NCI Center for Global Health

Jo Anne Zujewski, M.D.September 11, 2014Dar es Salaam, Tanzania

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Global Cancer Burden

• Cancer is a global epidemic and a leading cause of death worldwide, accounting for 7.6 million deaths or around 13% of all deaths in 2008.

• Worldwide, cancer now causes more deaths than HIV/AIDS, tuberculosis, and malaria combined.

• More than 70% of all cancer deaths occur in low- and middle-income countries.

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Center for Global Health At-a-Glance• The NCI Center for Global Health (CGH) was established in 2011 to:

o Support NCI’s goal to advance global cancer researcho Build expertise and leverage resources across nations to address the challenges of

cancero Reduce cancer deaths worldwide

• Center Director: Dr. Edward Trimble

• CGH collaborates with: • U.S. government agencies• Foreign governments• Non-governmental organizations (NGOs)• Pharmaceutical and biotechnology companies

• CGH and the Fogarty International Center (FIC) of the National Institutes of Health (NIH), which seeks to advance the mission of NIH internationally, work together closely to coordinate international partnerships and activities

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CGH Vision and Mission

Vision• The vision of NCI’s Center for Global Health is to be a catalyst for

reducing the global cancer burden through coordination, collaboration, and communication with a diverse range of international stakeholders.

Mission• The mission of NCI’s Center for Global Health is to create

sustainable international partnerships, support programs that address global gaps in research and scientific training, and disseminate information and best practices that drive improvements in cancer research and cancer control.

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CGH Strategic Priorities

• Supporting Cancer Research and Cancer Control Planning

• Creating and Sustaining Partnerships

• Monitoring Research Efforts

• Catalyzing Information Dissemination and Capacity Building

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CGH Global Footprint

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Women’s Cancer Program• Goal: To advance local and global initiatives to prevent,

diagnose, and treat women’s cancer by facilitating the development of a comprehensive cancer program and needed infrastructure

• Focus Areas:1. Cultivating international partnerships in region2. Providing technical assistance in breast and cervical cancer

control efforts 3. Facilitating local training and research activities4. Survivorship5. Stigma

Source: GLOBOCAN 2008 via the American Cancer Society

Incidence Mortality

1.4 million cases in 200823% of all cancers 19.3/100,000 women in East Africa89.7/100,000 women in Western Europe

458,400 breast cancer deaths

Science, 2011

Cancer Survival Gap

Breast Cancer Cervical Cancer

Stigma Cancer, and especially

reproductive cancers, add a

layer of discrimination onto gender, ethnicity, and

poverty.

Felicia Knaul, Director, Harvard Global Equity Initiative

Cancer Control Plan: Partnerships

Basic and Clinical Research

Education and Awareness

Medical practice Cancer Control

Plan

GovernmentOrganizations

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Academic Centers

Research organizations

NGO’s

International Organizations

Pharmaceutical and Biotechnology

Cancer Control Plan

• Awareness– Cancer is a critical health issue– Majority of cancer deaths in women occur in low-middle income

countries, not among the rich

• Prevention– Common risk factors-tobacco use, unhealthy diet, excessive alcohol consumption and

lack of physical activity

• Diagnosis: – Priority for early detection and diagnosis when cancer is at a treatable

and potentially curable stage

• Treatment– access to affordable, effective drugs and vaccines, and to palliative care

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Stay Up to Date with CGH

• Visit the NCI Center for Global Health online at http://www.cancer.gov/aboutnci/globalhealth

• Follow us on Twitter @NCIGlobalHealth