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Review
. 2023 Nov 22:24:100316.
doi: 10.1016/j.lansea.2023.100316. eCollection 2024 May.

Mapping recommendations towards an Asian Code Against Cancer (ACAC) as part of the World Code Against Cancer Framework: an Asian National Cancer Centers Alliance (ANCCA) initiative

Sok King Ong  1 , Sarah K Abe  2 , Gillian Li Gek Phua  3 , Harindra Jayasekara  4 , Kayo Togawa  2 , Laureline Gatellier  2 , Jeongseon Kim  5 , Yawei Zhang  6 , Siti Zuhrini Kahan  1 , Siti Norbayah Yusof  7 , Jong Soo Han  8 , C S Pramesh  9 , Manju Sengar  9 , Abhishek Shankar  10 , Clarito Cairo  11 , Suleeporn Sangrajran  12 , Erdenekhuu Nansalmaa  13 , Tseveen Badamsuren  13 , Tashi Dendup  14 , Kinley Tshering  14 , Jie He  6 , R Soeko Werdi Nindito D  15 , Azmi Ritana  15 , Jeong Soo Im  16 , Eun Young Park  17 , Giang Nguyen Huong  18 , Tran Thi Thanh Huong  19 , Mohammed Biglari  20 , Aasim Yusuf  21 , Kishore Kumar Pradhananga  22 , Champadeng Vongdala  23 , Muhammad Taufiq Bin Jaafar  3 , Nor Saleha Ibrahim Tamin  24 , Yi Yi Myint  25 , Kyaw Kan Kaung  26 , Md Shafiur Rahman  2   27 , Eshani Fernando  28 , Beauta Rath  29 , Babu Sukumaran  30 , William Yk Hwang  3 , Carolina Espina  31 , Joachim Schüz  31 , Manami Inoue  2 , Tomohiro Matsuda  2
Affiliations
Review

Mapping recommendations towards an Asian Code Against Cancer (ACAC) as part of the World Code Against Cancer Framework: an Asian National Cancer Centers Alliance (ANCCA) initiative

Sok King Ong et al. Lancet Reg Health Southeast Asia. .

Abstract

This paper outlines the process undertaken by Asian National Cancer Centers Alliance (ANCCA) members in working towards an Asian Code Against Cancer (ACAC). The process involves: (i) identification of the criteria for selecting the existing set of national recommendations for ACAC (ii) compilation of existing national codes or recommendations on cancer prevention (iii) reviewing the scientific evidence on cancer risk factors in Asia and (iv) establishment of one or more ACAC under the World Code Against Cancer Framework. A matrix of national codes or key recommendations against cancer in ANCCA member countries is presented. These include taking actions to prevent or control tobacco consumption, obesity, unhealthy diet, physical inactivity, alcohol consumption, exposure to occupational and environmental toxins; and to promote breastfeeding, vaccination against infectious agents and cancer screening. ANCCA will continue to serve as a supportive platform for collaboration, development, and advocacy of an ACAC jointly with the International Agency for Research on Cancer/World Health Organization (IARC/WHO).

Keywords: ACAC; ANCCA; Asia; Cancer; Code; Non-communicable diseases; Prevention; Risk factors.

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Conflict of interest statement

Where authors are identified as personnel of the International Agency for Research on Cancer/WHO and other organisations, the authors alone are responsible for the views expressed in this article and they do not necessarily represent the decisions, policy, or views of the International Agency for Research on Cancer/WHO or respective organisations. HJ receives funding from Australian National Health and Medical Research Council ([NHMRC] GNT1163120, 2018–2023) and World Cancer Research Fund ([WCRF] IIG_FULL_2022_011, 2023–2025). This study was supported by the Japanese National Cancer Center Research and Development Fund (2022-A-21) provided to SKA. The funders had no role in study design, data collection, analysis, interpretation or writing of the report. The authors declare no other conflicts of interest.

Figures

Fig. 1
Fig. 1
Process in working towards an Asian Code Against Cancer (ACAC) as part of the World Code Against Cancer Framework. Note: Step 1 and 2 and preliminary Step 3 are outlined in this paper. IARC, International Agency for Research on Cancer; ECAC, European Code Against Cancer.
Fig. 2
Fig. 2
ANCCA members’ key recommendations on cancer prevention. ∗Note: Fig. 2 is a pictorial summary of cancer risk factors and does not represent the final code for the region. PPE, personal protective equipment; Hep B, hepatitis B; HPV, human papillomavirus.
See this image and copyright information in PMC

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