There are 17 regional cancer research centers in India at present. Their main functions are: Cancer Detection and Diagnosis, Provision of Therapy, After care and Rehabilitation, Education and Training, Cancer Registration and Research. Coordination with the medical colleges and the general health infrastructure is an essential feature. The core requirements of a Regional Cancer Center are divisions of surgical oncology, radiation oncology, and medical oncology with support from department of anesthesiology, pathology, cytopathology, hematology, biochemistry and radio diagnosis with appropriate equipment and staff.
It would be at two levels-Central Government and State Government- with linkage through the Central Council of Health. It is suggested that respective executive committee should be assisted by a newly constituted National Cancer Control Board at the central and state levels by the corresponding Cancer Control Boards. The full time officer-in-charge of cancer control is an oncologist who heads the Cancer Control Cell at the Directorate General of Health Services.
The target of the National Cancer Control Program is to develop such Oncology wings in all medical colleges in the country. Medical Colleges would form an important link between the regional centers on one hand, and the more peripheral health infrastructure (District Hospitals, Tehsil Hospitals, PHCs) on the other hand. Financial assistance has been released for medical colleges / hospitals for installation of cobalt therapy facilities. For that Rs. 2 crore per institution has been provided under this scheme.
This program was launched in 1990-91 and under this program each state and union territory is advised to prepare their projects on health education, early detection, and pain relief measures. For this they can get up to a Rs. 15 lakh one time assistance and a Rs. 10 lakh for four years recurring assistance.
The district program has five elements:
The District programs are linked with Regional Cancer Centers/ Government Hospitals/ Medical Colleges. For effective functioning each district where program is started, has one District Cancer Society that is chaired by local Collector/Chief Medical Officer. Other members are Dean of the medical college, Zila Parishad representative, NGO representative etc.
National Cancer Registry Program was launched in 1982 by Indian Council of Medical Research (ICMR) to provide true information on cancer prevalence and incidence.
WHO established the Tobacco Free Initiatives (TFI) in 1998. Long term mission of
WHO is to reduce smoking prevalence and tobacco consumption in all countries and among all groups, and thereby reduce the burden of disease caused by tobacco.
The Goals of the TFI are:
WHO has developed partnership with UNICEF, World Bank, CDC, Environment Protection Agency, US National Institute of Health, International NGOs, Private Sector, and Academic Centers for tobacco prevention work. In 53rd and 54th World Health Assembly, all member states reaffirmed for the actions required to control tobacco.