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Global Cancer Control: The WHO Perspective

Global Cancer Control: The WHO Perspective. Cecilia Sepúlveda Coordinator Programme on Cancer Control. Cancer is a public health problem worldwide. It affects all people:the young and old, the rich and poor, men, women and children. Over 20 million pleople live with cancer.

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Global Cancer Control: The WHO Perspective

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  1. Global Cancer Control: The WHO Perspective Cecilia Sepúlveda Coordinator Programme on Cancer Control

  2. Cancer is a public health problem worldwide. It affects all people:the young and old, the rich and poor, men, women and children

  3. Over 20 million pleople live with cancer

  4. There will be a 50% increase in new cancer cases over the next 20 years The biggest rates of increase will occur in the developing world Cases in million Source Globocan 2000

  5. Global cancer control: there is a GAP between knowledge and practice Present knowledge Present practice 43% of cancers deaths can be prevented Around 1/3 of cancer cases can be cured if early detected All cancer cases can benefit from palliative care Psychosocial and behavioral factorshave a significant impact on cancer onset and course and vice versa Comprehensive strategies are more effective and efficient Usually prevention and palliative care are neglected Major emphasis is put on treatment oriented approaches, in general not linked to early detection programmes Very little attention is given to psychosocial and behavioural factors Fragmented initiatives without coordination and systemic vision

  6. National cancer control programmes best way to bridge the gap between knowledge and practice Ignorance knowledge practice Research Comprehensive Programmes

  7. KEY WHO INITIATIVES 2002-2004 Update of the framework on National Cancer Control Programmes (NCCP), Policy and Managerial Guidelines Consultation on Strategies to Improve Cancer Control Programmes in Europe 5-country project: A Community Health Approach to Palliative Care for HIV/AIDS and Cancer Patients in Africa Consultation on Cervical Cancer Screening in Developing Countries Strategies to Improve and Strengthen Cancer Control Programmes in Europe Report of a WHO Consultation Geneva, 25-28 November, 2003 www.who.int/cancer

  8. What are comprehensive national cancer control programmes (NCCPs)? Are public health programmes by the people for the people Their goal is to reduce the cancer burden, cancer inequalities and improve the quality of life of cancer patients and their families

  9. NCCP: Balanced evidence-based interventions across the continuum of care • Prevention Healthy population • Early detection • Diagnosis &Treatment Population at risk Population with early cancer • Palliative care Population with advanced cancer Cancer deaths

  10. WHO recommends implementing NCCP in a stepwise approach that considers the evidence, resources and the social values Context Source: M Gray

  11. WHO promotes the stepwise implementation of interventions according to the level of resources High Level of resources Mammography breast cancer screening Cytology cervical cancer screening and treatment of all curable tumours Middle level of resources Awareness of early signs & symptoms of cervical, breast cancers plus adequate diagnosis and treatment Low level of resources Palliative care and prevention of most prevalent cancer risk factors Very Low level of resources

  12. Which countries have comprehensive national cancer control programmes?

  13. Examples of countries that report having comprehensive cancer control policies * * * * State level

  14. A unique opportunity to advance the cancer control agenda has presented itself • At the WHO Executive Board (EB114) in May 2004,a Cancer Prevention & Control resolution has been approved. (www.who.int/cancer) • The 33 participating member states expressed their strong commitment for developing and reinforcing cancer control programmes

  15. On May 2005 at the 58th World Health Assembly, all WHO member states will discuss the EB114 Cancer Resolution and eventually adopt it WHO and partners will develop a 10-year strategic plan to implement the resolution particularly in low and middle-income countries

  16. WHO PLAN 2005-2006 Resolution adopted at the World health Assembly MAY 2005 October 2004 Dec 2006 Advocacy, partnerships & capacity building Design of a Global Cancer Control Strategy to implement the resolution Implementation of the Global Strategy • Country demonstration programmes • Expansion

  17. Country demonstration programmesLevels: global/regional/national/target Area Country F Country E (national) Country A WHO-Partners Country B (national) Country D Target area Country C

  18. In Conclusion • We face a huge burden of cancer but we also see the potential for action, particularly having the support of a World Health Assembly Cancer Resolution • Each of us, peoples, agencies and nations must all be part of the solution • WHO is inviting all sectors, particularly those having a focus in low-and middle-income countries to join and support this global effort

  19. “Knowing is not enough We must apply Will is not enough We must do” Goethe

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