cancer in the world dr ala alwan organization ala alwan assistant director-general non-communicable...

Cancer in the WorldDr Ala AlwanAssistant Director‐GeneralWorld Health Organization

Dr Ala AlwanAssistant Director-General

Non-communicable Diseases and Mental Health

Chronic lung disease

Cancer

Diabetes

Heart disease and stroke

Noncom

municable diseases

Harmful use of alcohol

Physical inactivity

Unhealthy diets

Tobacco use

Modifiable causative risk factors

Non-communicable Diseases (NCDs)



In all developing countries, cancers now account for a large enough share of premature deaths and poverty to merit an urgent and coordinated public policy response.

In all developing countries, cancers now account for a large enough share of premature deaths and poverty to merit an urgent and coordinated public policy response.

234

2005 2015 2030

2.1

5.5million

2.3

6.7million

2.5

8.9million

0

2

4

6

8

10

12

()

Low- and middle income countriesHigh-income countries

Source:

Deaths from cancers



Cancer in India

Source: Mahal et al 2010



More than 8 million people die each year before the age of 60in developing countries from non-communicable diseases

More than 8 million people die each year before the age of 60in developing countries from non-communicable diseases

Increased exposure to risk factors

Cancers and other non-communicable diseases

Limited access to effective and equitable health-care services

Populations in low- and middle-income countriesPopulations in low- and middle-income countries

Globalization of trade and marketingRapid urbanizationPopulation ageing

Poverty

Globalization of trade and marketingRapid urbanizationPopulation ageing

Poverty

Why are developing countries more affected?



Smoking prevalence (2004)

0

5

10

15

20

25

30

35

40

45

Low-income countries

Lower-middleIncome

Upper-middle-income

High-income

Lowest household income quintiles

Highest household income quintiles

The poorest people in developing countries smoke most

Why are the poorest in developing countries most affected?



We have the right vision and feasible solutions to:

• prevent up to 1.7 million premature deaths from cancers in developing countries per year

• treat another 1.7 million if detected early

• provide palliative care for the remainder

1 34



WHO Framework

Convention on Tobacco Control

Global Strategy to Reduce the Harmful Use

of Alcohol

Global Strategy on

Healthy Diets, Physical

Activity and Health

Global Strategy for the Prevention and Control of NCDs



12 4

Policy makers and programme managers in developing countries are increasingly challenged to formulate effective cancer strategies to address prevention, early detection, treatment and palliative care.

But their requests to include cancer in global development initiatives and related investment decisions remain largely unanswered by international development agencies.



0.010.06

0.1

0.42

0.92

0.93

3.9

0.060.210.220.230.24

0.330.450.53

0.81.141.16

1.331.65

US$7.4

0 1 2 3 4 5 6 US$7 Billion

Water Education

ater Resources Protection

River Development

Waste Management

sic Drinking Water Supply

Water Resources Policy

Water Supply/Sanitation

Health Education

Medical Education

Medical Research

Basic Health Infrastructure

Medical Services

Basic Nutrition

TB Control

Family Planning

Malaria Control

Basic Health Care

Reproductive Health Care

nfectious Disease Control

Health Policy

HIV/AIDS

• Total Health ODA in 2007: $22.1 billion

• Health ODA for cancer: minimal

• Total Health ODA in 2007: $22.1 billion

• Health ODA for cancer: minimal

(Source: Kaiser Family Foundation, 23 July 2009, based on OECD/D

Global commitments to public health (2007) (measured in Official Development Assistance)



123Integrated prevention of NCDs share common risk factors

Chronic lung disease

Cancer

Diabetes

Heart disease and stroke

Noncom

municable diseases

Harmful use of alcohol

Physical inactivity

Unhealthy diets

Tobacco use

Modifiable causative risk factors



Six objectives:1. Raising the priority accorded to NCDs in

development work at global and national levels, and integrating prevention and control of NCDsinto policies across all government departments

2. Establishing and strengthening national policies and programmes

3. Reducing and preventing risk factors 4. Prioritizing research on prevention and health care5. Strengthening partnerships6. Monitoring NCD trends and assessing progress

made at country level

Mobilizing a global responseBuilding on a clear roadmap for Member States, partners and WHO



ECOSOC Ministerial Declaration

Doha Declaration

on NCDs

Raising the priority of NCDs in development work

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UN General Assembly Resolution A/RES/64/265UN General Assembly

Resolution A/RES/64/265



• Decides to convene a high-level meeting of the General Assembly in September 2011, with the participation of Heads of State and Government, on the prevention and control of non-communicable diseases;

• Also decides to hold consultations on the scope, modalities, format and organization of the high-level meeting of the General Assembly on the prevention and control of non-communicable diseases, with a view to concluding consultations, preferably before the end of 2010;

• Encourages Member States to include in their discussions at the High-level Plenary Meeting of the sixty-fifth session of the General Assembly on the review of the Millennium Development Goals, to be held in September 2010, the rising incidence and the socio-economic impact of the high prevalence of non-communicable diseases worldwide;

• Requests the Secretary-General to submit a report to the General Assembly at its sixty-fifth session in collaboration with Member States, the World Health Organization and the relevant funds, programmes and specialized agencies of the United Nations system, on the global status of non-communicable diseases, with a particular focus on the developmental challenges faced by developing countries.

United Nations General Assembly resolution A/RES/64/265


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• NCD Summit (New York, 19 September 2011)• Consultative process leading towards the NCD Summit 2011:

– First Global Ministerial Meeting on NCDs and Healthy Lifestyles (Moscow, 28-29 April 2011).

– UN Regional Commissions (ECLAC, ESCWA, UNECA, UNECE, ESCAP)– Interactive hearings organized by WHO and UNDESA

• Reports:– WHO Global Status Report on NCDs (first quarter 2011)– UN Secretary-General's Report on NCDs (second quarter 2011)

United Nations General Assembly resolution A/RES/64/265


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謝謝Thank you

cancer in the world dr ala alwan organization ala alwan assistant director-general non-communicable...

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