DR.SUBASHINI PERUMAL
MBBS,MD
RADIATION AND CLINICAL ONCOLOGIST
1 4 2 5 3
INDIA -THE DIABETIC CAPITAL OF THE WORLD
LIFE STYLE DISEASES
DIABETES
HYPERTENSION
CANCER
• WILL I GET
DIABETES?
HYPERTENSION??
CANCER???
LIFESTYLE FACTORS
• TOBACCO
• OBESITY
• SEDENTARY LIVING
CANCER PREVENTION
CANCER PREVENTION & SCREENING GUIDELINES
CANCER PREVENTION RECOMMENDATIONS
• Stay away from tobacco.
• Stay at a healthy weight.
• Do regular physical activity.
• Eat plenty of fruits and vegetables.
• Limit alcohol.
• Protect your skin.
• Know yourself, your family history,your risks.
• Get regular check-ups & cancer screening tests.
SMOKING CESSATION
BENEFITS OF SMOKING CESSATION
• 20 min after quitting
heart rate ,BP falls
• 12 hrs after quitting
carbon levels in blood falls
• 2 wks to 3 mon after quitting
circulation & lung function improves
SMOKING CESSATION
• 1 yr after quitting
• heart attack risk is halved
• 5-10 yrs after quitting
• risk of cancer is halved
• 15 yrs after quitting
• heart attack risk is equal to a non smoker
PHYSICAL ACTIVITY
BODY MASS INDEX
• WEIGHT
PHYSICAL ACTIVITY
• Adults: Get at least 1 hr 30 min of moderate intensity
or
75 min of vigorous intensity activity each week
• Children and teens:
Get at least 1 hr of moderate or vigorous intensity activity
each day
• Limit sedentary behavior
- sitting
- lying down
-watching TV / screen-based entertainment.
HEALTHY EATING
HEALTHY EATING
• Eat a healthy diet, with an emphasis on plant foods.
• maintain a healthy weight.
• Limit how much processed meat and red meat you eat.
• Eat at least 2½ cups of vegetables and fruits each day.
• Choose whole grains instead of refined grain products.
• LIMIT ALCOHOL
If you drink alcohol, limit your intake..Drink no more than 1 drink per day for
women or 2 per day for men.
• PROTECT SKIN
CANCER SCREENING
HOW DOES CANCER OCCUR?
WHY DO I NEED TO SEE A DOCTOR?
• NORMAL RISK
• INCREASED RISK
• HIGH RISK
COLON CANCER SCREENING
COLON CANCER SCREENING
AGE: Starting at age 50
SEX: both men and women
TEST:
• Colonoscopy every 10 yrs, or
• CT colonography every 5 yrs, or
• Flexible sigmoidoscopy every 5 yrs, or
• Double-contrast barium enema every 5 yrs*
COLON CANCER SCREENING
• Other tests to find cancer
• Yearly fecal immunochemical test or
• Yearly guaiac-based fecal occult blood test or
• Stool DNA test (sDNA) every 3 years
CERVICAL CANCER
CERVICAL CANCER SCREENING
PAP SMEAR TESTING
AGE : start at 21yr
• 21-29 yr : Pap test every 3 yrs.no HPV testing
• 30-65 yr : Pap test + HPV test (co-testing) every 5 yrs.
Or
Pap test alone every 3 yrs.
• >65yr: no test if normal result in the past 10 yrs.
CERVICAL CANCER SCREENING
• any cervical pre-cancer: test for at least 20 yrs after that
diagnosis.
• after total hysterectomy:no testing needed.
• previously vaccinated: routine screening
VACCINATION
Human papillomavirus (HPV) vaccines
• Routine vaccination:
• Minimum age: 9 years
• HPV4 [Gardasil®] and HPV2 [Cervarix®] are licensed.
• For girls 9-14 years: ONLY 2 doses( 6Months interval)
• For girls >15 years: 3 doses are recommended (gardasil 0,2,6
months) or cervarix(0,1,6 months)
• HPV4 can also be given in a 3-dose series for males
aged 11 or 12 years, but not yet licensed for use in males
in India.
• Catch-up vaccination:
• Administer the vaccine series to females (either
HPV2 or HPV4) at age 13 through 45 years if not
previously vaccinated
HPV VACCINATION
LUNG CANCER SCREENING
• only for high risk
• 55 to 74 years of age
• In good health
• Have at least a 30 pack-year smoking history AND are
either still smoking or have quit within the last 15 years
• (A pack-year is the number of cigarette packs smoked each day * the number of years a person has smoked. Someone who
smoked a pack of cigarettes per day for 30 years has a 30 pack-year smoking history, as does someone who smoked 2 packs a day
for 15 years.)
• Test: annual low-dose CT scan chest.
PROSTATE CANCER SCREENING
• Starting at age 50, men should talk to a doctor about the pros
and cons of testing so they can decide if testing is the right
choice for them.
• If you have a father or brother who had prostate cancer <
age 65, talk with a health care provider starting at age 45.
• If you decide to be tested, you should get a PSA blood test
with or without a rectal exam. How often you’re tested will
depend on your PSA level.
BREAST CANCER SCREENING
• SELF BREAST
EXAMINATION
• BREAST AWARENESS
• CLINICAL BREAST
EXAMINATION
BREAST CANCER SCREENING
• 40 - 54 yr: mammograms
every year.
• >55 yr: mammograms
every 2 years
• Screening should continue as long as a woman is in good health and is
expected to live 10 more years or longer.
• All women should be familiar with the known benefits, limitations,
potential harms linked to breast cancer screening.
TAKE HOME MESSAGE
KNOW YOUR NUMBER
AGE
HEIGHT/ WEIGHT/ BMI
BP / CHOLESTROL
START TODAY
VACCINATE MY KIDS
HEALTHY LIFESTYLE
Cancer prevention and screening
Cancer prevention and screening
Cancer prevention and screening
Cancer prevention and screening
Cancer prevention and screening

Cancer prevention and screening

  • 1.
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    1 4 25 3
  • 5.
    INDIA -THE DIABETICCAPITAL OF THE WORLD
  • 8.
  • 9.
    • WILL IGET DIABETES? HYPERTENSION?? CANCER???
  • 11.
    LIFESTYLE FACTORS • TOBACCO •OBESITY • SEDENTARY LIVING
  • 13.
  • 14.
    CANCER PREVENTION &SCREENING GUIDELINES
  • 15.
    CANCER PREVENTION RECOMMENDATIONS •Stay away from tobacco. • Stay at a healthy weight. • Do regular physical activity. • Eat plenty of fruits and vegetables. • Limit alcohol. • Protect your skin. • Know yourself, your family history,your risks. • Get regular check-ups & cancer screening tests.
  • 16.
  • 17.
    BENEFITS OF SMOKINGCESSATION • 20 min after quitting heart rate ,BP falls • 12 hrs after quitting carbon levels in blood falls • 2 wks to 3 mon after quitting circulation & lung function improves
  • 18.
    SMOKING CESSATION • 1yr after quitting • heart attack risk is halved • 5-10 yrs after quitting • risk of cancer is halved • 15 yrs after quitting • heart attack risk is equal to a non smoker
  • 19.
  • 20.
  • 21.
    PHYSICAL ACTIVITY • Adults:Get at least 1 hr 30 min of moderate intensity or 75 min of vigorous intensity activity each week • Children and teens: Get at least 1 hr of moderate or vigorous intensity activity each day
  • 22.
    • Limit sedentarybehavior - sitting - lying down -watching TV / screen-based entertainment.
  • 23.
  • 24.
    HEALTHY EATING • Eata healthy diet, with an emphasis on plant foods. • maintain a healthy weight. • Limit how much processed meat and red meat you eat. • Eat at least 2½ cups of vegetables and fruits each day. • Choose whole grains instead of refined grain products.
  • 25.
    • LIMIT ALCOHOL Ifyou drink alcohol, limit your intake..Drink no more than 1 drink per day for women or 2 per day for men. • PROTECT SKIN
  • 26.
  • 27.
  • 28.
    WHY DO INEED TO SEE A DOCTOR? • NORMAL RISK • INCREASED RISK • HIGH RISK
  • 30.
  • 31.
    COLON CANCER SCREENING AGE:Starting at age 50 SEX: both men and women TEST: • Colonoscopy every 10 yrs, or • CT colonography every 5 yrs, or • Flexible sigmoidoscopy every 5 yrs, or • Double-contrast barium enema every 5 yrs*
  • 32.
    COLON CANCER SCREENING •Other tests to find cancer • Yearly fecal immunochemical test or • Yearly guaiac-based fecal occult blood test or • Stool DNA test (sDNA) every 3 years
  • 33.
  • 34.
    CERVICAL CANCER SCREENING PAPSMEAR TESTING AGE : start at 21yr • 21-29 yr : Pap test every 3 yrs.no HPV testing • 30-65 yr : Pap test + HPV test (co-testing) every 5 yrs. Or Pap test alone every 3 yrs. • >65yr: no test if normal result in the past 10 yrs.
  • 35.
    CERVICAL CANCER SCREENING •any cervical pre-cancer: test for at least 20 yrs after that diagnosis. • after total hysterectomy:no testing needed. • previously vaccinated: routine screening
  • 36.
  • 37.
    Human papillomavirus (HPV)vaccines • Routine vaccination: • Minimum age: 9 years • HPV4 [Gardasil®] and HPV2 [Cervarix®] are licensed. • For girls 9-14 years: ONLY 2 doses( 6Months interval) • For girls >15 years: 3 doses are recommended (gardasil 0,2,6 months) or cervarix(0,1,6 months)
  • 38.
    • HPV4 canalso be given in a 3-dose series for males aged 11 or 12 years, but not yet licensed for use in males in India. • Catch-up vaccination: • Administer the vaccine series to females (either HPV2 or HPV4) at age 13 through 45 years if not previously vaccinated
  • 39.
  • 40.
    LUNG CANCER SCREENING •only for high risk • 55 to 74 years of age • In good health • Have at least a 30 pack-year smoking history AND are either still smoking or have quit within the last 15 years • (A pack-year is the number of cigarette packs smoked each day * the number of years a person has smoked. Someone who smoked a pack of cigarettes per day for 30 years has a 30 pack-year smoking history, as does someone who smoked 2 packs a day for 15 years.) • Test: annual low-dose CT scan chest.
  • 41.
    PROSTATE CANCER SCREENING •Starting at age 50, men should talk to a doctor about the pros and cons of testing so they can decide if testing is the right choice for them. • If you have a father or brother who had prostate cancer < age 65, talk with a health care provider starting at age 45. • If you decide to be tested, you should get a PSA blood test with or without a rectal exam. How often you’re tested will depend on your PSA level.
  • 42.
    BREAST CANCER SCREENING •SELF BREAST EXAMINATION • BREAST AWARENESS • CLINICAL BREAST EXAMINATION
  • 43.
    BREAST CANCER SCREENING •40 - 54 yr: mammograms every year. • >55 yr: mammograms every 2 years • Screening should continue as long as a woman is in good health and is expected to live 10 more years or longer. • All women should be familiar with the known benefits, limitations, potential harms linked to breast cancer screening.
  • 44.
  • 45.
    KNOW YOUR NUMBER AGE HEIGHT/WEIGHT/ BMI BP / CHOLESTROL
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  • 47.
  • 48.