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28.11.2013 | THE WORLD CANCER LEADERS’ SUMMIT - “Closing the Cancer Divide by 2025”
November 18-19, 2013 – Cape Town, South Africa
 

United Nations (UN) officials, Ministries of Health and leading international decision makers have come together for the first time in Africa to discuss the growing global cancer burden at the 2013 World Cancer Leaders’ Summit (WCLS) which took place at Cape Town City Hall.  Below are some quick notes, which will feed into a more detailed report which the team will write in the next weeks:
·          Focus on the equity issue (difference between high income and low-/middle-income countries)
·          Linked to 2025 because of the recent commitment (in May 2013 at the World Health Assembly) by all countries to a set of targets for NCDs which will be delivered by 2025
   o    Reduction in premature deaths through NCDs (including cancer) by 25% by 2025
   o    8 other targets including: 30% reduction in tobacco use, 10% reduction in physical inactivity and 80% availability of essential medicines and technologies.
·          Within the Global Action Plan on NCDs agreed by Member States at the World Health Assembly, cancer is referenced in the context of three themes:
   o    Women’s cancers (vaccinations for HPV and screening)
   o    Cancer information (countries to capture cancer incidence and mortality per 100k of population)
   o    Cancer Treatment (availability of essential medicines and technologies)
·          To achieve the overall NCD goal of 25% by 2025, UICC believes that action must begin now and the focus must be on low and income countries early detection and treatment (particularly focussed on women’s cancers)

Some numbers and headlines:
·          Attended by 200 people and 50 observers from over 50 countries.
·          4 UICC sponsored young leaders
·          17 ministries of health attended from Africa, America, Europe and Asia
·          3 first ladies from South Africa, Zambia and Niger
·          Princess Dina Mired from Jordan and Ms Zoleka Mandela from South Africa

Takeaways from the Summit
·          Mary Gospodarowicz committed that UICC and its partners will help low- and middle-income countries address cancer in their nations
·          UICC will advocate for the inclusion of cancer and the other NCDs in the Post-2015 consultations, replacing the MDGs in 2015
·          Zoleka Mandela committed to be an advocate for breast cancer across Africa
·          Chris Wild (Director of IARC) presented data from the new Globocan
   o    14.1m cancers diagnosed in 2012 (compared to 12.7m in 2008)
   o    8.2 deaths (vs 7.9m)
   o    32.5m people living with cancer (vs 28m)
   o    Breast and cervical cancer represent the biggest opportunity to reduce the cancer burden in LMICs (early detection and treatment)
·          John Seffrin informed the Summit that if we just implemented what we know which prevents and cures cancer around the world, we would save 10M lives per day.
·          With regard to Women’s Cancers, the delegates identified the following global actions which could be taken:
   o    Concerted efforts should be made to educate women on the importance of screening through community outreach
   o    Focus governments on the health and economic benefits of investing in early detection, screening and treatment. Perhaps considering mandatory screening at regular intervals.
   o    We should actively transfer health worker skills in developed countries to LMICs
   o    Consider the creation of regional blocks to purchase essential drugs for cancer
   o    Explore the potential to create micro-insurance schemes allowing communities to afford cancer treatment
   o    Consider how to improve primary healthcare to educate and support women beyond other female health issues.
   o    Encourage governments to position cancer as a cross government issue
   o    Implement with urgency HPV vaccination programmes in relevant LMICs
§   Extend the GAVI commitment to vaccinate 30M girls by 2020 in 40 countries.
   o    Reach communities through business and community leaders who can influence both men and women’s attitudes to cancer.
   o    Explore the use of mobile technology to reach remote communities.
·          With regard to cancer information, the delegates identified the following global actions which could be taken:
   o    Governments should view the creation of population based cancer registries as mandatory.
   o    Much can be done to help create a population based registry in LMICs – provision of hardware, training of personnel, on-line training.
   o    Registries in developed countries should provide training and support to registries in LMICs on an ongoing basis.
   o    We should explore technology opportunities to collect data and not assume that the models in developed countries are appropriate for LMICs.
   o    We should create case study examples of what can be done in some LMICs and roll these out to others.
·          The refreshed World Cancer Declaration was launched by a panel of past, present and future Presidents of UICC.
   o    Sets out and overarching goal with 9 targets to be achieved by all countries by 2025 (previous Declaration was 11 targets by 2020)
   o    Aligns the ambition with the global targets agreed by the World Health Assembly in May 2013 for NCDs.
   o    Includes reference to the psycho-social and distress management issues in treating cancer.
   o    Includes reference to stigma as an issue related to myths and misconceptions
   o    Recognises the links between cancer and the other NCDs (eg common risk factors, improvements in primary health care).
·          The South African Health Minister of Health committed the country to make cancer data collection mandatory, drive out tobacco and that they will commence a comprehensive HPV vaccination programme in 2014.
·          Mary Gospodarowicz concluded the Summit asking all delegates
   o    To press for the inclusion of cancer in the Post-2015 agenda, using the refreshed Declaration
   o    To help low- and middle-income countries (particularly in Africa) to address their growing burden of cancer.
   o    To invest in building a global solution to registries in all countries.

Some photos to share: http://www.uicc.org/experts-come-together-close-cancer-divide-2025.
The link to the refreshed Declaration: http://www.uicc.org/world-cancer-declaration-refresh-now-available


 

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