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This article highlights the alarming increase in the incidence and mortality of cancer in women worldwide. It provides key statistics on cervical and breast cancer, emphasizing the higher prevalence in less developed regions. The importance of resource stratification and the role of partnerships for improving cancer care are also discussed.
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Global Cancer Agenda Julie Gralow, M.D University of Washington Jo Anne Zujewski, M.D. U.S. National Cancer Institute , 2017 April 22, 2016
Global Burden of CancerFerlay J et al, GLOBOCAN 2012. Int J Cancer Sept 2014 Bray F et al, Lancet Oncol 2012 http://globocan.iarc.fr • Incidence: • 2008: 12.7 million new cases • 2012: 14.1 million new cases • 2030: 20.3 million new cases projected • Mortality: • 2008: 7.6 million deaths • 2012: 8.2 million deaths • 2030: 13.2 million projected
CANCER in women 2012 CERVICAL CANCER BREAST CANCER 1.67 million new cases Incidence per 100,000 27 Middle Africa 96 Western Europe. More cases in less developed regions 883,000 (less) 794,000 (more) • 528,000 new cases • Incidence per 100,000 • 42.7 Eastern Africa • 5.5 Austalia • More cases in less developed regions • 445,000 (less) • 83,000 (more)
Number and distribution of cancer cases by level of economic development and year (assuming no change in the annual incidence rate) Thun, M. J. et al. Carcinogenesis 2010 31:100-110; doi:10.1093/carcin/bgp263
World Bank COUNTRY Groups CLASSIFICATION (ATLAS METHOD) Health expenditure figures 2010 for calendar year 2007; GNI = gross national income http://data.worldbank.org/data-catalog/health-nutrition-and-population-statistics.
GLOBAL SUMMIT 2005 – BETHESDARESOURCE STRATIFICATION • Basic level: Core resourcesor fundamental services necessary for any breast health care system to function. • Limited level: Second-tier resourcesor services that produce major improvements in outcome such as survival. • Enhanced level: Third-tier resourcesor services that are optional but important, because they increase the number and quality of therapeutic options and patient choice. • Maximal level: Highest-level resourcesor services used in some high resource countries that have lower priority on the basis of extreme cost and/or impracticality. Source : portal.BHGI.org and Cancer 113: S8, 2008
US National Cancer Institute Center for Global Health (established 2011)PARTNERSHIP: Together we can make a difference Dedicated individuals, working in collaboration, continue to be the driving force behind improvements in cancer care