It is to be seriously noted that as per report of ‘WHO’, cancer, the most deadly disease
will be an epidemic in India within 2020. In West Bengal at least 75 (Seventy five)
thousand are seen to be detected in every year. Very acute position is in Kolkata and
neighbouring districts, One of the Main reason of which is environment pollution. As per expert
opinion the sky of West Bengal is now covered with brown cloud due to pollution. Every
particle of air is full of pollution — specially to say cancer carrier. Smoking (in various
forms), liquor, drug, increasing habit of junk food which are spreading rapidly from mere
child to old, causing the acceleration of spreading of the deadly disease.
As per report of I.A.R.C (International Agency for Research on Cancer, an expert agency
of WHO for cancer research) polluted air is the main carrier of lung cancer. Risk factor of
urinary cancer is also caused by this. As regards to epidemical trend, non-communicable
diseases (NCD’s) are main source of cancer. With the increase in stress, change of lifestyles,
and behaviour more and more are diagnosed with NCD’s and increased life
expectancy also enabling people to live up to older age where these diseases become
more significant. This situation is very demoralizing in rural as well as semi-urban areas
as the people in these areas are more vulnerable due to inadequate availability of
awareness regarding healthcare resources, poor healthcare infrastructures etc. Situation is
more acute for women.
Hence to meet the gap between need and perception among the dwellers of semi-urban and rural areas of the state of west bengal, Charaibeti Gaighata Samity, contemplated a prospective population based awareness development program to empower the residents of the area served by this NGO, with appropriate knowladge to have a better approach towards combating cancer.
Now for prevention, firstly, all attention should be made for
tobacco related cancer. Addiction of tobacco or like products, liquor or likewise, habit of
junk food which are being spread widely from mere child to old, causing the acceleration
of NCD’s must be restrained. Regretfully in spite of regular campaign in statutory form
many a ways effect is very little. There is a “don’t care‟ attitude to ignore and defy all
sorts of caution and restrictions. Now time has come to impose some serious measure
against it, without hesitation in some form. One example, as per report(A.B.P.8th
Nov2013) that Rajsthan Govt. has taken decision that to get any govt job in that state an Affidavit from the concern person.
is to be given not to be addicted by cigarette, pan-masala, gudkha etc. This may be an
example. But apart from all these, main effort is to be taken in such a manner and wide
scale that self-imposed restriction may be made. In favour of our Society we organized
some seminer on–‘ENVIORNMENT POLLUTION-DANGER FOR CANCER’. We
organized some meetings also. We displayed some banners against smoking and drug
addiction and it is a pleasure for us that some club organizations have taken
spontaneously and have those banners displayed at their club premises.
Although very slowly, but the matter is drawing attention.
Secondly, is the part of prevention of uterine cervix, mouth, breast, colon etc. through
screening. As mentioned before a network is to form with Govt. bodies, NGO’s,
Private etc. to work hand to hand to win the war. The control of cancer does not only
consist of diagnosis and effective treatment. In order to achieve any healthcare objective,
it is necessary to identify the root cause. Cancer control is the summation of many
different components. The most important of which are basic research, cancer registry
database, public and professional education, facilities of screening high risk patients,
early diagnosis, effective treatment modules and rehabilitation programmes, as many as
are possible will produce better success. Major comprehensive centres be able to act as
catalyst to disseminate information and knowledge by process of intensive interactive
coordination with cancer centres in the larger towns and small cancer units in rural areas.
Thirdly, the prevention includes extension and strengthening of therapeutic services
including proper referral of the patients, keeping in mind that these are very inadequate in
comparison to population and centralised in metropolitan cities and nearby only.
Fourthly, is access to palliative care facilities and pain relief. Many a cases it is seen that
treatment bed and facilities are occupied day after day only not to see the pain and
distress of the patients, “whose days are absolutely numbered” ,by the family members and
relatives. The number of beds in the hospitals is very few in comparison to necessity. In
that case as many as possible ‘Hospice’ can be set where proper nursing facilities and
doctors for emergency can be provided.
Our Society has taken cancer protection programme as its main motto-not as a showy one
but in a small area an intensive and comprehensive method. We have given stress for
door to door campaign. We see, may be slowly, attraction is increasing there. As regards
cervical cancer screening first when we started we were afraid of whether success might
come to maintain continuity. But now we see married women even from so called
backward and minority families also are coming forward spontaneously. Same are the
cases for general campaign and screening programmes also. This attraction is
mainly not our credit. As one epidemical trend, probably there is no family whose nearest
relative has been victim of this deadly disease, If this runs, very soon, will not the day
come when at least one of each family be victim! From this bitter experience the matter is
being mainly attracted.
As I have learnt, in consideration to cancer patients two-third of the new cases attend for
cancer treatment in advanced and incurable stage at the time of diagnosis and half of
them die annually without any scope of treatment. Then no other alternative is left, and
entire family becomes ruined financially to make an fruitless effort of turning-‘an
impossible to possible’ More than 60% of those affected patients are in the prime of their
life between the ages of 35 to 65 years. With the increasing life expectancy and changing
of lifestyles along with increasing pollution level rapidly this figure will be higher and
higher. World Health Organization has already predicted that cancer will be the leading
killer disease by 2020. To control this problem Govt. of India has launched the ‘National
Cancer Control Programme’ in 1975 stressing on primary prevention and early detection
of cancer and with the introduction of National programme for prevention.
Intensive public education even from school—level to non—formal system for
prevention of cancer to motivate self-consciousness of — each and every — of the family —of
the society as a whole.
Education- education- education is the only solution. In consideration to my complete
limitation of knowledge, I believe,–Thus done and we shall overcome.
Let Us raise the slogan boldly:-
Cancer has no answer
Let us prove it absurd
Awareness and precaution
Only way of Protection