Cancer Burden and Control in the Western Pacific Region: Challenges and Opportunities

Background: Cancer has become a priority public health challenge in the Member States of the World Health Organization’s (WHO) Western Pacific Region (WPR). Rapid and unplanned urbanization, demographic transition, and <a title="Learn more about Lifestyle Modification" href="https:...

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Autores principales:	Cherian Varghese, Marie Clem Carlos, Hai-Rim Shin
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2014
Materias:	cancer prevention and control low- and middle-income countries Pacific Island countries and areas World Health Organization Western Pacific Region Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/7c4ac9e7add4489eb0722e58f04e2a4e
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spelling	oai:doaj.org-article:7c4ac9e7add4489eb0722e58f04e2a4e2021-12-02T08:52:06ZCancer Burden and Control in the Western Pacific Region: Challenges and Opportunities2214-999610.1016/j.aogh.2014.09.015https://doaj.org/article/7c4ac9e7add4489eb0722e58f04e2a4e2014-12-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2069https://doaj.org/toc/2214-9996Background: Cancer has become a priority public health challenge in the Member States of the World Health Organization’s (WHO) Western Pacific Region (WPR). Rapid and unplanned urbanization, demographic transition, and <a title="Learn more about Lifestyle Modification" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/lifestyle-modification">lifestyle changes</a> are driving the increase in noncommunicable diseases (NCDs), which include cancer. The WHO Global Action Plan for the Prevention and Control of Noncommunicable Diseases 2013-2020, targets a reduction in premature mortality from NCDs by 25% by 2025. Objectives: The aim of this study was to review the epidemiology of cancer including <a title="Learn more about Cancer Control" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/cancer-control">cancer control</a>efforts in the WPR. Methods: Information was primarily extracted from Globocan 2012, 'Cancer Incidence in Five Continents Vol. X', and the NCD country capacity survey carried out by the WHO in 2013. The WPR, with one-fourth of the world’s population, has one-third of all cancers globally. Cancer cases in the WPR are expected to increase from 4.5 million new cases in 2012 to 6.4 million in 2025. Findings: In most of the low- and middle-income countries (LMICs) in Asia and in Pacific Island countries and areas, coverage of cancer registration is relatively low and they face many challenges in quality of <a title="Learn more about Cancer registry" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/cancer-registry">cancer registry</a> data. Eighty-five percent of LMICs have indicated the existence of a cancer control policy strategy and/or action plan. The predominance of lung, stomach, colorectal, breast, and cervical cancers makes control of the disease more amenable in the WPR. A relatively high ratio of mortality to incidence in LMICs reflects health-system limitations, especially in the diagnosis and management of cancer. Conclusions: Strengthening cancer registration, tobacco control, and promotion of a healthy diet, as well as HBV and HPV <a title="Learn more about Vaccination" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/vaccination">vaccination</a>, is the priority areas to reduce cancer burden. Health-system strengthening with a defined package of services at different levels, referral care, trained human resources, and appropriate technology is necessary to improve cancer management. Pain relief and palliative care are priorities as well. A well-planned national cancer control program with a strong component of surveillance and monitoring can help to reduce the cancer burden in LMICs and Pacific Island countries.Cherian VargheseMarie Clem CarlosHai-Rim ShinUbiquity Pressarticlecancer prevention and controllow- and middle-income countriesPacific Island countries and areasWorld Health Organization Western Pacific RegionInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 80, Iss 5, Pp 358-369 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	cancer prevention and control low- and middle-income countries Pacific Island countries and areas World Health Organization Western Pacific Region Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	cancer prevention and control low- and middle-income countries Pacific Island countries and areas World Health Organization Western Pacific Region Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Cherian Varghese Marie Clem Carlos Hai-Rim Shin Cancer Burden and Control in the Western Pacific Region: Challenges and Opportunities
description	Background: Cancer has become a priority public health challenge in the Member States of the World Health Organization’s (WHO) Western Pacific Region (WPR). Rapid and unplanned urbanization, demographic transition, and <a title="Learn more about Lifestyle Modification" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/lifestyle-modification">lifestyle changes</a> are driving the increase in noncommunicable diseases (NCDs), which include cancer. The WHO Global Action Plan for the Prevention and Control of Noncommunicable Diseases 2013-2020, targets a reduction in premature mortality from NCDs by 25% by 2025. Objectives: The aim of this study was to review the epidemiology of cancer including <a title="Learn more about Cancer Control" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/cancer-control">cancer control</a>efforts in the WPR. Methods: Information was primarily extracted from Globocan 2012, 'Cancer Incidence in Five Continents Vol. X', and the NCD country capacity survey carried out by the WHO in 2013. The WPR, with one-fourth of the world’s population, has one-third of all cancers globally. Cancer cases in the WPR are expected to increase from 4.5 million new cases in 2012 to 6.4 million in 2025. Findings: In most of the low- and middle-income countries (LMICs) in Asia and in Pacific Island countries and areas, coverage of cancer registration is relatively low and they face many challenges in quality of <a title="Learn more about Cancer registry" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/cancer-registry">cancer registry</a> data. Eighty-five percent of LMICs have indicated the existence of a cancer control policy strategy and/or action plan. The predominance of lung, stomach, colorectal, breast, and cervical cancers makes control of the disease more amenable in the WPR. A relatively high ratio of mortality to incidence in LMICs reflects health-system limitations, especially in the diagnosis and management of cancer. Conclusions: Strengthening cancer registration, tobacco control, and promotion of a healthy diet, as well as HBV and HPV <a title="Learn more about Vaccination" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/vaccination">vaccination</a>, is the priority areas to reduce cancer burden. Health-system strengthening with a defined package of services at different levels, referral care, trained human resources, and appropriate technology is necessary to improve cancer management. Pain relief and palliative care are priorities as well. A well-planned national cancer control program with a strong component of surveillance and monitoring can help to reduce the cancer burden in LMICs and Pacific Island countries.
format	article
author	Cherian Varghese Marie Clem Carlos Hai-Rim Shin
author_facet	Cherian Varghese Marie Clem Carlos Hai-Rim Shin
author_sort	Cherian Varghese
title	Cancer Burden and Control in the Western Pacific Region: Challenges and Opportunities
title_short	Cancer Burden and Control in the Western Pacific Region: Challenges and Opportunities
title_full	Cancer Burden and Control in the Western Pacific Region: Challenges and Opportunities
title_fullStr	Cancer Burden and Control in the Western Pacific Region: Challenges and Opportunities
title_full_unstemmed	Cancer Burden and Control in the Western Pacific Region: Challenges and Opportunities
title_sort	cancer burden and control in the western pacific region: challenges and opportunities
publisher	Ubiquity Press
publishDate	2014
url	https://doaj.org/article/7c4ac9e7add4489eb0722e58f04e2a4e
work_keys_str_mv	AT cherianvarghese cancerburdenandcontrolinthewesternpacificregionchallengesandopportunities AT marieclemcarlos cancerburdenandcontrolinthewesternpacificregionchallengesandopportunities AT hairimshin cancerburdenandcontrolinthewesternpacificregionchallengesandopportunities
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Cancer Burden and Control in the Western Pacific Region: Challenges and Opportunities

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