Promotion, dissemination and effects of the European Code Against Cancer in Poland Witold Zatoński, Krzysztof Przewoźniak Department of Epidemiology Cancer Center and Institute Warsaw, Poland ECL ECAC Dissemination Workshop, 13 April 2015, Luxembourg W. Zatoński, 2014
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 2003. (współp.: Lissowska J, Didkowska J, Jabłońska J.) Medycyna Praktyczna, Kraków 2007 W. Zatoński, 2015 1
Objective 1: Development of Cancer Prevention Programs and Service National Cancer Control Program 2006-2015 and 2016-2025 (Task on cancer prevention) Cancer Action Plan (proposal of experts; Polish Oncological Society) 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 2003. (współp.: Lissowska J, Didkowska J, Jabłońska J.) Medycyna Praktyczna, Kraków 2007 W. Zatoński, 2015 2
Objective 2: Building Competences, Raising Awareness and Knowledge, and Changing Behaviors and Attitudes Toward Cancer Risk and Prevention Toward the Code and National Cancer Control Program Toward major cancer risk factors and healthy lifestyle Toward primary and secondary cancer prevention programs Toward cancer prevention and treatment service Toward 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 2003. (współp.: Lissowska J, Didkowska J, Jabłońska J.) Medycyna Praktyczna, Kraków 2007 W. Zatoński, 2015 3
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 2003. (współp.: Lissowska J, Didkowska J, Jabłońska J.) Medycyna Praktyczna, Kraków 2007 W. Zatoński, 2015 4
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 2003. (współp.: Lissowska J, Didkowska J, Jabłońska J.) Medycyna Praktyczna, Kraków 2007 W. Zatoński, 2015 5
III edition IV edition W. Zatoński, 2015 6
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, 2015 7
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, 2015 8
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Subsequent versions of the Cancer Code on CDs (30,000 copies) W. Zatoński, 2015 11
The Code of Healthy Lifestyle for Young Adults (170,000 copies) and Teenagers (260,000 copies) W. Zatoński, 2015 12
Guideline for Teachers on Implementing the Cancer Code in Schools W. Zatoński, 2015 13
Example of implementation of the Cancer Code Promotion in schools in Małopolska province Total population of region: 3,360,586 Number of schools involved in project 3,920 (75%) 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, 2015 14
TV adverts, city billboards, Internet W. Zatoński, 2015 15
Cancer prevention in calendar year W. Zatoński, 2015 16
Trainings of HPs on Cancer Prevention W. Zatoński, 2015 17
Press conferences, interviews and workshops for journalists W. Zatoński, 2015 18
Cancer Code in Public Events W. Zatoński, 2015 19
Cancer Code in Public Transport (adverts in metro and bus/tram stops) W. Zatoński, 2015 20
Ban of smoking in: Enforcement of smoke-free policies (2010) 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, 2015 21
The Prestige - Ambassadors W. Zatoński, 2015 22
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, 2015 23
Campaign Stop Smoking Together, Polish Smokeout W. Zatoński, 2015 24
Actions carried out locally W. Zatoński, 2015 25
Tobacco Control in Media W. Zatoński, 2015 26
Campaign Cigarettes Eat You Alive (TV, radio, press, Internet), 2009 and 2014 W. Zatoński, 2015 27
Competition Lets quit smoking together" W. Zatoński, 2015 28
National Quitline 801 108 108 Monday to Friday 9am to 7pm W. Zatoński, 2015 29
Smoking cessation handbooks by Witold Zatonski 17 editions published, over 1,5 million copies in total. i W. Zatoński, 2015 30
Protection of Non-Smokers from Tobacco Guidelines and Publications W. Zatoński, 2015 31
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, 2015 32
Holiday without cigarettes W. Zatoński, 2015 33
"Fruits and vegetables five times a day" W. Zatoński, 2015 34
Physical Activity Social Campaign I walk, I run, therefore I am W. Zatoński, 2015 35
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Skin Protection Program (collaboration with touristic agencies and cosmetic companies) W. Zatoński, 2015 37
Cigarette consumption and smoking in Poland 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;2:181-192; Czapiński J, Panek T. (red.). Diagnoza Społeczna 2013. W. Zatoński, 2015 38
Lung cancer mortality in Poland 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, 2014 39
Lung cancer mortality in Poland 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, 2015 40
Epilogue I smoke, because I like it - 1995 I run, because I like it - 2014 W. Zatoński, 2015 41
Special thanks to Urszula Sulkowska, Marek Jaworski, Ewa Tarnowska and Mateusz Zatoński for help with data analysis, calculation and preparation of this presentation W. Zatoński, 2015 42