Preventive Oncology: A Lifeline for Kashmir’s Cancer Fight

Peerzada Masrat Shah

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Dr. Fazili, we’re delighted to have you with us today. The rise in cancer cases across Kashmir has brought a crucial spotlight to preventive oncology. Given the unique lifestyle and environmental factors here, many believe that prevention-focused healthcare could transform outcomes. Can you provide a deeper insight into how preventive oncology works and its potential impact on communities like ours?

Dr. Fiaz Fazili: Thank you, Pirzada. Preventive oncology is a proactive approach focused on minimizing cancer risks through awareness, lifestyle changes, early screenings, and preventive care. Unlike treatment, which addresses cancer after it has developed, prevention aims to address risk factors before they manifest into serious conditions. By focusing on factors like smoking cessation, dietary improvements, and vaccinations, preventive oncology can drastically reduce cancer rates in regions like Kashmir, where unique environmental and lifestyle factors elevate risks.

Q1: Why is preventive oncology particularly relevant for Kashmir?

Dr. Fazili: We are seeing a surge in cancers in Kashmir, notably lung, stomach, and esophageal cancers. Unique lifestyle and environmental factors, like smoking, low vitamin D levels, dietary habits, and limited healthcare access, elevate these risks. By focusing on prevention and early detection tailored to our population, we can substantially reduce cancer rates.

Q2: What motivated you to focus on preventive oncology in Kashmir?

Dr. Fazili: Witnessing the toll cancer takes on patients and families was a key motivator. Many arrive in late stages when treatment is limited, so I became passionate about prevention measures that could save lives and lessen this burden.

Q3: How important is early detection in cancer care?

Dr. Fazili: It’s crucial. Early detection often leads to better outcomes, less invasive treatments, and lower costs. For example, early-stage breast cancer has a high survival rate compared to later-stage cases. We need to build a culture of screening and early detection here in Kashmir.

Q4: What challenges or gaps have you observed in cancer prevention efforts?

Dr. Fazili: Several gaps exist. Awareness about early symptoms and screenings is limited, especially in rural areas where screening access is also poor. Cultural factors and stigma surrounding cancer further hinder early intervention. Addressing these issues with awareness campaigns and accessible screenings is essential.

Q5: Are there specific cancers in Kashmir that could be reduced with preventive measures?

Dr. Fazili: Yes, we could see fewer cases of lung, gastric, and oral cancers. Educating people on smoking risks, dietary improvements, and regular oral check-ups could make a significant impact.

Q6: How does preventive oncology address lifestyle factors in cancer risk?

Dr. Fazili: Lifestyle choices—smoking, diet, and physical activity—are major factors. Preventive oncology educates people on these risks and promotes healthy habits like quitting smoking, eating well, and staying active, which significantly reduce cancer risk.

Q7: How do you plan to create awareness around preventive oncology in Kashmir?

Dr. Fazili: Our approach includes community outreach, workshops, and collaborations with local organizations. Social and traditional media will help spread the word, and schools and colleges are key for educating younger people.

Q8: What screenings do you recommend for early cancer detection in Kashmir?

Dr. Fazili: For common cancers, we recommend mammograms for breast cancer, Pap smears for cervical cancer, low-dose CT scans for high-risk lung cancer, and endoscopies for persistent stomach issues. Basic blood tests can also reveal early signs of cancer.

Q9: What challenges exist for implementing preventive oncology in rural areas?

Dr. Fazili: Rural areas lack healthcare facilities and professionals trained in cancer screening. Transportation issues and economic barriers also limit access. We’re working on mobile screening units and local clinic partnerships to address these challenges.

Q10: How could preventive oncology impact cancer care in Kashmir over the next decade?

Dr. Fazili: I believe it will lower cancer incidence and improve survival rates by focusing on early detection. By prioritizing prevention over costly treatments, we can also ease the burden on our healthcare resources.

Q11: What support do you need from the government and local organizations?

Dr. Fazili: Government support for funding screenings, awareness campaigns, and rural outreach is essential. Local organizations can also help normalize conversations around cancer and screenings, encouraging greater participation.

Q12: How do you address cancer stigma in Kashmir, which may prevent preventive care?

Dr. Fazili: Reducing stigma involves educating people that cancer isn’t a death sentence and that early detection can lead to recovery. We highlight survival stories and the benefits of early intervention to shift public perception.

Q13: Are there specific educational messages you want to convey to the public?

Dr. Fazili: The core message is simple: “Cancer can be prevented, and early detection saves lives.” We stress that lifestyle changes and regular check-ups play a vital role in reducing cancer risk.

Q14: What role would you like the medical community in Kashmir to play?

Dr. Fazili: More healthcare professionals need training in preventive oncology to educate patients on screenings and lifestyle changes. A network of committed oncologists, general practitioners, and public health workers can advance proactive cancer care.

Q15: What final message would you like to share with the people of Kashmir about preventive oncology?

Dr. Fazili: Cancer affects everyone, either directly or indirectly. By adopting preventive measures and prioritizing early detection, we can protect ourselves and our families. Together, we can build a healthier future where cancer is less feared and more manageable.

Brief Introduction of Dr. Fiaz Fazili: Dr. Fiaz Maqbool Fazili is a highly respected healthcare professional and Senior Consultant Surgeon. Currently, he serves as Director of Healthcare at Help Saba Charitable Cancer Trust and is a distinguished member of the Group of Concerned Citizens. Graduating from GMC Srinagar in 1977 and completing postgraduate studies at SKIMS, Dr. Fazili has extensive experience as a surgeon, having worked internationally in Iran, Saudi Arabia, the UK, Turkey, and Germany. Known for his advocacy in cancer awareness and healthcare quality, Dr. Fazili has authored numerous articles on healthcare issues and continues to lead initiatives aimed at improving cancer care and preventive oncology in Kashmir.