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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]