MMWR Recomm Rep. 1998 Aug 28;47(RR-14):1-12.
In August 1996, CDC convened a national conference to develop strategies for preventing and controlling oral and pharyngeal cancer in the United States. The conference, which was cosponsored by the National Institute of Dental Research of the National Institutes of Health and the American Dental Association, included 125 experts in oral and pharyngeal cancer prevention, treatment, and research; both the private and public sectors were represented. Participants at the conference developed recommendations concerning advocacy, collaboration, and coalition building; public health policy; public education; professional education and practice; and data collection, evaluation, and research. A follow-up meeting consisting of selected participants of the 1996 conference was held in September 1997. During this meeting, changes that had occurred in the political and scientific arenas since the 1996 conference were considered, and 10 recommended strategies from the conference were selected for priority implementation. These 10 strategies were to a) establish a mechanism to implement and monitor the recommended strategies developed during the conference; b) urge oral health professionals to become more actively involved in community health; c) require instruction in preventing and controlling tobacco and alcohol use at all levels of training in dental, medical, nursing, and other related health-care disciplines; d) encourage Medicaid, Medicare, traditional insurance plans, and managed-care entities to consider making oral cancer examinations an integral part of comprehensive physical and oral examinations; e) designate federal funding for a national program of oral cancer prevention, early detection, and control; f) after assessing local needs, develop, implement, and evaluate statewide models to educate all relevant groups; g) develop and conduct a national promotional campaign to raise public awareness of oral cancer and its link to tobacco use and heavy alcohol consumption; h) develop health-care curricula that require competency in prevention, diagnosis, and multidisciplinary management of oral and pharyngeal cancer; i) sponsor and promote continuing education for health-care professionals on the multidisciplinary management of all phases of oral cancer and its sequelae; and j) strengthen organizational approaches to reducing oral cancer by developing organized cooperative and collaborative arrangements, funding formal centers, and involving commercial firms. CDC will use these recommended strategies to develop programs to reduce the burden of oral and pharyngeal cancer in the United States. Through the Oral Cancer Roundtable, a group of conference and meeting participants, CDC will communicate to interested agencies, organizations, and state health departments ways in which they can implement elements of the national plan. The Roundtable will help CDC track the efforts and progress of these groups.
1996年8月，美国疾病控制与预防中心（CDC）召开了一次全国性会议，以制定美国口腔和咽癌的预防与控制策略。该会议由国立卫生研究院的国立牙科研究所和美国牙科协会共同主办，有125名口腔和咽癌预防、治疗及研究方面的专家参会，涵盖了公共和私营部门。会议参与者就宣传、合作与联盟建设、公共卫生政策、公众教育、专业教育与实践以及数据收集、评估和研究等方面提出了建议。1997年9月，由1996年会议的部分参会者参加了一次后续会议。在这次会议上，审议了自1996年会议以来政治和科学领域发生的变化，并从会议提出的建议策略中选出10项优先实施。这10项策略是：a）建立一个机制来实施和监督会议期间制定的建议策略；b）敦促口腔健康专业人员更积极地参与社区卫生工作；c）要求在牙科、医学、护理及其他相关卫生保健学科的各级培训中都要开展预防和控制烟草及酒精使用的教学；d）鼓励医疗补助、医疗保险、传统保险计划及管理式医疗实体考虑将口腔癌检查纳入全面身体和口腔检查的一部分；e）指定联邦资金用于全国性的口腔癌预防、早期检测和控制项目；f）在评估当地需求后，制定、实施和评估全州范围的模式，以教育所有相关群体；g）开展全国性的宣传活动，提高公众对口腔癌及其与烟草使用和大量饮酒之间联系的认识；h）制定要求具备口腔和咽癌预防、诊断及多学科管理能力的卫生保健课程；i）赞助并促进针对卫生保健专业人员的继续教育，内容为口腔癌各阶段及其后遗症的多学科管理；j）通过制定有组织的合作与协作安排、为正规中心提供资金以及让商业公司参与，加强减少口腔癌的组织方法。CDC将利用这些建议策略来制定减轻美国口腔和咽癌负担的项目。通过口腔癌圆桌会议（由会议和后续会议的部分参与者组成），CDC将向感兴趣的机构、组织和州卫生部门传达它们可以实施国家计划各要素的方式。圆桌会议将帮助CDC跟踪这些群体的努力和进展情况。
