Incidence of Endemic Burkitt Lymphoma in Three Regions of Mozambique

Cristina O'Callaghan-Gordo ISGlobal, Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain.
Universitat Pompeu Fabra (UPF), Barcelona, Spain.
CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.

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Delphine Casabonne CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
Unit of Infections and Cancer (UNIC), IDIBELL, Institut Català d'Oncologia, L'Hospitalet de Llobregat, Barcelona, Spain.

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Carla Carrilho Serviço de Anatomia Patológica, Hospital Central do Maputo, Maputo, Mozambique.
Faculdade de Medicina, Universidade Eduardo Mondlane, Maputo, Mozambique.

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Josefo Ferro Serviço de Anatomia Patológica, Hospital Central da Beira, Beira, Mozambique.
Universidade Católica de Moçambique, Beira, Mozambique.

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Cesaltina Lorenzoni Serviço de Anatomia Patológica, Hospital Central do Maputo, Maputo, Mozambique.
Faculdade de Medicina, Universidade Eduardo Mondlane, Maputo, Mozambique.
Programa Nacional de Controle do Cancro, Ministério da Saúde, Maputo, Mozambique.

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Clesio Zaqueu Serviço de Anatomia Patológica, Hospital Central do Nampula, Nampula, Mozambique.
Faculdade de Ciências de Saúde, Universidade Lúrio, Nampula, Mozambique.

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Augusto Nhabomba Centro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique.

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Ruth Aguilar ISGlobal, Barcelona Centre for International Health Research (CRESIB), Hospital Clínic–Universitat de Barcelona, Barcelona, Spain.

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Quique Bassat Centro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique.
ISGlobal, Barcelona Centre for International Health Research (CRESIB), Hospital Clínic–Universitat de Barcelona, Barcelona, Spain.

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Sílvia de Sanjosé CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
Unit of Infections and Cancer (UNIC), IDIBELL, Institut Català d'Oncologia, L'Hospitalet de Llobregat, Barcelona, Spain.

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Carlota Dobaño Centro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique.
ISGlobal, Barcelona Centre for International Health Research (CRESIB), Hospital Clínic–Universitat de Barcelona, Barcelona, Spain.

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Manolis Kogevinas ISGlobal, Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain.
Universitat Pompeu Fabra (UPF), Barcelona, Spain.
CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
Municipal Institute of Medical Research (IMIM-Hospital del Mar), Barcelona, Spain.

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Abstract

Data on the burden and incidence of endemic Burkitt lymphoma (eBL) across Mozambique are scarce. We retrospectively retrieved information on eBL cases from reports of the three main hospitals of Mozambique: Maputo Central Hospital (MCH), Beira Central Hospital (BCH), and Nampula Central Hospital (NCH) between 2004 and 2014. For 2015, we prospectively collected information of new eBL cases attending these hospitals. A total of 512 eBL cases were reported between 2004 and 2015: 153 eBL cases were reported in MCH, 195 in BCH, and 164 in NCH. Mean age of cases was 6.9 years (standard deviation = 2.8); 63% (319/504) of cases were males. For 2015, the estimated incidence rate of eBL was 2.0, 1.7, and 3.9 per 106 person-year at risk in MCH, BCH, and NCH, respectively. Incidence was higher in NCH (northern Mozambique), where intensity of malaria transmission is higher. Data presented show that eBL is a common pediatric malignancy in Mozambique, as observed in neighboring countries.

Author Notes

* Address correspondence to Cristina O'Callaghan-Gordo, ISGlobal, Centre for Research in Environmental Epidemiology (CREAL), Doctor Aiguader 88, Barcelona 08003, Spain. E-mail: cocallaghan@creal.cat

Financial support: This project was funded by the CERCA Institutes Integration Program (SUMA 2013) (promoted and managed by the Secretariat for Universities and Research of the Ministry of Economy and Knowledge of the Government of Catalonia [SUR], the Agency for Management of University and Research Grants [AGAUR], and the CERCA Institute). Cristina O'Callaghan-Gordo holds a Sara Borrell postdoctoral fellowship awarded from the Carlos III National Institute of Health (CD13/00072). We thank Ibon Tamayo-Urria for mapping the cases of eBL.

Authors' addresses: Cristina O'Callaghan-Gordo and Manolis Kogevinas, Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain, E-mails: cristina.ocallaghan@isglobal.org and manolis.kogevinas@isglobal.org. Delphine Casabonne and Sílvia de Sanjosé, Unit of Infections and Cancer (UNIC), IDIBELL, Institut Català d'Oncologia, L'Hospitalet de Llobregat, Barcelona, Spain, E-mails: dcasabonne@iconcologia.net and s.sanjose@iconcologia.net. Carla Carrilho and Cesaltina Lorenzoni, Serviço de Anatomia Patológica, Hospital Central do Maputo, Maputo, Mozambique, E-mails: carrilhocarla@hotmail.com and ferreira.cesaltina@gmail.com. Josefo Ferro, Department of Medicine, Catholic University of Mozambique, Beira, Mozambique, E-mail: josefoferro@yahoo.com.br. Clesio Zaqueu, Serviço de Anatomia Patológica, Hospital Central do Nampula, Nampula, Mozambique, E-mail: clesio.zaqueu@gmail.com. Augusto Nhabomba, Centro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique, E-mail: augusto.nhabomba@manhica.net. Ruth Aguilar, Quique Bassat, and Carlota Dobaño, ISGlobal, Barcelona Centre for International Health Research (CRESIB), Hospital Clínic–Universitat de Barcelona, Barcelona, Spain, E-mails: ruth.aguilar@isglobal.org, quique.bassat@isglobal.org, and carlota.dobano@isglobal.org.

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