The European Code Against Cancer in a National Context: The Case of Poland

Transkrypt

1 The European Code Against Cancer in a National Context: The Case of Poland Witold Zatoński 10 December 2014, Brussels W. Zatoński, 2014

2 The basis of the program is to promote the recommendations of the European Code Against Cancer W. Zatoński,

3 W. Zatoński,

4 European Code Against Cancer Second Scientific Committee Meeting February 2014, IARC, Lyon W. Zatoński,

5 W. Zatoński,

6 Cancer illiteracy in Poland Number 1 the world for smoking in 1980s Source: Institute for Health Metrics and Evaluation, 2014 W. Zatoński,

7 Cancer Code is very important instrument to close the gap in health inequality ,7 SRR (University = 1) ,5 6, ,0 University Secondary Vocational Primary Cervical cancer mortality in Poland by educational level, women, 20-44, 2002 Source: Zatoński WA. Powołanie Narodowego Instytutu Onkologii i Hematologii warunek konieczny do skutecznej walki z rakiem w Polsce. Nowotwory Journal of Oncology. 2013;63;5: W. Zatoński,

8 Polish Cancer Code Team From the Cancer Center and Institute: Prof. Witold Zatoński (koordynator programu ), Prof. Jolanta Lissowska ( ), Janusz M. Jaworski ( ), Dr. Marta Mańczuk(2013), Kinga Janik- Koncewicz ( ), Krzysztof Przewoźniak ( ), Jolanta Smolis ( ), Dr. Joanna Didkowska ( ), Dr Urszula Wojciechowska ( ), Magda Cedzyńska ( ), Jakub Łobaszewski ( ), Irena Przepiórka ( ), Urszula Sulkowska ( ), Agata Ziemnicka (2009). Source: Zatoński W. (red.) Europejski kodeks walki z rakiem wersja trzecia (2003) Wydanie polskie na podstawie: European code against cancer and scientific justification: third version (współp.: Lissowska J, Didkowska J, Jabłońska J.) Medycyna Praktyczna, Kraków 2007 W. Zatoński,

9 Main Goal To reduce cancer incidence and mortality in Poland through the development of cancer prevention programs and services and through building competences in cancer control (building societal cancer literacy) Source: Zatoński W. (red.) Europejski kodeks walki z rakiem wersja trzecia (2003) Wydanie polskie na podstawie: European code against cancer and scientific justification: third version (współp.: Lissowska J, Didkowska J, Jabłońska J.) Medycyna Praktyczna, Kraków 2007 W. Zatoński,

10 Opening balance & monitoring Study on the knowledge and attitudes of doctors (province: Mazovia and Subcarpathian ). Annual survey on the knowledge, health behaviours and attitudes towards cancer prevention in adult & children (last years) Nationwide survey of knowledge and attitudes of Poles on cancer prevention (2006). Nationwide survey on knowledge and attitudes of Polish doctors on cancer prevention (2007). Source: Zatoński W. (red.) Europejski kodeks walki z rakiem wersja trzecia (2003) Wydanie polskie na podstawie: European code against cancer and scientific justification: third version (współp.: Lissowska J, Didkowska J, Jabłońska J.) Medycyna Praktyczna, Kraków 2007 W. Zatoński,

11 Objective 1: Development of Cancer Prevention Programs and Service National Cancer Control Program (Task on cancer prevention) National Coordinator of the Cancer Prevention Bureau for Implementation of Cancer Prevention Program National Center for Cancer Prevention at the Cancer Center and Institute in Warsaw Program Coordinators in all 16 Voivodeships (provinces) Network of smoking cessation clinics National Quitline Source: Zatoński W. (red.) Europejski kodeks walki z rakiem wersja trzecia (2003) Wydanie polskie na podstawie: European code against cancer and scientific justification: third version (współp.: Lissowska J, Didkowska J, Jabłońska J.) Medycyna Praktyczna, Kraków 2007 W. Zatoński,

12 Objective 2: Building Competences, Raising Awareness and Knowledge on Cancer Risk and Cancer Prevention on the Code and National Cancer Control Program on major cancer risk factors and healthy lifestyle on primary and secondary cancer prevention programs on the cancer prevention and treatment service on the cancer control legislative measures Source: Zatoński W. (red.) Europejski kodeks walki z rakiem wersja trzecia (2003) Wydanie polskie na podstawie: European code against cancer and scientific justification: third version (współp.: Lissowska J, Didkowska J, Jabłońska J.) Medycyna Praktyczna, Kraków 2007 W. Zatoński,

13 Major Health Education and Promotion Activities Media campaigns (TV, radio, press, Internet) Educating journalists on cancer etiology and prevention Using the Code for development of public health policy Promoting cancer prevention among health professionals Preparing and disseminating target-specific versions of the European Code Against Cancer Source: Zatoński W. (red.) Europejski kodeks walki z rakiem wersja trzecia (2003) Wydanie polskie na podstawie: European code against cancer and scientific justification: third version (współp.: Lissowska J, Didkowska J, Jabłońska J.) Medycyna Praktyczna, Kraków 2007 W. Zatoński,

14 Major Target Groups Health professionals (oncologists, family doctors, medical students, nurses) Journalists Policy makers, including parliamentarians Adults, especially middle-aged and young adults Children and teenagers Source: Zatoński W. (red.) Europejski kodeks walki z rakiem wersja trzecia (2003) Wydanie polskie na podstawie: European code against cancer and scientific justification: third version (współp.: Lissowska J, Didkowska J, Jabłońska J.) Medycyna Praktyczna, Kraków 2007 W. Zatoński,

15 W. Zatoński,

16 Dissemination of the Cancer Code (340,000 copies) and other materials among health professionals 8,000 copies published in Nowotwory (Neoplasms), Polish oncological journal Published in Gazeta Lekarska, the biggest daily newspaper for medical doctors (143,000 copies) 70,000 copies disseminated in Regional Cancer Centers Cancer Code on CD Distributed among medical students Training workshops on cancer prevention and treatment of tobacco dependence Sessions and lectures on the Cancer Code during scientific conferences Distributed in medical libraries and on medical websites W. Zatoński,

17 Dissemination of the Cancer Code and other materials among the public As supplement, published in Gazeta Wyborcza, the biggest daily newspaper (in about 1,000,000 copies) Promoted in TV, radio, women and health magazines Cancer prevention in movie serials Press conferences (Code launching) Code dissemination in public events Promoting the Code within public health awareness campaigns (i.e. Smokeout, WHO Health Day) Distributed in Regional Cancer Centers, hospitals, epidemiological stations, smoking cessation clinics W. Zatoński,

18 W. Zatoński,

19 W. Zatoński,

20 The Code of Healthy Lifestyle for Young Adults (170,000 copies) and Teenagers (260,000 copies) W. Zatoński,

21 Just don t smoke Polish hit song written by top Polish singers and health activists. Concept: W. Zatoński, K. Kuszewski, Z. Mentzel Words: Agnieszka Osiecka Performer: Maryla Rodowicz Music: Jerzy Woy-Wojciechowski Source: Zatoński W. A Nation s Recovery. Case Study of Poland s Experience in Tobacco Control. Health Promotion Foundation. Warsaw 2003 W. Zatoński,

22 TV spots and city lights W. Zatoński,

23 Ulotki W. Zatoński,

24 Cancer prevention in calendar year W. Zatoński,

25 Trainings of HPs on Cancer Prevention W. Zatoński,

26 Cancer Code in Public Events W. Zatoński,

27 Cancer Code in Public Transport (city lights in metro and bus/tram stops) W. Zatoński,

28 Enforcement of smoke-free policies (2010) Ban of smoking in: Hospitals (indoor and outdoor) Educational premises (indoor and outdoor) Workplaces (indoor) Public places, incl. bars and restaurants (indoor) Public transport (stops and venues) Programs for employers and employees (guidelines, education, media campaign) W. Zatoński,

29 Campaign Stop Smoking Together, Polish Smokeout W. Zatoński,

30 Campaign Cigarettes Eat You Alive (TV, radio, press, Internet), 2009 W. Zatoński,

31 Competition Lets quit smoking together" W. Zatoński,

32 Quitline number on electronic billboard in Warsaw downtown W. Zatoński,

33 National Quitline Monday to Friday 9am to 7pm W. Zatoński,

34 Smoking cessation handbooks by Witold Zatoński 17 editions published, over 1,5 million copies in total. W. Zatoński,

35 Smoking cessation handbooks by Witold Zatonski 17 editions published, over 1,5 million copies in total. i W. Zatoński,

36 Protection of Non-Smokers from Tobacco Guidelines and Publications W. Zatoński,

37 Five fruits and vegetables a day Campaign W. Zatoński,

38 Physical Activity Social Campaign I Am Walking, I Am Running, So I Am W. Zatoński,

39 W. Zatoński,

40 Skin Protection Program (collaboration with touristic agencies and cosmetic companies) W. Zatoński,

41 Implementation of health programs at the workplace in Poland. This program has been implemented so far among others in the BPH Bank, the companies: Danfoss, Witoplast, Dex Plus, City Hospital in Zabrze, Municipality of Ciechanów. W. Zatoński,

42 Holiday without cigarettes W. Zatoński,

43 Cooperation with opinion leaders W. Zatoński,

44 Meeting with Minister Jacek Rostowski (2008) at the Ministry of Finance. The topic of discussion was the situation of preventive medicine in Poland. Meeting with prof. Gomulka Vice Minister of Finance (2008). The purpose of the meeting to present the current situation of Preventive Medicine in Poland. The debate on the health status of the Poles with Prof. Leszek Balcerowicz, 2008 in Warsaw School of Economics. The meeting was to present to the members of the Civic Forum Development of Preventive Medicine of the current situation in Poland. W. Zatoński,

45 Scientific conferences and training Nationwide Conference "Tobacco or Health" in honor of Prof. Franciszek Venulet (annually since 1998). Training of doctors, nurses, psychologists and psychiatrists and other health professionals in the treatment of tobacco dependence (so far more than 10,000 people were trained) Training workshops for organizers W. Zatoński,

46 Contacts with journalists W. Zatoński,

47 Tobacco Control in Media W. Zatoński,

48 The Prestige - Ambassadors W. Zatoński,

49 W. Zatoński,

50 Actions carried out locally W. Zatoński,

51 Primary Cancer Prevention Program The school promoting recommendations of the European Code Against Cancer project carried out in the province of Małopolska Coordinators: Prof.Leszek Kołodziejski Director of the Centre for Oncology Tarnów Regional Hospital. St. Luke in Tarnów Anna Czech - Director of the Regional Hospital. St. Luke in Tarnów Aleksander Palczewski Małopolska School Superintendent Urszula Blicharz Director of the Tarnów Board of Education Delegation in Kraków W. Zatoński,

52 Guideline for Teachers on Implementing the Cancer Code in Schools W. Zatoński,

53 Example of implementation of the Cancer Code Promotion in schools in Małopolska province Total population of region: 3,360,586 Total number of schools in region 5,226 Number of schools involved in project 3,920 (75%) Total number of teachers in region 43,813 Number of teachers involved in the project 17,520 (40%) Number of students actively involved in project 391,000 Number of parents familiar with the project 150,000 The overall number of people familiar with the recommendations of the European Code Against Cancer 558,000 W. Zatoński,

54 Program Monitoring Annual survey on the knowledge, health behaviours and attitudes towards cancer prevention in adult & children Baseline (2006) and follow up (November December 2014) W. Zatoński,

55 Cigarette consumption and smoking in Poland Tobacco sell in Poland, Daily smoking by gender, 15+, Poland The number of smokers in Poland , , ,5 billions s of cigarettes % ,3 33,8 19,6 Mln , Source: Zatoński W, Przewoźniak K, Sulkowska U, West R, Wojtyła A. Tobacco smoking in countries of the European Union. Annals of Agricultural and Environmental Medicine. 2012;19;2: ; Czapiński J, Panek T. (red.). Diagnoza Społeczna W. Zatoński,

56 Lung cancer mortality in Poland Men, Men, Std. rates per 100,000 pop Std. rates per 100,000 pop Women Women, Std. rates per 100,000 pop Std. rates per 100,000 pop Source: Zatoński W, Sulkowska U, Przewoźniak K, Zatoński M. Epidemiologia Nowotworów złośliwych w Polsce. W: Zachorowalność i umieralność na nowotwory a sytuacja demograficzna Polski. Rządowa Rada Ludnościowa. Warszawa 2014:30-49 W. Zatoński,

57 Lung cancer mortality in Poland 14 Poland vs Hungary, Poland vs USA, Hungary 7 6 6,2 6,7 Poland USA 4 Poland 2 2, , Source: Zatoński W, Sulkowska U, Przewoźniak K, Zatoński M. Epidemiologia Nowotworów złośliwych w Polsce. W: Zachorowalność i umieralność na nowotwory a sytuacja demograficzna Polski. Rządowa Rada Ludnościowa. Warszawa 2014:30-49 W. Zatoński,

58 III edycja IV edycja W. Zatoński,

59 Most Important Activities Planned in 2014 Program School Promoting the Cancer Code (media campaign, guideline for teachers, education materials) Printing additional copies of the Cancer Code for HPS, the public, for children and teenagers Cultural adaptation and translation of new version of the Cancer Code Social and media campaigns: Cigarettes eat you alive, Stop Smoking together, I am walking, I am running, so I am, 5 a day fruit and vegetable, Healthy Wednesday, Skin Protection. Trainings on treatment of tobacco dependence for GPs, medical specialists and nurses National Conference on Tobacco or Health Development of websites (on Cancer Code on smoking cessation Smoking cessation program for oncological program Development of the National Quitline and the network of smoking cessation clinics Follow up study in general population W. Zatoński,

60 Epilog I smoke, because I like it I run, because I like it W. Zatoński,

61 Special thanks to Urszula Sulkowska, Marek Jaworski, Ewa Tarnowska, Krzysztof Przewoźniak and Mateusz Zatoński for help with data analysis, calculation and preparation of this presentation :-) W. Zatoński,