One in 10 Indians will develop cancer during their lifetime: WHO

UNITED NATIONS: India had an estimated 1.16 million new cases of cancer in 2018, according to a report by the World Health Organization (WHO), which said one in 10 Indians will develop cancer during their lifetime and one in 15 He will die of the disease.

Before Tuesday, WHO and its International Agency for Research on Cancer (IARC) have published two reports: one aimed at establishing the global agenda on the disease; the other focused on research and prevention.

The World Cancer Report says that according to the estimated cancer burden in India in 2018, there are about 1.16 million new cases of cancer, 784,800 cancer deaths and 2.26 million cases prevailing at 5 years in the population of India from 1.35 billion.

The report says that one in 10 Indians will develop cancer during their lifetime, and one in 15 Indians will die of cancer.

In India, the six most common cancers were breast cancer (162,500 cases), oral cancer (120,000 cases), cervical cancer (97,000 cases), lung cancer (68,000 cases), stomach cancer (57,000 cases) and (57,000). Together, they represent 49 percent of all new cancer cases.

Of the 570,000 new cases of cancer in men, oral cancer (92,000), lung cancer (49,000), stomach cancer (39,000), colorectal cancer (37,000) and esophageal cancer (34,000) represent 45 percent of cases.

The report added that of the 587,000 new cancer cases in women, breast cancer (162,500), cervical cancer (97,000), ovarian cancer (36,000), oral cancer (28,000), and colorectal cancer (20,000) account for 60 per cent of cases.

“Cancer patterns in India are dominated by a high burden of tobacco-related head and neck cancers, particularly oral cancer, in men and of cervical cancer in women; both of these cancer types are associated with lower socioeconomic status,” the report said.

The burden of cancers, such as breast cancer and colorectal cancer, associated with overweight and obesity, lower levels of physical activity and sedentary lifestyles are increasing and these cancers are associated with a higher socioeconomic status

Over the past two decades, India has had one of the most stable and best performing economies in the world, which has grown by more than 7 percent annually in most years.

This economic development has led to major socio-economic changes, with an increased risk of noncommunicable diseases, including cancer, and significant disparities in access to cancer prevention and control services, the report said.

WHO warned that global cancer rates could increase by 60 percent over the next 20 years unless cancer care increases in low and middle-income countries. According to the UN agency, less than 15 percent of these nations offer comprehensive cancer treatment services through their public health systems.

At least 7 million lives could be saved in the next decade, identifying the most appropriate science for the situation in each country, basing strong responses to cancer on universal health coverage and mobilizing different stakeholders to work together, said the Director WHO General.

The report says that about 80 percent of the world's smokers live in low and middle income countries. In addition, 64 percent of the world's daily smokers live in only 10 countries and more than 50 percent of the world's male smokers live in three countries: China, India and Indonesia.

There are currently 164 million smokeless tobacco users, 69 million smokers and 42 million smokers and chewers in India. More than 90 percent of patients with oral cancer have a low or medium-low socioeconomic status. Tobacco-related cancers represent 34-69 percent of all cancers in men, they make up 10-27 percent of all cancers in women in most regions of India.

The incidence of colorectal cancer is increasing in the more developed states of India and in urban populations.

There is a clear growing trend in breast cancer incidence rates across the country, with an annual percentage increase ranging from 1.4 percent to 2.8 percent and is more pronounced in urban areas than in urban areas. the rural ones.

Incidence rates are also increasing for the types of cancer associated with overweight and obesity and lower levels of physical activity, such as colorectal cancer, uterine cancer, ovarian cancer and prostate cancer .

The report noted that there is a clear decreasing trend in the incidence rates of cervical cancer in most regions in India (annual percentage change, -2.0 per cent to -3.5 per cent), with age-standardized incidence rates as low as 6 per 1,00,000 in women in Kerala.

India accounts for about one fifth of the global burden of cervical cancer , despite decreasing incidence rates in several regions of the country.

“Thus, elimination of cervical cancer in India will have a major impact on global elimination of the disease as a public health problem. Cervical cancer disproportionately affects women with lower socioeconomic status, who are at a considerable disadvantage in the availability of and access to public health services for prevention and early detection, and therefore this is an equity issue.

The Director of IARC noted that high-income countries have adopted prevention, early diagnosis and detection programs that, together with better treatment, have contributed to an estimated 20% reduction in the probability of premature mortality between 2000 and 2015, but only low-income countries saw a five percent reduction.