Chronic Disease Prevention

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Chronic Disease Prevention
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Overview of Presentation

• Cancer as a Chronic Disease
• Reducing the Burden of Cancer other Chronic
  Diseases Through Prevention
• The Canadian Cancer Societys Approach to
  Prevention
• Partnerships in Chronic Diseases

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Cancer as a Chronic DiseaseThe Good News

• Increased Survival Rates In Cancer
• 1938 20 survival rate
• 2007 60 survival rate
• 2007 Cancer Statistics, 25 decrease in mortality
  in persons diagnosed with breast cancer since
  1986
• Overall, for most cancers, incidence rates and
  mortality rates due to Cancer are either
  stabilizing or decreasing.
• Improvements in Early Detection and Treatments
• Many Cancers are preventable

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Cancer as a Chronic DiseaseThe Bad News

• Number of people diagnosed dying from cancer is
  rising
• Growing population aging population
• 60 increase in new cases of cancer in next 20
  years if we do nothing different

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Cancer as a Chronic DiseaseThe Bad News
Projected Incidence
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The Good News 50 of Cancers are Preventable
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Cancer as a Chronic DiseaseThe Good News

• At least 50 of cancers are due to preventable
  factors
• Prevention has the potential to have the greatest
  positive impact on the burden of cancer.
• Most people would rather not be diagnosed with
  cancer in the first place
• Its not just about cancer
• Other chronic diseases share risk factors and
  social/environmental determinants
• Partnerships are key

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Reducing the burden of cancer and other chronic
diseases

• PREVENTION!
• PREVENTION!
• PREVENTION! AGAIN

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Cancer Prevention

• Causes of Cancer Deaths in Developed Countries

Source Adapted from ADAMI et al., 2001
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Cancer Prevention

• Primary Prevention Keeping people healthy so
  they do not get cancer in the first place.
• Secondary Prevention Detecting cancer early and
  before people have symptons.

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Canadian Cancer Societys Approach to Prevention

• Evidence Informed

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Canadian Cancer Societys Approach to Prevention

• Evidence Informed
• the CCS is known for and committed to evidence
  based research to inform our positions, decisions
  and directions
• Precautionary Principle Whenever scientific
  evidence is available that a substance may have
  an adverse impact on human health, and the
  environment, but there is still scientific
  uncertainty about the precise nature or magnitude
  of the potential effect, decision making must be
  based on precaution.

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Canadian Cancer Societys Approach to Prevention

• Evidence Informed
• Best (or better practices)
• Health Promotion Framework

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Health Promotion Framework

• Health Promotion the process of enabling people
  to increase control over and improve their health
  (Ottawa Charter for Health Promotion 1986)

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Canadian Cancer Societys Approach to Prevention

• Evidence Informed
• Best (or better practices)
• Health Promotion Framework
• Population Health

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Population Health Approach
Versus
One person at a time
Ability to affect the health of the entire
population
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Canadian Cancer Societys Approach to Prevention

• Evidence Informed
• Best (or better practices)
• Health Promotion Framework
• Population Health
• Social determinants of health

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Roy Romanow

• If youre at the bottom of the income ladder,
  odds are youre going to find yourself at the
  bottom of the health ladder.
• So, if were serious about making Canadians the
  healthiest people in the world, then we have to
  be serious about closing the gap between rich and
  poor.

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Seven Steps to Health?

• Dont be poor.
• Pick your parents well.
• Graduate from high school.
• Dont work in a stressful, low-paid, manual job
  where you have little decision-making authority
  or control.
• Dont lose your job and become unemployed.
• Be sure to live in a community where you trust
  your neighbours and feel that you belong.
• Live in quality housing, but not next to a busy
  street, in an urban ghetto, or near a polluted
  river.

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Canadian Cancer Societys Approach to Prevention

• Evidence informed
• Best (or better practices)
• Health Promotion Framework
• Population Health
• Social determinants of health
• Partnerships
• Comprehensive
• In for the long haul

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Canadian Cancer Societys Approach to Prevention

• Our Role
• Long History in Tobacco Control
• No Treatment Imperative
• Very Little Funding from Government
• 20,000 Volunteers in BC means a presence in
  virtually every community and an ability to
  influence local decision makers
• History of dealing with decision makers beyond
  the health sector

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Canadian Cancer Societys Approach to Prevention

• Our Goals
• The incidence of preventable cancer and mortality
  rates from cancer in BC steadily decreases.
• Public Policy enables healthy choices to be easy
  choices in BC
• British Columbians increasingly adopt healthy
  behaviours related to the prevention of Cancer
• British Columbians at risk participate in
  screening programs

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The Prevention Strategy

• Our Model

PUBLIC EDUCATION
COMMUNITY ACTION
ADVOCACY
The Goal Healthy Choices become easier choices
in an enabling environment, ultimately reducing
the number of preventable cancers.
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Canadian Cancer Societys Approach to Prevention

• Our Priority Risk Factors
• Tobacco
• Obesity, poor diet and insufficient physical
  activity
• Exposure to known environmental and occupational
  carcinogens
• Excessive ultraviolet exposure

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Canadian Cancer Societys Approach to Prevention

• Our Activities
• Education

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What are we doing?

• Education
• Promote Health-Prevent Cancer workshops
  workplaces, schools, community groups, etc.
• Working with community groups to develop
  culturally specific education tools
• Cancer prevention displays at health fairs,
  community events, etc.
• Health promotion activities Sun Squads, Relay
  for Life, etc.
• Community Forums i.e. pesticide forums
• Marketing media relations

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What are we doing?

• Our Activities
• Community Action

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Canadian Cancer Societys Approach to Prevention

• Community Action
• Engaging citizens on issues related to cancer
  prevention that impact their community
• Promoting the participation of communities in
  developing strategies and plans to create healthy
  public policy and reduce cancer risk behaviour.

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What are we doing?

• Our Activities
• Advocacy

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Canadian Cancer Societys Approach to Prevention

• Advocacy
• Working with communities to develop their
  collective voice
• Influencing various levels of government,
  policy-makers the pubic and other organizations
  to adopt polices and programs that promote
  healthy living

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What are we doing?

• Our Activities
• Research

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Canadian Cancer Societys Approach to Prevention

• Research
• CCS Research Chair in Primary Prevention of
  Cancer at UBC
• NCIC Cancer Prevention Leadership fund

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Canadian Cancer Societys Approach to Prevention

• Education
• Community Action
• Advocacy
• Research

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Canadian Cancer Societys Approach to Prevention

• Collaborative Partnerships
• Canadian Partners Against Cancer (CSCC)
• BC Healthy Living Alliance
• MOH/ActNow
• Health Authorities
• Centre for Integrated Healing (InspireHealth)
• LEAS/Canadian Physicians for the Environment
• Canadian Dermatology Association
• Canadian Produce Association

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Cancer Prevention

• We need to invest in prevention and close the
  gap between what we know about cancer and what we
  can do about cancer.
• (CCS National Prevention)

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PreventionThe Race of Perseverance