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    National Cancer Control Program: India

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    Nitti Pathak
    The document summarizes India's National Cancer Control Programme. It notes that cancer poses a major public health problem in India, with over 8-9 lakh new cases and 4 lakh deaths annually. Tobacco use accounts for 40% of cancers. The objectives of the NCCP include prevention, early detection and diagnosis, treatment, and palliative care. Key aspects of the program include regional cancer centers, district cancer control programs, and a national cancer registry to monitor cancer trends. The program has expanded treatment facilities and raised awareness through public education campaigns. Continued efforts are needed to address the growing cancer burden in India.

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    National Cancer Control Program: India

    Uploaded by

    Nitti Pathak
    4K views29 pages
    The document summarizes India's National Cancer Control Programme. It notes that cancer poses a major public health problem in India, with over 8-9 lakh new cases and 4 lakh deaths annually. Tobacco use accounts for 40% of cancers. The objectives of the NCCP include prevention, early detection and diagnosis, treatment, and palliative care. Key aspects of the program include regional cancer centers, district cancer control programs, and a national cancer registry to monitor cancer trends. The program has expanded treatment facilities and raised awareness through public education campaigns. Continued efforts are needed to address the growing cancer burden in India.

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    National cancer control program: India

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    National cancer control program: India

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    The document summarizes India's National Cancer Control Programme. It notes that cancer poses a major public health problem in India, with over 8-9 lakh new cases and 4 lakh deaths annually. Tobacco use accounts for 40% of cancers. The objectives of the NCCP include prevention, early detection and diagnosis, treatment, and palliative care. Key aspects of the program include regional cancer centers, district cancer control programs, and a national cancer registry to monitor cancer trends. The program has expanded treatment facilities and raised awareness through public education campaigns. Continued efforts are needed to address the growing cancer burden in India.

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    © All Rights Reserved
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    Download as pptx, pdf, or txt
    4K views29 pages

    National Cancer Control Program: India

    Uploaded by

    Nitti Pathak
    The document summarizes India's National Cancer Control Programme. It notes that cancer poses a major public health problem in India, with over 8-9 lakh new cases and 4 lakh deaths annually. Tobacco use accounts for 40% of cancers. The objectives of the NCCP include prevention, early detection and diagnosis, treatment, and palliative care. Key aspects of the program include regional cancer centers, district cancer control programs, and a national cancer registry to monitor cancer trends. The program has expanded treatment facilities and raised awareness through public education campaigns. Continued efforts are needed to address the growing cancer burden in India.

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    of 29

    NATIONAL CANCER CONTROL

    PROGRAMME

    SUBMITTED BYNITTI PATHAK


    MBA-HM (Semester 1)
    Jamia Hamdard

    INTRODUCTION

    Cancer is an important public health problem with 8 to 9


    lakh cases occurring every year in India.
    Estimated number of persons with cancer in India : 2.8
    million (ICMR)
    At any point of time, there are nearly 25 lakh cases in
    India.
    Every year about 4 lakh deaths occur due to cancer in
    India.
    40% of the cancers in the country are related to tobacco
    use.
    WHO promoted National Cancer Control Programmes and
    India is one of the few countries that has actively taken
    up this initiative including Colombia, Ireland, Korea,
    Australia.

    RISK FACTORS AND CAUSES

    According to epidemiological studies, 80-90% of all cancers are due to


    environmental factors of which, lifestyle related factors are the most
    important and preventable. Causation of cancer is multi-factorial.
    Environmental Factors:

    Tobacco: In India more than 40% of cancer cases are due to tobacco. Smoking is
    by far the leading risk factor for lung cancer
    Alcohol
    Dietary factors
    Occupational exposures: 5% of all human cancers includes exposure to benzene,
    arsenic, cadmium, chromium, asbestos, polycyclic hydro carbons.
    Viruses: Hepatitis B & C may lead to hepatic cancer. HIV virus may lead to Kaposi
    Sarcoma.
    Customs, habits & lifestyle
    Others: sunlight, etc.

    Genetic factors: Mongols are more likely to develop cancer(leukemia)


    than normal children

    OBJECTIVES AND GOALS OF NCCP


    Primary prevention of cancers by health education specially
    regarding hazards of tobacco consumption and necessity of
    genital hygiene for prevention of cervical cancer.
    Secondary prevention i.e. early detection and diagnosis of
    cancers, for example, cancer of cervix, breast and of the oropharyngeal cancer by screening methods and patients
    education on self examination methods.
    Strengthening of existing cancer treatment facilities , which
    are woefully inadequate.
    Palliative care in terminal stage of the cancer.

    EVOUTION OF CANCER PROGRAMME


    National Cancer Control Programme was
    launched with priorities given for equipping
    the premier cancer hospital/institutions.
    1975-76-

    The strategy was revised and stress was


    laid on primary prevention and early detection
    of cancer cases.
    1984-85-

    District Cancer Control Programme was


    started in selected districts (near the medical
    college hospitals).
    1990-91-

    Modified District Cancer Control


    programme initiated.
    2000-01-

    Evaluation of NCCP was done by National


    Institute of Health & Family Welfare, New
    Delhi.
    2004-

    SCHEMES UNDER REVISED


    PROGRAMME
    Recognition

    of New Regional Cancer Centres:

    reduce the geographical gap in the availability of cancer care facilities.


    A one-time grant of Rs.5 crores provided for New RCCs

    Strengthening

    grant of Rs.3.00 crores is provided.

    Development

    Cancer Control Programme:

    A cluster of 2-3 districts are taken for prevention, early detection,


    minimal treatment and provision of supportive cancer care at district
    levels. A grant of Rs.90.00 lakhs spread over a period of 5 years is
    provided per DCCP .

    Decentralized

    of Oncology Wing:

    Govt. Hospitals & Govt. Medical Colleges are provided a grant of Rs.3
    crores

    District

    of existing Regional Cancer Centres:

    NGO Scheme:

    A grant of Rs. 8000/- per camp will be provided to the NGOs for IEC
    activities.

    CENTRE AND LEVEL OF CARE

    REGIONAL CANCER CENTRE


    Health Promotion/Home Care/Early Detection/Pain Relief/Palliative
    Care/Comprehensive Cancer treatment/ Organise screening
    programmes/Cytology training/ Basic and applied research/Training of
    all categories of personnel/Cancer Registries/Epidemiology

    MEDICAL COLLEGE HOSPITAL


    Health Promotion/Home Care/Early Detection/ Pain Relief/Palliative
    Care/ Treatment of common cancers/Training of medical
    officers/paramedical personnel

    DISTRICT HOSPITAL
    Health Promotion/Home Care/Early Detection/Pain Relief/Palliative
    Care/Treatment of common cancers

    TALUK HOSPITAL/SUB DISTRICT HOSPITAL


    Health Promotion/Home Care/Early Detection/Pain Relief/Palliative Care

    NATIONAL CANCER REGISTRY PROGRAMME (NCRP)

    Data base of cancer cases.


    National Cancer Registry Programme (NCRP) was
    initiated in 1982 by ICMR, which gives a picture of
    the magnitude and patterns of cancer.
    There are two types of registries:

    Population-based registries take the sample population


    in a geographically defined area
    Hospital-based registries take the data from patients
    coming to a particular health institution.

    At present we have 21 Population-based registries


    and 6 Hospital-based registries all over the country.

    OBJECTIVE OF NCRP

    To generate reliable data on the magnitude


    and pattern of cancer
    Undertake epidemiological studies based on
    results of the registry data
    Help in designing, planning, monitoring and
    evaluation of the cancer control activities
    under the National Cancer Control Programme
    Develop training programmed in the cancer
    registration and epidemiology

    CANCER SCENARIOS IN INDIA

    PATTERN OF CAUSES FOR CANCER

    CANCER ATLAS

    Under national registry


    programme, Indian Council of
    Medical Research (ICMR) has
    developed an atlas of cancer
    in India under the NCDIR in
    December 1981.
    In 2001, data from all cancer
    registries and all medical
    colleges were collected for the
    Development of an Atlas
    of Cancer in India to have
    an idea of patterns of cancers
    in several other parts of the
    country, including those not
    covered under the NCRP.

    OBJECTIVE OF CANCER ATLAS

    To know the similarities and differences in patterns


    of cancer across the country in a relatively costeffective way using recent advances in computer
    and information technology transmission.
    Using the information to provide important leads
    in undertaking aetiological research, in targeting
    cancer control measures and in examining clinical
    outcomes.
    To calculate estimates of cancer incidence
    wherever feasible.

    COMMONEST CANCER TYPES IN INDIA

    Data from population based registries under


    the National Cancer Registry Programme
    indicate that the leading sites of cancer
    among men are cancer of oral cavity, lungs,
    oesophagus and stomach and among
    women are cancer of uterine cervix, breast
    and oral cavity.
    Oral and lung cancers in males and cervix
    and breast in females account for over 50%
    of all cancer deaths in India

    FIRST ALL INDIA


    REPORT:2001-2002

    Average Annual Crude (CR) and Age Adjusted Incidence Rates (AAR) per 100,000
    population in Indian PBCRs during the time period indicated in parentheses.

    LEADING CANCER SITE IN DIFFERENT CITIES

    MALE

    FEMALE

    Ten Leading Sites of Cancer in Delhi


    Age Adjusted Incidence Rates given in parentheses

    TOBACCO CONTROL LEGISLATIONS

    40% of the cancers in the country are related to


    tobacco use.
    Cancer sites associated with tobacco form 35 to
    50% of all cancers in men and about 17% of
    cancers in women
    Cigarettes and tobacco products (prohibition of
    advertisements and regulation of trade and
    commerce, production, supply and distribution)
    act was passed by Govt. of India April,2003 and
    noticed in the Gazette of India on 25 thFeb,2004.

    IMPORTANT PROVISIONS OF PROHIBITION

    Prohibition of smoking in public places


    Prohibition of direct and indirect
    advertisement of cigarettes and other
    tobacco products
    Prohibition of sale of cigarettes and
    other tobacco products to a person
    below the age of 18 years

    ACHIEVEMENTS (AS ON JUNE2008)

    Regional Cancer Centres:

    Oncology wing:

    Support given to 82 institutes(both Govt. and non-Govt.).


    246 institutions with radiotherapy facilities.

    District Cancer Control Programme:

    27 RCCs and 6 NGOs giving comprehensive cancer care


    services.

    Awareness and early detection at district level in place at 28


    districts.

    IEC Activities:

    Health education
    The programme supports activities of health magazine Kalyani
    and telecast by Prasar Bharti. Kalyani is telecast in 9 capital
    Doordarshan stations-and 12 sub regional stations.
    Advertisements in the leading dailies.
    IEC material in posters, leaflets, flipcharts forms etc. developed.

    DISTRIBUTION OF REGIONAL
    CANCER CENTRES IN INDIA

    HEALTH MINISTERS CANCER PATIENT FUND


    UNDERRAN

    The health ministers cancer patient


    fund (HMCPF) within the Rashtriya
    Arogya Nidhi (RAN) scheme has also
    been set up in 2009.
    An amount of Rs. 11.40 crore has been
    released so far during last 3 years to
    the cancer patients under the Health
    Ministers Cancer Patient Fund within
    Rashtriya Arogya Nidhi (RAN)

    NATIONAL CANCER AWARENESS DAY

    Since,2001, The birth anniversary of


    Nobel Laureate Madam Curie (7th NOV)
    is observed as National Cancer in India
    to create more awareness about
    cancer.
    The theme is Detect Early, Save Life.

    ONCONET-INDIA

    MEMBERSHIP OF IARC

    India became a member of IARC at the


    48th Session of the governing Council of
    IARC held in May 2006 at Lyon, France,
    which shall provide a boost to cancer
    research in the country.
    IARC has provided technical and
    financial support for several cancer
    research and preventive projects in
    India.

    BUDGET ALLOCATION

    Ministry has formulated a National


    Programme for Prevention and Control of
    Cancers, Diabetes, Cardiovascular
    Diseases and Stroke (NPCDCS).
    The outlay for Cancer is Rs. 731.52 crores
    from the total outlay of Rs. 1230.90
    crores for NPCDCS during 2010-11 &
    2011-12. There is 80:20 sharing basis by
    Centre & State Govt. respectively.

    REFRENCE:

    A NOVEL COMPREHENSIVE INTEGRATED MODEL FOR


    CANCER CONTROL P.S.Prabhakaran, P.P.Bapsy, Aruna
    E.Prasad,U.D.Bafna and Kunwraswamy.
    50 Years of Cancer Control in India-CANCER PREVENTION
    AND CONTROL IN INDIA BY-Cherian Varghese.
    National Cancer Control Programme-Guidelines issued by
    Ministry of Health and Family Welfare,GOI,May2005.
    50 Years of Cancer Control in India-CANCER REGISTRATION
    IN INDIA by- Kishore Chaudhry & Usha K. Luthra.
    http://www.canceratlasindia.org/
    http://www.mohfw.nic.in/index1.php?lang=1&level=2&subl
    inkid=323&lid=323
    http://www.who.int/cancer/nccp/en/

    THANK YOU

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