising rapidly, especially for breast
cancer, Najim said. It's unclear why this is, although it could be because
of radiation left over from the 1991 Gulf War, she added.
"Now we're
seeing three or four cases every week. I think the number is increasing,"
Najim said. "This is disastrous. We have to study it." In
fact, doctors are now seeing many more cases of cancer in general. About
4,000 patients per year used to come through the doors of the radiation
hospital in Baghdad. So far this year they have seen about 7,000 patients,
Dr Ahmed Abdul Jabhar, deputy director of the hospital, told IRIN.
Cancers in the patients
streaming through the hospital's doors each day appear to be unrelated
to each other, Jabhar said, reading from the hospital's entry log. One
patient has a cancerous tumour in his mouth; another has a lump in her
breast; a third has brain cancer.
In addition, leukaemia
(a form of bone marrow cancer marked by an increase in white blood cells)
cases appear to be increasing in southern Iraq, Jabhar said. Gastro-intestinal
tumours and thyroid problems also seem to be increasing in the centre
of the country, he noted.
"We don't know
if the rise is because there actually are more cases, or because of
new diagnosis capabilities available to us," Jabhar said. Doctors
in recent months have noticed an increase in a variety of radiation-related
diseases, but few reliable statistics exist.
A cancer department
at the Ministry of Health has only this year's statistics for example,
making it impossible to compare what's happening now to what has happened
in the past.
In general, however,
it takes more than 20 years for people to get sick through radiation-related
diseases after they have been exposed, Jabhar said. But such diseases
can progress more rapidly if the exposure is higher. Children can also
be more vulnerable - and the number of cases of childhood leukaemia
has risen in the last few years.
"More people
seem to have cancer, but I was very surprised when I found out I had
it," Iman Rubi Mohammed, 44, told IRIN, as she waited for treatment
for cancer of the cervix in the radiology room of the hospital. She
said she went to the doctor after getting sharp pains in her abdomen.
Now there is a two-to-three
month waiting list to be treated by the radiology machines, Jabhar said,
because the number of patients is increasing. Doctors also treat cancer
with hormone therapy, he said, and they're always worried that they
will run out of drugs.
In Tuwaitha, 18
km south of Baghdad, where nuclear research went on for years, many
residents appear to have suffered some ill effects, Bushra Ali Ahmed,
director of the Radiation Protection Centre in Baghdad, told IRIN.
Of 4,000 residents
who had their blood tested in five villages surrounding Tuwaitha, about
2,000 were found to have higher than normal white blood cell counts,
Ahmed said. She is also testing the blood of at least 10 residents in
Baghdad to use them as a control group.
"We can't say
it's from radiation, but their immunity is lower," Ahmed said.
"Radiation can come from many things. There are many sources of
contamination in Iraq now." Ahmed has just finished a Ministry
of Environment study about pollution in Iraq. The United Nations Environmental
Programme (UNEP) is starting a US $4.7 million pilot project to investigate
environment "hot spots" and help with cleaning them up, ranging
from chemical spills to oil discharges.
UN workers will
help Iraq reduce pollution threats to human health, wildlife and the
wider environment, Klaus Toepfer, UNEP's executive director, said in
a statement. "It's not good to say something about this until you
know for sure where the contamination is coming from," Ahmed said.
"We need more machines and materials to study this."
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