World Cancer Day4th February 2013

Dr. Rakesh Gupta, MS, FAIS,

Cancer- & Tobacco- Control DepartmentSEAROC Cancer Center & SK Soni Hospital, Jaipur

Be Informed To Stay Positive

to Cancer

Objective

The globalscene(UICC)

In Focus for WCD 2013• Target 5 of the World Cancer

Declaration• Dispel damaging myths and

misconceptions about cancer,with the tagline “Cancer - Did you know?”.

Myth 1 - Cancer is just a health issue

• Truth: Cancer is not just a health issue • It has wide-reaching social,

economic, development, and human rights implications

Myth 1 - Cancer is just a health issue

• Solutions- A multisectoral- governmental approach• Establish partnership that work

(not the responsibility of the health department alone)

Myth 2 - Cancer is a disease of the wealthy, elderly and developed countries

•Truth: Cancer is a global epidemic • It affects all ages and socio-

economic groups with developing countries bearing a higher and disproportionate burden

Myth 2 - Cancer is a disease of the wealthy, elderly and developed countries

• Solution- Optimize resources and increase capacity to respond to the needs • Improve access and delivery of the

effective, quality and affordable services without an adverse impact economically

Myth 3 - Cancer is a death sentence

•Truth: Many cancers can now be cured (a) that were once considered a death sentence; and, (b) for many more people, their cancer can be treated effectively

Myth 3 - Cancer is a death sentence

• Solution- Cost effective methods for all resource settings based on existing cancer-specific risks and available resources and infrastructure (that diagnose cancer when it is curable..!!)

Myth 4 - Cancer is my fate

•Truth: With the right strategies, a third of the most common cancers can be prevented..!!

Myth 4 - Cancer is my fate

• Solution- Reduce Level of exposure to adverse risk factors and adopt healthy lifestyle;

• Decide on (a) an END GAME for tobacco; and, (b) GO for regular physical activity, “right” use of vegetables and fruits and vaccinations to control certain infections

Why this global call?• By 2030, ~12 million cancer deaths

annually• These six lac deaths each month can

be prevented with increased governmental support and funding for prevention, detection and treatment programmes.

• WHO believes that avoidable deaths from NCDs can be reduced by 25% by 2025

Cost of cancer: 458 Billion USD; 1.8 billion is the Need

to reduce its risks

The economic cost of lost life years due to cancer exceed that

of any other disease

The global cost of inaction against cancer exceeds

the costs of action

“We are at an unprecedented place with an extraordinary opportunity to save lives... from primary prevention to treatment and palliative care”

Dr John SeffrinCEO, American Cancer Society

Cancersin

India

Cancer mortality in India: A nationally representative survey (2012)*

• Cancer is an important cause of adult deaths

• More than 70% of fatal cancers occur during the productive ages of 30–69 years

• Rates of cancer deaths were similar between rural and urban areas; and, about twice in the least versus the most educated*Ref. Dikshit Rajesh et, al. www.thelancet.com Published online

March 28, 2012 DOI:10.1016/S0140-6736(12)60358-4

Cancer mortality in India: A nationally representative survey (2012)*

• At 30–69 years, the three most common fatal cancers:

• In Men were oral (including lip and pharynx [22·9%]), stomach [12·6%]), and lung (including trachea and larynx [11·4%]); and,

• In Women were cervical [17·1%]), stomach [14·1%]), and breast [10·2%]).

• Tobacco-related cancers represented 42·0% of male and 18·3% of female cancer deaths.

• There were twice as many deaths from oral cancers as lung cancers.*Ref. Dikshit Rajesh et, al. www.thelancet.com Published online

March 28, 2012 DOI:10.1016/S0140-6736(12)60358-4

Its burden• Prevalence (Cancer cases at any

given time perennially): ~2.7 million survivors • Incidence (New cases)- ~ 1 million• Deaths (die due to cancer)- ~0.7

million

The Good News• One-third to one-fifth of the

incidence in the Developed countries “despite minimal (sporadic) efforts to reduce (control) it”’ and,

• Dr. Rajan A Badwe, Director, TMC, Mumbai_December, 2011

Another good news..!!• Larger proportion of cancers can be

prevented and/ or diagnosed early for a complete cure (~50%)

• Tobacco-related cancers- Say NO to tobacco; and, a user should QUIT at an earliest; and,

• Infection-related cancer- Cancer of Uterine Cervix

• Cancers of Mouth, Breast and Uterine Cervix if detected early are almost curable..!!

The third good news..!!• The most-frequent cancers in

India can diagnosed early for a complete cure (50%-65%)..!!• Cancers of Mouth, Breast and

Uterine Cervix (and Penis)

Why..!?• These occur on body surface;

thus, are highly visible to the sufferer or his/her carers; OR• Their symptoms “speak” for

them..!!

The Fourth Good News..!!

•We have more cancer centers country- and state-wide that are better equipped comprehensively (than a decade ago).

The Bad News• Its occurrence is on the verge on exploding in India; Already no.1 cause of deaths globally• Dr. Rajan A Badwe, Director, TMC,

Mumbai_December, 2011

Why..!?•People are either not

aware, ignore and/or fear.. plus socio-cultural (life style) issues !!•The myths... (already

briefed)!!

Why..!?•Poor access at Village-,

Town- and District- levels• Low affordability- High cost

and suboptimal health cover•NO facilities for Palliation

Why..!?• The Care lacks quality and

accountability• The System for

surveillance is missing

It is only by everyone doing their part that the world will reduce

the burden of cancer

The carry home message

The UICCAccess to effective, quality and affordable cancer services is a

right of all individuals; and, should not be determined by

where you live..!!

“Ab Cancer Se Dar Nahi”अब कैं� सर स� डर नहीं�

A Cancer Awareness Campaign for the Youth

Schools’ Network in Cancer Prevention

Work plan• Duration: From World

Cancer Day 2013 to 2014• School-based Activities (Feb.-

Oct. 2013):1. Schools to have wall writings for healthy life style2. Arts competition on the theme- I am healthy! 3. Essay on What should children convey parents and parents reaction- the best 2 gets award

Work plan• Activities at SEAROC and SKSH (Nov. 2013 to Jan. 2014)1.Workshop of the Schools on the "Cancer and NCD control activities for the next year"- the best school team competes on Cancer Awareness Day in Nov 20132. Advocacy with the Policy planners to “Reduce Cancer Risks of Youth”3. Evaluate outcomes, Report and Plan for the year 2014- 2015

Useful web links• http://www.worldcancerday.org/dosomething

http://www.worldcancerday.org/fact-sheets & http://www.worldcancerday.org/

• http://www.cancer.org/subsites/india/keep-yourself-healthy-india & http://www.cancer.org/acs/groups/content/documents/document/acspc-028634.pdf

• http://www.cancer.org/ & http://www.cancer.org/cancer/news/features/world-cancer-day-2013

• http://mohfw.nic.in/index3.php?lang=1&level=0&deptid=52

Acknowledgments

• We sincerely express our sincerest gratitude to UICC, Geneva, American Cancer Society, Atlanta, Ministry of Health and Family Welfare, New Delhi and Deccan Hearld, New Delhi Bureau for their materials used to prepare this presentation in public interest.

Dr. Rakesh Gupta

Thanks

Contact- Dr. Rakesh GuptaE mail- rakeshgupta@psi.org.in

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