World Cancer Day: WHO says, one in 10 Indians will develop cancer during their lifetime
United Nations, Feb 4: India had an estimated 1.16 million new cancer cases in 2018, according to a report by the World Health Organization (WHO), which said that one in 10 Indians will develop cancer during their lifetime and one in 15 will die of the disease.
Ahead of the World Cancer Day on Tuesday, WHO and its specialized International Agency for Research on Cancer (IARC) have released two reports: one aimed at setting the global agenda on the disease; the other focused on research and prevention.
The World Cancer Report said that according to the estimated cancer burden in India in 2018, there are about 1.16 million new cancer cases, 784,800 cancer deaths, and 2.26 million 5-year prevalent cases in India's population of 1.35 billion.
The report said that "one in 10 Indians will develop cancer during their lifetime, and one in 15 Indians will die of cancer."
In India, the six most common cancer types were breast cancer (162,500 cases), oral cancer (120,000 cases), cervical cancer (97,000 cases), lung cancer (68,000 cases), stomach cancer (57,000 cases), and colorectal cancer (57,000). Together, these account for 49 per cent of all new cancer cases.
Of the 570,000 new cancer cases in men, oral cancer (92,000), lung cancer (49,000), stomach cancer (39,000), colorectal cancer (37,000), and esophageal cancer (34,000) account for 45 per cent of cases.
The report added that of the 587,000 new cancer cases in women, breast cancer (162,500), cervical cancer (97,000), ovarian cancer (36,000), oral cancer (28,000), and colorectal cancer (20,000) account for 60 per cent of cases.
Cancer patterns in India are dominated by a high burden of tobacco-related head and neck cancers, particularly oral cancer, in men and of cervical cancer in women; both of these cancer types are associated with lower socioeconomic status, the report said.
The burden of cancer types, such as breast cancer and colorectal cancer, associated with overweight and obesity, lower levels of physical activity, and sedentary lifestyles is increasing and these cancer types are associated with higher socioeconomic status.
"During the past two decades, India has had one of the world's best performing and most stable economies, which has grown by more than 7 per cent annually in most years.
"This economic development has given rise to vast socioeconomic changes, with an increasing risk of noncommunicable diseases, including cancer, and significant disparities in access to cancer prevention and control services," the report said.
WHO warned that global cancer rates could rise by 60 per cent over the next 20 years unless cancer care is ramped up in low and middle-income countries. Less than 15 per cent of these nations offer comprehensive cancer treatment services through their public health systems, according to the UN agency.
At least 7 million lives could be saved over the next decade, by identifying the most appropriate science for each country situation, by basing strong cancer responses on universal health coverage, and by mobilizing different stakeholders to work together, WHO Director-General Tedros Adhanom Ghebreyesus said.
The report said that about 80 per cent of the world's smokers live in low and middle-income countries. In addition, 64 per cent of the world's daily smokers live in only 10 countries and more than 50 per cent of the world's male smokers live in three countries: China, India, and Indonesia.
There are currently 164 million users of smokeless tobacco, 69 million smokers, and 42 million smokers and chewers in India. More than 90 per cent of patients with oral cancer have low or lower-middle socioeconomic status. Tobacco-related cancers account for 34 69 per cent of all cancers in men, they constitute 10 27 per cent of all cancers in women in most regions in India.
The incidence of colorectal cancer is increasing in the most developed states in India and in urban populations.
"There is a clear increasing trend in the incidence rates of breast cancer across the country, with an annual percentage increase that ranges from 1.4 per cent to 2.8 per cent and is more pronounced in urban areas than in rural areas.
Incidence rates are also increasing for cancer types associated with overweight and obesity and lower levels of physical activity, such as colorectal cancer, uterine cancer, ovarian cancer and prostate cancer."
The report noted that there is a clear decreasing trend in the incidence rates of cervical cancer in most regions in India (annual percentage change, -2.0 per cent to -3.5 per cent), with age-standardized incidence rates as low as 6 per 1,00,000 in women in Kerala.
India accounts for about one fifth of the global burden of cervical cancer, despite decreasing incidence rates in several regions of the country.
Thus, elimination of cervical cancer in India will have a major impact on global elimination of the disease as a public health problem. Cervical cancer disproportionately affects women with lower socioeconomic status, who are at a considerable disadvantage in the availability of and access to public health services for prevention and early detection, and therefore this is an equity issue.
IARC Director Elisabete Weiderpass observed that high-income countries have adopted prevention, early diagnosis and screening programmes, which together with better treatment, have contributed to an estimated 20 per cent reduction in the probability of premature mortality between 2000 and 2015, but low-income countries only saw a reduction of five per cent.
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Zubeen Garg's drowning in Singapore highlights vessel operators' responsibility: legal experts
Singapore (PTI): The drowning of Indian singer-composer Zubeen Garg has brought the spotlight on rules and regulations that concern responsibilities of vessel operators when dealing with intoxicated passengers, according to a media report that cited legal experts.
A cultural icon in India’s northeastern region, 52-year-old Garg travelled to Singapore in September 2025 to perform at a live event. A day before his performance, he went on a yacht trip with a group of people. He drowned while swimming in the sea near Lazarus Island, which is a popular diving spot.
His death shook his home state Assam, where millions came out on the streets mourning. Later, police cases were registered against the organiser of the event, his manager and some others.
Nico Lee, managing director of the Triangle Legal law firm, told The Straits Times that Singapore has Maritime and Port Authority of Singapore (Port) Regulations under which there are provisions to debar drunk passengers.
The owner, agent or captain of the vessel must not allow persons under the influence of alcohol or drugs onboard if they are intoxicated to a point where they endanger safety of the vessel, its crew or any person in it.
“In terms of civil liability, it could be argued that a yacht captain is negligent, as he owes a prima facie duty of care to guests on board under general negligence principles,” Lee was quoted as saying by the newspaper.
The singer and his entourage of about 15 individuals were partying on a chartered vessel, which they had boarded at Marina at Keppel Bay.
A death certificate issued by the Singapore General Hospital listed his cause of death as drowning.
An autopsy report suggested that Garg had 333 mg of alcohol per 100 ml of blood in his system, which was four times the legal limit for driving in Singapore and is likely to have impacted his coordination.
Citing Garg’s case, Lee said the circumstances were serious, as the controller of the vessel knew that the guest was intoxicated. Also, he may not have understood or processed a safety briefing for all passengers.
“That combination makes reliance on an ordinary briefing inadequate. If intoxication reaches a level that endangers the safety of the vessel or persons on board, the person in charge should not permit boarding at all,” he said.
According to Lee, the vessel’s operators could also have assigned a crew member to directly supervise him or ensure that he received a one-to-one explanation when he was capable of understanding.
Part of the responsibility could be attributed to the guest if he chose to enter the water and ignore instructions or behave dangerously despite the yacht owner or charterer’s best efforts, Lee said.
Vanessa Sandhu from Clifford Law LLP told The Straits Times that a key question is whether the yacht captain or operator owed a “duty of care” to the passenger and, if so, whether a breach of that duty caused the death.
“A yacht captain and operator generally owe passengers a duty to take reasonable care for their safety while on board, including swimming or water activities. This may include providing safety equipment and issuing appropriate safety instructions,” the daily quoted Sandhu as saying.
“However, the standard of care is an objective one, based on what a reasonable captain or operator would have done in the circumstances. It is not an absolute obligation to prevent all harm,” she said.
During the coroner’s inquiry, the operators of the vessel had said that no one had forced the singer to consume alcohol or enter the water, and that the entire entourage was informed on the yacht about the necessity of wearing life jackets before going for a swim.
A coroner’s inquiry on March 25 ruled Garg’s death as accidental drowning. On April 1, the police said that investigations into the singer's death had concluded, with no evidence of foul play.
However, in Assam, where seven persons were arrested in connection with Garg’s case, and some of them charged with murder, the matter is being heard in the court. All the suspects have denied any wrongdoing.
