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Written by: Huang Weilun
2019-12-19 12:00
Last updated: 2019-12-19 12:00Colorectal cancer is the most common cancer in Hong Kong. The Department of Health announced today (19th) that from January 1 next year, the coverage of the colorectal cancer screening program will be further extended to Hong Kong residents aged 50 to 75. The Department stated that the citizens participating in the scheme will be arranged to undergo stool immunochemical tests by the primary medical doctors of the scheme, and will receive government funding of 280 yuan for each consultation. Participants who have occult blood in their stools and can receive basic colonoscopy services will receive a fixed subsidy of RMB 8,500 if they need to remove the sacral meat; if they do not need to remove their sacral meat, they will receive a fixed subsidy of 7,800 yuan.
The Department of Health announced today that from January 1 next year, the coverage of the colorectal cancer screening program will be further extended to Hong Kong residents aged 50 to 75. (Profile picture)
The Department of Health states that colorectal cancer is the most common cancer in Hong Kong. There were 5,635 new cases of colorectal cancer in 2017, accounting for 17.0% of new cases of cancer. In terms of deaths, 2,314 people died of colorectal cancer in 2018, accounting for 15.9% of cancer deaths. It is the second most common fatal cancer in Hong Kong, behind lung cancer.
In August last year, the Department of Health normalized the colorectal cancer screening program. It provided funding for Hong Kong residents without symptoms of colorectal cancer to be screened in three phases. The first and second phases covered 61-75 years old and 56-75 years old respectively. . According to the Department, starting from January 1 next year, the coverage of the colon cancer screening program will be further extended to Hong Kong residents aged 50 to 75, that is, people born between 1944 and 1970.
In August last year, the Department of Health normalized the colorectal cancer screening program and subsidized Hong Kong residents without symptoms of colorectal cancer in three phases. (Profile picture)
As for the detailed screening process and funding amount, the Department of Health stated that the participating primary medical doctors will arrange for a stool immunochemical test and receive government funding of 280 yuan for each consultation, including stool immunochemical tests. When the result is positive, a second consultation is provided by the primary medical doctor.
The Department continued that if the results of the chemical test were positive, the participants would be referred to the participating colonoscopy doctors for a government-funded colonoscopy to find out the cause of occult blood in the stool. Participants in this category who receive basic colonoscopy services will receive a fixed subsidy of RMB 8,500 if they need to remove the meat; if they do not need to be removed, they will receive a fixed subsidy of RMB 7,800. In addition, the colonoscopy doctor can charge participants an additional fee of not more than 1,000 yuan when providing basic services for colonoscopy.
According to the Department of Health, so far more than 770 primary medical doctors have registered for the colon cancer screening program. (Profile picture)
As for participants with negative stool immunochemical test results, the Department of Health stated that they should be reviewed every two years until they are over 75 years old in order to maximize the effectiveness of the screening program in preventing colorectal cancer.
According to the Department of Health, so far, more than 770 primary medical doctors have registered for the colon cancer screening program with approximately 1,080 consultation sites, of which approximately 97% will not charge additional fees; in addition, more than 190 colonoscopy Doctors have also joined the scheme to provide colonoscopy services at about 450 service locations.
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Regarding the screening results, the Department of Health stated that as of September 27 this year, of the participants who returned stool samples and obtained test results, about 195,000 (12.6%) were positive in the first round of screening; Of the participants who tested positive for a chemical test and had received a colonoscopy service, approximately 11,900 (66.7%) had colorectal adenomas, and approximately 1,170 (6.6%) had colorectal cancer.
The Department of Health stated that of the 755 cases diagnosed with colorectal cancer under the colorectal cancer screening program, about 60% were relatively early and the cure rate was relatively high. A spokesman for the department said that colorectal cancer can be prevented through the practice of healthy living and systematic screening. Early identification and diagnosis and treatment can also greatly improve the cure rate of colorectal cancer, and urged qualified persons to participate in the colorectal cancer screening program as soon as possible.
The Department of Health states that eligible persons who want to participate in the colon cancer screening program should register for the electronic health record interoperability system. For details, please visit the electronic health record interoperability system website www.ehealth.gov.hk, or call 3467 6300 to apply and consult the center Inquire.
Colorectal Cancer ScreeningGastrointestinal Diseases Department of Health
