Epidemiological Aspects of Morbidity and Mortality from Cervical Cancer in Kazakhstan

Epidemiological studies of cancer incidence in Kazakhstan have revealed an uneven distribution for cervicalcancer. Incidence and mortality rates were calculated for different regions of the republic, including the twomajor cities of Almaty and Astana, in 1999-2008. Defined levels for cartograms for incidence were low (up to12.8/100,000), medium (12.8 to 15.9) and high (above 15.9) and for mortality were up to 7.1, 7.1 to 10.8 andmore than 10.8, respectively. Basically high incidence rates were identified in the eastern, central and northernparts of the country and in Almaty. Such differences in cervical cancer data, and also variation in mortality/incidence ratios, from a low of 0.4 in Almaty to a high of 0.71 in Zhambyl, point to variation in demographicand medical features which impact on risk and prognistic factors for cervical cancer in the country. Furtherresearch is necessary to highlight areas for emphasis in cancer control programs for this important cancer.