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.

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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