Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.
Don’t give up on cancer       January 2012      Richard M. Stein
Highlights – 5 points to remember1.   Cancer remains a major problem in the United States.       The problem is worse in t...
t o r y ab out me.This is a s                  A nd m e. Us.It need s you.                 ed to do Togeth er, we ne      ...
SummaryCancer remains a major problem in the United States.  It is a health tragedy and a financial nightmare.MORE needs t...
In August 2009, I produced a report for the Economist Intelligence Unit onthe global burden of cancer, with co-authors fro...
The project represented a major contribution to the global public healthcommunity…                              LIVESTRONG...
The global burden of cancer—some facts:Cancer is the second leading cause of death anddisability in the world.More people ...
Big Numbers—cancer costs real moneyTotal costs* of new cancer cases worldwide, 2009                                       ...
The project attracted a lot of attention and helped focus resources fortackling cancer in the most impoverished countries ...
That got me thinking…What’s happening on the cancer front at home?......So I started to investigate…                      ...
What I discovered came as a surprise…                                        11
Sadly, changes—and action—abroad do not equate to change at home                                                          ...
The war on cancer began forty years ago, when President     Richard Nixon signed into law the National Cancer Act…        ...
Since the National Cancer Act became law (1971), the federal government has spent over $105bn on the effort…But… Cancer re...
And it’s not getting better quickly…                                       15
It’s worse for some groups than for others…US Cancer Death Rates* by Race and Ethnicity, 2002-2006                        ...
…It’s particularly bad for African American men…   US Cancer Death Rates* by Sex and Race, 1975-2006        Cancer death r...
Cancer Sites in Men for Which African American Death Rates*Exceed White Death Rates*, 2002-2006                           ...
Cancer Sites in Women for Which African American Death Rates*Exceed White Death Rates*, 2002-2006                         ...
New cancer rates (incidence) are also worse for African Americans—especially men—than for other groups…    US Cancer Incid...
The outlook for new cancer cases (incidence) is not particularlygood—especially in African American men…   US Cancer Incid...
If you are African American and contract cancer, that’s a problem…                Cancer Survival*(%) by Race, 1999-2005  ...
A serious problem…                             Cancer: 5-Year Relative Survival by Year of Diagnosis,                     ...
The bad news is that you have a large chance of developing cancer if you’re a man…         Lifetime Probability of Develop...
…or a woman…     Lifetime Probability of Developing Cancer (Women), 2004-2006*                                            ...
As bad as it seems, there is alot that can be done to fightcancer…Community and individual actionsmatter…                 ...
3 important cancer control actions: 1. Prevention    1. Detection       1. TreatmentHalf of the annual cancer deaths in th...
Each year, smoking causes about 443,000 premature deaths, including…      …171,000 cancer deaths…      … 49,000 deaths amo...
Tobacco use remains the singlelargest preventable cause ofdisease and premature death inthe United States…                ...
Tobacco use increases the risk of cancers of the: lung  mouth   nasal cavities    larynx      pharynx       esophagus     ...
Each year, smoking causes about 171,000 cancer deaths…    Annual Number of US Cancer Deaths Attributable to Smoking, 2000-...
…171,000 cancer deaths from smoking nationwide…  Cigarette Smoking Among Adults (18+) in Southeastern Pennsylvania        ...
If you don’t smoke, you don’t have to quit…                        Smokers and Quitters, 1985-2009                        ...
Each year, poor nutrition, obesity and physical inactivity causeabout 188,000 cancer deaths……Obesity is worse for African ...
…188,000 cancer deaths from poor nutrition, obesity and physical inactivitynationwide…Philadelphia: Children (6-17 years) ...
Each year, poor nutrition, obesity and physical inactivity causeabout 188,000 cancer deaths……It’s no better for African Am...
Poor nutrition is also about access…Food deserts are areas that lack access to affordable…foods thatmake up the full range...
Food deserts are not only short on the right resources…                      …They are often full of the wrong resources… ...
…And the wrong resources lead to poor choices…                                                                            ...
Poor choices…poor outcomes…188,000 cancer deaths in the UnitedStates from poor nutrition, obesity and physical inactivity ...
A lot can be done to fight cancer…    …What you do matters…         Don’t smoke—tobacco control    …Where you live matters...
…where you live matters, too…                Percentage of Adults (18-64) Without Health Insurance,                       ...
…where you live matters, too…            Percentage of Adults (18-64) Without Health InsuranceIn Philadelphia, 16% of adul...
…where you live matters, too…Breast cancer: In Pennsylvania, the rate of mammography and/orclinical breast exam is nearly ...
Conclusion: Key TakeawaysCancer is a worldwide problem.  The growing tidal wave of new cancer cases (and their  impact) ha...
These people have declared war on    cancer around the world…Paul Farmer, MD; Founding Director, Partners in Health; Harva...
…Focus on tackling cancer in the most impoverished countriesaround the world…              “…5% of global resources for ca...
What are we going todo about it at home?
Don’t give up on cancer      Richard M. Stein
up on cancerDon’t give                       n         chard M. Stei    Ri                            50
Upcoming SlideShare
Loading in …5
×

Don’t Give Up On Cancer-Jan 2012 A

942 views

Published on

Cancer is an individual and community tragedy, both physically and financially. More needs to be done. More can be done. Awareness is growing around the world. In the US, there are still large--and largely unaddressed--racial disparities that require immediate attention. The consequences of inaction are tragic for individuals and entire communities.

  • Be the first to comment

  • Be the first to like this

Don’t Give Up On Cancer-Jan 2012 A

  1. 1. Don’t give up on cancer January 2012 Richard M. Stein
  2. 2. Highlights – 5 points to remember1. Cancer remains a major problem in the United States. The problem is worse in the African American community.2. Many cancers can be prevented or treated. Knowing the facts—education—is important. Eliminating high risk behavior matters. Early access for screening, detection and treatment matters.3. Right now, not enough is being done. Budget reductions are cutting money for research, screening programs and more…4. This year, the President’s Cancer Panel addressed racial disparities for the first time. The Annual Report is a call to act, now.5. Greater Philadelphia is a great place to start. The region is rich in appropriate resources to make a difference. NOW is the time to begin. Philadelphia should lead the way. 2
  3. 3. t o r y ab out me.This is a s A nd m e. Us.It need s you. ed to do Togeth er, we ne s w ers . find an some thing to 3
  4. 4. SummaryCancer remains a major problem in the United States. It is a health tragedy and a financial nightmare.MORE needs to be done to improve outcomes & survival. More money for research and cancer control programs. More outreach and greater education efforts to prevent some cancers while detecting and treating others sooner. More comprehensive cancer screening programs for at risk communities and populations.Surprisingly, right now, LESS is being done. Budget reductions are cutting money for research, screening programs, insurance coverage and more… These “savings” today will raise public and personal costs in the future…NOW is the time to act. NOW is the time to get involved. Inaction will make things worse. Doing nothing will result in more cancer cases, more deaths, and economic hardship for families, communities & the public. 4
  5. 5. In August 2009, I produced a report for the Economist Intelligence Unit onthe global burden of cancer, with co-authors from the Harvard School ofPublic Health.• The project was sponsored by LIVESTRONG (The Lance Armstrong Foundation). • It was released at LIVESTRONG’s first Global Cancer Summit, in Dublin, Ireland.• The project estimated: • The number of new cancer cases (incidence) in 2009 and 2020. • The costs (medical, non-medical and lost productivity) associated with those new cases—the global economic burden of cancer—for 2009.• It included important “firsts”: • Estimates of the cost of applying the most “effective” cancer treatments on a worldwide scale—a global treatment expenditure standard. • Estimates of the spending “gap” between present day spending and what it would cost to achieve the global treatment expenditure standard. http://www.livestrong.org/What-We-Do/Our-Actions/Programs-Partnerships/LIVESTRONG-Summit http://www.eiu.com/LAF 5
  6. 6. The project represented a major contribution to the global public healthcommunity… LIVESTRONG Global Cancer Summit; Press conference; August 24, 2009. http://www.livestrong.com/lance-armstrong/blog/summit-press- briefing/…raising awareness and focusing attention on the rapidly growing tidal wave of cancers and their impact in the developing world… 6
  7. 7. The global burden of cancer—some facts:Cancer is the second leading cause of death anddisability in the world.More people die from cancer every year around the world,than from AIDS, tuberculosis and malaria, combined.Cancer deaths occur with 6 time the frequency of trafficfatalities and 42 times the frequency of deaths from war.More than 50% of new cancer cases and two-thirds ofcancer deaths occur in the developing world.The overall risk of developing cancer during yourlifetime is rising—from 1:3 to 1:2.Cancer is not just a health tragedy. It is a financial andeconomic nightmare for individuals and communities… 7
  8. 8. Big Numbers—cancer costs real moneyTotal costs* of new cancer cases worldwide, 2009 Europe Europe US$ 83bn US$ 8,742m Asia Asia US$1,928m US$44bn Americas Americas US$154bn US$17,221m Africa US$76m Africa Oceania US$849m US$461m Oceania US$4bn Global economic burden of cancer in 2009= US$286bn*Includes medical costs, non-medical costs and lost income (productivity). 8
  9. 9. The project attracted a lot of attention and helped focus resources fortackling cancer in the most impoverished countries around the world… “…5% of global resources for cancer are spent in the developing world…” (p.9) • 160,000+ search results (Google). “Breakaway: The global burden of cancer” • 906,000+ search results (Google). Cited in formation of Global Task Force on Expanded Access to Cancer Care and Control in Developing Countries (GTF.CCC) • Expansion of cancer care and control in countries of low and middle income: a call to action (Lancet; August 2010; http://www.lancet.com/journals/lancet/article/PIIS0140-6736%2810%2961152-X/fulltext?version=printerFriendly ). • GTF.CCC ( http://isites.harvard.edu/icb/icb.do?keyword=k69586&pageid=icb.page334798 ) 9
  10. 10. That got me thinking…What’s happening on the cancer front at home?......So I started to investigate… 10
  11. 11. What I discovered came as a surprise… 11
  12. 12. Sadly, changes—and action—abroad do not equate to change at home Change in US Death Rates*, 1991 to 2006 Cancer… Remains the second leading cause of death in the United States. Accounts for nearly one-fourth of US deaths annually. Deaths increase each year, as the population ages. Number of US Cancer Deaths, 1930-2006 400 Rate Per 100,000300,000 Men 313.0 300250,000 Women200,000 215.1 200.2 200 180.7150,000 Down Down 36% Down100,000 100 31% Down 63.3 49% 16% 43.6 34.8 50,000 17.8 0 0 Heart diseases Cerebrovascular Influenza & Cancer 1930 1940 1950 1960 1970 1980 1990 2000 diseases pneumonia *Age adjusted to 2000 US standard population. Sources: US Mortality Data, National Center for Health Statistics, Centers for Disease Control and Prevention, 2009. 12
  13. 13. The war on cancer began forty years ago, when President Richard Nixon signed into law the National Cancer Act… President Nixon signing After adjusting for the size and age of the the National Cancer Act, December 23, 1971. population, deaths from heart disease and stroke*, have dropped significantly since the 1950s… …while cancer death rates remain singularly stubborn. US Cancer Death Rates* by Sex, 1975-2005 300 Rate Per 100,000 Men 250 Both Sexes 200 150 Women 100 50 0 1975 1978 1981 1984 1987 1990 1993 1996 1999 2002 200513 *Age adjusted to 2000 US standard population. Sources: US Mortality Data, National Center for Health Statistics, Centers for Disease Control and Prevention, 2009.
  14. 14. Since the National Cancer Act became law (1971), the federal government has spent over $105bn on the effort…But… Cancer remains the second leading cause of death in the United States. Cancer causes as many deaths each year as the next five causes of death combined: US Mortality, 2007 Rank Cause of Death No. of Deaths % of all deaths 1. Heart Diseases 616,067 25.4 2. Cancer 562,875 23.2 3. Cerebrovascular diseases 135,952 5.6 4. Chronic lower respiratory diseases 127,924 5.3 5. Accidents/unintentional injuries 123,706 5.1 533,596 22.0% 6. Alzheimer disease 74,632 3.1 7. Diabetes mellitus 71,382 2.9 Source: US Mortality Data, National Center for Health Statistics, Centers for Disease Control and Prevention, 2010. As it is around the world, cancer in the US is a financial and economic nightmare as well as a health tragedy: $143bn = cost* of new cancer cases in the United States, 2009 *Includes medical costs, non-medical costs and lost income (productivity). 14
  15. 15. And it’s not getting better quickly… 15
  16. 16. It’s worse for some groups than for others…US Cancer Death Rates* by Race and Ethnicity, 2002-2006 16
  17. 17. …It’s particularly bad for African American men… US Cancer Death Rates* by Sex and Race, 1975-2006 Cancer death rates are much higher for African American men than for white men. Death rates for African American women are worse than for white women. 17
  18. 18. Cancer Sites in Men for Which African American Death Rates*Exceed White Death Rates*, 2002-2006 18
  19. 19. Cancer Sites in Women for Which African American Death Rates*Exceed White Death Rates*, 2002-2006 19
  20. 20. New cancer rates (incidence) are also worse for African Americans—especially men—than for other groups… US Cancer Incidence Rates* by Race and Ethnicity, 2001-2006 Rate Per 100,000 20
  21. 21. The outlook for new cancer cases (incidence) is not particularlygood—especially in African American men… US Cancer Incidence Rates* by Sex and Race, 1975-2006 Rate Per 100,000 According to the President’s Cancer Panel 2009-2010 Annual Report: Between 2010 and 2030, cancer incidence among minorities is expected to nearly double. By comparison, cancer incidence in non-Hispanic whites is expected to grow by 31 percent. 21
  22. 22. If you are African American and contract cancer, that’s a problem… Cancer Survival*(%) by Race, 1999-2005 22
  23. 23. A serious problem… Cancer: 5-Year Relative Survival by Year of Diagnosis, Race and Sex (All Sites, All Ages) African American men and women fare worse than white men and women, even after diagnosis, year after year. African American men Percent African American women 30 White menCancer sites include invasive cases only. African American men5-year survival estimates calculated using monthly intervals.Survival source: National Cancer Institute, Surveillance White womenEpidemiology and End Results (SEER). African American women 23
  24. 24. The bad news is that you have a large chance of developing cancer if you’re a man… Lifetime Probability of Developing Cancer (Men), 2004-2006* For men and women, the overall risk of developing cancer during one’s lifetime is increasing.24
  25. 25. …or a woman… Lifetime Probability of Developing Cancer (Women), 2004-2006* For men and women, the overall risk of developing cancer during one’s lifetime is increasing.25
  26. 26. As bad as it seems, there is alot that can be done to fightcancer…Community and individual actionsmatter… 26
  27. 27. 3 important cancer control actions: 1. Prevention 1. Detection 1. TreatmentHalf of the annual cancer deaths in theUnited States are preventable (AmericanCancer Society).Several activities that you control, matter: Don’t smoke—tobacco control Eat right, lose weight and get active Follow cancer screening guidelines 27
  28. 28. Each year, smoking causes about 443,000 premature deaths, including… …171,000 cancer deaths… … 49,000 deaths among nonsmokers (from secondhand smoke exposure) Tobacco Use in the United States, 1900-200628
  29. 29. Tobacco use remains the singlelargest preventable cause ofdisease and premature death inthe United States… 29
  30. 30. Tobacco use increases the risk of cancers of the: lung mouth nasal cavities larynx pharynx esophagus stomach colorectum liver pancreas kidney bladder cervix ovary myeloid leukemia… … 30
  31. 31. Each year, smoking causes about 171,000 cancer deaths… Annual Number of US Cancer Deaths Attributable to Smoking, 2000-2004 Male Female 31
  32. 32. …171,000 cancer deaths from smoking nationwide… Cigarette Smoking Among Adults (18+) in Southeastern Pennsylvania (Percentage of adults by county who smoke every day or some days) 17.1% 14.5% 27.3% 15.7% 19.2% About 20,000 Pennsylvanians die each year, as a result of smoking. In Pennsylvania, smoking related health costs were estimated at $5.19bn in 2004. Source: 2008 Southeastern Pennsylvania Household Health Survey, Community Health Data Base, Public Health Management Corporation; Centers for Disease Control and Prevention. 32
  33. 33. If you don’t smoke, you don’t have to quit… Smokers and Quitters, 1985-2009 AFRICAN AMERICAN In Philadelphia, among high school students who smoked cigarettes, 38% did not try to quit during the prior twelve months. Funding for tobacco prevention and cessation in Pennsylvania declined from $50.5 million (‘02-’03) to $14.7 million (‘10-’11)—nearly 71%. Source: Centers for Disease Control and Prevention; 2009 Youth Risk Behavior Surveillance System Survey Data; Commonwealth of Pennsylvania. 33
  34. 34. Each year, poor nutrition, obesity and physical inactivity causeabout 188,000 cancer deaths……Obesity is worse for African Americans than for other groups Obesity in US Adolescents (12-19 years), by Gender, Race/Ethnicityt 1976-2008 34
  35. 35. …188,000 cancer deaths from poor nutrition, obesity and physical inactivitynationwide…Philadelphia: Children (6-17 years) who are Overweight* or Obese* (%), 2008 Citywide average (6-17 years) = 46.9% *BMI>=85th percentile for age and gender. Source: 2008 Southeastern Pennsylvania Household Health Survey, Community Health Data Base, Public Health Management Corporation; Giridhar Mallya, MD, MSHP; Philadelphia Department of Public Health. 35
  36. 36. Each year, poor nutrition, obesity and physical inactivity causeabout 188,000 cancer deaths……It’s no better for African Americans adults… Obesity* in US Adults (20-74 years), by Gender, Race/Ethnicityt, 1976-2008 36
  37. 37. Poor nutrition is also about access…Food deserts are areas that lack access to affordable…foods thatmake up the full range of a healthy diet.* Philadelphia has the second lowest number of supermarkets in the United States, per capita. In this map of Philadelphia, blue areas represent areas of greatest need, with low supermarket sales, low income, and high rates of death due to diet-related diseases. Orange dots represent stores that have been opened under the Pennsylvania Fresh Food Financing Initiative (PFFFI). Yellow dots represent stores financed by the PFFFI program and under construction at the time of mapping. Source: Access to Affordable and Nutritious Food—Measuring and Understanding Food Deserts and Their Consequences: Report to Congress; US Department of Agriculture, Economic Research Service; June 2009 (http://www.ers.usda.gov/publications/ap/ap036/) Figure provided courtesy of Robert Wood Johnson Foundation and The Food Trust (http://www.rwjf.org/files/newsroom/profiles/foodtrust/) *Centers for Disease Control and Prevention 37
  38. 38. Food deserts are not only short on the right resources… …They are often full of the wrong resources… Too few supermarkets (healthy choices) = poor food selection = overweight and obesity Philadelphia: Children (6-17 years) who are Philadelphia’s food desert Overweight* or Obese* (%), 2008 Citywide average – 46.9% Blue areas represent areas of greatest need, with low supermarket sales, low income, and high rates of death due to diet-related diseases. Source: Access to Affordable and Nutritious Food—Measuring and Understanding Food Deserts and Their Consequences: Report to Congress; *BMI>=85th percentile for age and gender. US Department of Agriculture, Economic Research Service; June 2009 Source: 2008 Southeastern Pennsylvania Household Health Survey, Community Health Data (http://www.ers.usda.gov/publications/ap/ap036/) Base, Public Health Management Corporation; Giridhar Mallya, MD, MSHP; Philadelphia Figure provided courtesy of Robert Wood Johnson Foundation and The Food Department of Public Health; Centers for Disease Control and Prevention 2009 Youth Risk Trust (http://www.rwjf.org/files/newsroom/profiles/foodtrust/) Behavior Surveillance System Survey Data. 38
  39. 39. …And the wrong resources lead to poor choices… …and poor outcomes…Since 2000, 24,000 Philadelphians have died of diseases caused by poor diet and physical inactivity.Nearly 25% of children and 30% of adults get oneor fewer servings of fruits and vegetables per day. Philadelphia: Children (6-17 years) who are Overweight* or Obese* (%), 2008Over 80% of high school students report getting lessthan 100% of the recommended daily servings offruit and vegetables.Nearly 25% of adults consume fast food/take-outat least 3 times per week.30% of African American adults consume fast food/take-out at least 3 times per week.1 in 3 high school students drink soda daily.School children buy, on average, 360 nutrient-poorcalories from corner stores for just over $1 per visit: —Chips, candy and sugar sweetened beverages. Citywide average – 46.9% *BMI>=85th percentile for age and gender. Source: 2008 Southeastern Pennsylvania Household Health Survey, Community Health Data Base, Public Health Management Corporation; Giridhar Mallya, MD, MSHP; Philadelphia Department of Public Health; Centers for Disease Control and Prevention 2009 Youth Risk Behavior Surveillance System Survey Data. 39
  40. 40. Poor choices…poor outcomes…188,000 cancer deaths in the UnitedStates from poor nutrition, obesity and physical inactivity every year… In Philadelphia, one-fourth of children do not get 30 minutes of sustained physical activity even once a week. Nearly half of the adults report exercising less than 3 times per week. Over half of Philadelphians report that they never use City parks or recreation facilities. Over half of the high school students report watching television 3 or more hours per day. Over one-third of high school students report playing video games or using computers for other than school work at least 3 hours per day. Source: 2008 Southeastern Pennsylvania Household Health Survey, Community Health Data Base, Public Health Management Corporation; Giridhar Mallya, MD, MSHP; Philadelphia Department of Public Health; Centers for Disease Control and Prevention 2009 Youth Risk Behavior Surveillance System Survey Data. 40
  41. 41. A lot can be done to fight cancer… …What you do matters… Don’t smoke—tobacco control …Where you live matters, too… = School children buy, on average, 360 nutrient-poor calories from corner stores for just over $1 per visit: chips, candy and sugar sweetened beverages. Detection Follow cancer screening guidelines Treatment…Detection and treatment are both easier with health insurance coverage… 41
  42. 42. …where you live matters, too… Percentage of Adults (18-64) Without Health Insurance, Southeastern PennsylvaniaIn Philadelphia, 16% of adults are withoutpublic or private health insurance.In Bucks and Delaware Counties, morethan 7% of adults are without healthinsurance.In Chester County, 6% of adultshave no health insurance.In Montgomery County,about 5% of adults haveno health insurance. Source: 2008 Southeastern Pennsylvania Household Health Survey, Community Health Data Base, Public Health Management Corporation 42
  43. 43. …where you live matters, too… Percentage of Adults (18-64) Without Health InsuranceIn Philadelphia, 16% of adults are withoutpublic or private health insurance. In Upper North Philadelphia, more than one quarter (26%) of adults have no health insurance. In South Philadelphia, 21% of adults have no health insurance. Source: 2008 Southeastern Pennsylvania Household Health Survey, Community Health Data Base, Public Health Management Corporation 43
  44. 44. …where you live matters, too…Breast cancer: In Pennsylvania, the rate of mammography and/orclinical breast exam is nearly 50% lower among women 40 and olderwith no usual source of medical care and/or no health insurance.Nationwide, it is also 50% lower.Cervical cancer: In Pennsylvania, the rate of Pap test is nearly one-third lower among women 40 and older with no usual source ofmedical care and/or no health insurance. Nationwide, it is nearly one-quarter lower than in Pennsylvania.Colorectal cancer: In Pennsylvania, the rate of endoscopy is nearly50% lower among adults 50 and older with no usual source of medicalcare and/or no health insurance. Nationwide, it is nearly 75% lowerthan in Pennsylvania. Source: Cancer Prevention & Early Detection Facts & Figures 2010; American Cancer Society. 44
  45. 45. Conclusion: Key TakeawaysCancer is a worldwide problem. The growing tidal wave of new cancer cases (and their impact) has attracted attention from the global public health community.Cancer remains a big problem in the United States. It is worse for the African American community than almost every other ethnic group.Individuals Individuals can do a lot to preventcancer and reduce cancer risk...BUT… …there remains a large need for public— government and community group—intervention: —$$$ —Policy / law —Education NOW is the time to act!!! 45
  46. 46. These people have declared war on cancer around the world…Paul Farmer, MD; Founding Director, Partners in Health; Harvard Medical SchoolJulio Frenk, MD; Dean, Harvard School of Public HealthFelicia M. Knaul, PhD; Director, Harvard Global Equity InitiativeLawrence N. Schulman, MD; Chief Medical Officer and Senior Vice President, Dana-Farber Cancer InstituteSir George Alleyne, MD; Director Emeritus, Pan American Health OrganizationLance Armstrong; 7-time champion, Tour de France; Founder and Chairman, LIVESTRONG / Lance Armstrong FoundationProf. Rifat Atun; Director, Strategy, Performance & Evaluation, Global Fund to Fight AIDS, Tuberculosis and MalariaDouglas Blayney, MD; Medical Director, Stanford Cancer Center; Immediate Past President, American Society of ClinicalOncologyLincoln Chen, MD; President, China Medical BoardProf. Sir Richard Feachem; Executive Director, UCSF Global Health Sciences; Professor of Global Health, University ofCalifornia, San Francisco and University of California, BerkeleyMary Gospodarowicz, MD; Professor, University of Toronto, Princess Margaret Hospital; President-elect, Union forInternational Cancer Control (UICC)Julie Gralow, MD; Seattle Cancer Care Alliance; Fred Hutchinson Cancer Research Center, University of WashingtonSanjay Gupta, MD; Chief Medical Correspondent, CNNAna Langer, MD; Coordinator of the Dean’s Special Initiative in Women and Health, Harvard School of Public HealthJulian Lob-levyt, MD; Chief Executive Officer, Global Alliance for Vaccine and Immunization (GAVI)Claire Neale, MPH; Senior Director for Mission, LIVESTRONG / Lance Armstrong FoundationAnthony Mbewu, MD; former Executive Director, Global Forum for Health Research; past President, Medical ResearchCouncil of South AfricaHRH Princess Dina Mired; Director General, King Hussein Cancer Foundation; Honorary Co-President, Harvard Global TaskForce for Expanded Access to Cancer Control and Care in the Developing WorldPeter Piot, MD; Director, London School of Hygiene & Tropical Medicine; founding Executive Director, UNAIDSK. Srinath Reddy, MD; President, Public Health Foundation of IndiaProf. Jeffrey Sachs, PhD; Director, Earth Institute, Columbia UniversityMahmoud Sarhan, MD; Chief Executive Officer and Director General, King Hussein Cancer Center 46John R. Seffrin, PhD; Chief Executive Officer, American Cancer Society
  47. 47. …Focus on tackling cancer in the most impoverished countriesaround the world… “…5% of global resources for cancer are spent in the developing world…” (p.9) • 160,000+ search results (Google). “Breakaway: The global burden of cancer” • 906,000+ search results (Google). Global Task Force on Expanded Access to Cancer Care and Control in Developing Countries (GTF.CCC) • Expansion of cancer care and control in countries of low and middle income: a call to action (Lancet; August 2010). • GTF.CCC …While at home… The American Lung Association gave Pennsylvania an “F” for tobacco prevention control and for cessation efforts in 2010. The Pennsylvania Auditor General reports that $1.34 billion was diverted from uses originally intended by the Tobacco Settlement Act of 2001. • More than 41,000 residents lost state-subsidized health insurance coverage, as a result. “racial disparities in cancer outcomes” • 220,000 search results (Google). 47
  48. 48. What are we going todo about it at home?
  49. 49. Don’t give up on cancer Richard M. Stein
  50. 50. up on cancerDon’t give n chard M. Stei Ri 50

×