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Global Cancer Prevention: Current Approaches and Future Directions
Clement A Adebamowo1, Karen Canfell2, Sally N Adebamowo1
1Department of Epidemiology and Public Health, and the Greenebaum Comprehensive Cancer Center, University of Maryland School of Medicine, Baltimore, MD.
Abstract:
Cancer is a leading and growing cause of morbidity and mortality worldwide, with an estimated 20 million new cases and 9.7 million deaths in 2022 and projections of substantially greater burden over coming decades. A large fraction of this burden is preventable through interventions directed at established modifiable risk factors, including tobacco, excess body weight, alcohol, ultraviolet and occupational exposures, and oncogenic infections such as human papillomavirus (HPV) and hepatitis B virus. Yet, primary prevention remains underutilized relative to its demonstrated impact. In this chapter, derived from presentations at the 2026 ASCO Annual Meeting Education Session on global cancer prevention, we synthesize the contemporary global burden of preventable cancers quantified through population attributable fractions; summarize progress and remaining challenges in eliminating cervical cancer through HPV vaccination, screening, and treatment of precancerous lesions; and examine evidence-based approaches to cancer control in Africa, where the preventable fraction is particularly high. We conclude with priority actions spanning policy, financing, workforce development, and research that are needed to translate the existing prevention evidence base into measurable reductions in cancer incidence and mortality, particularly in settings of greatest need.
Insights
Preventable cancer interventions, targeting risk factors like tobacco and infections such as human papillomavirus (HPV), are underutilized globally. Implementing policy, financing, and research is crucial for reducing cancer incidence and mortality, especially in high-need areas.
Area of Science:
- Global oncology
- Cancer epidemiology
- Preventive medicine
Background:
- Cancer represents a significant and escalating global health challenge, with millions of new cases and deaths annually.
- A substantial proportion of cancer cases are preventable by addressing modifiable risk factors such as tobacco use, obesity, alcohol consumption, and infections like human papillomavirus (HPV).
- Despite proven effectiveness, primary cancer prevention strategies are not fully implemented worldwide.
Purpose of the Study:
- To synthesize the global burden of preventable cancers.
- To review progress and challenges in cervical cancer elimination via HPV vaccination, screening, and treatment.
- To examine cancer control strategies in Africa, highlighting areas with high preventable cancer fractions.
Main Methods:
- Quantification of preventable cancer burden using population attributable fractions.
- Synthesis of data from the 2026 ASCO Annual Meeting Education Session on global cancer prevention.
- Review of evidence-based approaches for cancer control and elimination strategies.
Main Results:
- The global burden of preventable cancers is substantial, with significant variations across regions.
- Progress in cervical cancer elimination is noted, but challenges remain in widespread HPV vaccination, screening, and treatment.
- Cancer control approaches in Africa show potential, with a high preventable fraction of cancer burden.
Conclusions:
- Translating existing prevention evidence into practice requires coordinated policy, financing, workforce development, and research.
- Priority actions are needed to reduce cancer incidence and mortality, particularly in resource-limited settings.
- Enhanced global efforts in primary cancer prevention are essential to mitigate the growing cancer burden.
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