During meetings of the National Cancer Institute (INCa) responsible for coordinating scientific research, Emmanuel Macron gave a video speech, promising more screening and an increased fight against the after-effects after recovery.

He also announced a 20% increase in the resources deployed against the disease which remains the leading cause of death in men and the second in women.

The budget for the first five years of the ten-year plan will thus be increased to 1.7 billion euros for 2021-2025, he promised. Tobacco and alcohol are at the center of the strategy. “Against these two main causes of preventable cancer, our actions will particularly target young people,” he added.

First generation without tobacco in 2030?

“Go in a decade from 150,000 new preventable cancers per year to less than 100,000. Reduce the mortality of the seven most lethal cancers. Better support the consequences of cancers and treatments on the quality of life and employment”, such are the ambitions of Emmanuel Macron.

“I want the generation that turns 20 in 2030 to be the first tobacco-free generation in recent history,” he said. The Head of State promised to act on “the price, the extension of tobacco-free spaces, and information campaigns on its toxicity”. He also wants more relevant support for those who stop smoking and this mobilization must begin “from school”.

Few measures concerning alcohol

For alcohol, at the origin of a fifth of preventable cancers, “it is not a question of going towards zero alcohol but of preventing excess and better helping those who are in a form of dependence on alcohol. get out of it, “he wished.

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The 3 rd cancer plan, which covered the period 2014-2019 and extended into 2020, “enabled major advances” in research. Access to innovative therapies, the management of pediatric cancers or even the prevention of smoking allowed improvements but “was singularly lacking in ambition in the fight against alcohol”, pointed out the assessment report drawn up in October by the General Inspectorate of Social Affairs (Igas) and IGESR (for the Ministries of Education, Sport and Research). This scourge is responsible for 16,000 deaths per year.

Like food products, the president spoke without precision of his intention to make information on each product more visible and readable to consumers.

He finally confirmed the objective of seven new “low emission zones” in large cities and certain valleys to improve air quality.

“Preventable cancers”

In terms of prevention, the government and the Cancer Institute (INCa) aim to reduce the number of “preventable cancers” by 60,000 per year by 2040, out of a total of 153,000.

About 40% of cancer cases could be avoided, because they are attributable to modifiable risk factors such as tobacco, diet, UV exposure or sedentary lifestyle.

Develop the three organized screenings

They also want to convince more French people to participate in the three organized screenings put in place: for breast cancer, colorectal cancer and, recently, the cervix. The objective is to “carry out 1 million more screenings by 2025”, against 9 million each year today.

The room for improvement exists mainly for colorectal cancer screening, with only 30% participation. “Research” is being carried out to consider screening for other cancers, such as lung cancer.

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Improve survival rate

The plan also wants to limit to a third the proportion of patients suffering from sequelae five years after their diagnosis (mutilating surgeries, side effects of drugs, developmental delays in children …), against two thirds at present.

The last objective is to “significantly improve” the survival rate of cancers with a poor prognosis. These are those whose five-year survival rate is less than 33%, such as pancreatic or lung cancers, certain so-called “triple negative” breast cancers or even a rare cancer, glioblastoma of the brainstem of the child.