Cross-boundary Cancer Studies
Surviving Cancer in Asia
Cross-boundary Cancer Studies
Surviving Cancer in Asia
The challenges surrounding the rapidly growing cancer rates in Asia reflect more than just medical concerns—they mirror the underlying structure and state of society at large. As we strive for a sustainable society, the lessons we learn from these challenges are pivotal. At the heart of this course is the BEAUTY project, an acronym for "Bringing Education And Understanding To You." This groundbreaking program harnesses the power of beauty professionals to foster community awareness about cancer. By integrating multiple sectors beyond just the medical realm, the project aligns with the goal of achieving Universal Health Coverage (UHC).
The BEAUTY project has already made notable strides, having produced educational materials in four languages. With a portal registry set to launch this fall, insights from the prior year illuminate the current state of cancer care in Malaysia. This project, termed Cross-boundary Cancer Studies, is rooted in an interdisciplinary exchange between Japan and Malaysia.
Against the backdrop of these challenges, we must ponder: What can we contribute? What steps can we take towards a sustainable system?
As was the case last year, this course will keep pace with the project's advancements. Expert consultations will be woven into the curriculum, and students will be encouraged to actively contribute fresh proposals to the project. The ultimate objective is to create a learning experience where students are not only absorbing knowledge but also proactively contributing to the betterment of society.
Course Overview
This lecture course is multidisciplinary and aims to bring together students from various fields to learn about an issue that has tended previously to only be perceived from a specialist angle. By providing students with the opportunity to learn about matters outside their own area of specialization, the course aims to also provide an opportunity for students to relativize their own studies.
The field of cancer is one that has a high degree of specialization and it has not necessarily interacted well or been open to collaboration with other fields of study to date. This course aims to support the development of the next generation of experts who are adept at working in interdisciplinary environments and will be the driving force behind research in their various fields, based on the recognition that the role of a modern university is to create innovation in response to social issues.
This groundbreaking multidisciplinary approach to learning aims to address issues relating to the common and ever-growing challenge of cancer in Asia, with reference to global policy concepts on Universal Health Coverage (UHC).
To date we have sought to contribute to enhancing international cancer research from an Asian perspective by comparing the characteristics of Asia to those of western countries. This lecture course is a part of these ongoing efforts.
The goals of UHC are to ensure that all people have access to high-quality health services, to protect all people from public health risks, and to protect all people from financial hardship due to out-of-pocket costs for health services and loss of income when they or a family member fall ill.
There are currently many initiatives and proposals for action in the international community that seek to achieve UHC, which has come to be recognized as a global policy agreement. The implementation of a UHC strategy requires the involvement of stakeholders, who have an influence on the design of and implementation of programs, including matters such as budgetary allocation and investment in healthcare practitioners. Programs and decisions made to date have largely been based on a response to primary care, predicated on a disease structure dominated by communicable diseases. However, it is projected that under current structures it is unlikely that healthcare systems will be able to cope with the tremendous socioeconomic burden caused by the rapidly increasing cases of cancer in Asia. The realization of UHC for cancer in Asia is therefore fraught with major challenges, as the immense costs arising from cancer care require countries to have robust financial and healthcare systems in place.
Despite the fact that thanks to advances in medicine many types of cancer are now highly treatable with good prospects for remission or cure, the fact remains that not everyone can have access to the latest treatment. Furthermore, even in countries where medical systems and care are highly advanced, difficult questions now have to be addressed about just how far treatment can be provided with limited medical resources. These facts amply demonstrate that both industrialized and developing countries share similar issues and that UHC for cancer can be perceived as a common global challenge. Cancer is characterized by the tremendous impact it has directly on the patient him/herself and those close to the patient. As societies continue to age, there has never been a time in the history of humankind when people have faced such a serious threat from disease. To realize a sustainable society in the future it is imperative for all people on the planet, regardless of socioeconomic status, to join together in creating knowledge and wisdom that will help the human race face and survive cancer.
Course Schedule 2023-2024
The 1st lecture
October 12, 2023
Title
Role of interdisciplinary research when considering UHC for cancer in Malaysia - The road toward Asia Cancer Barometer
Speaker
Shigeto Sonoda
- Professor, The University of Tokyo
The 2nd lecture
October 26, 2023
Title
Where is the road to realization of UHC leading for cancer in Malaysia
Speaker
Murallitharan Munisamy
- Managing Director, National Cancer Society Malaysia
The 3rd lecture
November 2, 2023
Title
Elucidating the outlook for UHC from the Potential of ICT Networks
Speakers
Cary Adams - CEO, UICC
Teppei Sakano - CEO, Allm Inc.
The 4th lecture
November 9, 2023
Title
Transforming Cancer Outcomes: Malaysia's Diagnostic Challenge
Speaker
Basri Johan Jeet Bin Abdullah
- Consultant Radiologist, University of Malaya Medical Centre
Soo Tze Hui
- Clinical Radiologist, University Putra Malaysia
The 5th lecture
November 16, 2023
Title
Global Dynamics and Digital Healthcare in Asia
Speaker
Takahiro Ikawa
– President, Fujitsu Future Studies Center (FFSC)
The 6th lecture
December 7, 2023
Title
BEAUTY and Health Project in Malaysia
Speakers
Norie Kawahara
- Project Associate Professor, The University of Tokyo
Murallitharan Munisamy
- Managing Director, National Cancer Society Malaysia
Jessica Canute
- Project Executive, National Cancer Society Malaysia
The 7th lecture
December 14, 2023
Title
★Discussion
Speaker
Shigeto Sonoda
- Professor, The University of Tokyo
The 8th lecture
December 21, 2023
Title
What is the best cancer healthcare eco-system for Asia?
Speaker
Masahiro Isobe
- CSO, PMCare Sdn Bhd.
The 9th lecture
January 11, 2024
Title
The Medical Disparity between Rural and Urban Areas in Cancer Treatment in Malaysia
Speaker
Saunthari Somasundaram
- President, National Cancer Society Malaysia
The 10th lecture
January 18, 2024
Title
What is Sustainability for Asia?
Speaker
Angelique Lewis - Director, Astellas Pharma Inc.
Izumi Fujii - Astellas Pharma Inc.
The 11th lecture
January 25, 2024
Title
BEAUTY: The Importance of "Bido" and "SMILE"
Speaker
Jane Aiko Yamano
- Chair, Yamano Gakuen Group
The 12th lecture
February 1, 2024
Title
UHC Provision - Cancer has the power to bring people together
Speaker
Norie Kawahara
- Project Associate Professor, The University of Tokyo
★ Student presentation
February 1, 2024
Since its inception in 2011 as a lecture series within the Japan-Asia Studies Program, Cross-boundary Cancer Studies has maintained its focus on deciphering the current situation across Asia, based on the shared challenge posed to humanity by cancer. The Japan-Asia Studies Program represented the University of Tokyo’s university-wide collaboration in Asian studies, and was also recognized as a lecture series that posed questions relating to how Japan has approached Asia to date, and how it should best interact with Asia in the future. <more>
Although the program unfortunately concluded in academic year 2020, the questions it raised and tackled over the course of a decade remain valid today, as the path that Japan took in the postwar years and how it has interacted with Asian neighbors continue to provide lessons today. Taking on the legacy of the Japan-Asia Studies Program, a new lecture series has been devised under the leadership of Professor Shigeto Sonoda, and we are most appreciative to have the opportunity to be able to publish the lecture transcripts as a Global Asian Studies report. Asia has been described as being “near and yet so far” from Japan, and wars of the past remain embedded in Asia’s present. It has been said that there are two trends in Japan’s international cooperation during the postwar period. One is the “international line,” which aims at international public interest in line with predominantly Western perspectives, and the other is the “domestic line,” which has its origins in postwar reparations. The Cross-boundary Cancer Studies network traces its own origins to the Asian Cancer Registry and Information Network meeting held in Nanjing in 2007 (the “Nanjing Conference”), and this network has continued to this day, following in large part the “domestic line.” https://www.nature.com/articles/450772c In 2022, war revisited Europe for yet another time in its history, and the future of Japan’s postwar relationship with China, which has long been questioned and considered, and which Cross-Boundary Cancer Studies has dedicated much effort to nurturing, is now facing an uncertain future. Could we really dare to hope that by facing together the vexatious challenge of cancer we could transcend past hatred and suspicion and work together to share issues that are common to all Asian societies, thus enabling pan-Asian solidarity? Can we create wisdom sufficient enough to overcome the foolishness and original sin of human existence through Cross-boundary Cancer Studies? It is with such hopes lodged in our hearts that since 2011 we have been conducting interdisciplinary cancer research based on the late Dr. Akaza’s firmly-held belief that “cancer is a mirror.”
Cross-boundary Cancer Studies is a lecture series designed to decipher the present state of Asia through both the uniqueness and universality inherent in cases of cancer, but it has proved difficult in practice to share questions and devise a system through which to provide the lectures during the course of the academic term. The advantage of interdisciplinary research is that examining multiple areas at once may result in new discoveries that individual researchers had previously been unaware of. However, when collecting and deciphering cases based on such diverse perspectives and specialties, we nonetheless felt the necessity for some kind of unifying baseline perspective that would undergird our research and study. Moreover, even within Asia, as medical care has become ever more sophisticated and the values being pursued are increasingly converging with those of the West, we struggled with the question of how to ascertain a real picture of Asia that would take into account both the high degree of regional disparities, coupled with the high universality of cancer medicine. It was with these issues and considerations in mind that from this year, the program shifted focus to throw a spotlight on Malaysia, based on the BEAUTY (Bringing Education And Understanding To You) Program, an actual program supported by the Sustainability Division of Astellas Pharma Inc. https://www.astellas.com/en/sustainability/program-in-malaysia In cooperation with the National Cancer Society Malaysia (NCSM), the goal of the learning process was to provide the participants with both opportunities to learn and to make their own suggestions regarding the BEAUTY Program. The BEAUTY Program is targeting more than one million Malaysian residents and involves various processes, including the establishment of a database for cancer education, a cancer prevention registry portal, and community participation sessions for raising cancer awareness in the local community. These processes are focused primarily on beauty salons and barber shops as community touchpoints. This community-based approach has real potential to go beyond a narrow circle of researchers and truly involve local communities, accumulating the combined power not only of medical science, but also of humanities and social sciences, to decipher and better understand the current state of Malaysia, and, more broadly, a fast-changing Asia. Forty years ago, around the time when the Look East Policy began in Malaysia, I was a student at Waseda University. It was during my time as a student working for the Japan-side partner organization of the ASEAN Council of Japan Alumni (ASCOJA) that I first started to be involved with Malaysia. Later, I made a promise with Mr. Tanaka Nichijun, a Buddhist monk who was a prison chaplain for Class-BC war criminal, to 'do our utmost to overcome the tragic legacy of war. That is what has driven me to continue the activities of the Asian Cancer Forum. Having become deeply involved in the BEAUTY Program in Malaysia, I can now appreciate that neither of the abovementioned traditional approaches to international cooperation are truly applicable to the current reality. I understand most keenly that facing the realities of 21st-century Asia means more than Japan simply trying to atone for a past war, or imposing Western logic in the course of providing poverty relief. We must find an approach that is imbued with an entirely Asian perspective. Seeking as it does to realize a world in which no-one is left behind, the concept of Universal Health Coverage (UHC) could also be perceived as a riddle: in a world in which the progress of science has blessed us with increased longevity, but at the expense of increased cancer incidence, how can humanity survive with limited and finite resources, while also giving free rein to human ambitions and aspirations?
Continuing from the 2022 semester, we will continue our cross-boundary cancer studies on the theme of "Surviving Cancer in Asia"BEAUTY program with a focus on Malaysia.
The class will consider solutions to the challenges of cancer treatment in the Malaysian field, with experts in various fields presenting on the topics.
The class is designed to encourage students to present their interdisciplinary solutions and write a report as the final product of the class.
Through this course students will gain an understanding of the current status and challenges for cancer in Malaysia and also the significance of UHC as a policy concept. By considering the impact that UHC could have on cancer in Malaysia and reviewing various reference papers on this topic, students will present their own opinions with regard to the structures and methods that could ensure the realization of UHC for cancer in Asia.
Through a series of lectures that will continue through to the end of January participants will learn about the current status and challenges for cancer in Malaysia and also gain an understanding of the significance of UHC as a policy concept, including reference to specific examples.
Characteristics of cancer treatment and care in Malaysia and the significance of interdisciplinary studies
What can we learn from data in order to create a profile for UHC for cancer in Malaysia?
UHC policy concepts and the role of the international community (Sharing knowledge about the processes involved from the formulation and introduction of a UHC strategy through to implementation)
Exploring what medical resources are required for the realization of UHC for cancer in Malaysia: Financial, human resources, culture (philosophy, religion), societal structures
International comparison of health economics evaluations in Malaysia
Role of pharmaceutical companies in realizing UHC for cancer care in Malaysia
Evaluation comprises the following components
attendance, short reports submitted after each lecture*,40%
Presentation, final report.60%
*Short reports are written in response to a question posed by the lecturer in a format of the student’s choosing. As the course is in an omnibus format, these short reports are important for demonstrating understanding of each lecture and ensuring that students have given thought to how the contents of each lecture relate to each other as individual parts of the overall course. The content of the short reports will not affect grading of the course—evaluation is based on whether a report is submitted or not. These short reports may be considered as notes in preparation for compilation of the final report.
1. アジアでがんを生き延びる 東京大学出版会
http://www.utp.or.jp/book/b306518.html
2. Surviving Cancer in Asia: Cross-boundary Cancer Studies, The University of Tokyo, JJCO Volume 44, Issue suppl_1, February 2014
https://academic.oup.com/jjco/issue/44/suppl_1
3. Surviving Cancer in Asia: Cross-boundary Cancer Studies, The University of Tokyo, JJCO
Volume 51, Issue Supplement_1, May 2021
https://academic.oup.com/jjco/issue/51/Supplement_1
4. Teaching Global Asia : A Lecture Series to Understand Malaysian Case4
Surviving Cancer in Asia: Cross-boundary Cancer Studies, The University of Tokyo
https://gas.ioc.u-tokyo.ac.jp/outreach/booklet-gas-teaching-global-asia/
Others
◆ Notes on Taking the Course
Re-taking is possible.
◆ e-mail address
noriekawahara@nifty.com
◆ Laboratory room phone no
+81 80-5039-7646
Cooperation and Endorsement
Cooperation
Asia Cancer Forum
Cooperation
Asia Future Research Institute
Endorsement
UICC- Asia Regional Office