National Cancer Control Program

Priority to MoPH By: Dr. Abdul Nasir

A group of diseases characterized by uncontrolled growth and spread of abnormal cells that results in death.

Cancer

Causes

External Factors Internal Factors

Tobacco Chemicals Radiation Infectious organisms

Inherited mutations, hormones

Immune conditions Mutations that occur

from metabolism

International Agency for Research on Cancer (IARC)

2008 By 2030

12.7 million new cancer cases

5.6 million - economically developed countries

7.1 million - economically developing countries

7.6 million (about 21,000 cancer deaths a day),

21.4 million new cancer cases

13.2 million cancer deaths

growth and aging of the population

Super Passes the IHD as a cause of death (8,923 -15%)

Prevention & Survival

Prevention Survival Rate

More than half of all cancer cases and deaths worldwide are potentially preventable

Alive 5 years later then the detection

Depend on the type and stage◦ Situ◦ Local◦ Regional◦ Distant

CostsDirect Indirect

Payment for resources used for treatment

Care and rehabilitation related to the illness

Loss of economic output (Missing the work-Mobidity)

Premature death (Mortality)

Hidden Costs

• Health insurance premiums• Nonmedical expenses (transportation, child or elder care, housekeeping assistance, wigs, etc.)

Interventions for Prevention and ControlUICC, Union of Int Cancer ControlApproach to Reverse; 2020

WHO Cancer Programs; Govt

Prevention

Early

detection/Diagnosis

Effective Treatment

Primary Intervention; Exposure◦ Tobacco use◦ Nutrition ◦ Physical inactivity◦ Occupational exposures◦ Chronic infections.

greatest public health potential and the most cost-effective, long-term method of cancer control

Interventions Continue…

Early detection and secondary prevention

Diagnosis and treatment

Early stage cancers when they can be treated most effectively

Timely diagnostic follow-up and effective treatment

1. Opportunistic screening requested by a physician or an individual or

2. Organized screening in which a defined population is contacted and invited to be screened at regular intervals

Diagnosis & careful clinical and pathological assessments-First in Cancer Management

Surgery, chemotherapy, and radiotherapy (alone or combined)

The International Atomic Energy Agency has created a Programme of Action for Cancer Therapy that helps developing countries fight cancer by

integrating radiotherapy into sustainable comprehensive cancer

control programs in 2004.

Realizing the Impact of Public Health –

Technology Transfer

IAEA’s Initiative with Public-Private

Partnership to fight Cancer Crisis

Partnering with WHO and Health Related

Org to Develop and Plan in Low Income

Member (LIM) in Cancer Control Program.

Programme of Action for Cancer Therapy (PACT)

To build a global public-private partnership of interested organizations committed to addressing the challenge of cancer in LMI Member States in all its aspects;

To mobilize resources from charitable trusts, foundations, and others in the public and private sectors to assist LMI Member States to develop and implement their radiation medicine capacities within a National Cancer Control Program (NCCP)

To ensure the effective and sustainable transfer of radiation medicine technologies or knowledge to all LMI Member States where unmet needs exist.

Long-term goals; next 20 Years

Assessment – Cancer Needs (imPACT)

Establish

PACT Model Demonstration Sites (PMDS)

Regional capacity building

Regional Cancer Training Networks

PACT Strategy

(Albania, Nicaragua, SriLanka,Tanzania, Vietnam and Yemen.)

 Albania, 

Nicaragua, 

Sri Lanka, 

United Republic of Tanzania,

Vietnam and 

Yemen.

2009 No Further PMDS

PACT Model Demonstration Sites

Prevent those cancers that can be

prevented;

Treat those cancers that can be treated;

Cure those cancers that can be cured; and

Relieve pain and improve quality of life for

all cancer patients.

What MoPH-Afghanistan Wants!

Strategic Objective of PMDS

Cancer control planning Cancer registration and surveillance Cancer prevention Cancer treatment and cure Palliative care and support Knowledge transfer and multidisciplinary

education, training and research in cancer Support government resource mobilization Program evaluation

PMDS; Focus

MoPH-Priority 4 Mill $ USD for Afghanistan (IAEA) Partners to 26 Cancer Org inc WHO Contact- imPACT to be carried out Support Letter from Ministry of Health

Support Through Homeopathic Medicine Cancer Cure Diabetes Cure Asthma Hypertension Chronic Diseases

What We Do - CTTC.Int’l