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2026

Cancer in Hong Kong: Understanding the Risk and the Numbers

Hong Kong, [2 July 2026] – In this first episode of our awareness series, we look at the "hidden heartbeat" of cancer statistics in our city—the numbers that define our collective risk.

 

The 14-minute reality

Whilst we sleep tonight, 35 more people in Hong Kong will wake up tomorrow morning diagnosed with cancer; you could be one of them. To understand the scale of cancer in Hong Kong, we look at how often a new diagnosis occurs. Based on the most recent data, more than 37,900[1]  new cases were recorded in a single year. This means that every 14 minutes, a person in Hong Kong is diagnosed with cancer; that’s more than 100 Hong Kongers every single day of the year. It is a reminder that cancer is not a distant possibility, but a constant reality in our healthcare landscape.

 

1 in 4 vs. 1 in 5 – Will you be the unlucky one?

Cancer can strike at any age. When we look at the probability of being diagnosed before the age of 75, the statistics offer a clear wake-up call for financial and health planning:

- For Males: 1 in 4 will develop cancer before age 75.1

- For Females: 1 in 5 will develop cancer before age 75.1

These odds suggest that cancer is a foreseeable life event for a significant portion of our population. Actuaries assess risks to help design affordable protection plans so that a diagnosis doesn't lead to a major financial burden for a family.

 

What are the trends?

As our population ages, cancer diagnoses continue to increase gradually. One of the most striking trends we’ve identified is that cancer is affecting men and women differently over time. When we adjust for the effects of an ageing population, a clear split emerges:

- For Men: The overall incidence rate has been relatively stable.1

- For Women: The trend is deteriorating, with an increasing rate of new cases observed over the last decade.1

Incident rates are still high for both groups, but women have recently surpassed men in the total number of new cancer cases diagnosed annually in Hong Kong.1

 

Is it this simple for all cancers?
While the average (adjusted for the ageing population) shows these trends, the reality beneath the surface is more complex. While some types of cancer are in retreat, others are rising sharply—often linked to modern lifestyles in a high-density city.

 

Survival: The power of early detection
The final, and highly important, number we track is survival. Data consistently shows that cancer is not a single outcome, but a race against time.

Survival rates by stage tell a powerful story: for many common cancers, the 5-year survival rate for patients diagnosed at Stage I is 90% or higher2. At this early stage, survival is often relatively close to that of the general population. However, that survival rate drops drastically—sometimes to below 10%—if the cancer is not caught until Stage IV2.

From an actuarial perspective, this "survival gap" is why we strongly advocate for early detection. It doesn’t just save lives; it reduces the complexity and cost of treatment, keeping the entire healthcare system more affordable for everyone.

 

1 Overview of Cancer Statistics in Hong Kong, accessed on May 9, 2026, https://www.cancer.gov.hk/en/hong_kong_cancer/overview_of_cancer_statistics_in_hong_kong.html

2 Overview of Hong Kong Cancer Statistics of 2023 About the Hong ..., accessed on May 9, 2026, https://www3.ha.org.hk/cancereg/pdf/overview/Overview%20of%20HK%20Cancer%20Stat%202023.pdf  

 

English Version

Hong Kong’s MPF Assets may hit HK$4.2 Trillion in 2045 – Actuaries report MPF Market Size Projection for the next 20 years and what it means to you

Hong Kong, [5 March 2026] – The Actuarial Society of Hong Kong (ASHK) has published the MPF Market Size Projection 2025-2045 study (2025 Report), its latest estimate of the future size of the Mandatory Provident Fund (MPF) assets over the coming 20 years.

 

The MPF system affects the lives of the great majority of Hong Kong’s working population and their families. According to data released by the Mandatory Provident Fund Schemes Authority (MPFA), as of 31 December 2025, the MPF assets stood at approximately HK$1,550 billion.

 

The 2025 Report was undertaken by the ASHK Pension and Employee Benefits Committee. The starting point for the study was data published in December 2025 by MPFA. The projected 2045 MPF assets size is in a range of HK$3.9 to 4.5 trillion, around 2.7 times the 2025 level. It is expected that MPF assets will reach the HK$2 trillion mark around 2030 and HK$3 trillion around 2038.

 

It is important to note that the actual asset balance in 2045 will depend on several uncertain factors, including actual contribution amounts, economics, demographics, regulatory changes, members’ and employers’ behaviour. The report estimates the most sensitive factor impacting the balance will be future investment returns. For example, a 0.5% per annum difference in net investment return will result in an HK$300 billion difference in the 2045 balance. Nevertheless, the ASHK believes that its independently derived best estimate will be useful to the MPF community and the public.

 

  1. 1. Outliving Your Savings? ASHK Warns of Longevity Trap – Push for Silver Products to Secure Lifelong Income!

    The study also projects that for a 45-year-old male employee with an existing MPF balance of HK$0.4 million who contributes HK$2,000[1] monthly would accumulate approximately HK$1.8 million when he retires at age 65. This lump sum savings can be used during his entire retirement life.

    However, life expectancy in Hong Kong has increased by around 5.5 years[2] since the launch of MPF over 20 years ago. Given this general increase and the unpredictability of an individual’s lifespan, the savings will need to last longer than planned, and there is a risk that we will outlive our MPF savings (longevity risk) upon retirement.

    ASHK advocates the development of more “silver” products and services, such as annuities, that provide a sustainable income source. Following retirement, there should be strategic integration and promotion of these “silver” products as a complementary tool that offers a lifelong income stream. This could include using choice architecture to transfer lump sums of MPF withdrawal (full or partial) into annuities (or other income generating products) and include inflation protection features to maintain purchasing power.


    In parallel more help is needed for pre-retirees and retirees to understand the options and strategies for managing their MPF savings.  This could include utilising PensionTech for personalised communication, providing better financial education that leads to behaviour changes, and providing free, impartial, personalised information/guidance.

  2. 2. Retire Better: Raise Contributions Now or Face a Retirement Crisis

    The study also projects that, adjusting for inflation, the above MPF savings of HK$1.8 million could generate a monthly annuity of HK$6,400[3] at 2025 price level; this equates to a 32% pension replacement rate[4].


    This rate is low when compared to many developed economies[5], highlighting that the existing mandatory savings alone is insufficient. Without adequate retirement income, retirees may become a financial burden on their families or society.  To improve retirement adequacy, ASHK calls for more intervention to increase the contribution amounts to boost MPF savings. The maximum relevant income (Max RI) level has been static since 2014; it no longer keeps pace with salary inflation and should be raised.  Mandatory contributions can also be increased by uplifting the mandatory contribution rate of 5% and introducing tiering.

    Also, for the above-mentioned case, if the MPF member were to start making voluntary contributions of HK$5,000 per month at 45 years old (taking advantage of the tax-deductible voluntary contributions TVC) to increase MPF savings, his pension replacement rate would increase to 64%. ASHK also stresses the need for enhanced policies aimed at encouraging voluntary contributions. This includes using behavioural nudges[6], simplifying digital enrolment for TVC, setting separate tax-deductible limits for TVC and QDAP (qualifying deferred annuity plans), and providing incentives to encourage employer-matched voluntary contributions.

[1] Estimation based on the 2024 median monthly employment earnings of employed persons over 15, which was HK$20,000
[2] Hong Kong Assured Lives Mortality 2022 Issued in 2025
[3] Using a long-term inflation assumption of 2.5% p.a., the projected MPF savings of HK$1.8 million in 2045 would be equivalent to approximately HK$1.11 million in 2025 price levels. The annuity is calculated with this amount under the current terms of the HKMC Annuity Plan for a male.
[4] Pension replacement rate = Pension income / Pre-retirement income
[5] OECD Gross Pension Replacement Rates https://www.oecd.org/en/data/indicators/gross-pension-replacement-rates.html
[6] A subtle prompt or design feature that encourages people to make a specific choice without forcing them or taking away their other option

 

English Version

(L-R)

Zita Chung FASHK, ASHK Pension & Employee Benefits Committee Vice-Chairperson 香港精算學會退休金及僱員福利委員會副主席鍾思達女士

William Chow FASHK - ASHK Pension & Employee Benefits Committee Member and Project Lead 香港精算學會退休金及僱員福利委員會成員及專案負責人周沛言先生

Patrick Au FASHK - ASHK Vice President 香港精算學會副會長區志禮先生

Kevin Lee FASHK - ASHK Pension & Employee Benefits Committee Chairperson 香港精算學會退休金及僱員福利委員會主席李吉宏先生

The Actuarial Society of Hong Kong Welcomes 2026 - 2027 Budget: Fortifying Hong Kong’s Resilience through Risk Management and Innovation