Introduction: The incidence of colorectal cancer is increasing in the gulf area and it is the second killer cancer in UAE in 2017. In UAE the data showed average age for colorectal cancer to be 51 years,59% were men and 41 % were women. Patterns of Opioid Prescription, Use, and Costs among Patients with Advanced Cancer and Inpatient Palliative Care between 2008 and 2014. In the Emirate of Abu Dhabi the Health Authority of Abu Dhabi (HAAD) instituted colon cancer prevention program in 2013   including primary preventive strategies by education, weight control& exercise and secondary prevention strategies by either colonoscopy or fecal immune testing starting at age 40-75. Our center  ACDS  advanced center for day care surgery in Abu Dhabi UAE , colonoscopies  in 6 years period done for multiple indications are reviewed.

Outcome Study : 2012-2018 (single center experience ACDS). Of 6078 colonoscopies performed for multiple indications,1554 Colon Polyps were detected  22%. 58 cancers were detected during this period 1.1% of total colonoscopies, age range 29-81 years , 41% below 50 years, 22% below age 40.

Conclusion: Colorectal cancer affects younger populations. The implications for the screening program are to review the screening age and possibly starting at younger ages.