The secret of Japan’s martial arts strategy to deal with stomach cancer is universal early screening, with the slogan “the earlier the detection, the better the treatment.
Since 1990, about 6 million people have been screened every year.
Since 1990, about 6 million people have been screened for stomach cancer every year. So the treatment of stomach cancer in Japan is winning at the starting line. If someone has stomach cancer and then goes to Japan for treatment, it may be a little too late because Japan does not necessarily have a special treatment advantage. For example, if we compare the annual incidence and mortality rates of stomach cancer in the United States and Japan, the incidence and mortality rates of stomach cancer in the United States and Japan are relatively higher per 100 people.
For example, if we compare the annual incidence and mortality rates of stomach cancer in the United States and Japan, there are 42 deaths from stomach cancer in Japan and 53 in the United States, which is a little bit different, but the difference is not big. So the 5-year gastric cancer survival rate in Japan
The 5-year survival rate of gastric cancer in Japan looks good, but there is a lot of “water”. One of the “water” is that patients with early stage cancer are detected and their disease progresses more slowly, so the survival rate is relatively higher. The second “water” is that because of the nationwide screening in Japan, many people are detected at a younger age and in better health, so they are more able to withstand chemotherapy, and the treatment is more thorough and the results are certainly better. Another “water” is that Japan has a lower threshold for defining gastric cancer. The same gastric disease, which is only considered a stomach lesion in the United States, is diagnosed as gastric cancer in Japan. So, if Japan wins the starting line, it is a bit of a ‘steal’. However, if this is a race, it is not a race between Japan and other countries, but a race between patients and cancer. The key is whether the patient can be saved or not. The key is whether or not this “stealing” works in China? Leaving aside the financial investment in universal screening, will so many people in China want to know they have cancer in advance? The Japanese have a samurai spirit and are not even afraid to commit hara-kiri, so of course they are not afraid to know about the disease. The national situation in China is that even if cancer is found, it is still hidden from patients for treatment, as if patients all have a fragile glass heart and feel that patients are unable to face cancer. If we look at the annual mortality/incidence ratio, China is much higher than the United States and Japan, and there are certainly many patients who cannot afford regular medical treatment, but are there also some whose glass hearts are broken first? What exactly did Japan do? What did Japan do to reduce the incidence and death of stomach cancer? 1. Refrigerator More than 60 years ago, stomach cancer was the main cancer in Japan. Japan began to popularize refrigerators in the 1970s, and the incidence rate has dropped dramatically since then. Why refrigerators? The current incidence of stomach cancer in the United States is very low, but in 1930
Stomach cancer was also a major cancer before 1930.
The incidence of stomach cancer began to decrease after 1930, when refrigerators began to be introduced into American homes. The benefit of the refrigerator is not that people can eat leftovers. The benefit of the refrigerator is that it keeps the bacteria in the food from growing so much. Because the food is less perishable, people don’t have to use as many preservatives, including salt, to cure the food. So what is the situation in China? According to the China Statistical Yearbook (2011)
According to the China Statistical Yearbook (2011), the number of refrigerators per 100 households in China’s cities and towns was only 80.1 in 2000 and reached 96.6 in 2010, basically saturated, but there is still a big gap in rural areas, and it is estimated that by 2015 there will still be at least 20% of rural households without refrigerators.
It is estimated that by 2015, at least 20% of rural households will still not have a refrigerator. The lack of refrigerators in rural areas coincides with the high incidence of stomach cancer. From the 2015
China’s cancer statistics for 2015 show that while the total number of cancer cases in urban and rural areas is comparable, the number of stomach cancer cases in rural areas is more than twice as high as in urban areas. So, even if there is no way for Chinese cancer patients to eat effective drugs at the moment, maybe we can set a small goal first: let all Chinese families use refrigerators. 2. Salt The intake of salt in food is also positively correlated with the incidence of stomach cancer. In a study, salt intake in food was inferred from the salt content in urine, and a sample of people from 24 countries were examined.
A study examined people from 24 countries and found that the higher the salt intake, the higher the mortality rate of stomach cancer in those countries. Japanese people have more salt in their diet. However, over the decades, the average salt intake in Japan has been decreasing
. How much can controlling the amount of salt actually reduce stomach cancer? There is no exact data yet, but too much salt can cause many health problems. The World Health Organization has lowered the recommended daily salt intake to 5 grams per person.
grams per person per day, so Japan still has work to do on this issue, and so does China. For example, if you eat dumplings on the winter solstice, you can put less salt in the filling, and don’t eat it with soy sauce. 3, H. pylori H. pylori can lead to gastric ulcers, there have been different views on whether it can lead to stomach cancer. A clinical trial was done in China to eradicate gastric ulcers, but after seven years of follow-up after treatment, it was found that eradicating gastric ulcers did not reduce the incidence of gastric cancer. It was not until after 15 years of follow-up that it became apparent that the treatment of gastric ulcers did not reduce the incidence of gastric cancer.
It was only after 15 years of follow-up that a reduction in the incidence and mortality of gastric cancer was evident with the treatment of gastric ulcers. Starting in 2013, Japan’s national health insurance began to pay for the eradication of gastric ulcers in hopes of further reducing gastric cancer and related mortality. In conclusion The incidence of gastric cancer in China is somewhat less than in Japan, but due to its large population base, gastric cancer in China contributes to more than half of the cases worldwide. Compared to the “cancer moon landing plan” proposed in the United States, or the universal screening program in Japan, the refrigerator, salt, and Helicobacter pylori are a few things that are more realistic.