1. Global Cancer Agenda Julie Gralow, M.D University of Washington
Jo Anne Zujewski, M.D.
U.S. National Cancer Institute
, 2017
April 22, 2016

2. Global Burden of Cancer Ferlay J et al, GLOBOCAN 2012
Global Burden of Cancer Ferlay J et al, GLOBOCAN Int J Cancer Sept Bray F et al, Lancet Oncol
Incidence:
2008: million new cases
2012: million new cases
2030: million new cases projected
Mortality:
2008: 7.6 million deaths
2012: 8.2 million deaths
2030: million projected

3. Cancer in Women Incidence

4. Cancer in Women Mortality

5. CANCER in women 2012 CERVICAL CANCER BREAST CANCER 528,000 new cases
Incidence per 100,000
42.7 Eastern Africa
5.5 Austalia
More cases in less developed regions
445,000 (less)
83,000 (more)
1.67 million new cases
Incidence per 100,000
27 Middle Africa
96 Western Europe.
More cases in less developed regions
883,000 (less)
794,000 (more)

6. (assuming no change in the annual incidence rate)
Number and distribution of cancer cases by level of economic development and year
(assuming no change in the annual incidence rate)
Thun, M. J. et al. Carcinogenesis : ; doi: /carcin/bgp263

8. World Bank COUNTRY Groups CLASSIFICATION (ATLAS METHOD)
(GNI per capita)
Low
Income
($995 or less)
Lower
Middle Income
($996 - $3,945)
Upper
($3,946 - $12,195)
High
($12,196 or more)
Average female life expectancy at birth
57.8 yrs
69.3 yrs
74.4 yrs
82.4 yrs
Average GNI per capita (2009 US dollars)
$403
$1,723
$6,314
$36,953
Total national health expenditure per capita
$22
$76
$458
$4,266
Fraction of GDP spent on health care
5.1%
4.3%
6.4%
11.2%
Life expectancy is 61; GNI is 370 USD (2014)
Health expenditure figures 2010 for calendar year 2007; GNI = gross national income

9. GLOBAL SUMMIT 2005 – BETHESDA RESOURCE STRATIFICATION
Basic level: Core resources or fundamental services necessary for any breast health care system to function.
Limited level: Second-tier resources or services that produce major improvements in outcome such as survival.
Enhanced level: Third-tier resources or services that are optional but important, because they increase the number and quality of therapeutic options and patient choice.
Maximal level: Highest-level resources or services used in some high resource countries that have lower priority on the basis of extreme cost and/or impracticality.
Source : portal.BHGI.org and Cancer 113: S8, 2008

10. BREAST HEALTH GLOBAL INITIATIVE http://portal.bhgi.org

11. US National Cancer Institute Center for Global Health (established 2011) PARTNERSHIP: Together we can make a difference
Dedicated individuals, working in collaboration, continue to be the driving force behind improvements in cancer care