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Kielce, Polish conference on cancer, 13/15 June 2011. Cancer inequalities in Europe. Dr. Andrea Micheli Director Descriptive Study and Health Planning Unit Fondazione IRCCS “Istituto Nazionale dei Tumori” Milan. EUROCHIP-1..3. Cancer is an element of our societies
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Kielce, Polish conference on cancer, 13/15 June 2011 Cancer inequalities in Europe Dr. Andrea MicheliDirector Descriptive Study and Health Planning UnitFondazione IRCCS “Istituto Nazionale dei Tumori”Milan
EUROCHIP-1..3 Cancer is an element of our societies Why?Tofight inequalities What?Translational research project How?Economy of scale: EU From actions to common actions Tanks to Magdalena
Cancer - inequalities - Europe Macro-economic approach - background European vision
LIFE EXPECTANCY IN EU-27, ICE, N, and CH2005-2009 Source: United Nations Population Division
LIFE EXPECTANCY TRENDS IN EUROPE Inequalities in health increased Source: United Nations Population Division
GDP AND LIFE EXPECTANCY AT BIRTH Life expectancy at birth $PPPyrs I) GDP< = 20,00073.3 II) 20,000 <GDP< = 30,00079.1 III) 30,000 <GDP<=36,00079.6 IV) GDP>36,00080.0 I, Bulgaria, Romania, Latvia, POLAND, Lithuania, Hungary, Estonia, Slovakia II, Portugal, Malta, Czech Republic, Slovenia, Cyprus, Greece, Spain, Italy III, France, Germany, Finland, United Kingdom, Belgium, Sweden, Denmark IV, Austria, Iceland, The Netherlands, Switzerland, Ireland, Norway, Luxembourg Sources: United Nations Population Division. For GDP International Monetary Fund
GROSS DOMESTIC PRODUCT (GDP) AND CANCER INCIDENCE Age-standardized incidence rates, World Standard Population per 100,000, GDP: at current prices US $, 2006. Source: GLOBOCAN 2002, IARC & United Nations (UN)
GROSS DOMESTIC PRODUCT (GDP) AND CANCER MORTALITY Age-Standardized incidence rates, World Standard Population per 100,000, GDP: at current prices US $, 2006. Source: GLOBOCAN 2002, IARC & United Nations (UN)
GDP and age-standardized incidence rates for all cancers. Men Sources: Human Development Report 2009; Ferlay et al. 2008
GDP and age-standardized mortality rates for all cancers. Men Disks are proportional to the public health expenditure ($ PPP) Sources: Human Development Report 2009; Ferlay et al. 2008
EUROPE Gross Domestic Product (GDP), Total National Health Expenditure (TNHE) and Public Health Expenditure (PHE) Countries are ranked by GDP in 1995 Source: Verdecchia A. et al.
EUROCARE-45-year relative survival, all cancerscountries are ordered by Total Health Expenditure Poland Europe Berrino F. et al, The Lancet Oncology, 2007
5 YEARS RELATIVE SURVIVAL FOR ALL CANCERS EUROCARE 3 Ranked by 1995 TNEH Source: Verdecchia A. et al. European Journal of Public Health, 2008
GDP AND EPIDEMIOLOGICAL CANCER DATA All cancers M & F Sources: Ferlay et al. EJC, 2010. EUROCARE-4. For GDP International Monetary Fund
Against cancer inequalities: indications from Europe • Produce cancer plans (and follow them) • Promote cancer information, i.e. cancer registration • Organize screening programs for cancer of cervix, breast and colorectum • And invest in primary prevention actions
Health Strategies in Europe. Lisbon, 12-13 July 2006. Coleman M., modified
Health Strategies in Europe. Lisbon, 12-13 July 2006. Coleman M. Health Strategies in Europe. Lisbon, 12-13 July 2006. Coleman M.
L. von Karsa et al. Cancer Screening in the European Union. First Report.
L. von Karsa et al. Cancer Screening in the European Union. First Report.
L. von Karsa et al. Cancer Screening in the European Union. First Report.
Lung cancer in Poland and EU-27, males Rate per 100,000 Rate per 100,000 per 100 WORLD Standard Population, per 100.000 Source: GLOBOCAN 2008, WHO. For Survival: EUROCARE-4. Sant et al. EJC 2009.
Smoking trends in European countries (M+F) Source: WHO, Health For All Europe, 2011
Cancer inequalities: promote health NO smoking Eat better, five portion per day Reduce alcohol consumption Increase physical activity, 30’ of walking per day