implementation of cancer control programs, cancer prevention research
TRANSCRIPT
-
8/8/2019 Implementation of Cancer Control Programs, Cancer Prevention Research
1/16
Implementation of Cancer
Control Programs
Education Epidemiology
Screening and Intervention
Toxicology Pathology
Clinical Treatment Palliation
asian cancer control
Cancer Prevention
Research
Malcolm A MooreHead UICC-ARO,Chief Editor APJCP,Coordinator Asian Pacific Organization for Cancer Prevention
-
8/8/2019 Implementation of Cancer Control Programs, Cancer Prevention Research
2/16
Asian-Pacific Players
AsianPacific
APJCP
APFOCC
EMRO
SEARO
WPRO
APOCP
APIAHF
ANCR?
ERO
IARC-Asia?IARC
WHO UICC
4040
IACR
UICC-Asia
IAEA?QuickTime and a
Photo - JPEG decompressorare needed to see this picture.
asian cancer control
C
Research CancerRegistration
&Research
TechnicalHelp
Advocacy
Collaborating
Centres
Meetings
-
8/8/2019 Implementation of Cancer Control Programs, Cancer Prevention Research
3/16
Cancer Control ProgramsAssessment of Burden (Hospital/Population-based)
Risk Factor Determination (Physical/Socioeconomic)
Interventions - Primary Prevention(Awareness/Tobacco Control/Lifestyle)
Interventions - Secondary Prevention(Risk Group Identity/Screening/Monitoring)
Interventions - Therapeutic(Surgical/Radio/Chemical/Hormonal)
Interventions - Palliative(Physical/Psychological)
QuickTime and aPhoto - JPEG decompressor
are needed to see this picture.
asian cancer control
-
8/8/2019 Implementation of Cancer Control Programs, Cancer Prevention Research
4/16
The Chinese National Centerfor Cancer Registries
Gulf Center for CancerRegistration
Indian Association of
Cancer Registries
Korean CancerRegistration
Asian Network?
Thailand Registration Group
Diagnosis/Registration
QuickTime and aPhoto - JPEG decompressor
are needed to see this picture.
asian cancer control
-
8/8/2019 Implementation of Cancer Control Programs, Cancer Prevention Research
5/16
IACR VotingCIV
IACR VotingNon-CIV
IACRNon-Voting
Non IACR
Cancer Registriesin the
Asian PacificAustralia and New Zealand
QuickTime and aPhoto - JPEG decompressor
are needed to see this picture.
asian cancer control
-
8/8/2019 Implementation of Cancer Control Programs, Cancer Prevention Research
6/16
Registration Promotion
Cancer Epidemiology in Asia and the PacificIslands - Past, Present and Future
The authors thank the Japanese Foundation forCancer Research and the Japanese NationalCommittee of the Union International AgainstCancer for generous financial support
NW & Central12
SW 13South 13
SE Main12
GuamGuam
SolomonIslands
New Caledonia
New Zealand
Hawaii
Fiji Samoa
TahitiTonga
French Polynesia
Polynesia
Micronesia
Marshall Islands
PNG
Cook Islands
Niue
Vanuatu
NW 13
Pacific 10
SE Island 15
QuickTime and a
Photo - JPEG decompressorare needed to see this picture.
asian cancer control
-
8/8/2019 Implementation of Cancer Control Programs, Cancer Prevention Research
7/16
Males Females
Malaysia*
Penang
Sarawak
Singapore Malay
Brunei**
Singapore Chinese
Singapore Indian
Brunei*
Philippines*
Manila
Hawaii
Indonesia*
Singapore All*
Malaysia*
Penang
Sarawak
Singapore Malay
Brunei**
Singapore Chinese
Singapore Indian
Brunei*
Philippines*
Manila
Hawaii
Indonesia*
Singapore All*
Stomach Colon Rectum Liver Pharynx Lung Prostate Breast Ovary Corpus Cervix NHL Other
Peninsular and Island South-East AsiaQuickTime and a
Photo - JPEG decompressorare needed to see this picture.
asian cancer control
-
8/8/2019 Implementation of Cancer Control Programs, Cancer Prevention Research
8/16
0-10 20-30 40-50
10-20 30-40 >50
0-5 10-15 20-25
5-10 15-20 >25
Incidence/Mortality Rates
Breast
Cervix
Specific Cancer
Sites
QuickTime and aPhoto - JPEG decompressor
are needed to see this picture.
asian cancer control
0-10 20-30 40-50
10-20 30-40 >50
Lung
-
8/8/2019 Implementation of Cancer Control Programs, Cancer Prevention Research
9/16
15
20
25
30
35
40
45
SC
SC
SC
Singapore Chinese
SC
SM
SM
SM
SM
Singapore Malay
SISI
Singapore Indian
SI
SI
IB
IB IB
Indian Bombay IB
CS
CS
Chinese Shanghai
CS CS
Chinese Hong Hong
CHK
CHK
CHKCHK
JM
JM
JM
JMJapaneseMiyagi
JO
JO
JO
Japanese Osaka
JO
1982 1987 1992 1997 2003
Year of Publication
Incidence(/100,000)
0
5
10
15
20
25
30
SC
SC
SC
Singapore Chinese
SC
SM
SM
Singapore Malay
SM
SM
SI
SingaporeIndian
SI
SI SI
IB
IB Indian Bombay IB
IB
CS
CS
ChineseShanghai
CS CS
Chinese Hong Kong
CHK
CHK
CHK
CHKJM
JM
JMJapanese
Miyagi
JM
JOJapanese Osaka
JO
JO
JO
HH
HH
HH
HH
HawaiinHawaii
1982 1987 1992 1997 2003
Year of Publication
0
5
10
15
20
25
30
Incidence(/100,000)
GenerallyIncreasing
Breast, Colorectal,Prostate, Thyroid
Generally DecreasingCervical, Buccal
Paradoxical
Liver, Lung, Oesophageal, Gastric
Breast
Cervix
Specific Cancer Sites
QuickTime and aPhoto - JPEG decompressor
are needed to see this picture.
asian cancer control
AgespecificCancerIncidenceper100000population
Age group
Female:Pen insu la rMalays ia Female:S ingaporeFemale:South Australia
0 - 5 - 1 0- 1 5- 2 0- 2 5- 3 0- 3 5- 4 0- 4 5- 5 0- 5 5- 6 0- 6 5- 7 0- 7 5- 8 0- 8 5+
0
317.3
Male Female
SCC AC Ratio SCC AC Ratio
Shanghai 7.6 8.0 1.0:1 2.9 14.2 0.2:1
Busan 54.8 28.0 2.0:1 17.9 57.9 0.3:1
Aichi 27.2 49.1 0.6:1 8.2 80.6 0.1:1
Curado et al., 2007
Misdiagnosis
-
8/8/2019 Implementation of Cancer Control Programs, Cancer Prevention Research
10/16
Age 10 15 20 25 30 35 40 45 50 55 60 65 70 75
Vaccination Screening: Pap smear/HPV/VIA/VILI
Virginal Exposure starts Transient/Persistent Infection
India (30) 4.4 (7.8) 12.4 (22) 18.6 (33) 14.9 (27) 6.1 (7.8)
Thailand (20) 2.7 (7.9) 7.2 (25) 10.2 (36) 7.2 (25) 1.1 (2.3)
Japan (8) 1.5 (6.7) 4.8 (21) 5.8 (26) 5.5 (24) 4.9 (22)
PersuasionSet upVaccineStaff
Location
PersuasionSet upTest costsStaff
Location
ColposcopyTreatment
SurgeryChemotherapy
Radiotherapy
IncidenceMortalityHPV Types
ComplianceSensitivitySpecificityPredictivepotential
Cervical
Vaccination/Screening -Factors to ConsiderNormal CIN 1 C IN 2- 3 Adenocarcinoma
in situ
Treatifpersists Treatimmediately
Cryotherapy/LEEP/Conization
N or ma l P er si st en t D is ea se
Normal Re-treatmentRe-enter Screening
QuickTime and aPhoto - JPEG decompressor
are needed to see this picture.
asian cancer control
-
8/8/2019 Implementation of Cancer Control Programs, Cancer Prevention Research
11/16
0-1.0 2.0-3.0 4.0-5.0
1.0-2.0 3.0-4.0 >5.0
Co-Factors: Diabetes
Mellitus
0-1 2-3 4-5 6-10
1-2 3-4 5-6 >10
QuickTime and aPhoto - JPEG decompressor
are needed to see this picture.
asian cancer control
2005 2030
-
8/8/2019 Implementation of Cancer Control Programs, Cancer Prevention Research
12/16
NORMALCELLS
PRENEOPLASIA/DYSPLASIA
Dietary Supplementation/Detoxification
Smoking, Endogenous and Dietary Carcinogens
Avoidance
MedicationVaccination
Trauma/ Infectious Agents/ Metabolic Stimuli
Regeneration/ Proliferation
Avoidance
HormonalMilieuManipulation
Initiation Growth
Naked Eye/PalpationOccult BloodEndoscopyUltrasound/CTSerum markers
Screening and Resection
Progression
Chemoprevention
CANCER
Primary and Secondary
Prevention
QuickTime and aPhoto - JPEG decompressor
are needed to see this picture.
asian cancer control
-
8/8/2019 Implementation of Cancer Control Programs, Cancer Prevention Research
13/16
PSA/PSAD/DREFree PSA/RatiosAdjunct Therapy
HGPINASAPPCa
Stage
Grade
Risk Screening Biopsy Treatment Outcome
IncontinenceImpotenceErectileDysfunction
Psychological
HormonalSurgeryRadiotherapyChemotherapy
Cut-offComplicationsZone sizes
MethodologyNumber
Decision-makingQOLTiming
AlleviationQOLSalvage
Body SizeHormonesMorphology
DietExerciseSupplements
Intl Hospital-based Case-control Studies
Clinical Intervention
and Palliation
QuickTime and aPhoto - JPEG decompressor
are needed to see this picture.
asian cancer control
-
8/8/2019 Implementation of Cancer Control Programs, Cancer Prevention Research
14/16
25th IACR Annual Meeting,
Hawaii
Cancer Registration and
SurveillanceAround the
Globe
APOCP ASIATOX Satellite Symposium, Bangkok
In Vivo Models for Assessment of Carcinogenicity and
Chemopreventive Potential of Food Components
ASIATOX III,
Bangkok/Chiang Mai
International Toxicology
Harmonization : The Challenge
of Asia
1st Regional APOCP Conference -
Western Asia, Izmir
New Strategies for Cancer Control
2nd Regional APOCP Con-
ference -
South East Asia, Khon Kaen
Customs, Environment and
Cancer
ISSN 1513-7368
APOCP Groups
Australasia
Central Asia
China
Japan
Korea
South Asia
South-East Asia
Western Asia
http://www.apocp.org
Education Epidemiology
Screening and Intervention Toxicological Pathology
Clinical Therapy Palliation
Vol 10 2009
ASIAN PACIFIC JOURNALof
CANCER PREVENTIONOfficial Publication of the APOCPC/UICC-ARO
An Official Journal of the International Association of Cancer Registries
QuickTime and aPhoto - JPEG decompressor
are needed to see this picture.
asian cancer control
and CONTROL
PubMed/SCI Expanded
-
8/8/2019 Implementation of Cancer Control Programs, Cancer Prevention Research
15/16
Local Cancer Control
QuickTime and aPhoto - JPEG decompressor
are needed to see this picture.
asian cancer
control
Political Pressure
Research
Journals
Policy -making
Government
Politicians
The Media
Local Populace
Local Registration/Research Centre
PublicationInformation
Training
FundingFinancialSupport
Research Organizations
IARC
UICC-AROAPOCPC
WHO RO/CC
Information
RO, regional office; CC, collaborating centre
-
8/8/2019 Implementation of Cancer Control Programs, Cancer Prevention Research
16/16
QuickTime and aPhoto - JPEG decompressor
are needed to see this picture.
International Cancer/NCD
Control Programs?People Power
Thank you!
asian cancer control
UICC-ARO/APOCPC