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M.SC.IN PUBLIC HEALTH AND DISASTER ENGINEERING
PREPARED BY:MADHAV KARKI
Roll no -06
 Cancer is a group of diseases involving
abnormal cell growth with the potential to
invade or spread to other parts of the body.
 benign tumors, In contrast do not spread.
 Possible signs and symptoms include a lump,
abnormal bleeding, prolonged cough,
unexplained weight loss, and a change
in bowel movements
 Over 100 types of cancers affect humans.
 Tobacco use is the cause of about 22% of cancer
deaths.
 Another 10% are due to obesity, poor diet, lack
of physical activity or excessive
drinking of alcohol.
 Other factors include certain infections,
exposure to ionizing radiation and environmental
pollutants
 n the developing world, 15% of cancers are due
to infections such as Helicobacter
pylori, hepatitis B, hepatitis C, human
papillomavirus infection, Epstein–Barr
virus and human immunodeficiency virus (HIV)
 Approximately 5–10% of cancers are due to
inherited genetic defects from a person's parents
 Cancer can be detected by certain signs and
symptoms or screening tests.
 It is then typically further investigated
by medical imaging and confirmed by biopsy.
 Many cancers can be prevented by not smoking,
 maintaining a healthy weight,
 not drinking too much alcohol, eating plenty
of vegetables, fruits and whole
grains, vaccination against certain infectious
diseases,
 not eating too much processed and red meatand
avoiding too much sunlight exposure.
 Early detection through screening is useful
for cervical and colorectal cancer.
 Cancer is often treated with some combination
of radiation therapy,
surgery, chemotherapy and targeted therapy.
 In 2015, about 90.5 million people had cancer.
 About 14.1 million new cases occur a year (not
including skin cancer other than melanoma).
 It caused about 8.8 million deaths (15.7%
of deaths).
 The most common types of cancer in males
are lung cancer, prostate cancer, colorectal
cancer and stomach cancer
 In females, the most common types are breast
cancer, colorectal cancer, lung cancer and
cervical cancer.
 If skin cancer other than melanoma were included in
total new cancer cases each year, it would account
for around 40% of cases.
 In children, acute lymphoblastic leukemia and brain
tumorsare most common, except in Africa where non-
Hodgkin lymphoma occurs more often.
 In 2012, about 165,000 children under 15 years of age
were diagnosed with cancer
 The risk of cancer increases significantly with age,
and many cancers occur more commonly in
developed countries.
 Rates are increasing as more people live to an old
age and as lifestyle changes occur in the developing
world
 The financial costs of cancer were estimated at $1.16
trillion USD per year as of 2010.
 Cell growth and division absent the proper
signals
 Continuous growth and division even given
contrary signals
 Avoidance of programmed cell death
 Limitless number of cell divisions
 Promoting blood vessel construction
 Invasion of tissue and formation
of metastases
 Chemotherapy
 Radiation Therapy
 Surgery
 Palliative care
 Immunotherapy
 Immunotherapy
 Concentration of response actions on acute conditions, infectious
diseases, obtaining shelter, food and water, and mitigating
injuries;
Weaken of immune system in some cases of cancers;
Less of information among cancer patient in the first phase of
disaster due to infrastructure corruptions;
Lack of disaster knowledge among cancer caregivers.
 In disasters hospitals and other healthcare infrastructures may be
destroyed, wiping out their medical records, and both physicians
and patients may be forced to flee;
Cancer patients are vulnerable to disaster consequences;
Lapses in treatment can have an effect on treatment outcomes;
Disruption of communication systems;
Lack of treatment history;
Lack of treatment space;
Cancer care is complex. Patients don’t always knows their exact
diagnosis and stage, names of the chemotherapy drugs they are
receiving, or where they are in their treatment cycle.
 Obtaining cancer treatments difficulty;
Inadequate access to transportation;
Factors that were found to contribute to delay in
receiving treatment were an asymptomatic
period caused by a slow growing tumor;
Response focused on acute care;
Decreasing medical resources such as fewer
clinics, medical care providers, and hospitals,
and reducing access to prescription medications.
 Lack of enough information between patients;
Difficulty of evacuation for chronic patient;
impacting interactions between providers,
providers and their patients, and provider
agencies and governmental agencies due to
communication collapse.

Limited access to physicians; limited access
to medication; financial/insurance problems;
Problems with transportation.
 Chronic illnesses are exacerbated by the
conditions
caused by a disaster (e.g., lack of food, lack
of clean water, extremes of cold or heat,
physical and mental stress, injury, exposure
to infection)
Lack of access to routine health care is a
leading cause of mortality after disasters.
 Social isolation is an important challenge for
cancer patients in disasters and may
contribute to delays;
Social isolation also increases the risk of
experiencing provider delay
 these patients should be careful to prevent
accidents or infection that may be particularly
hazardous given their chronic disease status
 Keep your medication logs, with the name and
dose of the medication;
 If you have received systemic therapy that could
possibly impair your immune system, avoid clean
up in the disaster area;
 Drink plenty of fluids to prevent dehydration.
 In cancer treatment, contact with colleagues is a
very important part of the process;
We need to educate patient about their disease,
their treatment, and how to get the resources
they need if uprooted again;
 Contact information for doctors should be known
before a disaster occurs.
 Outreach programs can improve access to cancer
care through various mechanisms such as mobile
clinics that will provide patient access to
oncologists at local sites on a scheduled basis or
through dedicated transportation services that
can provide scheduled pickup and drop-offs at
local sites.
 incorporate knowledge of local chronic care
needs and build the capacity of community
members to participate in planning and
response.
Thank you…

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6 cancer

  • 1. M.SC.IN PUBLIC HEALTH AND DISASTER ENGINEERING PREPARED BY:MADHAV KARKI Roll no -06
  • 2.  Cancer is a group of diseases involving abnormal cell growth with the potential to invade or spread to other parts of the body.  benign tumors, In contrast do not spread.  Possible signs and symptoms include a lump, abnormal bleeding, prolonged cough, unexplained weight loss, and a change in bowel movements  Over 100 types of cancers affect humans.
  • 3.  Tobacco use is the cause of about 22% of cancer deaths.  Another 10% are due to obesity, poor diet, lack of physical activity or excessive drinking of alcohol.  Other factors include certain infections, exposure to ionizing radiation and environmental pollutants  n the developing world, 15% of cancers are due to infections such as Helicobacter pylori, hepatitis B, hepatitis C, human papillomavirus infection, Epstein–Barr virus and human immunodeficiency virus (HIV)  Approximately 5–10% of cancers are due to inherited genetic defects from a person's parents
  • 4.  Cancer can be detected by certain signs and symptoms or screening tests.  It is then typically further investigated by medical imaging and confirmed by biopsy.
  • 5.  Many cancers can be prevented by not smoking,  maintaining a healthy weight,  not drinking too much alcohol, eating plenty of vegetables, fruits and whole grains, vaccination against certain infectious diseases,  not eating too much processed and red meatand avoiding too much sunlight exposure.  Early detection through screening is useful for cervical and colorectal cancer.  Cancer is often treated with some combination of radiation therapy, surgery, chemotherapy and targeted therapy.
  • 6.  In 2015, about 90.5 million people had cancer.  About 14.1 million new cases occur a year (not including skin cancer other than melanoma).  It caused about 8.8 million deaths (15.7% of deaths).  The most common types of cancer in males are lung cancer, prostate cancer, colorectal cancer and stomach cancer  In females, the most common types are breast cancer, colorectal cancer, lung cancer and cervical cancer.
  • 7.  If skin cancer other than melanoma were included in total new cancer cases each year, it would account for around 40% of cases.  In children, acute lymphoblastic leukemia and brain tumorsare most common, except in Africa where non- Hodgkin lymphoma occurs more often.  In 2012, about 165,000 children under 15 years of age were diagnosed with cancer  The risk of cancer increases significantly with age, and many cancers occur more commonly in developed countries.  Rates are increasing as more people live to an old age and as lifestyle changes occur in the developing world  The financial costs of cancer were estimated at $1.16 trillion USD per year as of 2010.
  • 8.  Cell growth and division absent the proper signals  Continuous growth and division even given contrary signals  Avoidance of programmed cell death  Limitless number of cell divisions  Promoting blood vessel construction  Invasion of tissue and formation of metastases
  • 9.  Chemotherapy  Radiation Therapy  Surgery  Palliative care  Immunotherapy  Immunotherapy
  • 10.
  • 11.  Concentration of response actions on acute conditions, infectious diseases, obtaining shelter, food and water, and mitigating injuries; Weaken of immune system in some cases of cancers; Less of information among cancer patient in the first phase of disaster due to infrastructure corruptions; Lack of disaster knowledge among cancer caregivers.  In disasters hospitals and other healthcare infrastructures may be destroyed, wiping out their medical records, and both physicians and patients may be forced to flee; Cancer patients are vulnerable to disaster consequences; Lapses in treatment can have an effect on treatment outcomes; Disruption of communication systems; Lack of treatment history; Lack of treatment space; Cancer care is complex. Patients don’t always knows their exact diagnosis and stage, names of the chemotherapy drugs they are receiving, or where they are in their treatment cycle.
  • 12.  Obtaining cancer treatments difficulty; Inadequate access to transportation; Factors that were found to contribute to delay in receiving treatment were an asymptomatic period caused by a slow growing tumor; Response focused on acute care; Decreasing medical resources such as fewer clinics, medical care providers, and hospitals, and reducing access to prescription medications.  Lack of enough information between patients; Difficulty of evacuation for chronic patient; impacting interactions between providers, providers and their patients, and provider agencies and governmental agencies due to communication collapse.
  • 13.  Limited access to physicians; limited access to medication; financial/insurance problems; Problems with transportation.  Chronic illnesses are exacerbated by the conditions caused by a disaster (e.g., lack of food, lack of clean water, extremes of cold or heat, physical and mental stress, injury, exposure to infection) Lack of access to routine health care is a leading cause of mortality after disasters.
  • 14.  Social isolation is an important challenge for cancer patients in disasters and may contribute to delays; Social isolation also increases the risk of experiencing provider delay
  • 15.  these patients should be careful to prevent accidents or infection that may be particularly hazardous given their chronic disease status  Keep your medication logs, with the name and dose of the medication;  If you have received systemic therapy that could possibly impair your immune system, avoid clean up in the disaster area;  Drink plenty of fluids to prevent dehydration.  In cancer treatment, contact with colleagues is a very important part of the process; We need to educate patient about their disease, their treatment, and how to get the resources they need if uprooted again;
  • 16.  Contact information for doctors should be known before a disaster occurs.  Outreach programs can improve access to cancer care through various mechanisms such as mobile clinics that will provide patient access to oncologists at local sites on a scheduled basis or through dedicated transportation services that can provide scheduled pickup and drop-offs at local sites.  incorporate knowledge of local chronic care needs and build the capacity of community members to participate in planning and response.