Page 0013

effective, and adherence to treatment guidelines, which

ensure the most favourable outcome. While in the area of

early diagnosis of cancer there are many activities on an

international level, including raising awareness campaigns,

standards for screening and implemented programmes, but

the adherence to treatment guidelines is a relatively rare

focus. Only a few countries (mainly in North America and

North-Western Europe) and specialized cancer societies

(e.g. breast, gynecological) monitor the level of adherence to

agreed treatment guidelines, which directly affects the

prognosis for cancer patients. That is why I think that action

needs to be taken to regularly monitor the adherence to

treatment guidelines for cancer patients and to remove the

obstacles for optimal adherence.

Eduardo Cazap, SLACOM, Latin America

"The UN Political Declaration has been instrumental in

galvanising global action on NCDs. Since then, WHO has

successfully adopted a Global Action Plan including targets

and monitoring to reduce premature deaths from NCDs by

25% by 2025. The NCD targets cover common risk factors

including tobacco, alcohol abuse, physical inactivity and

obesity, but also address the full care continuum for cancer

including planning and surveillance, HPV and HBV

vaccination, early detection and screening for breast and

cervical cancers, access to essential medicines and

technologies and palliative care. The guidance of the 2020

UICC's World Cancer Declaration Targets are the best tool

for the realization of this 25 by 25 goal. A global coordinated

top-down/down-top strategy, in which multisectoral

international organizations work together with regional

bodies and all stakeholders at the country level, will ensure

the possibility of reaching the common goals."

Laurent Huber, Framework Convention Alliance

(FCA) for Tobacco Control

"To achieve this target it will be imperative to tackle the

global tobacco-related epidemic. Governments must devote

adequate resources to accelerate the implementation of the

FCTC and increase taxes on tobacco products. Tobacco tax

policies are widely recognized to be an effective means of

reducing demand and consumption of tobacco products. In

fact, it is hard to think of any jurisdiction that has

substantially reduced tobacco use prevalence without

significant increases in tobacco prices. Governments should

follow the recommendations in the Guidelines for

implementation of Article 6 of the WHOFCTC and "establish

coherent long-term policies on their tobacco taxation

structure and monitor on a regular basis including targets for

their tax rates, in order to achieve their public health and

fiscal objectives".

Nelly Enwerem Bromson, IAEA PACT

"Innovative partnerships, financing and technologies for

cancer control in low- and middle-income countries. The

only way to achieve this ambitious goal is to have the

courage to innovate. Without courage, Sidney Farber would

not have used antifolates for clinical trials in leukaemia

patients, paving the way to modern chemotherapy. Emil

Grubbe would not have tried to apply X-rays for treatment of

breast carcinoma, which led to the birth of radiation therapy.

The past century has witnessed a myriad of innovative

ventures that effectively tackled seemingly insurmountable

goals. Let's match the innovative spirit of the past and seek

bold solutions in applied science, economics, and technology

to overcome the global cancer pandemic. We need to

promote affordable, accessible and appropriate radiation

technology for low-resource settings and come up with

innovative financial schemes and partnerships to address

the pressing and unacceptable gaps in cancer control in far

too many LMICs."

Professor Ian Olver, Cancer Council, Australia

"These challenges should be at the forefront of

governmental discussions, global and domestic. Nations

must make evidence-based public health a priority to

achieve the cancer NCD goals. We need to continue to press

for tobacco control through taxation, further restriction of

advertising and limiting availability. Increasing public

awareness of healthy diet, the risks of alcohol consumption

and regular exercise to prevent obesity needs support by

restricting advertising of high-energy, low-nutrition foods,

particularly to children. We also need to keep promoting the

sun protection message. Finally, we need to boost

participation in HPV vaccination to prevent cancer of the

cervix and the population screening programmes in breast,

cervix and bowel to maximise the lives saved in these

cancers."

Simon Sutcliffe, INCTR, Canada

"The content and 'know-how' already exists for 25 x 25:

adaptation of content to context and implementation ("how

to") requires collaboration. To undertake 25 x 25, nations

must resolve and commit to:

‰ a global-national governance partnership - joint

accountability to ensure self-sufficient and sustainable

governance of a population-based cancer control plan.

‰ a global-national implementation partnership - shared

CANCER CONTROL 2015 SURVEY

CANCER CONTROL 2015 11

Index

  1. Page 0001
  2. Page 0002
  3. Page 0003
  4. Page 0004
  5. Page 0005
  6. Page 0006
  7. Page 0007
  8. Page 0008
  9. Page 0009
  10. Page 0010
  11. Page 0011
  12. Page 0012
  13. Page 0013
  14. Page 0014
  15. Page 0015
  16. Page 0016
  17. Page 0017
  18. Page 0018
  19. Page 0019
  20. Page 0020
  21. Page 0021
  22. Page 0022
  23. Page 0023
  24. Page 0024
  25. Page 0025
  26. Page 0026
  27. Page 0027
  28. Page 0028
  29. Page 0029
  30. Page 0030
  31. Page 0031
  32. Page 0032
  33. Page 0033
  34. Page 0034
  35. Page 0035
  36. Page 0036
  37. Page 0037
  38. Page 0038
  39. Page 0039
  40. Page 0040
  41. Page 0041
  42. Page 0042
  43. Page 0043
  44. Page 0044
  45. Page 0045
  46. Page 0046
  47. Page 0047
  48. Page 0048
  49. Page 0049
  50. Page 0050
  51. Page 0051
  52. Page 0052
  53. Page 0053
  54. Page 0054
  55. Page 0055
  56. Page 0056
  57. Page 0057
  58. Page 0058
  59. Page 0059
  60. Page 0060
  61. Page 0061
  62. Page 0062
  63. Page 0063
  64. Page 0064
  65. Page 0065
  66. Page 0066
  67. Page 0067
  68. Page 0068
  69. Page 0069
  70. Page 0070
  71. Page 0071
  72. Page 0072
  73. Page 0073
  74. Page 0074
  75. Page 0075
  76. Page 0076
  77. Page 0077
  78. Page 0078
  79. Page 0079
  80. Page 0080
  81. Page 0081
  82. Page 0082
  83. Page 0083
  84. Page 0084
  85. Page 0085
  86. Page 0086
  87. Page 0087
  88. Page 0088
  89. Page 0089
  90. Page 0090
  91. Page 0091
  92. Page 0092
  93. Page 0093
  94. Page 0094
  95. Page 0095
  96. Page 0096
  97. Page 0097
  98. Page 0098
  99. Page 0099
  100. Page 0100
  101. Page 0101
  102. Page 0102
  103. Page 0103
  104. Page 0104
  105. Page 0105
  106. Page 0106
  107. Page 0107
  108. Page 0108
  109. Page 0109
  110. Page 0110
  111. Page 0111
  112. Page 0112
  113. Page 0113
  114. Page 0114
  115. Page 0115
  116. Page 0116
  117. Page 0117
  118. Page 0118
  119. Page 0119
  120. Page 0120
  121. Page 0121
  122. Page 0122
  123. Page 0123
  124. Page 0124
  125. Page 0125
  126. Page 0126
  127. Page 0127
  128. Page 0128
  129. Page 0129
  130. Page 0130
  131. Page 0131
  132. Page 0132
  133. Page 0133
  134. Page 0134
  135. Page 0135
  136. Page 0136
  137. Page 0137
  138. Page 0138
  139. Page 0139
  140. Page 0140
  141. Page 0141
  142. Page 0142
  143. Page 0143
  144. Page 0144
  145. Page 0145
  146. Page 0146
  147. Page 0147
  148. Page 0148
  149. Page 0149
  150. Page 0150
  151. Page 0151
  152. Page 0152
  153. Page 0153
  154. Page 0154

powered by PageTiger