字幕表 動画を再生する 英語字幕をプリント Public Health England has just launched the latest edition of Health Matters which looks at how we can prevent more bowel cancers and detect them earlier. Bowel cancer is one of the most common cancers accounting for around one in 10 of all cancers in England or to put it another way someone is diagnosed with bowel cancer in the UK every 15 minutes. Just over half of bowel cancer cases in the UK seem to be linked to lifestyle risk factors. Not surprisingly what we eat plays a major role in the factors that may cause bowel cancer. The evidence has been steadily increasing and suggest that there are risks for eating large amounts of red and processed meat, so reducing the amount of red meat we eat and avoiding processed meats as much as possible can help lower the risk. Other things can also make a difference such as exercising regularly, achieving and staying at a healthy weight, stopping smoking, and reducing how much alcohol you drink. For those people who do get bowel cancer detecting early can make all the difference to their quality of life and overall survival. The earlier the bowel cancer is diagnosed the better. One year survival for both men and women diagnosed with the earliest stages of cancer is very good - at 98%. We also know that bowel cancer is more likely to be detected at an earlier stage by screening, or when a patient is sent for investigations by their GP through the rapid two week wait referral pathway. Unfortunately the later diagnosis are often presented as an emergency and these patients do less well. The NHS bowel cancer screening programme is now in its 10th year. In England bowel cancer screening is offered every two years, to men and women aged between 60 and 74. Over the last 10 years so we have found more than 25,000 bowel cancers through the screening alone. Screening upake though is quite variable. Invitations are sent out regionally and while the overall uptake across the whole country is around 56%, in some areas only a third of people actually send their kits back. Since screening is so important what we do to increase the number of people who take part. Evidence shows that bowel cancer screening uptake is better when the individual is made aware that their GP supports the screening programme, especially when this is combined with extra patient information. We have also just announced that we're moving to a new test. This is the fecal immunochemical test, or Fit. It's more sensitive, easier to use, and only requires one sample instead of the usual three. Pilot studies of Fit have suggested that screening uptake could be boosted by 10% which means a further 200,000 people could be tested each year. But our ambition in Public Health England is to see the uptake of screening increase even more so that at least three-quarters or 75% of those people invited to take part in the test. The key to this is working in partnership between local authorities, Clinical Commissioning Groups and screening partners to identify any barriers to screening in their local area. The real challenge is to encourage people from hard-to-reach groups to send back their screening kits. We also know that GPs play a pivotal role in the bowel cancer screening programme. They're particularly effective when they support patients who were first sent their screening pack. We would encourage you to have a look at PHE's Health Matters. It includes blogs, video discussions, infographics, and slides. Please feel free to use them in presentations and in discussions with your colleagues. We hope you find this information informative and useful. Thank you very much.