Transcript Head and neck cancer in Merseyside and

Mouth Cancer Action Month
November 2015
Oral Health Education
Community Dental Service
Room 131, Alsager Clinic
Sandbach Road South
ALSAGER ST7 2LU
Tel 01270 275555
Aim – Increase awareness about mouth cancer
and support healthcare professionals to
signpost to treatment and preventative services.
Objectives
• Outline the incidence of Head and Neck
cancer
• Identify early warning signs of mouth cancer
• State how to access mouth checks and
signpost to health improvement services
Head and neck cancer in
Merseyside and Cheshire
• During 2008 – 2010 53% of Head and
neck cancers were in people aged
under 65
• 15th Most common cancer in UK
• Areas of Crewe have a particularly high
incidence – see slide 4
• Females incidence in East Cheshire
Local Authority is higher than England –
see slide 5
Local figures
Incidence
Key UK facts ref. Mouth Cancer Foundation
• In 2011, there were 6,767 people diagnosed with
mouth cancer in the UK
• Mouth cancer cases have increased by a third in the
last decade…… it is one of few cancers that experts
predict will continue to increase in the coming years
• The lifetime risk of developing mouth cancer is 1 in
84 for men and 1 in 160 for women
• Cancer of the tongue and oral cavity are the most
common forms of mouth cancer.
Who does it effect?
• Rates are much higher in white males,
however those in Asian males are similar
• More than 90% of mouth cancers in men and
85% in women are linked to lifestyle and
environmental factors
Risk factors
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Smoking
Alcohol
Poor diet
Human Papilloma Virus (HPV)
Gum disease and tooth loss
Smoking
• Two thirds of mouth cancer cases are
linked to smoking tobacco
• Smokers put themselves at almost three
times higher risk…..but cigars and pipe
smokers put themselves at greater risk
• Ex-smokers reduce their risk by a third
Stop smoking contact details
Phone: 0800 085 8818
Email: [email protected]
Website: kickstartcheshire.co.uk
Alcohol
• Drinking alcohol to excess is linked to
around a third of all cases
• Those who smoke and drink to excess
put themselves at risk by up to 30 times
Alcohol metabolises to a product
called Acetaldehyde
• This is mutagenic.
• This is metabolised in the liver but also in the oral cavity and
accumulates in the soft tissues.
• Metabolism is enhanced by oral streptococci - linking poor
oral hygiene to increased risk of mouth cancer.
• Alcohol enhances the penetration of tobacco carcinogens into
the oral mucosa.
• It has the capacity to eliminate the fatty barrier that protects
the oral mucosa and tongue from penetration by tobacco
carcinogens.
• This disrupts the normal orderly arrangement of fat molecules
opening up inter cellular pathways.
Cheshire East Drug and
Alcohol service
01625 422100
Other risk factors
• More than half of cases in the UK are linked to a poor diet
• Solar radiation from the sun has been linked to cancer of the lip
• The Human Papilloma Virus (HPV) is estimated to overtake smoking as
the number one cause of mouth cancers in the future
• Mouth cancer is 2.5 times higher in those with gum disease…and is 60
times higher in people with six or more missing teeth
• Mouth cancer is 70% more common in those whose family have a history
of the disease
Silent killer
• More than 2,000 people lose their life to
mouth cancer in the UK every year
• There are more deaths from mouth
cancer than there are through road
traffic accidents
• Mouth cancer also claims more lives per
year than cervical and testicular cancer
combined
Survival
• Although the number of mouth cancer
cases have increased steadily over the
last decade, more people are being
treated successfully and living for longer
• Early detection for mouth cancer results
in a survival outcome of 90%
How to check for mouth cancer:• Self examination
• At the dentist
• Free mouth checks
Self examination
Free leaflets/posters are available from:
[email protected]
01924 950 950
At the dentist
As part of a regular check-up a dentist is
required to carry out a visual examination and
look for early signs of mouth cancer.
For urgent dental care 9am to 9.30pm every day
including weekends and bank holidays
telephone 0161 476 9651
If someone is having difficulty finding an NHS
dentist call NHS England on 0300 311 2233 or
visit NHS choices at www.nhs.uk
Useful resources/references
www.mouthcancer.org
www.dentalhealth.org
www.ons.gov.uk
www.nice.org.uk
www.orderline.dh.gov.uk
www.smokefree.nhs.uk
Evaluation
Objectives
• Outline the incidence of Head and Neck
cancer
• Identify early warning signs of mouth
cancer
• State how to access mouth checks and
signpost to health improvement services
Questions
• Contact Lynn McCutcheon 01270
275555 [email protected]
• Please complete evaluation form