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World Health Organization 3 June 2018 Prevention of cancer: polices and programmes for LMC Paul Bloem, Ivan Ivanov, Andreas Ullrich Geneva Switzerland

1. Preventable cancers

Cancer burden by type

Potential for cancer management Breast Prevention << Early detection/ treatment Prostate Prevention - >>> Treatment + Lung Prevention >>> Treatment - Colorect Prevention <<< Early detection/ treatment Cx Prevention << Early detection/ treatment Stomach Prevention <<<< Treatment + Oesophagus Prevention >>>>> Treatment

2. WHO Cancer Control Framework and NCD action plan

Comprehensive approach PRIMARY PREVENTION SECONDARY PREVENTION TERTIARY PREVENTION Comprehensive approach New stakeholders and partners for cervical cancer prevention and control Ministry of health: Immunization, sexual and reproductive health, adolescent health, cancer control, and HIV prevention partners, Ministry of education: school health, Women's groups Community based group to reach girl out of school Interdisciplinary stakeholders and solid in-country coordination needed by MoH

WHO Cancer Prevention Matrix Behavioural causes: NMH cluster /PND department MSI department HBV HPV: FWC cluster /IVB department Cx screening FWC /RHR department Hepatitis control HTM cluster HIV department Environmental causes : FWC cluster / PHE department > 100 Causes of cancer : IARC

The way forward on cancer prevention WHO: policies across the organization IARC : cancer causes and prevention research UN Partners: IAEA UNFPA UNICEF UNEP FAO: NGO: Tobacco Diet Alcohol Asbestos ….. Global context: SDG

Cancer prevention: the broader context of SDGs 2015 Eradicating poverty in all its dimensions and addressing inequality Tackling climate change and achieving more sustainable lifestyles Building strong, inclusive and resilient economies Promoting peaceful societies and strong institutions A renewed global partnership and adequate means of implementation https://sustainabledevelopment.un.org/content/documents/67896%20themes%20for%20Interactive%20Dialogues.pdf