Page 0012

You Lin Qiao, National Cancer Centre, China

"1) To control tobacco: Tobacco control in the developing

world, particularly in some countries that have big

populations and substantial revenues that still come

from the tobacco industry, such China, India.

2) To promote the population-based vaccination of HBV

and HPV in developing countries. The high price of HPV

vaccine means population coverage is quite low in these

countries compared with industrial countries.

3) To implement population-based cervical and breast

cancer screening in developing countries. In China,

breast cancer onset is 10 years earlier than North

America and European countries. The mortalities of

breast and cervical cancer among young women are also

higher than in industrial countries."

Pierre Bey and Martine Raphael, AMCC, France

"The most efficient action to reduce premature death from

cancer is primary prevention (avoid tobacco and being

overweight, promote physical activity, vaccination against

HPV and hepatitis). Results will still be limited in 2025, but

these measures have to be undertaken now everywhere in

the world.

One action to rapidly reduce premature death from cancer

is early diagnosis of highly curable cancers, being sure that

the means to diagnose and treat are avalaible. It should

concern:

‰ most child and young adult tumours (diagnosis at first

symptoms);

‰ cervix uteri (clinical exam);

‰ skin melanoma (clinical exam);

‰ breast (clinical exam and mammograms after age 50 in

more advanced regions);

‰ colorectal (coloscopy when symptoms and after age 50

in more advanced regions)."

Franco Cavalli, European School of Oncology,

Switzerland

"Many actions are important, but there is one which in my

opinion and in the opinion of the World Oncology Forum

(WOF) is by far the most important one. This is the creation

of a Global Fund, similar to the one created for fighting AIDS.

This global fund should then coordinate with all the

stakeholders all the actions which need to be taken on

prevention, early diagnosis and treatment of cancer.

Without such a coordination, the global target will never be

achieved."

Nadya Dimitrova, National Hospital of Oncology,

Bulgaria

"The main actions for reduction of premature cancer deaths

are early diagnosis of cancer, when treatment is more

CANCER CONTROL 2015 SURVEY:

WHAT NEEDS TO BE DONE TO

REACH A 25% REDUCTION IN

CANCER BY 2025?

Cancer Control asked 12 leading cancer experts from across the world to briefly

answer one survey question on "What do you think needs to be done in the area of

cancer to help reach the target of a 25% reduction in premature deaths from NCDs

by 2025?" The answers given were surprisingly varied and ranged from increased

early detection and screening to monitoring adherence to guidelines and from

increased tobacco control to innovative financial partnerships that enable increased

medical research in low- and middle-income countries. The very breadth of these

answers suggests that there is no one "silver bullet" that will reduce cancer by 25%

by 2025 and that this target can only be achieved by waging war on many diverse

fronts.

CANCER CONTROL 2015 SURVEY

10 CANCER CONTROL 2015

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