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THINK ABOUT YOURSELF – Only The Early Discovered Breast Cancer May Be Medically Treated With Success Is the project co-financed by the European Union PROJECT.

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Presentation on theme: "THINK ABOUT YOURSELF – Only The Early Discovered Breast Cancer May Be Medically Treated With Success Is the project co-financed by the European Union PROJECT."— Presentation transcript:

1 THINK ABOUT YOURSELF – Only The Early Discovered Breast Cancer May Be Medically Treated With Success Is the project co-financed by the European Union PROJECT THINK ABOUT YOURSELF – ONLY THE EARLY DISCOVERED BREAST CANCER MAY BE MEDICALLY TREATED WITH SUCCESS Association Education against breast cancer from Zagreb County ran this project from 2007/2009. Basic information about the Association: - Founded on May 22 nd, 2001 - Primary activity: education of women of all ages in correct and regular self breast examination and raising consciousness about personal health with the primary goal: health through prevention

2 Projekt sufinancira Europska unija Project is co-financed by the European Union Project THINK ABOUT YOURSELF In 2007 the Association won CARDS 2004 contest with the project THINK ABOUT YOURSELF We are the only association from Zagreb County with a project financed by this contest Zagreb County recognized this project and got involved as the partner Total project budget is 219,379.80 EUR: 81% financed by CARDS 2004 19% financed by Zagreb County (160,088.68 HRK) and the Association (152,187.48 HRK) The Association geathered funds through humanitary actions charity concerts and donations

3 Projekt sufinancira Europska unija Project is co-financed by the European Union Project goals Expanding the National program of breast cancer prevention in the Republic of Croatia (age 50-69 years) Expanding the network of trained personnel for education of early breast cancer detection Promotion of self breast examination for breast cancer prevention through organized workshops, media coverage and public forums

4 Projekt sufinancira Europska unija Project is co-financed by the European Union Target groups and expected results Women 18 - 49 years – education in correct self breast examination Women 30 - 39 years – free breast ultrasound Women 40 - 49 years – free mammography 13 trainers for education of correct self breast examination

5 Projekt sufinancira Europska unija Project is co-financed by the European Union Results of the Project (Jun 27th, 2007 – Jun 16th, 2009)

6 THINK ABOUT YOURSELF – Only The Early Discovered Breast Cancer May Be Medically Treated With Success Is the project co-financed by the European Union Results of ultrasound and mammography Results of assessments and clinical findings : - 13 trained educators - 6500 women educated in breast self examination - 931 breast ultrasounds (30-39 years) - 4398 mammographies (40-49 years)

7 Projekt sufinancira Europska unija Project is co-financed by the European Union Results of ultrasound examinations (30 – 39 years) NORMAL FINDINGS358 FIBROUS CHANGES-mastopathy425 SEVERE FIBROCYSTIC DYSPLASIA 91 BENIGN-LOOKING NODES 57 DEFINITE SIGNS OF MALIGNANCY 0 TOTAL931

8 Projekt sufinancira Europska unija Project is co-financed by the European Union Results of mammography findings (40 - 49 years) LEGEND: R1 – NORMAL FINDINGS R2 – BENIGN CHARACTERISTICS R3 – INDETERMINATE FINDINGS R4 – SUSPICIOUS FINDINGS R5 – MALIGNANT CHANGES 8 WOMEN OPERATED !

9 Projekt sufinancira Europska unija Project is co-financed by the European Union Recommendations according to mammography results (40 – 49 years) LEGEND: 1 – CONTROL EXAM IN 2 YEARS 2 – REFERRED TO FAMILY PHYSICIAN + ULTRASOUND 3 – REFERRED TO THE BREAST DISEASE CENTER (ULTRASOUND, ADDITIONAL MAMMOGRAPHIES, CYTOLOGY) Total: 3,985 recommendations

10 Projekt sufinancira Europska unija Project is co-financed by the European Union Association Edication against breast cancer from Zagreb County In parallel to the project THINK ABOUT YOURSELF, the Association coducted education, ultrasound and mammography examinations also for the: age group 50-60 years, since 2003 (County program) age group 50-69 years, since 2007 (National program) Statistics, findings and medical recommendations for all projects were analyzed separately

11 Projekt sufinancira Europska unija Project is co-financed by the European Union Contacts: 1) Gorana Rabatić, Zagreb County Phone: +385 1 6009 475 Fax: +385 1 6009 488 E-mail: g.rabatic@zagrebacka-zupanija.hrg.rabatic@zagrebacka-zupanija.hr 2) Joško Zekan, MD, MSc Phone: +385 91 6150 555 E-mail: josko.zekan@zg.t-com.hrjosko.zekan@zg.t-com.hr WWW: www.womens-health-initiative.com 3) Mario Kopljar, MD, PhD Phone: +385 91 582 7446 E-mail: kopljar@yahoo.comkopljar@yahoo.com

12 Reproductive health care Croatian perspective Mario Kopljar, Joško Zekan

13 Public health impact of ST D Sexually transmitted diseases have a sigificant influence on the pupulation reproductive health Infertility 12% Healthcare burden Reductio of working abillities (hepatitis B, sick leave)

14 Incidence of STD in Croatia per 100000 Chlamydia19.9 -12.9 Gonococcal infections0.6 - 0.4 Hepatitis B 4.4 - 3.0 HIV 0.7 - 1.5 HPV22.3 - 38.4

15 Reduction of STD incidence HIV incidence under control –education, –promotion of anonymous testing, –legal purchase of sterile needles in pharmacies Growing problem is HPV

16 HPV infection represents a major health problem because of its relation to cervical cancer HPV Summit 1999: there is no cervical cancer without HPV infection Cervical cancer is a preventable disease

17 Cervical cancer – incidence Latin America55 -72 / 100 000 women Croatia 16.8 / 100 000 women Israel, Finland3 -4 / 100 000 women

18 SMOKING – LUNG CANCER: ODD RATIO =17 HPV INFECTION – CERVICAL CANCER: ODD RATIO =150-250

19 High risk population Sexarche before the age of 17 Promisquity Early pregnancy High-risk HPV infection Low socioeconomical status Immunodeficient conditions Smoking Nutritional deficit Oral contraception High-risk partners Non-existance of national screening programme

20 Situation in Croatia 597 gyneacologists 142 pathologists 115 cytologists 112 cytoscreeners Opportunistic screening (OR 0.57): ~ 400 000 PAP-smears/year Organized screening (OR 0.25): 1 198 299 women (25-65 years)

21 Croatia has enough resources for opportunistic screening (patients seeking medical attention, 400 000 PAP-smear/year) The goal of Womens Health Initiative: doctors activelly addressing people (organized screening) with anticipated reduction in STD incidence by 50%

22 Target group for prevention – adolescents Adolescent behavior and knowledge -More than 50% of adolescents is under influence of alcohol or drugs before intercourse -Only 6% tested for STD -Insufficient knowledge regarding contraception and prevention of STD -However … over 60% seek relevant education

23 Cervical cancer prevention modalities Education –Insitutional (schools) –Extra-institutional Public schools Courses Media Screening Vaccination

24

25 Figure reproduced from: Quinn M, Babb P, Jones J, Allen E. Effect of screening on incidence of and mortality from cancer of cervix in England: evaluation based on routinely collected statistics. BMJ 1999; 318: 904. Reproduced with permission from the BMJ Publishing Group.

26 Impact of vaccination strategies diagnosed HPV 16/18-related cervical cancer incidence, females (12+y), lifelong duration

27 Reproductive health care Results of campagne: Pelvic Inflammatory Disease Ectopic pregnancy Sterility Impact on state budget for health

28 Womens Health Initiative continues to promote reproductive health through organizing european conferencesWomens Health Initiative continues to promote reproductive health through organizing european conferences Croatia accepted modern guidelines for protection of reproductive health and significantly improved reproductive health Croatia accepted modern guidelines for protection of reproductive health and significantly improved reproductive health


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