2. Reaching the Summit April 29, 2017
Reaching for a Comprehensive Cancer Program

4. Housekeeping Break – 10:00 Visit with Exhibitor Lunch – 12:16
Restrooms-
CME/CEU
Fill out attendance forms
Fill out evaluations
Leave them at registration table as you depart

5. Cancer Silent Killer in the Developing World
Thomas P. Flynn, MD
Foundation for Cancer Care in Tanzania

6. I have no conflicts of interest and do not intend to discuss off-label use of drugs or devices

7. Cancer will soon over take heart disease as the major cause of death globally
Large declines in mortality are projected to occur between 2002 and 2030 for all of the principal communicable, maternal, peri-natal and nutritional causes, with the exception of HIV/AIDS. Global deaths from HIV/AIDS are projected to rise from 2.8 million in 2002 to 6.5 million in 2030 under a baseline
scenario that assumes antiretroviral drug coverage reaches 80% by Although age-specific death rates for most non-communicable diseases are projected to decline, the ageing of the global population will result in significant increases in the total number of deaths caused by most noncommunicable diseases over the next 30 years. Overall, non-communicable conditions will account for almost 70% of all deaths in 2030 under the baseline scenario.
Projection: NCDs will cause 70% of deaths in 2030
WHO statistical highlights, 2007

8. In Africa, cancer is a silent killer.
cancer killed:
456,000 people in 2012
510,000 people in 2014
“Cancer cases will increase by 90% by 2030.”
International Agency for Research on Cancer
In Africa,
Ebola killed:
55 people in 2012
7,900 people in 2014
“The Ebola outbreak will be over by August.”
UN Ebola Mission
Why do we call it a silent killer? Ebola – very tragic but inordinate attention in press. Cancer killed almost 70 times that many people in the same year.

9. Africa as an Example

10. Challenges to Delivering Cancer Care in developing world
Cultural
Definition of illness -> fever
Cancer Death
Poverty* -> inability to afford care, travel
Failure to complete therapy
Lack of awareness
In general population
Diagnosis of cancer not considered by local providers
Potential treatment possible
* Tanzania – 43% of population lives on $1.25/day or less
If one had ability to provide care, there are still challenges

11. Impossible to Possible Cancer Care
MYTHS
REALITY
Necessary
Affordable
Possible
Appropriate
Unnecessary
Unaffordable
Impossible
Inappropriate
Much could be done
Much should be done
Much can be done