ఎవరినీ కనికరించదు! ఎవరికైనా రావొచ్చు! ఎప్పుడైనా ప్రాణం తీయొచ్చు. దేశంలో ఏటా 14 లక్షలకు పైగా కొత్త కేసులు. 9 లక్షలకు పైగా మరణాలతో క్యాన్సర్ మోగిస్తున్న ప్రమాదఘంటికలివి. ప్రతి 5గురి క్యాన్సర్ రోగుల్లో ముగ్గురు మరణిస్తున్నారని ఇండియన్ కౌన్సిల్ ఆఫ్ మెడికల్ రీసెర్చ్ (ICMR) గణాంకాల్లో తేటతెల్లం చేస్తున్నాయి. చికిత్సకే ఆస్తులు అమ్మాల్సి వస్తోంది.
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00:30There is no way to get out of this health crisis.
00:34Is cancer death itself?
00:36What are the current treatment options for cancer?
00:40Let us find out.
00:42We have with us the leading doctors, cancer doctors,
00:45Dr. Nuri Dattatreya.
00:47Let us ask him and get to know more.
00:49Namaskaram.
00:50Namaskaram.
00:51Deaths are more than 9 lakhs.
00:53I think this is what is seen in the country now.
00:55These deaths may be due to cancer.
00:59People are coming in advance.
01:01They are coming at an advanced stage.
01:03The media is telling us what to do.
01:05If you come at an early stage,
01:07the numbers will reverse.
01:0990% cancer is curable
01:11if you come at an early stage.
01:13So, it promotes the message.
01:15If you have any lump or any ailment,
01:18go for a check-up.
01:20If you get a check-up and by chance,
01:22it turns out to be cancer,
01:24the treatment will be effective
01:27and the cure rate will be high.
01:29The cost will also be less.
01:31You do not have to use all kinds of medicines.
01:34A simple surgery is enough.
01:36If you look at the whole of Asia,
01:38after China,
01:39there are more cases in India.
01:41There are more deaths too.
01:43Can this disease be cured?
01:45It can definitely be cured.
01:47It is a crisis.
01:48That is why I wrote an article in the Times of India.
01:51I sent it to all the governments.
01:53How to address the panchayat solution
01:56to address the cancer crisis in India?
01:59You have to do it step by step.
02:02You have to start a war on it.
02:05We started a war on COVID.
02:07We won.
02:08In short,
02:09you have to do the same on this too.
02:11If you do it, you will definitely win.
02:13You have to bring this cancer
02:15as a notifiable disease.
02:17Just like you brought COVID.
02:19Notifiable disease in America
02:21is 100% notified.
02:23What are the advantages of notifiable disease?
02:26In any city,
02:27whether it is a diagnostic center,
02:29a pathology lab,
02:30a small hospital,
02:31or a big hospital,
02:32if a cancer patient is diagnosed,
02:34the state health department reports it.
02:37If you build a center from the state,
02:39what are the additional advantages
02:41of notifiable disease?
02:43We know how many are in which city.
02:46Accordingly,
02:47resources are prioritized.
02:49In my village,
02:50there is a lot of breast cancer.
02:52We do more screening there.
02:54We give more money to the government.
02:56We do targeted screening.
02:58Because of that,
02:59there is a lot of benefit.
03:00Resource management.
03:01So,
03:02is it a big impossible task?
03:06No.
03:07Notifiable disease,
03:08COVID,
03:09in an hour,
03:10they put a signature
03:11in the governor and the chief minister.
03:13This is it.
03:14Do it first.
03:15Do it and get the correct number.
03:17Accordingly,
03:18adjust the resources.
03:20That is number one.
03:21Number two is,
03:22in health departments,
03:24whether it is a center or a state,
03:26a cancer wing should not be under a division.
03:29It has a separate status.
03:30They have given it to COVID.
03:31That is,
03:32a separate department
03:34or command center for cancer.
03:36This command center
03:38has to take care of everything.
03:40Cancer,
03:41awareness,
03:42prevention,
03:43early detection,
03:44screening,
03:45treatments,
03:46a small division
03:47in the health department
03:48should give it a significance.
03:51Give it here.
03:52Not there.
03:53Then,
03:54you will have a command center.
03:57Without it,
03:58it is difficult to move forward.
03:59It is difficult to control it.
04:00This is very important.
04:01Another type of resource management is,
04:04coordination.
04:05If there is a command center,
04:06there is coordination.
04:07The reason I say coordination is,
04:10our NGOs are very good.
04:12When we go to our village and screen,
04:14we have a big van.
04:15We bought it for two crores.
04:17He will do it in that village.
04:18He will do it in the neighboring village.
04:19Another person will come.
04:20If another person comes,
04:21we will do it again.
04:22They will do it with another person.
04:23What did he do?
04:24He doesn't know.
04:25What did he do?
04:26If there is a central command structure,
04:28every state,
04:29every country,
04:31whoever comes,
04:32rich people come.
04:33If we do it,
04:34this village is done.
04:35Go to the next village.
04:37Your service is good for us.
04:38But,
04:39there is no need for duplication.
04:40What to do like this is,
04:41take that map
04:43and cover every village or not.
04:45You have to keep the dots.
04:47The dots should be in the collector's office.
04:49If it is there,
04:50then they will know
04:52what is missing.
04:53Because of this,
04:54we are useful to them.
04:55Head and neck cancer is more.
04:56This cancer is more.
04:57That cancer is more.
04:58Mapping.
04:59What do I say about that?
05:00It is called cancer atlas.
05:01Develop your own cancer atlas.
05:03You will have atlas in the things you lack.
05:07Whatever is there in your districts,
05:09you have to keep this too.
05:10I told like this.
05:11Keep this in the command center.
05:13Use these notifications.
05:15Then,
05:16take MRI help.
05:17We are ready to help.
05:18Lot of people,
05:19not only those who came from some village,
05:21if you say,
05:22do your village well,
05:23they will be ready.
05:24I did it.
05:25By saying all this,
05:26I will tell this to everyone,
05:27to the center,
05:28to the local people,
05:29to the government too.
05:30If we do all this,
05:32we will get the cancer
05:35in the right hand.
05:36If we do this.
05:37When it comes,
05:38what is it?
05:39How do we get the resources?
05:41First,
05:42you said 1.4 or 1.5,
05:45I don't believe in that.
05:47Every year,
05:481.4,
05:491.5,
05:50just imagine,
05:51it is adding up.
05:52Every year.
05:53Some are staying,
05:54some are in the advanced stage.
05:57For all this,
05:58somewhere,
05:59we have to control the switch.
06:02This year,
06:03I saw 1.4.
06:04Maybe,
06:05after 3 years,
06:06we have to do 1.1.
06:07Because,
06:08we have all these programs.
06:09Cancer awareness,
06:10early detection.
06:11You said,
06:12900,000 people,
06:139 crores,
06:14are dying.
06:15It is only 7 crores.
06:17Because,
06:18most of them are coming
06:19for early detection.
06:20Another thing is,
06:21as I said in the sutras,
06:23there is a lot of
06:24subsidized care.
06:25There is a health scheme.
06:26There is an NTR scheme.
06:28In such things,
06:29screening should also be added.
06:31Subsidized screening also.
06:33If there is,
06:34there is happiness.
06:35If not,
06:36if we add it,
06:37definitely,
06:38it will be there already.
06:39If we do,
06:40mammograms will be done.
06:42They will not be afraid of money.
06:44Because,
06:45there is no money.
06:46Because,
06:47it is already covered.
06:48Prostate,
06:49if he goes for a prostate exam,
06:50ultrasound,
06:51biopsy,
06:52or PSA screening,
06:53for them,
06:54as it is already covered,
06:56they will go more ahead.
06:58That is our wish.
06:59We have to try.
07:00So,
07:01with all this,
07:02I sent the sutras.
07:05Hopefully,
07:06things will start moving.
07:08Is cancer death itself a surrender?
07:10Or,
07:11if cancer is a disease,
07:12will it not prolong their life span?
07:14Cancer is not death itself a surrender.
07:16That will not be there.
07:18It will not be there.
07:20Now,
07:21no matter how many advances happen,
07:23you have
07:24wonderful advances.
07:26First thing is,
07:27we have to remove this equation.
07:29If it is detected early,
07:30it is 90% cure.
07:31Keep that group aside.
07:32Intermediate group.
07:33If it is more advanced,
07:35they also have treatment.
07:37They also have treatment.
07:39In that also,
07:40you can control it.
07:41You can see that it does not spread.
07:43You can see their longevity.
07:45Everything is there in the second group.
07:47So,
07:48people should know that these groups are there.
07:50First,
07:51you should be in this group.
07:52Do not go to this group.
07:53That is
07:54awareness.
07:55In the public.
07:56So,
07:57cancer is not a death sentence.
07:59It is not a death sentence.
08:00There is a lot of hope,
08:01lot of research.
08:03Lot of molecular testing,
08:05gene testing,
08:06profile,
08:07cancer cell profile,
08:08everything is happening.
08:09We catch that,
08:11we catch the profile,
08:12and use the necessary drug.
08:14By using that drug,
08:15we are not unnecessarily
08:16bothering them.
08:18They go there for chemotherapy,
08:19they go here for chemotherapy,
08:20they go there for that therapy.
08:21They know what therapy is,
08:22what is the function,
08:23what is the testing.
08:24So,
08:25they come for the test.
08:26It is there in our home,
08:27it is there in our country,
08:28it is there in the state also.
08:29It is called next generation sequencing.
08:31Molecular profiling of the cancer.
08:33So, where is our country
08:34when it comes to
08:35curing cancer?
08:36Like,
08:37the burden of cancer,
08:38their life span,
08:39how many years
08:40do we have to
08:41make their life span
08:42permanent?
08:43Don't say permanent.
08:44Because,
08:45some cancers are curable.
08:47Early stage breast cancer
08:48is curable.
08:49Early stage prostate cancer
08:50is curable.
08:51Early stage tongue cancer
08:52is curable.
08:53Lung cancer is curable.
08:55The pain that comes is,
08:57when we come to
08:58this advanced stage,
09:00everyone is suffering.
09:03Before you come to that stage,
09:05if you have any problem,
09:06go ahead.
09:07Because,
09:08if you take it early,
09:09if you show it,
09:10your cure rate will increase.
09:11At that time,
09:12there shouldn't be a question
09:13of increasing my life
09:14by 3 years,
09:155 years,
09:166 years.
09:17What is our aim?
09:18Oncologists,
09:19in India,
09:20in America also,
09:21if cancer can be cured,
09:22we will cure it.
09:23Guaranteed.
09:24If the cancer
09:25is curable,
09:26his life will be
09:27stable,
09:28and
09:29he will live
09:30happily.
09:31Like diabetes,
09:32hypertension,
09:33if you take medicines,
09:34it will reduce.
09:35If it increases,
09:36again take medicines.
09:37So,
09:38the second group,
09:39we are trying to
09:40cure it
09:41with chronic diseases.
09:42Even they are
09:43suffering.
09:44There are many
09:45opportunities.
09:46It is happening.
09:47How is the situation
09:48in India,
09:49sir?
09:50In India,
09:51the situation is
09:52very bad.
09:53We cannot compare
09:54it with America.
09:55But,
09:56it is good.
09:57When I come,
09:58I have been here
09:59for 3 months.
10:00There is a lot
10:01of difference
10:02between 15 years
10:03and now.
10:04Treatment
10:05centers have
10:06improved a lot.
10:07A lot.
10:08Unfortunately,
10:09most of them
10:10are corporate
10:11style centers.
10:12I don't know
10:13if the people
10:14have that
10:15habit or not.
10:16That's why
10:17I keep telling
10:18the local
10:19and state
10:20governments
10:21to strengthen
10:22government
10:23hospitals
10:24and cancer
10:25centers.
10:26If you
10:27want,
10:28technology is
10:29better.
10:30If you
10:31want people,
10:32hire people.
10:33If you
10:34want programs,
10:35start programs.
10:36Then,
10:37middle-income
10:38and low-income
10:39people will
10:40run to
10:41corporate
10:42hospitals and
10:43sell their
10:44property.
10:45You
10:46don't have
10:47to do all
10:48this.
10:49I keep
10:50telling
10:51all the
10:52state
10:53governments
10:54to do
10:55this.
10:56If
10:57you
10:58want to
10:59do
11:00this,
11:01you
11:02have
11:03to
11:04tell
11:05the
11:06people
11:07to
11:08do
11:09this.
11:10You
11:11have
11:12to
11:13tell
11:14the
11:15people
11:16to
11:17do
11:18this.
11:19You
11:20have
11:21to
11:22tell
11:23the
11:24people
11:25We can also reduce the tariffs and make it a moral responsibility.
11:33We can strengthen government hospitals and government cancer centers.
11:36If we do this, there will be accessibility and availability.
11:42Middle-income and poor-income patients.
11:43Breast cancer, head and neck cancer, mouth and throat cancer, lung cancer, cervical cancer.
11:51In the past, cervical cancer was at the top.
11:53Now, breast cancer is at the top.
11:55In the last 10 years, it has become an alarming trend.
11:58Next, we have colorectal cancer and prostate cancer.
12:03So, we have to take care of both breast and head and neck cancer.
12:07How can we prevent it?
12:09How can we help people through health education?
12:12What are the causes?
12:14Tobacco, tobacco, tobacco.
12:16Not breast cancer, but head and neck cancer.
12:18Head and neck cancer is caused by smoking and chewing tobacco.
12:23What are the side effects of tobacco?
12:27Not just lung cancer, throat cancer, bladder cancer, cervical cancer, pancreatic cancer.
12:33Tobacco can cause many cancers.
12:35What we all know is that two-thirds of the cancers in India are preventable.
12:42This is very important information.
12:44We don't get it from anywhere.
12:45It's in our hands.
12:46Two-thirds of the cancers are preventable, but not preventable yet.
12:50How can we prevent it?
12:52Health education, screening, early detection.
12:55In our Telugu states, how is the spread of cancer in Varanasi?
13:00It is equally spread.
13:02There is a lot of work to be done.
13:05There is no need for so many people to go.
13:08As I said, the command center is not a division in the health department.
13:14They are totally in charge.
13:17Every activity of cancer is your responsibility in this state.
13:20If there is a center, there are various departments.
13:25ICMR deals with some of them.
13:28National Cancer Institute deals with some of them.
13:30One more, one more, and so on.
13:32All these should be under the command center.
13:35These cancer wings.
13:36In our state, the treatment centers are very good.
13:42In Hyderabad, Vijayawada, Guntur, Vizag, Tirupati.
13:49These are good centers for development.
13:51I told the health minister that I will help all these centers.
13:55All these centers should be coordinated.
13:58I will create a group and communicate with them regularly.
14:03I will have a Zoom meeting with the health minister, secretary, and health secretary.
14:08There is a kind of road map.
14:09We have to give a road map and set benchmarks.
14:12There are so many people in this year.
14:14It will not decrease next year.
14:15How can we provide cancer treatment to so many people in this year?
14:19How will it be next year?
14:20We have to set benchmarks for all these.
14:22Cancer is not a permanent disease.
14:24If cancer comes, the whole family will be burdened.
14:27There will be heavy expenses.
14:29Even if the cancer is not cured,
14:31even if it happens again,
14:33the situation is such that it cannot do its work.
14:35What is the solution to this?
14:36That is a very good question.
14:38Cancer is not a permanent disease.
14:41Cancer is a family collapse due to the expenses of men and women.
14:47They are suffering.
14:49If a female has cancer,
14:52there is a guarantee that the family will collapse.
14:54So, we have to protect our children.
14:56Are they going to the appropriate screening at the appropriate time?
15:01The mother is very important in the house.
15:03So, we have to take care of their tests carefully.
15:06Have they sent the mammograms on time?
15:08Have they checked for cervical cancer on time?
15:11We have to take care of everything in the family.
15:15If it happens,
15:16we have to give them the correct treatment and take them to the right center.
15:19We have to learn how to give treatment.
15:22So, as you said, it is very important.
15:24If cancer comes to anyone,
15:26the whole family will be burdened.
15:29I have a concern.
15:31They are suffering from cancer.
15:33They have to sell their house and take various treatments.
15:37We have to educate them and provide them with the necessary help.
15:41We have to provide them strongly.
15:43That is our social responsibility.
15:45Moral responsibility.
15:46So far, what are the six types of treatment?
15:50There is chemotherapy, radiation,
15:53surgery is important,
15:55immunotherapy,
15:56targeted therapy,
15:57vaccines,
15:58all the advanced treatments are available.
16:00Everything is available here.
16:01Except vaccines, everything is available.
16:03Molecular testing is also available.
16:05Based on the test,
16:07treatment is given.
16:08If there is any particular aberration in the gene,
16:14there is a medicine for it.
16:16If the medicine is given,
16:17there is no need to use any treatment.
16:19So, from cancer identification to treatment,
16:22to reduce expenses and other expenses,
16:25what is the advice you would like to give to the government?
16:28To reduce expenses,
16:31subsidize cancer care.
16:33It is better.
16:34Now,
16:35we have the Health Ministry,
16:37NTR,
16:38Health Administration.
16:40In the center,
16:41there is the Prime Minister's program.
16:43In all these,
16:45100 diagnoses of cancer.
16:47Breast cancer, lung cancer, heart cancer.
16:49Even if it is not covered,
16:51take care of it.
16:52If chemotherapy is not covered,
16:54take care of the cover rate.
16:55If immunotherapy is not covered,
16:57add the cover rate.
16:58Add screenings.
17:00So,
17:01increase the method of covering it.
17:04So that people do not feel burdened.
17:07I gave this important message to all of them.
17:10Sir, we are taking you as an advisor to the Prime Minister Chandrababu.
17:15We are also trying.
17:16So, now,
17:17as a government,
17:19you are given a responsibility.
17:20What is the work you have to do?
17:22There is a lot of work to be done.
17:24I thanked him yesterday.
17:27He appointed me yesterday.
17:29In front of everyone,
17:30in the meeting.
17:31So,
17:32I am
17:33with the Health Minister,
17:34Sathya Kumar.
17:35With him,
17:36with the Health Secretary,
17:37with Krishnababu,
17:38after working,
17:39first,
17:40at whatever level we are,
17:42hospitals,
17:43cancer programs,
17:44how they are,
17:45for which,
17:46priority should be given first.
17:47For which hospital,
17:48which system,
17:49priority should be given.
17:50On one side,
17:51for prevention and early detection,
17:53priority should be given.
17:55On the other side,
17:56in the treatment center,
17:57is it available,
17:58is it accessible,
17:59is it there or not?
18:00Is it affordable or not?
18:01This corporate style,
18:02government,
18:03how is the ratio?
18:04All this,
18:05study it first,
18:06present it to the Chief Minister,
18:08every two to three months,
18:10I will be coming,
18:11if I do all this.
18:12Otherwise,
18:13in the Zoom meeting,
18:14put it,
18:15in that meeting,
18:16discuss everything,
18:17what progress is there.
18:19All these,
18:20cancer-related doctors,
18:22administrators,
18:24all together,
18:25put it in a WhatsApp group,
18:27continuously communicate with them.
18:29If they ask any question,
18:30immediately,
18:31write it to me.
18:32I will increase the communication,
18:34immediately.
18:35So,
18:36the opportunity given,
18:37as I said yesterday,
18:38not only the position,
18:39but also the responsibility is there.
18:40Those two,
18:41I will try to do it,
18:42collectively.
18:43Thank you, sir.
18:44Namaskaram,
18:45to everyone.
18:46This is,
18:47the opinion of
18:48Cancer Doctor,
18:49Dr. Noori Jatatreya.
18:50If cancer,
18:51is given,
18:52in the initial stage,
18:53definitely,
18:54without going to death,
18:55completely,
18:56Dr. Noori Jatatreya,
18:57is saying that,
18:58we can give life.
18:59The cameraman,
19:00from Vijayawada,
19:01Mr. Srimannarayana,
19:02Srinivasa Mohan,
19:03KKM.