Bhutan Total population: 742,000 Total deaths: 4,800 Income group: Lower middle Life expectancy at birth: Total:68 Males:68 Females:69 Cancer Mortality Profile* Males Females Stomach 15.7% Stomach 29.3% Other 34.8% 200 200 Other 48.0% No data available Deaths Cervix uteri 11.1% No data available Deaths Trachea, bronchus, lung 10.7% Mouth and oropharynx 10.0% Liver 8.1% Trachea, bronchus, lung 9.3% Oesophagus 8.5% Pancreas 7.0% Oesophagus 7.6% Age-Standardized Cancer Mortality Trends* Females 35 age-standardized death rate per 100,000 age-standardized death rate per 100,000 Males 35 30 25 20 15 No data available 10 5 0 2000 2002 2004 2006 2008 Stomach Mouth and oropharynx Oesophagus Liver 2010 30 25 20 15 No data available 10 5 0 2012 2000 Trachea, bronchus, lung 2002 2004 2006 Stomach Cervix uteri Oesophagus Pancreas 2008 2010 2012 Trachea, bronchus, lung Cancer Incidence Females Males 70 64 60 60 50 50 40 No data available 30 19 19 20 18 16 10 Number of cases Number of cases 70 40 37 No 28 data available 30 19 15 20 13 10 0 0 Stomach Lung Lung Liver Colorectum Cervix uteri Stomach Lung Ovary Breast Adult Risk Factors Males Females Total Current tobacco smoking (2011) ... ... ... Total alcohol per capita consumption, in litres of pure alcohol (2010) 1.2 0.1 0.7 Physical inactivity (2010) 4.8% 10.9% 7.5% Obesity (2014) 4.6% 7.5% 5.9% - - 37.0% Household solid fuel use (2012) World Health Organization - Cancer Country Profiles, 2014. Cancer Plans, Monitoring and Surveillance Has an operational cancer policy/strategy/action plan No Has a cancer registry No Scope Coverage Last year of data Cancer Primary Prevention Policies Tobacco control Has an operational policy, strategy or action plan to reduce the burden of tobacco use Smoke-free legislation Yes All public places completely smoke-free (or at least 90% of the population covered by complete subnational smoke-free legislation)** Tobacco dependence treatment None Warning labels Bans on advertising, promotion and sponsorship No warnings or small warnings Ban on national television, radio and print media as well as on some but not all other forms of direct and/or indirect advertising Tobacco taxes Data not reported Overweight and obesity prevention and control Has an operational policy, strategy or action plan for reducing overweight/obesity No Physical inactivity prevention and control Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote physical activity No Harmful use of alcohol prevention and control Has an operational policy, strategy or action plan to reduce the harmful use of alcohol No National immunization Human Papillomavirus vaccination schedule 12 years, +2 months, +6 months Hepatitis B vaccination schedule Birth Hepatitis B vaccination coverage, infants 97% Cancer Screening and Early Detection Cervical cancer Cervical cytology (PAP) Generally available at the public primary health care level Acetic acid visualization (VIA) Generally available at the public primary health care level Breast cancer Breast palpation / clinical breast exam (CBE) Mammogram Generally available at the public primary health care level Not generally available at the public primary health care level Colorectal cancer Faecal occult blood test or faecal immunological test Bowel cancer screening by exam or colonoscopy Not generally available at the public primary health care level Generally available at the public primary health care level Cancer Treatment and Palliative Care Radiotherapy Not generally available in the public health system Total high energy teletherapy units / million inhabitants 0.0 Number of radiotherapy centres ... Number of radiation oncologists ... Chemotherapy (medicines not specified) Generally available in the public health system Oral morphine (formulation not specified) Not generally available in the public health system Non-methadone morphine equivalent consumption per cancer death (mg) ... Community/home care for people with advanced stage cancer and other NCDs * No mortality data available. Figures are based on national incidence estimates and modelled survival. ** Indicates highest possible level of achievement World Health Organization - Cancer Country Profiles, 2014. Not generally available … = No data available