1. The problem Neglected disease globally 2. A systems approach - PowerPoint PPT Presentation

Miriam Rosin 1,2 , Kitty K. Corbett 2 , and BC Oral Cancer Prevention Program (BCOCPP) 1. The problem Neglected disease globally 2. A systems approach • 350,000 new cases per year promises solutions • 170,000 deaths per year 3. Successful steps in B.C., Canada Gaps & challenges Low community awareness ! Low provider awareness ! Low prioritization ! Inequities in care ! Insufficient surveillance ! System fragmentation ! IARC, GLOBALCAN, 2002 1 Cancer Control Research, BC Cancer Agency, Vancouver, 2 Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada

1. Sociocultural, economic, & political 3. Health provider 2. Community awareness determinants capacity  Reduce risks  Support healthcare  Build awareness,  Build knowledge system knowledge, skills  Reduce population risks  Implement guidelines  Prioritize oral health (eg, screening)  Enact supportive policies  Shift norms Societal context 5. Referral system  Improve assessment Primary dental/health care and treatment  Use appropriate Oral biopsy service technology 4. Surveillance system Regional hospital clinics  Control/monitor patient flow  Set up lesion registry Cancer centres  Link to cancer registry for outcome

HIGH PRIORITY PUBLIC AWARENESS COMMUNITIES’ NEEDS IMPROVED REFERRAL INCREASED TARGETED PATHWAY Lesion risk assessment Diagnosis Dysplasia, cancer care ONGOING CANCER RESEARCH • Technology development in longitudinal study: NIH/NIDCR • Multi-ctr. FV-guided surgery study PROFESSIONAL • New surveillance system: Dysplasia PRACTICES IMPROVED ORGANIZATIONS & Registry (CPAC) LEADERS MOBILIZED orcanet@bccrc.ca