Dr. Dattatreyudu Nori, who has been appointed as AP Government Advisor (Cancer care) speaking to The Hindu in Vijayawada.
| Photo Credit:
KVS GIRI
There are reports that the incidence of cancer in India is on the rise. How do you look at the emerging trends?
The cancer incidence is growing in India primarily for two reasons. The first factor is that the older population is increasing even though there is a significant number of middle-aged groups. Secondly, there is an increased awareness about cancer. On the diagnostic side, there are more facilities. Everyone feels cancer numbers are going up. It is true to some extent but the awareness has also improved among the public.
Except for the M.N.J. Institute of Oncology and Regional Cancer Centre, there is no other government-dedicated hospital to treat cancer in Andhra Pradesh and Telangana states. What is your suggestion?
MNJ Hospital is a Regional Cancer Centre started with the approval and funds given by the Union government. Serving not only A.P. and Telangana but the entire southern region because care is free. The government is strengthening it. Such Regional Cancer Centres help a group of patients who cannot afford to go to private hospitals. What I suggest to the governments is that they should strengthen their government hospitals with the latest technologies and treatments. Everything that a corporate hospital can deliver should be available for deliverance in government hospitals.
The first order of duty is to identify deficiencies in government hospitals and strengthen them. That way you will serve more people, who cannot afford cancer treatment. The governments should see that treatment is accessible by free transport from anywhere to anywhere within the State; providing accommodation to the patient’s family. All these are crucial if you want to provide optimal care for underprivileged people.
Do you feel that there is a need for sub-regional cancer centres?
I will tour all the hospitals in Andhra Pradesh. I am from A.P., and I studied in Kurnool, I know in and out of every hospital. I will study and report to Chief Minister N. Chandrababu Naidu on what can be done immediately, short-term, intermediate and long-range plans. That is the first order of my responsibility to present the information to the Chief Minister.
The report should be ready in three months probably but for data available with the government.
Do you advocate the PPP model as the governments are not in a position to invest more in cancer hospitals?
First, we find deficiencies and find funding. I have to know what the deficiencies are. Then funding can be accommodated automatically. Either requesting the Central government or institutions like Tata Trusts which has hospitals in places like Visakhapatnam and Tirupati. The A.P. government already has a tie-up with Tata Trusts. We will ask them to establish centres where there is a deficiency.
Government hospitals are not fully equipped yet. Corporate hospitals have taken over cancer care. The problem is that middle and low-income classes cannot afford cancer treatment despite Aaryogyasri and other schemes. There are about 1.4 to 1.5 million cancer cases every year. We need more cancer centres but not at the corporate level because cancer treatments are very expensive.
You are meeting Prime Minister Narendra Modi. What do you have to suggest to him to address cancer-related issues?
The government has to classify Cancer as a notifiable disease. India should adopt a strategy akin to fighting COVID-19. District and State-level data for the entire country has to be prepared, and thus prepare a Cancer Atlas. The establishment of a cancer command and control (CCC) centre in India is necessary. The cancer department has to be a single entity not a sub-division of the health department. The government should adopt a five-point solution, which we call Panchamrit, to address the cancer crisis in India. There is a need to declare cancer a notifiable disease, subsidise cancer screening and establish a command-and-control centre. We should get accurate cancer incidence and prevalence data. This will help in identifying high-density areas and how to allot resources.
In the backdrop of a lot of opposition and conspiracy theories to the HPV vaccine in India, what’s your take on the vaccination? What is the scenario in other countries regarding the vaccine?
Western countries have proved that the HPV vaccine is successful. The Government of India is also encouraging. Remember that 200 women die every day due to cervical cancer. Social media writes all kinds of nonsense. You should write the truth about cervical cancer and spread awareness about the HPV vaccine.
What is your suggestion to governments to fight cancer?
To address the crisis in India and A.P., it has to be a two-pronged strategy. Apart from treating the existing patients, it is also important to focus on creating awareness, health education, prevention screening and early detection. If you want to succeed in the cancer fight you have to give a balanced approach to both.
How do you look at traditional medicine and various kinds of treatments for cancer?
All medicines are available. Immunotherapy medicines are available and the government and pharma companies are subscribing to them. Some traditional medicines may work, but they don’t have time to do research. I am not against traditional medicines, but it has to be proven with data.
It is said that cancer is a genetic disease. How far is it true?
90% of cancer cases are due to somatic mutations, and the remaining 10% are genetic. If one changes their lifestyle by quitting smoking and alcohol, and eating nutritious food, cancer can be prevented.
What about the research centre at Basava Tarakam Hospital?
A research centre is coming up with ₹10 crore in Hyderabad. The building has been identified. We are buying new equipment. Research teams are ready. Actually, this is not new, we are moving from the old building to the new one.
Published – March 11, 2025 07:04 pm IST