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Preventable toxins and low screening rates fuel cancer surge in Northern Uganda

2 April 2026, 12:38 pm

A section of Gulu City leaders on a courtesy visit to the Uganda Cancer Institute, Koro branch, Gulu City.

By Gift Okello

Health experts and local leaders are raising the alarm over a sharp increase in liver cancer cases across Northern Uganda, attributing the rise primarily to poorly stored food and preventable infections.

Officials from the Uganda Cancer Institute (UCI) have linked the regional surge to high levels of Hepatitis B and chronic exposure to aflatoxins—poisonous carcinogens produced by mould that grows on improperly stored crops such as grains and nuts.

Dr Fadhil Giriga, a specialist at the UCI, identified aflatoxin contamination as a major contributor to liver disease in the region. He noted that traditional food-handling practices, particularly storing produce for extended periods in damp or unsafe conditions, are inadvertently exposing thousands to lethal toxins.

Dr Fadhil Giriga, a specialist at the Uganda Cancer Institute’s Gulu branch, explains the rise in liver cancer cases in Northern Uganda.

Beyond liver health, Dr Giriga expressed deep concern over the underutilisation of breast cancer screening services. Despite the availability of a modern mammography machine at the facility, the number of women seeking early detection remains alarmingly low.

Dr Fadhil Giriga explains the surge in breast cancer cases and the low uptake of early screening by the public.
Dr Fadhil Giriga (left) listens as UCI staff explain the functionality of the machines to Gulu City leaders at the UCI Koro branch on 1 April 2026.

The UCI emphasised that, while the institute is fully equipped to provide life-saving screenings and treatment, the “silent” nature of the disease, combined with low public turnout, is resulting in a surge of late-stage diagnoses.

The health crisis has prompted a call to action from Gulu City’s political leadership. During a recent visit to the institute, Mayor-elect Acire Julius Labeja Gunya urged closer collaboration between public health interventions and scientific research.

He specifically called on the public to enforce stricter hygiene and storage protocols, adopt improved handling techniques to minimise mould growth, and remain vigilant about the quality of the food they consume.

Gulu City Mayor-elect, Labeja Julius Acire, also known as Gunya, speaks on liver cancer and safe food management.
A UCI staff member explains the functionality of the mammography machine for cancer screening at the Koro Cancer Institute in Gulu City on 1 April 2026.

Accompanying the Mayor-elect, the Gulu City Woman Member of Parliament highlighted the physical strain on the current facility. Noting the increasing influx of patients, she called for the urgent expansion of the institute, including the acquisition of additional land for infrastructure and staff housing, to better serve the region.

Rt Hon Betty Aol Ocan, Woman MP for Gulu City, speaks on the need to acquire more land for the Koro Cancer Institute.

Authorities believe the situation can be improved through a multi-pronged strategy that combats stigma, encourages screening, and provides accessible care for those already affected.

As the burden of cancer rises in Northern Uganda, health experts deliver a clear message: prevention through proper nutrition and early screening is no longer optional—it is a matter of survival.