anesa ahamad b.sc., m.b., b.s.,(uwi), m.sc. (um uk), f.r.c.r.(uk), d.a.b.r.(usa) adjunct professor,...
TRANSCRIPT
![Page 1: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/1.jpg)
Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA)
Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston
Oncology Advisor - Ministry of Health, Trinidad & Tobago
Clinical Oncologist, Brian Lara Cancer Center, Trinidad
Associate Lecturer, Univ. of the West Indies, Medical Sciences
![Page 2: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/2.jpg)
Trinidad & Tobago
Believe
![Page 3: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/3.jpg)
a
R
![Page 4: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/4.jpg)
a
R
Most Feasible initiative : Education and Information Campaign
a. Public and Patients-
b. Medical Staffc. Politiciansd. Decision makers
![Page 5: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/5.jpg)
a
R
![Page 6: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/6.jpg)
a
R
![Page 7: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/7.jpg)
a
R
If this is your waiting room: Will you be attending to patient tobacco history and cessation?
![Page 8: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/8.jpg)
a
R
![Page 9: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/9.jpg)
a
R
![Page 10: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/10.jpg)
a
R
![Page 11: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/11.jpg)
![Page 12: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/12.jpg)
Cancer is a leading cause of death, pain and suffering
7.6 million died of Ca in 2005
Cancer deaths > AIDS+ TB + malaria
> 70% of Ca deaths occur in low- and middle-income countries
![Page 13: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/13.jpg)
Many cancers can be prevented:
All countries can, at some useful level implement the three basic components of cancer control
![Page 14: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/14.jpg)
a
R
![Page 15: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/15.jpg)
a
R
Most Feasible initiative : Education and Information Campaign
a. Public and Patients-
b. Medical Staffc. Politiciansd. Decision makers
![Page 16: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/16.jpg)
a
R
Most Feasible initiative : Education and Information Campaign
Evidence-based, Continuous, sustained
Prevention
Early signs
Pathways and navigation – by country for screening
Treatment
Caribbean FAQs and dispel common myths
![Page 17: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/17.jpg)
a
R
Most Feasible initiative :
Education and Information Campaign
What do they need to know?
![Page 18: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/18.jpg)
![Page 19: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/19.jpg)
Like other CNCDs - proven risk factors
tobacco usealcohol usedietary factors incl. low fruit & veg.
physical inactivityoverweight and obesity
![Page 20: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/20.jpg)
a
R
Example : World Cancer Nutrition Guidelines 2007
![Page 21: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/21.jpg)
Unlike other CNCDs - proven risk factors:
physical carcinogens
ultraviolet (UV)ionizing radiation
![Page 22: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/22.jpg)
a
R
Unlike other CNCDs - proven risk factors:
chemical carcinogens*Group 1: Carcinogenic to humans (102 agents)
*Group 2A: Probably carcinogenic to humans (69 agents)
*Group 2B: Possibly carcinogenic to humans (246
agents)
*The International Agency for Research on Cancer (IARC) is part of the World Health Organization . www.iarc.fr
![Page 23: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/23.jpg)
a
R
biological carcinogensImmuniz’n / tmt of agents that cause cancersHPV- Cervical Cancer (2nd
commonest in Females on J’ca andT&T)
This is the only Cancer vaccine that will prevent more than 70% of cases!!
![Page 24: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/24.jpg)
a
R
biological carcinogens
H. pylori : A bacteria that causes gastric cancer ( 2nd commonest in males in J’ca and B’dos)-
Hepatitis B
![Page 25: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/25.jpg)
a
R
Must educate and inform
About Early detection & secondary prevention
![Page 26: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/26.jpg)
Is Cancer as preventable as
Stroke & Heart
Disease?
![Page 27: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/27.jpg)
Is Cancer as preventable as Stroke & Heart Disease?
NO
![Page 28: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/28.jpg)
Worldwide: If major risk factors eliminated we would prevent
• 80% of heart disease, stroke and type 2 diabetes
• 30- 40% of cancer
![Page 29: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/29.jpg)
Caribbean Region
If major risk factors eliminated
Would we even prevent 30- 40% of cancer ??
![Page 30: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/30.jpg)
Barbados : Males Females
Preventable??
![Page 31: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/31.jpg)
Barbados: Prevention? Males Females
Prostate Breast
![Page 32: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/32.jpg)
Jamaica: Males Females
Preventable??
![Page 33: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/33.jpg)
Jamaica: Prevention? Males Females
Prostate Breast
![Page 34: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/34.jpg)
Tr’dad & T’bgo: Males Females
Preventable??
![Page 35: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/35.jpg)
Trinidad : Prevention? Males Females
Prostate Breast
![Page 36: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/36.jpg)
a
R
Early detection & secondary prevention
1. Cervical cancer screening: detect pre cancer (# 2in females in J’ca and T&T)
2. Early Detection of Breast Cancer / Pre- Cancer
#1 in Females) ( #1 in B’dos, T&T , J’ca)
Breast self awareness (BSA) Clinical Breast Examination (CBE)Mammography
![Page 37: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/37.jpg)
a
R
Early detection & secondary prevention
3. Screening for Colorectal Ca. (#2 in males in T&T and in females in B’dos)
4. Screening for Prostate Ca (# 1 in males in J’ca, B’dos and T&T)
![Page 38: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/38.jpg)
a
R
![Page 39: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/39.jpg)
a
R
Most Feasible initiative : Train the trainers CampaignCancer prevalence About Cancer Early signs Pathways and navigation – by country Prevention TreatmentCaribbean FAQs Dispelling common myths
Evidence-based, Continuous, sustained,
![Page 40: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/40.jpg)
a
R
Most Feasible initiative : Education and Information CampaignStatagy for initiation
A. Support a network with Caribbean professionals who are functioning in US, UK and Canada and locals
I have a long list of cancer specialists who are eager to come in to help fuel evidence based education and practice.
![Page 41: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/41.jpg)
a
R
Most Feasible initiative : Education and Information Campaign
B. Advocate for Healthcare agencies to mandate and pay for education for staff
C.Use available resources:
![Page 42: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/42.jpg)
http://www.who.int/topics/cancer/en/
![Page 43: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/43.jpg)
http://www.who.int/topics/cancer/en/
![Page 44: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/44.jpg)
http://www.who.int/topics/cancer/en/
![Page 45: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/45.jpg)
http://www.who.int/topics/cancer/en/
![Page 46: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/46.jpg)
http://www.who.int/topics/cancer/en/
![Page 47: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/47.jpg)
http://www.who.int/topics/cancer/en/
![Page 48: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/48.jpg)
http://www.who.int/topics/cancer/en/
![Page 49: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/49.jpg)
http://www.who.int/topics/cancer/en/
![Page 50: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/50.jpg)
![Page 51: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/51.jpg)
The World Cancer Declaration 2008 was developed by the International Union Against Cancer (UICC)
endorsed by the World Cancer Congress 2008
![Page 52: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/52.jpg)
a
R
•Place cancer on the development agenda.
•Increase political priority
• A country’s investment in its growing cancer problem is an investment in the economic and social well-being of the country.
![Page 53: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/53.jpg)
a
R
1. Sustainable delivery systems will be in place to ensure that effective cancer control programmes are available in all countries
2. The measurement of the global cancer burden and the impact of cancer control interventions will have improved significantly
3. Global tobacco consumption, obesity and alcohol intake levels will have fallen significantly
![Page 54: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/54.jpg)
a
R
4. Populations in the areas affected by HPV and HBV will be covered by universal vaccination programmes
5. Public attitudes towards cancer will improve and
damaging myths and misconceptions about the disease will be dispelled
6. Many more cancers will be diagnosed when still localized through the provision of screening and early detection programmes and high levels of public and professional awareness about important cancer warning signs
![Page 55: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/55.jpg)
a
R
7. Access to accurate cancer diagnosis, appropriate cancer treatments, supportive care, rehabilitation services and palliative care will have improved for all patients worldwide
8. Effective pain control measures will be available universally to all cancer patients in pain
9. The number of training opportunities available for health professionals in different aspects of cancer control will have improved significantly
![Page 56: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/56.jpg)
a
R
10. Emigration of health workers with specialist training in cancer control will have reduced dramatically
11. There will be major improvements in cancer survival rates in all countries
![Page 57: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/57.jpg)
a
R
10. Emigration of health workers with specialist training in cancer control will have reduced dramatically
![Page 58: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/58.jpg)
a
R
What is the plan for No. 10? (“Emigration of health workers with specialist training in
cancer control will have reduced dramatically”)
They took my email and They took my email and promised to get back to me!promised to get back to me!
![Page 59: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/59.jpg)
a
R
![Page 60: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/60.jpg)
a
R
Most needed initiative :
Staff Staff StaffCancer Nurses
Cancer Doctors
Physicists, Pharmacists, Radiation therapists,
Radiographers, Cytologists
Healthcare Information Systems Management
Professional Education/Research/Ethics
![Page 61: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/61.jpg)
a
R
Most needed initiative :
![Page 62: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/62.jpg)
a
R
Most needed initiative :
![Page 63: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/63.jpg)
a
R
Most needed initiative : Staff
![Page 64: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/64.jpg)
![Page 65: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/65.jpg)
a
R
Significant proportion can be cured SurgeryRadiotherapy Chemotherapy
![Page 66: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/66.jpg)
a
R
![Page 67: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/67.jpg)
a
R
> 70% of Ca deaths occur in low- and middle-income countries
89% of world morphine used in USA and Europe
![Page 68: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/68.jpg)
a
R
SUMMARYTOAST CANCER
![Page 69: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/69.jpg)
www.uicc.orgwww.who.int/topics/cancer/en/www.cancer.orgwww.cancer.org.au/home.htmwww.cancer.ca www.cancer.govwww.nccn.orgwww.dietandcancerreport.org/
![Page 70: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/70.jpg)
![Page 71: Anesa Ahamad B.Sc., M.B., B.S.,(UWI), M.Sc. (UM UK), F.R.C.R.(UK), D.A.B.R.(USA) Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston](https://reader038.vdocuments.us/reader038/viewer/2022103122/56649f435503460f94c63798/html5/thumbnails/71.jpg)
Anesa Ahamad B.Sc. MB.BS. M.Sc.,D.A.B.R., F.R.C.R
Adjunct Professor, Univ. of Texas M. D. Anderson Cancer Center, Houston
Oncology Advisor - Ministry of Health, Trinidad & Tobago
Clinical Oncologist, Brian Lara Cancer Center, Trinidad
Associate Lecturer, Univ. of the West Indies, Medical Sciences