Tuesday, 26 June 2012

Tobacco control key in fight against cancer


39 per cent of all cancers in men are tobacco-related
Tobacco and its link to cancers of the oral cavity and neck are well-established and fairly well-known to the public too.
In Kerala, which has the dubious distinction of having the highest rate of alcohol consumption in the country, the rate of head and neck cancers too are quite high.
It is estimated that 36 per cent of the men, aged above 15, in the State are smokers, with 11 per cent using chewing-tobacco too.
As per the data of the Regional Cancer Centre’s cancer registry, 39 per cent of all cancers in men are tobacco-related. Kerala has one of the highest reported incidence of head and neck cancers, which constitute over 30 per cent of all cancers in the Indian subcontinent.
A new study involving over one lakh subjects in the U.S., as part of a prostate, lung, colorectal and ovarian cancer screening trial, found that 50.5 per cent of all head and neck cancers could be attributed to tobacco. The study has been published inPubMed, an online repository of health research of the U.S. National Institutes of Health.
The study reported that 66 per cent of head and neck cancers could be attributed to both tobacco and alcohol, 14.7 per cent to alcohol alone.
Head and neck cancers are ranked sixth among the common cancers worldwide and nearly 3,00,000 people die each year out of 4,00,000 approximate cases of cancers of the mouth or pharynx or larynx, as per the World Cancer Report, 2008. The World Cancer Report is brought out jointly by the World Health Organisation and International Agency for Research on Cancer.
The treatment options for head and neck cancers include surgery, radiotherapy, and chemotherapy, used in isolation or in combination, depending on the site of the cancer, the stage at which it is diagnosed, and the general health of the patient. Invariably, most of these cancers reach the oncologists at a very late stage, when chances of a better prognosis are quite dim.
Study significant
The U.S. study has significance for Kerala as it quantifies the existing knowledge and establishes cigarette smoking and tobacco use as an undeniable causative factor of head and neck cancers, Subramania Iyer, who heads the Head and Neck Institute at Amrita Institute of Medical Sciences and Research Centre, Kochi, said.
Tobacco control is thus the single, biggest public health intervention that can be implemented to bring down cancer incidence across the board, doctors point out.
Kerala has one of the highest reported incidence of head and neck cancers.

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