HOW TO CONTROL CANCER

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HOW TO CONTROL CANCER

• Putting Science into Practice

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Dr. L. Martin Jerry MD PhD

• Director
• W.H.O. Collaborating Centre for Cancer Control
• Tom Baker Cancer Centre
• Calgary, Canada

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THE AIM OF CANCER CONTROLReduction of Cancer
Incidence, Morbidity Mortality by

• Prevention
• Early Diagnosis
• Treatment
• Palliative Care REV

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THE W.H.O. PUBLIC HEALTH MODEL FOR CANCER CONTROL

• Assess the magnitude of the cancer problem
• Evaluate possible strategies for cancer control
• Choose priorities for initial cancer control
  activities of prevention, screening, therapy and
  palliative care
• Set measurable cancer control objectives
  REV

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PRIMARY PREVENTION OF CANCER

• Tobacco Control
• Diet
• Control of Alcohol Consumption
• Occupation and Environment
• Infections (viruses and parasites)
• Reducing Sunlight Exposure
• Sexual and Reproductive Factors REV

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PRIMARY PREVENTIONTobacco Control

• Education
• Legislation
• National Leadership
  REV

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PRIMARY PREVENTIONDIET

• Education
• Legislation
• National Leadership
  REV

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PRIMARY PREVENTIONAlcohol

• Education
• Legislation
• National Leadership
  REV

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PRIMARY PREVENTIONOccupational Hazards

• Education
• Legislation
• National Leadership
  REV

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PRIMARY PREVENTIONViral Hepatitis B

• Education
• Legislation
• National Leadership
  REV

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PRIMARY PREVENTIONOverexposure to Sunlight

• Education
• Legislation
• National Leadership
  REV

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Primary PreventionSexual and Reproductive Factors

• Hormonal influences
• Sexually transmitted diseases
  REV

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EARLY DETECTION

• EducationREV

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EARLY DETECTION

• DownstagingREV

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EARLY DETECTION

• Downstaging for Cervical CancerREV

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EARLY DETECTION

• Downstaging for Oral CancerREV

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EARLY DETECTION

• ScreeningREV

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EARLY DETECTION

• Screening for Cervical CancerREV

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EARLY DETECTION

• Screening for Breast CancerREV

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EARLY DETECTION

• Esophagus
• Stomach
• Colon and rectum
• Liver
• Lung
• Ovary
• Bladder
• Prostate

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TREATMENT

• Surgery
• Radiotherapy
• Chemotherapy General
  principles
  REV

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TREATMENT

• The Role of Surgery REV

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TREATMENT

• The Role of
• Radiation TherapyREV

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TREATMENT

• The Role of ChemotherapyREV

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TREATMENT

• The Role of Hormonal TherapyREV

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TREATMENT

• The Role of Biological TherapyREV

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TREATMENT

• How Effective is Cancer Treatment ?REV

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TREATMENT

• Policies
• Treatment Policies
• Referral Policies
  REV

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PALLIATIVE CARE

• Palliative Medicine is the study and management
  of patients with active, progressive,
  far-advanced disease for whom the prognosis is
  limited and the focus of care is the quality of
  life.Doyle et al (Eds). Oxford Textbook of
  Palliative Medicine. P3. Oxford University Press,
  Oxford, 1996. REV

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SUMMARY

• Cancer is a Disease of Lifestyle With Both Host
  Resistance and Genetic Components
• 60-80 of the Risk factors for Cancer are
  Avoidable
• Putting Science Into Practice Leads to a Public
  Health Approach for Cancer Control Which
  Integrates Prevention, Screening, Treatment and
  Palliation at the National Level

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CANCER LECTURE 2

• REFERENCES
• INTERNET RESOURCES FOR CANCER
• REVIEW QUESTIONS
• LAST SLIDE