National Association of Cancer Control NACC Tbilisi, Georgia

1
National Association of Cancer ControlNACC -
Tbilisi, Georgia

• ACSU related challenges in NACC activities
• ACSU Scholar
• Levan Bakanidze

2
How we used the ACS Seed Grant

• As it was required on NY University NACC has
  provided the following 3 possible
• projects for ACS Seed Grant
• Conduction of Postgraduate Training Courses on
  Modern Methods of Cancer Epidemiological Research
  and Medical Statistics at Georgian Cancer Centers
  (Project Granted Soros Foundation),
• Editorial Project on Professionals and Public
  Education, considering the publishing of
  appropriate materials,
• Creation of Caucasian Union Against Cancer
  (UCCC) its Integration with UICC

3
How we used the ACS Seed Grant

• At the time when the grant was received, NACC was
  organizing the training courses in 6 Georgian
  cities according to first project
• Conduction of Postgraduate Training Courses on
  Modern Methods of Cancer Epidemiological Research
  and Medical Statistics at Georgian Cancer
  Centers

4
How we used the ACS Seed Grant The mentioned
grant was not considering the purchase of
equipment, so, in order to raise the
effectiveness of lectures and the quality of
presentations, we decided to buy the video
projector and Laptop computer

5
Equipment in useVideo Projector Optoma EzPro 585

6
Equipment in useNotebook MITAC- CPU IMB
PIII-1000 MHZ
7
Equipment in use

• We are successfully using the equipment in every
  event concerned with education

8
Equipment in use

• Considering the fact that unfortunately, the
  cancer screening and prevention is not adequately
  presented in Georgian medical universities, NACC
  members are voluntarily giving the lectures for
  the students on these issues

9
Equipment in use

• Considering the fact that unfortunately, the
  cancer screening and prevention is not adequately
  presented in Georgian medical universities, NACC
  members are voluntarily giving the lectures for
  the students on these issues
• Besides, recently we have finished the Soros
  Foundation other grant project on Work out of
  diseases management standards in terminal
  illness, which would be accepted as state
  standards according to preliminary agreement with
  Ministry of Health. Now we are conducting the
  training courses for the regional oncologists to
  facilitate the implementation of standards in
  clinical practice

10
Equipment in use

• Besides, recently we have finished the Soros
  Foundation other grant project on Work out of
  diseases management standards in terminal
  illness, which would be accepted as state
  standards according to preliminary agreement with
  Ministry of Health. Now we are conducting the
  training courses for the regional oncologists to
  facilitate the implementation of standards in
  clinical practice
• Purchased equipment would be very helpful in
  realization of NACC new grant Organization of
  Governmental and NGOs Interactive On-line
  Forums, which aims the formation of governmental
  and non-governmental organizations Internet
  alliance in the field of cancer prevention, with
  periodical organization of interaction
  conferences and on-line trainings for education
  of population also for students, residents and
  doctors working in primary health

11
Equipment in useEquipment is very useful in
different conferences, particularly NACC was
participating in1st International Relations and
Security Network Executive Conference -
Information Technology Prospects In The Caucasus
(June 13-15, 2001, Tbilisi, Georgia)Presentation
NACC Web Page Usage for Networking and
Improvement Cancer Control in Georgia

12
Equipment in useEquipment is very useful in
different conferences, particularly NACC was
participating inTELEMATICS CAUCASUS 2001
(October 22-24, 2001, Tbilisi, Georgia)
Presentation The Past, Present and Future of
Tele-Medicine in Georgia

13
Equipment in useEquipment is very useful in
different conferences, particularly NACC was
participating inThe First International
Interactive Tele Conference Against Cancer
Tbilisi-Huston (October 18, 2001, Tbilisi,
Georgia) Presentation American colleagues from
Bayllor College kindly provided their
recommendations on management of 3 lung cancer
patients
14
Equipment in useEquipment is very useful in
different conferences, particularly NACC was
participating inNational Public Health Policy
and the Role of NGOs in its Implementation
(November 30, 2001, Tbilisi, Georgia)
Presentation Public Health Policy in Diseases
Control and Prevention and Role of NGOs
15
Equipment in useEquipment is very useful in
different conferences, particularly NACC was
participating inI-ST Conference on Discussion
of Results of Scientific Studies Funded by
Ministry of Labor, Health and Social Defense in
2001 (March 19, 2002, Tbilisi, Georgia)
Presentation Epidemiological Features of Main
Sites Cancer Incidence in Tbilisi in 1988-1992
16
Equipment in use The Laptop from the seed grant
is in everyday use in our office, considering the
lack of computers
17
This problem also was alleviated due to support
of Mr. Michael Heron, who organized the donation
of one more Laptop personally to me from ACS
18
Equipment in use

• So, in every above-mentioned NACC activities
  where the equipment was used, ACS became the
  cost-sharer. Besides choosing the first project,
  we somehow contributed in realization of other 2
  projects too, particularly as it was already
  noted we conducted the educational activity using
  these equipment, as for UCCC, for Impulsion the
  Cancer Control Activity in Caucasus NACC
  transmitted the presentation equipment to UCCC

19
The one of the NACC initiatives, particularly
creation of Caucasian cancer control NGO was
presented on NY ACSU, which was supported by
participants and ACS officials
20
Caucasus, which geographically consists the
regions south and north beyond the Caucasian
Crest and is situated between the Black and
Caspian Seas, represents the unique entire
ecological body. The ecosystems of Caucasian
countries are significantly interacted and
dependent on each other and what is most
important the cancer fight issues are very
similar.

21
Consequently, in order to coordinate the joint
cancer control efforts in the region the
Caucasian Union Against Cancer was organized on
May 7, 2001 in Tbilisi (Caucasian Union Contra
la Cancer - UCCC)
22
The aims of the Union are concerned with working
out of policy, strategy and tactic of scientific-
and practical activities of cancer fight, which
considers the organizational, methodological,
scientific, preventive, educational, editorial,
projective- and constructive, legislative and
mediator activities
23
Also, the one of the aims of UCCC is the
integration in UICC and work out of general
cancer control strategy and advocacy in region
according to UICC recommendations
24
The Declaration of UCCC Creation was performed on
II Congress of Oncologists of South Caucasus
States held on May 18, 2001 in Baki, Azerbaijan
25
The first project of newly established UCCC was
conducted with pharmaceutical company Pharmacia
Upjohn, the main distributor of anti-nicotine
medication and consisted the TV advertisement of
tobacco withdrawal drug Nicorette
26
Anti-Tobacco and Withdrawal Drug Advertisement
27
NACC Tobacco Control Advocacy

• According to the II-ND Item of Chapter 23 of
  "Georgian Legislation on Advertisement", adopted
  by the parliament on February 18, 2001 the VII-TH
  Item of the VIII-TH Chapter was supposed to
  become active since January 1, 2002, prohibiting
  the
• Advertisement of Strong Alcoholic Drinks and
  Tobacco Products Through the Radio and TV,
  Newspapers and Journal's Covers

28
NACC Tobacco Control Advocacy

• In December 2001 the media means started the
  presentation of considerations of the
  politicians, and among of them some PM's, that
  the
• state economy would suffer when the mentioned
  Chapter becomes active,
• which made NACC and UCCC to make the joint
  Announcement on possible blocking of the law in
  December-January

29
NACC Tobacco Control Advocacy

• Unfortunately, indeed the intensive dissemination
  of different politicians considerations against
  the prohibition of strong alcoholic drinks and
  tobacco products advertisement
• was started in the media.
• This campaign reached the pick on December 14,
  when all TV channel's information programs during
  the whole day were dedicated to present this
• problem to public at large,
• considering only their particular interests,
• that the
• freedom of the word, media and it's development
  is under the risk, foreign investments could be
  lessen and etc

30
NACC Tobacco Control Advocacy

• UCCC and NACC were not able to stay in passive
  position concerning that fact and due to their
  advocacy policy they made it possible
• to present their position
• on the Committee Meeting of the parliament.
• Before the Parliament meeting, NACC/UCCC started
  the
• collection of signatures of those medical profile
  NGOs,
• who shared our position

31
NACC Tobacco Control Advocacy

• Later, NACC/UCCC President
• Vasil Tkeshelashvili have presented to the
  Parliament the advertisement ban demand of
  medical profile NGOs, which was sent to
• Head of Parliament, Heads of Committees
• and Parliament fractions.
• Vasil Tkeshelashvili was refused to attend the
  Parliament session. But protest materials were
  copied and distributed through all Parliament
  Members.
• Also the meeting with Head of Economy Committee
• Mr. Ivane Merabishvili was organized, who was
  presenting this issue on the Parliament session

32
NACC Tobacco Control Advocacy

• Talking with Mr. Merabishvili, it was found that,
  the Parliament Decision project "on changes in
  advertisement Georgian legislation"
• was already prepared,
• according to which, the advertisement of strong
  alcoholic drinks and tobacco through the media
  was supposed to be allowed till January 1, 2005.
• Motivation Advertisement ban could be somehow
  accepted as administrative
• interfering mechanism in media activities
• and restriction of its freedom

33
NACC Tobacco Control Advocacy

• As the result of the meeting, the final
  compromise agreement was reached Considering the
  fact, that it is impossible to postpone the
  Parliament Decision Project, advertisement would
  be continued no longer than 1 year (January 1,
  2003)
• and during this period the law on
• "Tobacco Control" should be prepared,
• prohibiting all types of tobacco products
  advertisement

34
NACC Tobacco Control Advocacy

• Debates on this issue were having place on
  Parliament sessions
• during 2 days (20-21.12.01).
• Finally, Parliament
• allowed the strong alcoholic drinks and tobacco
  advertisement through the media
• till April 1, 2003, with 122 Parliament Members
  voices against 25

35
NACC Tobacco Control Advocacy

• Later in January,
• Georgian Tax-Payers Union
• supported the tobacco producing and importer
  companies on postponing by 2 years the Minister
  of Health Order 310/N from August 16, 2001 on
• Control of Limited Accepted Content Levels of
• Toxic Substances, Nicotine and Tar in
• Tobacco Product and it's Smoke
• (The new normative was supposed to be put in
  operation since January 1, 2002) and in order of
  national tobacco manufacturers assistance has
  made the
• critical announcements via all media means

36
NACC Tobacco Control Advocacy

• The urgent meeting of Medical NGOs was held
  concerning the position of Georgian Tax-Payers
  Union, where the Open Announcement was received,
  sent on February 4, along with the American
  Cancer Society Chief executive Officer - Mr. John
  Seffrin's Support letter to President Eduard
  Shevardnadze, Head of Parliament and State
  Minister

37
NACC Tobacco Control Advocacy

• According to preliminary agreement of Tax-Payers
  Union with governmental officials,
• the lasts agreed to postpone the Order by 2
  years, but due to Alliance activity they changed
  decision
• and the order
• Would be postponed by 1 year

38
NACC Tobacco Control Advocacy

• Conducting the above-mentioned advocacy we were
  opposing very strong lobby from government,
  tobacco companies, businessmen and media, but it
  should be mentioned that we were very much
  encouraged and inspired by Mr. Seffrins Support
  letter, which made significant influence on
  decision makers

39
NACC Collaboration Conducting the above
mentioned advocacy we realized that this campaign
became more effective when we joined around us
other interested NGOs. As a result due to NACC
initiative the medical and non-medical NGOs Union
- Health Promotion Alliance was established on
February 7, 2002
40
NACC Collaboration

• Recently, the Alliance presented to the Horizonti
  Foundation the project Tobacco Control Support
  in Georgia
• due to Coalition Efforts.The coalition
  activities in the borders of the mentioned grant
  would be carried out by 23 organizations among
  the
• 32 Alliance member NGOs

41
NACC Collaboration

• Besides, the Public Health Department of Ministry
  of Health is cooperating with NACC in field of
  public education and prevention
• Doctors Post-Diploma Study Academy in field of
  doctors education
• NACC is jointly conducting some projects with
  National Cancer Center

42
NACC Collaboration

• Also the NIS Meeting on
• Framework Convention of Tobacco Control (FCTC)
  project of World Health Organization was held in
  Moscow on September 28-29, where
• The Public Health Department
• asked NACC/UCCC CEO Vasil Tkeshelashvili to
  Represent the Georgia

43
NACC Collaboration

• Vasil Tkeshelashvili presented
• to FCTC group NACC suggestion on
• Accepting of Taxes on Tobacco Related Diseases,
  Disability and Early Death Risk. Particularly, we
  think that, by the
• liberal 1 tax on tobacco related diseases,
  disability and early death risk, the Tax system
  reform (without the change of tobacco product
  realization price) would create new source of
  funding
• for conduction of epidemiological control and
  prevention measures by the governmental
• and NG organizations as well

44
NACC Collaboration

• Annually, this new funding source could make
  available for prevention programs
• 5, 000, 000 10, 000, 000 US in Georgia and
  billions in the world

45
NACC Fundraising

• NACC made on the Web the Proposition to All
  International Pharmacological Companies and they
  were offered to take participation in our
  activities with their financial contribution

46
NACC FundraisingThen we organized the
Pharmaceutical Conference with participation of
Pharmacia Upjohn, Roche and Weleda
Naturpharm

47
NACC Fundraising

• With their money the realization
• of some educational
• activities was possible,
• particularly, for education of different layers
  of population we have edited the following
  materials

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NACC EducationBrochures

• 10 STEPS TO A HEALTHIER LIFE AND REDUCED
• CANCER RISK
• (NACC Modification of
• ACS Recommendations)

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NACC EducationBrochuresRecommendations for
Female Reproductive System's Cancer Prevention
and Early Detection
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NACC EducationBrochuresHow to Do Breast Self
Examination
51
NACC EducationBrochuresWhat Can You Do To
Protect Yourself Against Cancer By Correct Diet
52
NACC Education BrochuresQuit Tobacco Smoking
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NACC Education Books LUNG CANCER EPIDEMIOLOGY
AND PREVENTION
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NACC Education Books DIAGNOSES OF BREAST TUMORS
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NACC Education Books What Should We Know About
the Chemotherapy
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NACC Education Books MANAGEMENT OF
HYPERCALCEMIA IN CANCER PATIENTS
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NACC Education Books MODERN METHODS OF
CHILDHOOD CANCER MANAGEMENT CARE AND SYMPTOMS
RELIEFIN TERMINAL ILLNESS