SLIDE 1
Cancer in emerging economies
Developing countries 54% Developed countries 46%
Cancer diagnoses
Developing countries 64% Developed countries 36%
losses in emerging economies A Pearce, P Hanly, L Sharp, P Gupta, F - - PowerPoint PPT Presentation
losses in emerging economies A Pearce, P Hanly, L Sharp, P Gupta, F - - PowerPoint PPT Presentation
Cancer-related productivity losses in emerging economies A Pearce, P Hanly, L Sharp, P Gupta, F Bray, YL Qiao, SM Wang, A Barchuk, I Soerjomataram Cancer in emerging economies Cancer deaths Cancer diagnoses Developed Developed countries
SLIDE 2
SLIDE 3
BRICS countries
Developing countries 40% Developed countries 60%
World's population
Developing countries 25% Developed countries 75%
World's land area
Developing countries 25% Developed countries 75%
World's GDP
SLIDE 4
Burden of cancer
Everyone’s work contributes to the economy, and not working represents a loss to society
SLIDE 5
Aim
To estimate the value of lost productivity due to cancer-related premature mortality in Brazil, Russia, India, China and South Africa (BRICS)
SLIDE 6
Methods & Data
- Incidence-based, human capital approach
- GLOBOCAN data
- Cancer mortality rates
- OECD & ILO data
- Workforce participation & unemployment
- Wages & future wage growth
- Retirement ages
SLIDE 7
Deaths & YPLL
100 200 300 400 500 600 Male Female Male Female Male Female Male Female Male Female Brazil China India Russia Sth Africa
Deaths & Years of Productive Life Lost
Deaths (1,000s) YPLL (10,000s)
SLIDE 8
Total cost & cost per death
$0 $20,000 $40,000 $60,000 $80,000 $100,000 $0 $5 $10 $15 $20 $25 Male Female Male Female Male Female Male Female Male Female Brazil China India Russia Sth Africa Billions
Total cost and cost per death
Total Cost Cost per death
SLIDE 9
Results by cancer
11 important cancers Leukaemia Brain & NS Prostate Cervix Breast Melanoma Lung Liver Colorectum Stomach Oesophagus
SLIDE 10
Tobacco related cancers
Brazil Russia
Non- tobacco related cancers Lung Lip, oral cavity Nasopharynx Other pharynx Oesophagus Larynx
India China Sth Africa
SLIDE 11
Sensitivity Analyses
- Divide Chinese data by urban and rural
- Increase retirement ages in China & Russia
- Changing growth rates & discounting
- Increase workforce participation in India
Females, 29% Males, 71%
Base case
Females 36% Males 64%
Increased female participation
SLIDE 12
Implications
- Prevention activities are important, and
need to extend beyond tobacco control
- Earlier detection and improved treatment
availability to reduce mortality may be economically efficient
- Potential increase in cancer burden
through ageing, urbanisation and westernisation
SLIDE 13
Conclusions
- Limitations: lack of data, assumptions
around employment (informal economies and household production)
- Valuing cancer related lost productivity can
provide policy makers with an additional perspective when identifying priorities for cancer prevention and control
SLIDE 14
Acknowledgements
- COST Action IS1211 CANWON which
funded Alison Pearce to undertake a Short Term Scientific Mission to IARC, supervised by I. Soerjomataram, to establish this project
- Alison Pearce is funded by an HRB ICE