The Cancer Burden in the Indian Subcontinent
Viji Venkatesh The Max Foundation
Cancer
The enigma that is India “It is very important to remember that a few million English –speaking Indians do not make up India” N R Narayana Murthy Founder Chairman of Infosys Technologies Ltd
The enigma that is India India
is an amalgamation of many ‘countries’ every 100 miles, everything in India changes- the language (or dialect), landscape, food, dress, traditions, beliefs almost like another European Union
The enigma that is India
India is unarguably the largest producer of engineers and scientists in the world 350 million are illiterate and 250 million do not have access to basic medical care
The enigma that is India
318 million people do not have access to drinking water Satellite technology brings television to almost every village in India 51% of children in the country are undernourished Our urban youth however have no dearth of choices when it comes to the toppings for their pizzas
Common cancers in India Malignancies
of the Head &
Neck region Cervical Cancer Breast Cancer
Cancer in India Major
% of new cancers detected every year is in developing countries like India Burden of maximum number of cancers BUT Minimum resources to cope with these
Cancer in India The Challenges Not enough medical facilities Cost of treatment No private insurance No Government reimbursement The stigma of cancer
Some known facts about these cancers
The most common cancers in India are those that can be prevented and detected early Causative and risk factors known and identified Despite that maximum new cancers are detected in countries like ours
Estimate of the Cancer Burden 2006 – 2016 (Male Cancers )
Lip Tongue Mouth Breast Prostate Lung All sites
1535 to 2032 22,775 to 30,269 22,603 to 29,962 2,367 to 3,127 20,134 to 27,215 45,292 to 60,730 295,383 to 391,821
Estimate of the Cancer Burden 2006 – 2016 (Female Cancers)
Breast Cancer Cervical Cancer Ovarian Cancer Stomach Cancer Mouth Cancer All Sites
104,968 to 140,975 No figures available 27,159 to 36,085 13,029 to 17,699 16,072 to 21,951 232,317 to 312,388
Deterrents to cancer control IGNORANCE LACK
OF AWARENESS MISCONCEPTIONS & MYTHS
Myths about cancer
CANCER
MEANS DEATH IT IS GOD’S WILL PUNISHMENT FOR PAST SINS
Oh God ! Why ?
Tobacco consumption in India – a socially accepted custom
Beedi Cigarette Masheri – burnt tobacco powder Gutka and Pan Masala – chewing mix Sookha – dry powdered tobacco Dant manjhan – tooth paste
Tobacco related cancers
Head &Neck Esophagus Lung Sub – Mucous fibrosis
Women in India
One of the most enduring clichĂŠs about India is that it is a country of contradictions.
At the heart of the contradiction stands the Indian women
If it is true to say that they are among the most oppressed in the world,
Then it is equally true to say that they are among the most liberated, the most articulate and perhaps even the most free.
The Modern Indian Woman and Breast Cancer
Risk Factors for Breast Cancer
Late age at marriage Delayed Menarche Delayed pregnancy Absence of breast feeding
The girl child
Risk factors for Cervical Cancer
Early age at marriage Multiple Pregnancies Unhygienic living conditions Lack of access to periodic screening
An access program as a tool that facilitates
Access to treatment Out reach intervention Establishing Support Systems for patients and families Support and training for physicians Creating Awareness Setting up Education Programmes Promoting concept of good compliance
NOA/GIPAP CENTRES IN INDIA PGI CHANDIGARH
LUDHIANA
AIIMS NEW DELHI RGI NEW DELHI
SMS JAIPUR GCRI AHMEDABAD
KOLKATA MUMBAI NIZAMS HYDERABAD PUNE KIDWAI BANGALORE
CANCER INSTCHENNAI
CMCH VELLORE APOLLO CHENNAI RCC TRIVANDRUM
COIMBATORE
PATIENT LOAD IN INDIA 12200 +
TOWARDS A NEW DAWN