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Table 1 Number of radiotherapy services per country compared to the recommended number of machines

From: Radiotherapy in the Caribbean: a spotlight on the human resource and equipment challenges among CARICOM nations

Country

Population (thousands)1

No. of patients (GLOBOCAN data)

Institutions

Existing external beam radiation therapy machines

Recommended radiotherapy machines (population based)2

Recommended radiotherapy machines (patient based)3

Public/private affiliation

Cobalt-60

LINAC

Total

  

Antigua and Barbuda

96

198*

The Cancer Centre Eastern Caribbean (private)

-

1

1

< 1

< 1*

The Bahamas

386

933

The Cancer Centre Bahamas (private)

-

1

1

2

1

Barbados

287

1245

Queen Elizabeth Hospital (public)

1

-

1

2

2

Belize

383

358

-

-

-

0

2

< 1

Dominica

72

148*

-

-

-

0

< 1

< 1*

Grenada

111

230*

-

-

-

0

< 1

< 1*

Guyana

779

751

Cancer Institute of Guyana (private)

-

1

1

4

< 1

Haiti

11 123

12 366

-

-

-

0

62

15

Jamaica

2935

7348

Cornwall Centre for Cancer Treatment (public)

Kingston Public Hospital (public)

Radiation Oncology Centre of Jamaica (private)

National Cancer Treatment Centre, St. Joseph’s Hospital (public)

2

3

5

16

9

St. Kitts and Nevis

52

108*

-

-

-

0

< 1

1*

St. Lucia

182

376

-

-

-

0

1

< 1

St. Vincent and the Grenadines

110

227*

-

-

-

0

< 1

< 1*

Suriname

576

1042

Radiotherapeutic Centre Suriname, Academic Hospital Paramaribo (public)

-

2

2

3

1

Trinidad and Tobago

1390

3369

National Radiotherapy Centre, St, James Medical Complex (public)

Brian Lara Cancer Treatment Centre (private)

Southern Medical Clinic (private)

1

3

4

8

4

All countries

18 482

28 699

 

4

11

15

105

40

  1. *Using average crude incidence ratio (new cases/population) of the nine CARICOM nations with known incidence data from GLOBOCAN = 0.002 06 (95% CI = 0.000 82)
  2. 1Based on World Bank population data 2019 revision [6]
  3. 2One machine per 180 000 inhabitants
  4. 3One per 450 patients/year (using radiation utilization rate of 55% and GLOBOCAN data) [7]