On June 30, the American Cancer Society launched the first session of a three-part ‘Multi-sector Working Forum on Noncommunicable Disease in Africa,’ in collaboration with The Corporate Council on Africa (CCA) in Washington, DC. The American Cancer Society, as a leader in the global cancer control movement, developed this forum with CCA as part of preparations for the United Nations (UN) special summit on noncommunicable diseases (NCDs), planned for September 2011, which will address the growing global burden of cancer and other NCDs. In advance of that high-level meeting, government, civil society, and other stakeholders have called for interventions that demonstrate the need for and success of programs worldwide that address NCDs. The American Cancer Society’s first session of the Forum included a series of discussions on cancer and other NCD priorities, ranging from prevention and research to early detection and patient support. The primary objective of the Forum is to convene stakeholders working on NCDs in sub-Saharan Africa and have them brainstorm new public-private partnerships or projects involving the private sector that can help build the appropriate health information and systems to mitigate and prevent NCDs in the region. The end goal will be to present concrete and actionable steps or proposals for tangible projects/partnerships for private-sector involvement in resolving this growing health challenge at future conferences and meetings, such as the UN summit. Last month’s Forum launch was chaired by Mr. Haskell Ward, chair of the American Cancer Society’s Global Health Strategy Advisory Committee, and attended by civil society, private sector, and government officials, including ambassadors to the US from Angola and Mozambique. The session included presentations by American Cancer Society staff and representatives of GE Healthcare, JHPIEGO (international nonprofit health organization affiliated with Johns Hopkins University), Medtronics, Millennium Challenge Corporation, and the US Agency for International Development (USAID). The next session of the Forum, ‘Projects and Partnerships for Screening and Diagnosis,’ will be held on August 5 at the American Cancer Society Cancer Action NetworkSM (ACS CAN) office in Washington, DC.
The op-ed is rather dsnturbiig but I think you missed one glaring falsehood Much of our discomfort with the panel's findings stems from a basic intuition: since earlier and more frequent screening increases the likelihood of detecting a possibly fatal cancer, it is always desirable. I believe that the major cause of the firestorm of controversy came from the timing of the report right in the middle of health care reform season. With the politicians filled with talk about bending the cost curve and accusations that care would be shorted for political and budgetary reasons, people were very much primed to be suspicious of any recommendation that reduced screenings were actually beneficial. The fact that the panel had no oncologists on it was an extra strike against it. The reaction demonstrated public's trust that the experts won't lie in order to save a few bucks was exposed as being very low. And why shouldn't it? The experts have lied before. Rogue science is at least as old as Piltdown man.
Posted by: Sompot | 19 October 2012 at 05:59 AM
We did it because SCIENTISTS CONVINCED US IT WOULD BE BENEFICIAL This is a great point and in my opioinn it's right to be skeptical of the new recommendations and not make any rapid changes. Fortunately, the last I read was that insurance companies had no plans to change coverage.Paulos is describing once again the conditional probability fallacy; it's kind of his thing. But I think it's irresponsible of him to use made up numbers. The incidence rate of breast cancer and the mammogram false positive rate are presumably well known, why not use the real numbers and give women an actual estimate of the probability that a positive mammogram means cancer?However, I don't think it's fair to call him condescending or at least not specifically to women. His basic point is that when a condition is sufficiently rare, a positive result on even a very accurate test is not as conclusive as any non-statistician, male or female, would expect. He could and would, I think write the same thing about prostate cancer screening.You could argue that media in general are condescending to their audience, because each story on this should have P(cancer|positve) calculated and mentioned prominently. Paulos was evidently more interested in demonstrating how innumerate we are than in providing a useful service to the reader, but an editor could have asked for real numbers.
Posted by: Carolina | 17 October 2012 at 12:45 AM
By Shaz November 29, 2011 - 10:50 amGreat article. Just found one minor error. In the secoitn on Zoe Lehane-lavarde, you referred to her as an 18 year old in one sentence instead of 18 month old: Zoe's parents were scared of her receiving chemotherapy, which is high risk for an 18 year old.
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