Specialists on the subject and civil society representatives from Latin America and the Caribbean, convened by the International Agency for Research on Cancer (IARC) of the World Health Organization (WHO) and the Pan American Health Organization (PAHO), have reviewed the scientific evidence and recommend the following 17 actions people can take to help prevent cancer:
1. Don't smoke or use any type of tobacco. If you do, quitting is possible, with professional help if needed. Don't use e-cigarettes either, as they lead to tobacco use.
2. Make your home a smoke-free place. Respect and promote laws that ensure smoke-free spaces to protect our health.
3. Achieve or maintain a healthy weight throughout your life to help prevent several types of cancer.
4. Get daily physical activity throughout your life and limit the time you spend sitting. Being a physically active person helps prevent several types of cancer.
5. Eat a healthy diet:
6. Avoid drinking alcoholic beverages. This helps prevent several types of cancer.
7. Breastfeed your baby –the more months the better– to help prevent breast cancer and excess weight in your baby.
8. Protect yourself from direct sun exposure during peak sunlight hours to help prevent skin cancer.
9. If you cook or heat your home with coal or firewood, make sure smoke doesn’t build up inside your home.
10. If air pollution is high where you are, limit your time outdoors.
11. Find out if your job exposes you to substances that can cause cancer, and request and adopt the recommended protective measures.
12. Infection from Helicobacter pylori bacteria can cause stomach cancer. Check with health professionals to find out if you might benefit from screening and treatment for this bacterial infection.
13. Infection with viruses such as hepatitis B and C, human papillomavirus (HPV), and human immunodeficiency virus (HIV) can also cause cancer. Therefore:
14. Do not use hormone replacement for menopause unless directed to do so by your healthcare provider. Hormone replacement can cause breast cancer.
Cancer can be controlled and cured if it is detected and treated early:
15. If you are between the ages of 50 and 74, visit a healthcare provider and ask for an early detection test for colon and rectal cancer (fecal occult blood test or colonoscopy). Based on the results, follow your health professional's recommendations promptly.
16. If you are 40 years of age or older, visit a healthcare provider every two years for a clinical breast exam. From age 50 to 74, get a mammogram every two years. Based on the results, follow your health professional's recommendations promptly.
17. If you are between the ages of 30 and 64, visit a healthcare provider and ask for a molecular human papillomavirus (HPV) test at least every 5–10 years for early detection of cervical cancer. Ask if you can collect the sample yourself. If you don’t have access to the HPV test, ask for the exam that is available in your country. Based on the results, follow your health professional's recommendations promptly.
Recommendations for policy-makers on implementing the Latin America and the Caribbean Code against Cancer
The Latin America and the Caribbean Code against Cancer proposes a series of preventive measures that anyone can take to help prevent cancer. It consists of 17 recommendations based on the most recent sound scientific evidence, adapted to common scenarios in Latin America and the Caribbean. These recommendations are not legally binding nor are they presented in order of importance. Similarly, the public policy recommendations described below are based on internationally agreed upon and accepted strategies. However, in the context of Latin America and the Caribbean, there are structural and socioeconomic factors that make it difficult to implement the necessary changes. They include poverty; unemployment; lack of housing, drinking water, and sanitation; and obstacles to accessing healthy food and health infrastructure. For this reason, it is essential that governments take action to encourage and ensure people’s ability to adopt the code’s 17 recommendations in the areas described below.
For the code to be implemented effectively, countries in Latin America and the Caribbean are asked to disseminate and implement the 17 recommendations as a whole, without making changes to the text. They are urged not to replace, delete, or add words that may affect the meaning of these recommendations. The only exception, when appropriate, is to use synonyms accepted by the general population of each specific country so that no words are misinterpreted, while always citing the code’s original text. Likewise, no changes should be made to the public policy recommendations accompanying each of the 17 recommendations addressed to the general population, as described below.
Countries are encouraged to establish interim targets for phased implementation of recommendations that require infrastructure not available when the code was published.
Ref. 1, 2, 3, 4, 5, 6, 7, 8
Ref. 9
Ref. 10
Implement actions and programs to progressively reduce the indoor use of coal and firewood, such as using updated stoves or switching to cleaner energies.
Ref. 11
Ref. 12
Ref. 13
Ref. 14, 15, 16, 17, 18, 19, 20, 21
Ref. 22, 23, 24
Ref. 25
Ref. 26, 27
Ref. 28, 29, 30
These recommendations are the result of a project coordinated by the International Agency for Research on Cancer (IARC) of the World Health Organization, in collaboration with the Pan American Health Organization, and co-financed by amigo_h (Amigos Einstein da Oncologia e Hematologia) which integrates the Social Responsibility pillar of the Sociedade Beneficente Israelita Brasileira Albert Einstein and the IARC. The amigo_h was not involved in the design and execution of the project or its final result.
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