This presentation was presented by Dr. Abdul Nasir Qayyumi - Medical Director for CTTC-Medical Department. This presentation was presented in MoPH to support MoPH's priority of Cancer Screening and Treatment Center to be established in Afghanistan. Presented at 3:00pm,on Sunday, 23rd Dec 2012. www.cttc-af.org

1. Priority to MoPH
By: Dr. Abdul Nasir

2. A group of diseases characterized by
uncontrolled growth and spread of abnormal
cells that results in death.

3.  Tobacco  Inherited mutations,
 Chemicals hormones
 Radiation  Immune conditions
 Mutations that occur
 Infectious organisms
from metabolism
External Factors Internal Factors

4.  12.7 million new  21.4 million new
cancer cases cancer cases
 5.6 million -  13.2 million cancer
economically deaths
developed countries  growth and aging of
 7.1 million - the population
economically  Super Passes the IHD
developing countries
as a cause of death
 7.6 million (about
(8,923 -15%)
21,000 cancer deaths a
day),
2008 By 2030

5. More than half of all  Alive 5 years later then
cancer cases and the detection
deaths worldwide are  Depend on the type
potentially preventable and stage
◦ Situ
◦ Local
◦ Regional
◦ Distant
Prevention Survival Rate

7. Direct Indirect
 Payment for resources  Loss of economic
used for treatment output (Missing the
 Care and rehabilitation work-Mobidity)
related to the illness  Premature death
(Mortality)
• Health insurance premiums
• Nonmedical expenses
(transportation, child or elder
care, housekeeping
assistance, wigs, etc.)

8. UICC, Union of Int Cancer  Primary Intervention;
Control Exposure
Approach to Reverse; 2020 ◦ Tobacco use
◦ Nutrition
◦ Physical inactivity
 Prevention ◦ Occupational exposures
◦ Chronic infections.
 Early greatest public health
potential and the most cost-
detection/Diagnosis effective, long-term method
of cancer control
 Effective Treatment
WHO Cancer Programs;
Govt

9.  Early stage cancers when  Diagnosis & careful
they can be treated most
effectively clinical and
 Timely diagnostic follow-up pathological
and effective treatment assessments-First in
1. Opportunistic screening Cancer Management
requested by a physician
or an individual or  Surgery,
2. Organized screening in chemotherapy, and
which a defined population radiotherapy (alone or
is contacted and invited to combined)
be screened at regular
intervals
Early detection and
Diagnosis and treatment
secondary prevention

10. The International Atomic Energy Agency has
created a
that helps developing countries
fight cancer by integrating radiotherapy
into sustainable comprehensive cancer
control programs in 2004.

11.  Realizing the Impact of Public Health –
Technology Transfer
 IAEA’s Initiative with Public-Private
Partnership to fight Cancer Crisis
 Partnering with WHO and Health Related Org
to Develop and Plan in Low Income Member
(LIM) in Cancer Control Program.

12.  To build a global public-private partnership of
interested organizations committed to addressing the
challenge of cancer in LMI Member States in all its
aspects;
 To mobilize resources from charitable trusts,
foundations, and others in the public and private
sectors to assist LMI Member States to develop and
implement their radiation medicine capacities within
a National Cancer Control Program (NCCP)
 To ensure the effective and sustainable transfer of
radiation medicine technologies or knowledge to all
LMI Member States where unmet needs exist.

13.  Assessment – Cancer Needs (imPACT)
 Establish PACT Model Demonstration Sites
(PMDS)
 Regional capacity building Regional Cancer
Training Networks
(Albania, Nicaragua, SriLanka,Tanzania, Vietnam and Yemen.)

14.  Albania,
 Nicaragua,
 Sri Lanka,
 United Republic of Tanzania,
 Vietnam and
 Yemen.
 2009 No Further PMDS

16.  Prevent those cancers that can be prevented;
 Treat those cancers that can be treated;
 Cure those cancers that can be cured; and
 Relieve pain and improve quality of life for all
cancer patients.
 What MoPH-Afghanistan Wants!

17.  Cancer control planning
 Cancer registration and surveillance
 Cancer prevention
 Cancer treatment and cure
 Palliative care and support
 Knowledge transfer and multidisciplinary
education, training and research in cancer
 Support government resource mobilization
 Program evaluation

18.  MoPH-Priority
 4 Mill $ USD for Afghanistan (IAEA)
 Partners to 26 Cancer Org inc WHO
 Contact- imPACT to be carried out
 Support Letter from Ministry of Health
 Support Through Homeopathic Medicine
 Cancer Cure
 Diabetes Cure
 Asthma
 Hypertension
 Chronic Diseases