Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA)
Adjunct Professor, Univ. of Texas M. D. A...
Trinidad &
Tobago
Believe
R
R
Most Feasible initiative :
Education and Information Campaign
a. Public and Patients-
b. Medical Staff
c. Politicians
d....
R
R
R
If this is your waiting room:
Will you be attending to patient
tobacco history and cessation?
R
R
R
 Cancer is a leading cause of death, pain
and suffering
 7.6 million died of Ca in 2005
Cancer deaths > AIDS+ TB + mala...
Many cancers can be prevented:
All countries can, at some useful
level implement the three
basic components of cancer
cont...
R
R
Most Feasible initiative :
Education and Information Campaign
a. Public and Patients-
b. Medical Staff
c. Politicians
d....
R
Most Feasible initiative :
Education and Information Campaign
Evidence-based, Continuous, sustained
Prevention
Early sig...
R
Most Feasible initiative :
Education and Information Campaign
What do they need to know?
Like other CNCDs - proven risk factors
tobacco use
alcohol use
dietary factors incl. low fruit & veg.
physical inactiv...
R
Example : World Cancer Nutrition Guidelines 2007
Unlike other CNCDs - proven risk factors:
physical carcinogens
ultraviolet (UV)
ionizing radiation
R
Unlike other CNCDs - proven risk factors:
chemical carcinogens
*Group 1: Carcinogenic to humans (102 agents)
*Group 2A...
R
biological carcinogens
Immuniz’n / tmt of agents that cause
cancers
HPV- Cervical Cancer (2nd
commonest in
Females on J’...
R
biological carcinogens
H. pylori : A bacteria that causes
gastric cancer ( 2nd
commonest
in males in J’ca and B’dos)-
H...
R
Must educate and inform
About
Early detection & secondary prevention
Is Cancer as
preventable as
Stroke & Heart
Disease?
Is Cancer as preventable as Stroke &
Heart Disease?
NO
Worldwide:
If major risk factors eliminated we
would prevent
• 80% of heart disease, stroke
and type 2 diabetes
• 30- 40% ...
Caribbean Region
If major risk factors eliminated
Would we even prevent 30-
40% of cancer ??
Barbados : Males Females
Preventable??
Barbados: Prevention?
Males Females
Prostate Breast
Jamaica: Males Females
Preventable??
Jamaica: Prevention?
Males Females
Prostate Breast
Tr’dad & T’bgo: Males Females
Preventable??
Trinidad : Prevention?
Males Females
Prostate Breast
R
Early detection & secondary prevention
1. Cervical cancer screening: detect pre cancer
(# 2in females in J’ca and T&T)
2...
R
Early detection & secondary prevention
3. Screening for Colorectal Ca. (#2 in males
in T&T and in females in B’dos)
4. S...
R
R
Most Feasible initiative :
Train the trainers Campaign
Cancer prevalence
About Cancer
Early signs
Pathways and navigatio...
R
Most Feasible initiative :
Education and Information Campaign
Statagy for initiation
A. Support a network with Caribbean...
R
Most Feasible initiative :
Education and Information Campaign
B. Advocate for Healthcare agencies to
mandate and pay for...
http://www.who.int/topics/cancer/en/
http://www.who.int/topics/cancer/en/
http://www.who.int/topics/cancer/en/
http://www.who.int/topics/cancer/en/
http://www.who.int/topics/cancer/en/
http://www.who.int/topics/cancer/en/
http://www.who.int/topics/cancer/en/
http://www.who.int/topics/cancer/en/
The World Cancer Declaration 2008 was
developed by the International Union Against Cancer (UICC)
endorsed by the World Can...
R
•Place cancer on the development agenda.
•Increase political priority
• A country’s investment in its growing cancer pro...
R
1. Sustainable delivery systems will be in place to
ensure that effective cancer control programmes are
available in all...
R
4. Populations in the areas affected by HPV and HBV
will be covered by universal vaccination
programmes
5. Public attitu...
R
7. Access to accurate cancer diagnosis, appropriate
cancer treatments, supportive care, rehabilitation
services and pall...
R
10. Emigration of health workers with specialist
training in cancer control will have reduced
dramatically
11. There wil...
R
10. Emigration of health workers with
specialist training in cancer control
will have reduced dramatically
R
What is the plan for No. 10?
(“Emigration of health workers with specialist training in cancer
control will have reduced...
R
R
Most needed initiative :
Staff Staff Staff
Cancer Nurses
Cancer Doctors
Physicists, Pharmacists, Radiation therapists,
R...
R
Most needed initiative :
R
Most needed initiative :
R
Most needed initiative : Staff
R
Significant proportion can be
cured
Surgery
Radiotherapy
Chemotherapy
R
R
 > 70% of Ca deaths occur in low- and
middle-income countries
 89% of world morphine used in USA
and Europe
R
SUMMARY
TOAST CANCER
www.uicc.org
www.who.int/topics/cancer/en/
www.cancer.org
www.cancer.org.au/home.htm
www.cancer.ca
www.cancer.gov
w...
Anesa Ahamad B.Sc. MB.BS. M.Sc.,D.A.B.R., F.R.C.R
Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston
...
Proposal for revolutionizing the prevention and management of ...
Proposal for revolutionizing the prevention and management of ...
Proposal for revolutionizing the prevention and management of ...
Proposal for revolutionizing the prevention and management of ...
Proposal for revolutionizing the prevention and management of ...
Upcoming SlideShare
Loading in …5
×

Proposal for revolutionizing the prevention and management of ...

332 views
280 views

Published on

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
332
On SlideShare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
3
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide
  • 3333NFVGTR FVGTR e#
  • Proposal for revolutionizing the prevention and management of ...

    1. 1. Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston Oncology Advisor - Ministry of Health, Trinidad & Tobago Clinical Oncologist, Brian Lara Cancer Center, Trinidad Associate Lecturer, Univ. of the West Indies, Medical Sciences
    2. 2. Trinidad & Tobago Believe
    3. 3. R
    4. 4. R Most Feasible initiative : Education and Information Campaign a. Public and Patients- b. Medical Staff c. Politicians d. Decision makers
    5. 5. R
    6. 6. R
    7. 7. R If this is your waiting room: Will you be attending to patient tobacco history and cessation?
    8. 8. R
    9. 9. R
    10. 10. R
    11. 11.  Cancer is a leading cause of death, pain and suffering  7.6 million died of Ca in 2005 Cancer deaths > AIDS+ TB + malaria > 70% of Ca deaths occur in low- and middle-income countries
    12. 12. Many cancers can be prevented: All countries can, at some useful level implement the three basic components of cancer control
    13. 13. R
    14. 14. R Most Feasible initiative : Education and Information Campaign a. Public and Patients- b. Medical Staff c. Politicians d. Decision makers
    15. 15. R Most Feasible initiative : Education and Information Campaign Evidence-based, Continuous, sustained Prevention Early signs Pathways and navigation – by country for screening Treatment Caribbean FAQs and dispel common myths
    16. 16. R Most Feasible initiative : Education and Information Campaign What do they need to know?
    17. 17. Like other CNCDs - proven risk factors tobacco use alcohol use dietary factors incl. low fruit & veg. physical inactivity overweight and obesity
    18. 18. R Example : World Cancer Nutrition Guidelines 2007
    19. 19. Unlike other CNCDs - proven risk factors: physical carcinogens ultraviolet (UV) ionizing radiation
    20. 20. R Unlike other CNCDs - proven risk factors: chemical carcinogens *Group 1: Carcinogenic to humans (102 agents) *Group 2A: Probably carcinogenic to humans (69 agents)  *Group 2B: Possibly carcinogenic to humans (246 agents) *The International Agency for Research on Cancer (IARC) is part of the
    21. 21. R biological carcinogens Immuniz’n / tmt of agents that cause cancers HPV- Cervical Cancer (2nd commonest in Females on J’ca andT&T) This is the only Cancer vaccine that will prevent more than 70% of cases!!
    22. 22. R biological carcinogens H. pylori : A bacteria that causes gastric cancer ( 2nd commonest in males in J’ca and B’dos)- Hepatitis B
    23. 23. R Must educate and inform About Early detection & secondary prevention
    24. 24. Is Cancer as preventable as Stroke & Heart Disease?
    25. 25. Is Cancer as preventable as Stroke & Heart Disease? NO
    26. 26. Worldwide: If major risk factors eliminated we would prevent • 80% of heart disease, stroke and type 2 diabetes • 30- 40% of cancer
    27. 27. Caribbean Region If major risk factors eliminated Would we even prevent 30- 40% of cancer ??
    28. 28. Barbados : Males Females Preventable??
    29. 29. Barbados: Prevention? Males Females Prostate Breast
    30. 30. Jamaica: Males Females Preventable??
    31. 31. Jamaica: Prevention? Males Females Prostate Breast
    32. 32. Tr’dad & T’bgo: Males Females Preventable??
    33. 33. Trinidad : Prevention? Males Females Prostate Breast
    34. 34. R Early detection & secondary prevention 1. Cervical cancer screening: detect pre cancer (# 2in females in J’ca and T&T) 2. Early Detection of Breast Cancer / Pre- Cancer #1 in Females) ( #1 in B’dos, T&T , J’ca) Breast self awareness (BSA) Clinical Breast Examination (CBE) Mammography
    35. 35. R Early detection & secondary prevention 3. Screening for Colorectal Ca. (#2 in males in T&T and in females in B’dos) 4. Screening for Prostate Ca (# 1 in males in J’ca, B’dos and T&T)
    36. 36. R
    37. 37. R Most Feasible initiative : Train the trainers Campaign Cancer prevalence About Cancer Early signs Pathways and navigation – by country Prevention Treatment Caribbean FAQs Dispelling common myths Evidence-based, Continuous, sustained,
    38. 38. R Most Feasible initiative : Education and Information Campaign Statagy for initiation A. Support a network with Caribbean professionals who are functioning in US, UK and Canada and locals I have a long list of cancer specialists who are eager to come in to help fuel evidence based education and practice.
    39. 39. R Most Feasible initiative : Education and Information Campaign B. Advocate for Healthcare agencies to mandate and pay for education for staff C.Use available resources:
    40. 40. http://www.who.int/topics/cancer/en/
    41. 41. http://www.who.int/topics/cancer/en/
    42. 42. http://www.who.int/topics/cancer/en/
    43. 43. http://www.who.int/topics/cancer/en/
    44. 44. http://www.who.int/topics/cancer/en/
    45. 45. http://www.who.int/topics/cancer/en/
    46. 46. http://www.who.int/topics/cancer/en/
    47. 47. http://www.who.int/topics/cancer/en/
    48. 48. The World Cancer Declaration 2008 was developed by the International Union Against Cancer (UICC) endorsed by the World Cancer Congress 2008
    49. 49. R •Place cancer on the development agenda. •Increase political priority • A country’s investment in its growing cancer problem is an investment in the economic and social well-being of the country.
    50. 50. R 1. Sustainable delivery systems will be in place to ensure that effective cancer control programmes are available in all countries 2. The measurement of the global cancer burden and the impact of cancer control interventions will have improved significantly 3. Global tobacco consumption, obesity and alcohol intake levels will have fallen significantly
    51. 51. R 4. Populations in the areas affected by HPV and HBV will be covered by universal vaccination programmes 5. Public attitudes towards cancer will improve and damaging myths and misconceptions about the disease will be dispelled 6. Many more cancers will be diagnosed when still localized through the provision of screening and early detection programmes and high levels of public and professional awareness about important
    52. 52. R 7. Access to accurate cancer diagnosis, appropriate cancer treatments, supportive care, rehabilitation services and palliative care will have improved for all patients worldwide 8. Effective pain control measures will be available universally to all cancer patients in pain 9. The number of training opportunities available for health professionals in different aspects of cancer control will have improved significantly
    53. 53. R 10. Emigration of health workers with specialist training in cancer control will have reduced dramatically 11. There will be major improvements in cancer survival rates in all countries
    54. 54. R 10. Emigration of health workers with specialist training in cancer control will have reduced dramatically
    55. 55. R What is the plan for No. 10? (“Emigration of health workers with specialist training in cancer control will have reduced dramatically”) They took my email and promised toThey took my email and promised to get back to me!get back to me!
    56. 56. R
    57. 57. R Most needed initiative : Staff Staff Staff Cancer Nurses Cancer Doctors Physicists, Pharmacists, Radiation therapists, Radiographers, Cytologists Healthcare Information Systems Management Professional Education/Research/Ethics
    58. 58. R Most needed initiative :
    59. 59. R Most needed initiative :
    60. 60. R Most needed initiative : Staff
    61. 61. R Significant proportion can be cured Surgery Radiotherapy Chemotherapy
    62. 62. R
    63. 63. R  > 70% of Ca deaths occur in low- and middle-income countries  89% of world morphine used in USA and Europe
    64. 64. R SUMMARY TOAST CANCER
    65. 65. www.uicc.org www.who.int/topics/cancer/en/ www.cancer.org www.cancer.org.au/home.htm www.cancer.ca www.cancer.gov www.nccn.org www.dietandcancerreport.org/
    66. 66. Anesa Ahamad B.Sc. MB.BS. M.Sc.,D.A.B.R., F.R.C.R Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston Oncology Advisor - Ministry of Health, Trinidad & Tobago Clinical Oncologist, Brian Lara Cancer Center, Trinidad Associate Lecturer, Univ. of the West Indies, Medical Sciences

    ×