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A Red Letter Day: With IAEA support, Mauritania inaugurates its first nuclear medicine centre

CNO14

His Excellency, President Abdel Aziz, visited the National Oncology Centre to inspect the new nuclear medicine centre

November 28 is the National Day of the Islamic Republic of Mauritania, and each year, citizens and tourists alike take to the streets in celebration. There was a particularly special reason to celebrate this year, because His Excellency Mr Mohamed Ould Abdel Aziz, the President of the Islamic Republic of Mauritania, visited the National Oncology Centre in Nouakchott the day before to inaugurate the nation's first nuclear medicine facility. The staff of the facility have all been trained with the support of the IAEA's technical cooperation (TC) programme.

Cancer is increasingly recognized as a major public health problem in Africa, including Mauritania. As standards of living increase on the continent, so too do the socioeconomic factors which contribute to the incidence of cancer, including smoking, unhealthy diets, pollution and physical inactivity. The common cancers seen in Mauritania are of cervix, breast, prostate liver and ovary. Prior to working with the IAEA, Mauritania struggled with the challenges of cancer diagnosis and treatment. Haematological malignancies and solid tumours require specialized treatment that was unavailable in the country, and Mauritanian hospitals were forced to send patients to be treated abroad.

Aware of the growing financial and human costs related to cancer, the Government of Mauritania made a firm commitment to develop its cancer treatment capacities, working with the IAEA's technical cooperation programme. After diligently implementing the necessary safety and security measures, Mauritania was able to launch a TC project[1] in 2009, which aimed to establish two cancer treatment facilities, both built within the grounds of the existing National Oncology Centre (CNO) in Nouakchott.

Staffing for the first facility, a complete radiotherapy centre, was supported through IAEA fellowships, training courses and expert visits which provided the necessary technical expertise. As part of a related regional TC project, a regional training course for the radiotherapy technologists from francophone African Member States was organized in Nouakchott in 2013. All told, three medical physicists, four radiation oncologists, six radiation therapy technicians (manipulators) were trained under the project. The centre was inaugurated by H.E. President Abdel Aziz, and opened to the public on November 27, 2010.

Consolidating the gains made under the first TC project, a follow-up project[2] started in 2012 to help establish a corresponding nuclear medicine centre in the CNO. By selecting the appropriate Mauritanian general medicine specialists, and enrolling them in the necessary IAEA-supported fellowship courses in Morocco, Algeria and France, Mauritania was able to guarantee that the technical capacities to safely and effectively operate the linear particle accelerator and the high-dose brachytherapy machine installed at the radiotherapy service would be in place.

Almost exactly four years after the radiotherapy facility was officially launched, the National Oncology Centre was again visited by the President, this time for the inauguration of the newly-completed nuclear medicine Service. Two nuclear medicine specialists, three nuclear medicine medical physicists, two radiopharmacists and three nuclear medicine technologists have been trained or are about to complete their long term training in Algeria, Egypt and Morocco.

With the crucial equipment and trained personnel in place, Mauritania is now better positioned to safely and cost-effectively diagnose cancer wherever it appears. 

Government commitment is absolutely indispensable in the fight against cancer. In just five years, Mauritania has transformed itself from a country bereft of oncologists or cancer therapists, to a nation able to address the growing incidence of cancer. Although there is still plenty to do, the fact that Mauritanian doctors are now treating Mauritanian patients, and that cancer therapy can be provided without travel or major expense, is inspiring for everyone.

During the inaugural ceremony of the nuclear medicine centre, the Head of State Abdel Aziz explained, "We are very enthusiastic about our relationship [with the IAEA], which was able to deliver very positive results in a very short time."

[1] MAU/6/002, Planning the Establishment of a Radiotherapy and Nuclear Medicine Centre

[2] MAU/6/003, Establishing a Nuclear Medicine and Radiotherapy Centre Within the Framework of a National Cancer Programme (Phase 2)

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