Fu Hua Fu Hua Fudan University Fudan University 1 Morbidity and - - PowerPoint PPT Presentation

Cancer Impact to Population Health and Responses in China

Fu Hua Fu Hua Fudan University Fudan University

1

Source: Cancer registry (1998-2008)

Morbidity and mortality of major cancers increase over the years (1998-2008)

1/100 000

Morbidity, Male Morbidity, Female Morbidity, Female Mortality, Male

Ministry of Health, People's Republic of China

New cases of cancer in 2010 and 2011 in China

• Comp
• mpar

ared to ed to 2010 010, mor , more e th than 28 an 280 0 thous housand ands of new can s of new cance cer r cases ases in 2 n 201 011.

• 1. abou

about 6 t 6 p peop eople s le suff uffer ered ed from from ca canc ncer er in o in one ne mi minut nute. e.

2950 3000 3050 3100 3150 3200 3250 3300 3350 3400 2010 2011 New cases (thousand)

Source: China Cancer registry report (2015)

Top one

• Lung cancer

in male

• Breast cancer

in female

Increasing trend of cancer in last 10 years

Cervical cancer in female Thyroid cancer in female Breast cancer in female Prostate cancer in male 4

Source: China Cancer registry report (2015)

Decreasing trend of cancer in last 10 years

Liver cancer Stomach cancer Esophagus cancer

5

Source: China Cancer registry report (2015)

Social Determinants related to cancer

29748 RMB 381 RMB

Industrialization

Per Capita GDP 1978 2010

Population Aging Urbanization

18% 50% 55%

1978 2010 2015 2000 2010

10.33% 13.26%

Dramatic change of lifestyle

Behavioral Risk Factors related to cancer

Behavioral Risk Factors of NCDs among 18-year-old and above

Doing physical activity regularly: doing recreational physical activity at least 3 times a week, and at least 10 minutes per time.

Male current daily smoking rate

Proportion of consuming salt>5 g per day Proportion of consuming

• il >25 g per day

Proportion of consuming <400 g F & V Proportion of alcohol

• verconsumption

proportion of doing PA regularly

Source：2010 PRC BRFSS

47.0% 80.9% 83.4% 52.8% 17.4% 11.9% Ministry of Health, People's Republic of China

What c can y you do do?

• Lung c

Lung canc ancer i is the m he mos

• st pr

prev eventab able e for

• rm of
• f canc

ancer er deat death in our n our s soc

• ciety.
• Mor
• re

e than 87% of han 87% of lung c ung canc ancers ar are s e smok

• king rel

elat ated

• Som
• me

e par part of

• f lung c

ung canc ancers c can be an be at attribu buted t to

• env

environmen ental pollut utions

• ns i

includ uding ng occupat pationa

• nal e

exposur ure i e in-do door

• r and

and out

• ut-door
• or

Smoking harms the entire body…

From Erikson M’s presentation

Five countries smoke more than half of the world’s cigarettes…

From Erikson M’s presentation

China leads the world in growing tobacco…

• In 2011, China grew tobacco
• n more than 1.4 millio

1.4 million hect ectar ares es of l

• f land

and

• In 2011, more than 3.1 million

tonnes of tobacco were grown in China

• In 2011, China grew 41.7% of

the world’s tobacco

From Erikson M’s presentation

Seco econd ndhan hand smo d smoki king ng

• 72.4%

72.4% ex exposur posure t e to sec

• second
• ndhand

hand smo smoking king

• Publi

Public p c places laces

–88.5% found someone smoked in restaurant 88.5% found someone smoked in restaurant –58.4% in office buildings 58.4% in office buildings –35% in hospitals 35% in hospitals

• Worki

Working place ng places

–63.3% 63.3% found found someone smoked someone smoked

• Home

Home

–67.3% 67.3% found someone smoked found someone smoked

13

Evidence-based solutions are a must…

Outlined in WHO FCTC, MPOWER

• Clean indoor air laws (smoking free in public

places in Beijing, Shanghai, and other cities)

• Tax increases (In 2015, ad valorem tax

increased from 5% to 11%)

• Advertising bans (New Advertisement Law adds

several items to ban tobacco advertising in public places/traffics/media and outdoors, and in other commercial products)

• Graphic warning labels??

Immunization for hepatitis B

• More

More tha than 95% n 95% of

• f new

new-bur burn bab n babies ies were were immun immunize ized by d by hep hepatiti atitis B s B vacc vaccine ine in C in Chin hina. a.

• A dat

A data f a from C rom Chin hina CDC a CDC sh showed

• wed tha

that t

–92 millions of people were immunized and 92 millions of people were immunized and protected from hepatitis B infection during the protected from hepatitis B infection during the period between 1992 period between 1992-2009. 2009. –24 millions of people protected from chronic 24 millions of people protected from chronic hepatitis B infection, and decreased 4.3 hepatitis B infection, and decreased 4.3 millions of deaths who suffered from cirrhosis millions of deaths who suffered from cirrhosis and cancer of liver. and cancer of liver.

15

Early Diagnosis and Treatment for Cancers

Detection rate(‰)

Early diagnosis rate (%）

Esophageal Cancer Colon/Rectum Cancer Stomach Cancer Uterine Sarcoma Liver Cancer Nasopharyngeal Cancer Breast Cancer Esophageal Cancer Colon/Rectum Cancer Stomach Cancer Uterine Sarcoma Liver Cancer Nasopharyngeal Cancer Breast Cancer

Ministry of Health, People's Republic of China Esophageal cancer, colorectal cancer, stomach cancer, cervical cancer, liver cancer, nasopharyngeal cancer and breast cancer account for more than 80 percent of cancer related deaths. Early screening and treatment program was launched in 2006 for major types of cancers among the high risk populations in high incidence localities.

It was co-sponsored by the Disease Prevention and Control Bureau of MoH, the National Patriotic Sanitation Office and China CDC in 2007. Action theme: Harmonious life, Healthy Chinese Action slogan: Action, Healthy, and Happiness Action concept: Not only for conveying the knowledge, but more importantly, improving skills and taking actions Action at the first stage: healthy action ‘One Two One’ Connotation of ‘One Two One’ Walk ten thousand steps one day Balance between eating and activity Enjoy a healthy life

Healthy Lifestyle Action for All