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Innovative Partnerships inaddressing the growing threat of
NCD in South East Asia
Prof Dr Teo Soo HwangCEO, Cancer Research Initiatives Foundation
(CARIF)
Adjunct Professor, University Malaya
Prof Dr Cheong Sok ChingGroup Leader, Oral Cancer Research,
CARIF
Adjunct Professor, University Malaya
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Source: Globocan 2000 IARC
>5 million from Asia
Eastern
Southeastern
South Central
Western
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Increasing no. of cancer patients
In the Year 2000:
6 million deaths
10 million new cases
22 million living with cancer
By the Year 2020:
10 million deaths
15 million new cases (2/3 in developing countries)
30 million living with cancer
World Health Organisation
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Cancer a bigger problem
in low income countries
< 5% of resources for cancer control is available
>80% of cancer patients incurable at diagnosis
Large gap in long term survival
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War Against Cancer
1. Prevention, prevention, prevention Tobacco
Lifestyle
Vaccination
2. Early detection (and treatment) Awareness
Screening
3. Effective therapies Effective use of existing therapies
Development of new therapies
4. Pain control and palliative care
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CANCER NEW CASES PREVENTABLE FACTOR
Millions %
LUNG 1.3 95 tobacco
STOMACH 1.0 90 H.pylori / diet
BREAST 1.0 10 screening/ diet/ exercise
COLORECTAL 0.9 60 diet / tobacco / exercise
HEAD AND NECK 0.6 75 tobacco / alcohol /screening
CERVIX 0.5 90 screening/ HPV
LIVER 0.5 75 HBV / HCV / alcoholOESOPHAGUS 0.5 75 tobacco /
diet
URINARY TRACT 0.5 30 tobacco
OTHER 4.3 10
TOTAL 10.1 50
Up to 50% of cancers can be prevented
National Cancer Council, Australia
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Cancer Crusade at 40 Science (2011) 331 p1541
Prevention
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Prevention
GovernmentGovernment
NGONGO
PrivatePrivate
Tobacco Govn: policy and regulations
NGO: advocacy, awareness
Private: CSR
Lifestyle NGO: awareness programmes
Vaccination Govn: HBV, HPV
NGO: advocacy, awareness
Private: CSR
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Tak Nak Campaign
Dont want
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Melaka
The first smoke-free city in Malaysia
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Early detection makes sense(for some cancers)
IF 80% diagnosed early5 year survival >80%
80% diagnosed late stage5 year survival
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Early Detection and treatment
NGONGO
GovernmentGovernment
PrivatePrivate
Screening Breast cancer
Cervical cancer
Colon cancer
Prostate cancer (?)
Nasopharyngeal cancer (?)
Oral cancer (?)
Awareness General cancer signs and
symptoms awareness
Awareness about benefits andopportunities for screening
Awareness of the importance ofearly treatment
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Breast Cancer Awareness Campaign
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Oral Cancer Awareness campaign
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Effective therapies
GovernmentGovernment
NGONGO
PrivatePrivate
Effective use of
existing therapies
Development of new
therapies
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Development of new therapies
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Palliative care
NGONGO
GovtGovt
PrivatePrivate
Established 1991
Palliative homecare/Daycare
~1000 home visits every month
2005: 950 referrals
2010: 1636 referrals
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Innovative partnerships
How can stakeholders collaborate more effectively toprovide
innovative health services delivery?
How can innovative technologies be deployed and what
policies would best facilitate new partnership opportunitiesin
R&D and services delivery?
What are lessons learned and best practice innovativepartnership
models that could be expanded?
Where do opportunities currently exist for further
public-private partnerships?
