What is the Universal Declaration against Cancer?

Advocating people to choose a healthy lifestyle and reducing social and environmental carcinogens is the key to reduce the premature death rate of chronic non-communicable diseases by 25% by 2025, and it is also the key to achieve the goal of the World Cancer Declaration. So what is the World Declaration against Cancer? Let Bian Xiao take you to understand it.

What is the Universal Declaration against Cancer?

First, advocate a healthy lifestyle.

Goals to be achieved by the World Declaration on Cancer Prevention by 2025:

Strengthen the construction of cancer prevention and control systems in various countries to ensure the smooth progress of comprehensive, effective and patient-centered lifelong cancer prevention and control policies. (Target 1)

Factors that significantly reduce cancer risk worldwide include smoking, obesity, unhealthy diet, excessive drinking, lack of physical exercise and other known carcinogenic factors. [Objective 3]

Incorporate carcinogenic human papillomavirus (HPV) and hepatitis B virus (HBV) into the global vaccination plan (Goal 4).

If we work together, it is not far to overcome the challenge:

Guarantee everyone's right to health.

Accelerate the construction of a healthy living environment.

The government is urged to increase investment in the health system to ensure the healthy life of the people.

challenge

In many countries, the public has negative cognition and misunderstanding about cancer. These obstacles urge us to improve public awareness of cancer prevention, healthy behavior and early manifestations of cancer. Individuals and society need to realize that at least13 cancer can be prevented by reducing drinking, eating healthily and strengthening physical exercise. If smoking is reduced, 50% of cancers can be prevented.

In addition to the above four common risk factors, ultraviolet protection is also the key to prevent skin cancer. In addition, occupational exposure and environmental exposure (such as asbestos) are also important carcinogenic factors.

In areas where resources are scarce, many countries are facing? Double burden? Therefore, it is important not only to change people's behavior, but also to prevent tumorigenic infections, such as hepatitis B virus that causes liver cancer and human papillomavirus that causes cervical cancer.

Face challenges

Guarantee everyone's right to health.

The Universal Declaration of Human Rights emphasizes that individuals have the right to health, and this concept has been accepted by the international community.

Protect the individual's right to health, so that people can get high-quality, timely and economical cancer medical services.

Adopting a healthy lifestyle as early as possible can reduce the risk of cancer and other non-communicable diseases (such as diabetes and heart disease) and fully protect the right to personal health.

Accelerate the construction of a healthy living environment

People's working and living environment will affect how they choose a healthy lifestyle.

The implementation of the cancer prevention and control plan requires the actions of all sectors of society, so as to ensure that everyone can choose a healthy lifestyle.

It is very necessary for the government to actively promote the formulation and implementation of relevant policies and laws in order to reduce cancer risk factors and advocate a healthy lifestyle.

Legal intervention has effectively reduced the harm of smoking, drinking, unhealthy diet and environmental exposure. For example, collecting tobacco tax has proved to be the most important measure that the government can take to reduce the main risk factors of chronic non-communicable diseases.

Not only the health sector, but also the education, sports, urban planning and agriculture sectors should take action. For example, schools can promote the concept of health by providing healthy diet, recreational facilities and strengthening sports activities. Work units should provide smoke-free environment, healthy food and take measures to quit smoking.

Strengthen investment in health system to support healthy lifestyle.

For the government, the investment in cancer prevention is less than the cost of cancer treatment. It is estimated that by 2030, cancer expenditure will reach $458 billion per year. Cancer screening can reduce the risk factors of all non-communicable diseases, including cancer, and this investment is only $2 billion per year in low-and middle-income countries.

In order to effectively carry out cancer prevention covering the whole country, we should start by making a cancer prevention and control plan for China's cancer burden and pathogenic factors.

The formulation of National Cancer Prevention and Control Plan (NCCP) plays a very important role in strengthening the construction of health system, including providing high-quality and efficient medical services and integrating health resources. For example, together with reproductive health, nutrition promotion and popular science propaganda, human papillomavirus vaccination should be taken as an important measure to improve the health level of adolescents. Similarly, hepatitis B virus vaccination should also be included in the reproductive, maternal, newborn and child health care service system.

The recently launched International Cooperation Program for Cancer Prevention and Control aims to provide countries with the best available resources and data information published by NCCP. See the website (www.iccp-portal.org) for details.

It is not far away to overcome the challenge by taking the following measures:

The government recognizes that the investment in cancer prevention is less than that in cancer treatment.

Promoting the health of children and adolescents should be included in the health policy.

Hepatitis B virus and human papillomavirus vaccination should be included in the national immunization plan to prevent infection and reduce the human and financial consumption caused by the high incidence of liver cancer and cervical cancer.

All schools and workplaces should take measures to ensure that everyone's health is the first choice.

Technical support and resource provision can help countries to incorporate the global goal of chronic diseases into cancer prevention and control plans.

Second, pay attention to early detection.

Ensuring early cancer screening programs can significantly reduce the country's cancer burden.

Goals to be achieved by the World Declaration on Cancer Prevention by 2025:

Cancer screening and early diagnosis programs have been widely promoted, and the public and medical staff's awareness of cancer early warning has been greatly improved. [Goal 6]

Let medical personnel in various fields of cancer prevention and treatment get more education and training opportunities, especially for low-and middle-income countries. (Goal 9

If we work together, it is not far to overcome the challenge:

Raise the public, medical staff and decision makers' awareness of cancer.

Incorporate cancer screening and early diagnosis programs into the health system.

Invest technical strength in the field of early screening.

Third, make all cancer patients get effective treatment.

Regardless of the regional differences and economic difficulties caused by cancer treatment, all people have the right to receive high-quality and efficient cancer treatment on an equal footing.

Goals to be achieved by the World Declaration on Cancer Prevention by 2025:

Strengthen the construction of cancer prevention and control systems in various countries to ensure the smooth progress of comprehensive, effective and patient-centered lifelong cancer prevention and control policies. (Target 1)

Cancer patients can get timely and accurate diagnosis, various modes of quality treatment, rehabilitation care, support and palliative care, including access to necessary drugs and medical technical services. (Goal 7

Effective cancer pain control and psychological support services will be widely realized. (Goal 8

If we work together, it is not far to overcome the challenge:

Strengthen the construction of health system to better provide cancer prevention and health care services.

Further meet the demand for basic anticancer drugs and treatment technologies.

Reduce the economic cost of cancer to individuals, families and governments.

Strengthen the construction of health system to better provide cancer prevention and health care services;

Cancer is a complex disease, and most cancers need to seek suitable treatment from various channels. The national cancer prevention and control plan should consider providing comprehensive and multidisciplinary cancer services and infrastructure construction, including prevention, diagnosis, early detection, routine treatment and palliative treatment.

These plans must include efforts to provide psychological support to cope with the overall impact of cancer on the emotional and physical and mental health of patients, families and caregivers.

Making the National Cancer Prevention and Control Plan (NCCP) has played a very important role in strengthening the construction of the health system, which can provide high-quality and efficient medical services, including having a professional medical team; Infrastructure; Adequate funds; The most important thing is to carry out scientific research, so that existing knowledge can be transformed into actual research results to serve patients.

Equal access to basic anti-cancer drugs and treatment technologies

Making cancer treatment truly affordable should be the priority of the development agenda after 20 15 years.

The national cancer plan should be guided by the World Health Organization's list of essential drugs, combined with the update of the national clinical evidence-based guidelines, to determine a list of essential anticancer drugs, and to ensure that the list is suitable for training, supply and reimbursement.

The government should consider establishing some mechanisms that can effectively improve the procurement, supply and use of anticancer drugs, and increase the use of drugs within the existing health budget.

Priority should be given to the input of professional and technical forces.

Radiotherapy has been proved to be an economical cancer treatment method in some high-income countries, and it has also been proved in some developing countries. Therefore, policy makers, medical practitioners, patients and nursing staff should further enhance their awareness of using modern radiotherapy technology and gain more benefits from it.

Reduce the economic cost of cancer to individuals, families and governments.

The implementation of universal health insurance (UHC) and other social security measures has played an important role in narrowing the gap in the lack of cancer services.

At present, it has been proved that at least nine low-and middle-income countries in Africa and Asia have the ability to provide universal health insurance for their citizens.

More importantly, universal health insurance itself is not enough to solve global problems such as cancer and non-communicable diseases, because it focuses more on health. The working framework after 20 15 must also solve some potential social, economic, political, environmental and cultural problems, because these factors will affect whether everyone can get health to the maximum.

It is not far away to overcome the challenge by taking the following measures:

In the national cancer prevention and control plan, some new, patented and expensive anticancer drugs should be first considered for patient-centered treatment.

As we all know, radiotherapy is an effective means to treat cancer. It can be used to treat cancer alone or in combination with surgery and chemotherapy.

The government should take concrete measures to achieve the global goal, that is, patients use 80% affordable basic drugs and medical technology.

Universal health coverage is to ensure fairness and ensure that people can get high-quality basic health services, which are based on demand rather than ability to pay.

The next step of the global development goal is to solve the problem of universal health coverage, and recognize that fairness and health are human rights, so that people can finally get a healthy life at all stages of their lives.

Fourth, maximize the quality of life.

Understanding and coping with the emotional, mental and physical trauma caused by cancer will maximize the quality of life of cancer patients, their families and caregivers.

Raise awareness of cancer

Early screening aims to improve the public, medical staff and policy makers' understanding of early screening, understand the differences in ideas and behaviors, and eliminate misunderstandings in cancer diagnosis and treatment, especially the misunderstanding of cancer diagnosis and treatment. Shame, gender discrimination and social disharmony lead to cancer patients delaying treatment or even giving up treatment.

Further improve relevant policies, encourage patients to actively treat, and raise public awareness of cancer symptoms and signs through health education, so that everyone can understand that early detection will increase the chances of cancer cure and improve the quality of life of patients.

It is necessary to strengthen popular science propaganda in various activities, including work units, and further improve people's understanding of early detection of cancer.

Incorporate cancer screening and early diagnosis programs into the health system.

The identification of early symptoms of some cancers is closely related to the medical level, especially in areas with scarce resources. These cancers usually cost less and do not need special diagnosis and treatment techniques, such as oral cancer and breast cancer.

For children's tumors, grassroots medical staff should have relevant medical knowledge and technical means to avoid the possibility of misdiagnosis and ensure timely referral to professional medical institutions.

Screening for breast cancer, colorectal cancer and cervical cancer should be based on national resources and disease burden. Evidence shows that screening can reduce the mortality rate of cervical cancer in women by 80% or more, and the risk of cervical cancer in women aged 30 ~ 40 can be reduced by 25% ~ 36%.

Unfortunately, some cancers that are difficult to find in the early stage, such as ovarian cancer and pancreatic cancer, have a low survival rate. More scientific research is needed to realize the early detection of this part of cancer.

Invest technical strength in the field of early screening.

In the field of early screening, it is necessary to provide medical workers with appropriate diagnosis and treatment facilities, strengthen their understanding of early cancer and ensure its correct diagnosis.

It is not far away to overcome the challenge by taking the following measures:

The first step in early detection and improvement of the prognosis of cancer patients is to raise awareness. Because compared with the advanced stage, if cancer is found and treated in the early stage, its mortality rate is very low and it is easier to treat.

The implementation of early diagnosis should be in line with local resources, cultural concepts and actual conditions, and the scope of services should be continuously expanded.

Early screening programs should be included in the health system.

The full input of health professionals should be ensured, especially in some areas where resources are scarce. Professional training of medical staff will play a vital role in successful early screening.

On the existing basis, strengthen the education and training of tumor professionals.