Top Ten Types of Childhood Cancer in Nineveh Governorate 2018–2022: A Time Series Analysis

Background: Childhood cancer incidence and deaths reflects the low health status, which can be prevented by setting upstrategies with help of different sectors in community. Aim: To describe the childhood cancer in Nineveh governorate during 2018–2022. Methods: A Biometry study used to review 646 a cancer registration form for five years 2018–2022, using Can-Rej 5 inquiryforms adopted by Ministry of Health measuring [sex ratio, sex and cause specific death rate, the incidence rate, the case fatalityrate, the proportion mortality rate and trend of (occurrences and death)]. Results: The total number of participants was 646, the commonest childhood cancer was among (2–5) and (6–9) years it was35.7% and 30.7% respectively, four fifth 81.7%, 59.4% and 25.5% of children were treated by chemotherapy, surgery and radiotherapy respectively. Bone marrow cancer was the top of causes it was 33.4% with trend to decrease toward 2022, then lymph node as 21.1% withunchangeable trend and while brain tumour had had fluctuating trend during study period with increasing trend in general toward2022. The study showed that no changes in trend of childhood cancer regarding age and sex. Trend of surgical management wereincrease by 22%, chemo therapy 12% and radio therapy by 4% toward 2023. Trend of death was increasing toward 2022 withcase fatality rate and proportional mortality were 48.1, 0.66 respectively. Conclusion: Occurrence and death mainly among age group (2–9) years. Top ten causes and death were leukemia, lymphomaand bone with decreasing trend of certain cancer and slightly increasing of other. Although minimal changes were seen inincidence rate trend but there is increasing mortality toward 2023.