Cancer Foundation`s Annual Report

2014
Annual Report
National
program
trains radiotherapy
professionals
Oncologic
Attention Plan
Consulting services
in Amazonas consolidates
national engagement
Redome
Integration of
information to save lives
BOARD OF TRUSTEES
Chairman | Marcos Fernando Oliveira Moraes
BOARD MEMBERS
CONTENTS
Ana Dolores Moura Carneiro de Novaes
Antenor Gomes de Barros Leal
Armínio Fraga Neto
Carlos Mariani Bittencourt
Ivan Ferreira Garcia
Joaquim de Arruda Falcão Neto
Joaquim José do Amaral Castellões
José Ermírio de Moraes Neto
Luiz Antonio Santini Rodrigues da Silva
Maria do Carmo Nabuco de Almeida Braga
Paulo Niemeyer Soares Filho
Roberto Pontes Dias
2INTRODUCTION
BOARD OF DIRECTORS
4 HIGHLIGHTED PROJECTS
National program trains radiotherapy professionals
President | Peter Byrd Rodenbeck
Vice-President | Luiz Fernando Salgado Candiota
Consulting services in Amazonas consolidates
national engagement
Technical Administrative Director | Amaury de Azevedo
Treasurer | Sérgio Tabone
Integration of information to save lives
Secretary | José Mauro Lorga
14 MOBILIZATION
OVERSIGHT BOARD
Eliane de Castro Bernardino
Legislation strengthens control over tobacco abusage
José Kogut
Prevention and health promotion on the networks
Thomas Chiereghini Ribeiro Monteiro
18RESEARCH
EXECUTIVE ADMINISTRATION
More resources for research
Executive Director | Celso Ruggiero
20 SOLIDARITY
Administrative & Financial Director |
Jorge Murilo Lima de Mesquita Barros
Parties for more life
The beauty of solidarity
Helping is never out of fashion
22 CANCER IN CHILDREN AND ADOLESCENTS
Joining forces for cure
Help comes from many sources
24 MANAGEMENT
COVER | RADIOTHERAPEUTIC DOCTOR RAFAEL DAHER CARVALHO
WITH A PATIENT AT THE UNIVERSITY CENTER FOR CANCER CONTROL
(CUCC), RIO DE JANEIRO STATE UNIVERSITY - UERJ
Vision of the future
25 FINANCIAL STATEMENTS
2014 Annual Report
INTRODUCTION
The Cancer Foundation is a non-profit institution created with the commitment to
contribute to Brazil’s National Cancer Control Policy and this is what we have done
in an untiring manner, with the aid of companies and individual donors and the
performance of services for government institutions and agencies.
Some examples of our activities in the year
2014 are highlighted in this report. The
Foundation’s team has been performing
consulting services for states and
municipalities to develop their Oncologic
Attention Plans. We have already structured
a program to train radiotherapy professionals
throughout Brazil and will be kicking it off
this year. And we are now preparing to put
a hospital unit into operation in the State
of Rio de Janeiro in 2016.
Moreover, we have maintained our zeal in
raising funds and managing them for the
Research area of the National Cancer Institute
of Brazil – INCA. With the latter institute
we are also partners in management of the
National Register of Volunteer Bone Marrow
Donors (Redome) and expansion of the
Brazilian Network of Public Umbilical Cord and
Placenta Blood Banks (BrasilCord Network).
This past year we commemorated regulation
of the law that prohibits smoking in closed
and partly closed collective environments and
advertising of cigarettes in outlets that sell
them. This has been an important victory for
Brazilian society in the prevention of cancer
and other diseases.
Cigarettes are the leading cause of lung,
mouth and larynx cancer. For this reason
we need to stay constantly on the alert to
prevent the tobacco industry’s onslaughts
in spreading its vice-ridden products and
encouraging tobacco usage, especially among
the young. One of the main weapons in
controlling cancer is prevention.
Cancer is one of the main public health issues
of our time. The World Health Organization
(WHO) projects 27 million new cases and
17 million cancer deaths all over the world
by the year 2030. In Brazil, it is the second
leading cause of disease-related deaths.
The estimate is 580 thousand new cases
of cancer, just in the year 2015.
Governments have not been able to face up to
all of the challenges that fighting the disease
impose without society doing its share.
Research, promotion of healthy living habits,
prevention and treatment require gigantic
sums, with the involvement of thousands
of scientists, doctors and various other
specialized professionals, as well as major
investments in hospitals and equipment.
Much has already been done and there is
still a lot to do to foster cancer prevention
and control. We have not gotten to this
point alone and we need the solidarity of
those who are willing to contribute to our
cause, regardless of how and with how
much. We thank all our partners and also
our collaborators, who are responsible for the
projects and initiatives highlighted on the
forthcoming pages.
MARCOS MORAES
Chairman of the Board of Trustees of the Cancer Foundation
3
4
PROJETOS EM DESTAQUE
2014 Annual Report
With the National Radiotherapy
Training Program, the Cancer
Foundation has entered into the area
of education. The goal is to prepare
professionals qualified to perform
work in various areas, in this case
supporting the National Radiotherapy
Program of the Federal Ministry of
Health. The Ministry’s Program aims
to make it feasible to install 50 sets of
new equipment and replace another
50 machines in several of the nation’s
states as from 2015, in order to handle
the backed up demand of the Single
Health System (SUS).
L ON THE PREVIOUS PAGE, PROFESSOR CARLOS EDUARDO
DE ALMEIDA. BELOW, A PATIENT BEING PREPARED FOR
A RADIOTHERAPY SESSION BY TECHNICIANS THIAGO
RODRIGUES AND BERNADETE MAGALHÃES.
HIGHLIGHTED PROJECTS
NATIONAL
PROGRAM
TRAINS RADIOTHERAPY
PROFESSIONALS
The project was conceived of at the Foundation
by Professor Carlos Eduardo Almeida and
developed in partnership with professors
Luis Felipe Ribeiro Pinto of the Instruction
Department of the National Cancer Institute
of Brazil (INCA) and Antonio Peregrino of the
Radiological Sciences Laboratory of Rio de
Janeiro State University – UERJ.
Over the course of two years, the program is
going to undertake a joint effort to train 20
physicists with a trans-disciplinary view of
radiotherapy techniques. There will also be
updating courses for radiotherapy doctors,
technicians and physicists. Funds obtained
through the National Oncologic Attention
Support Plan (Pronon) cover the costs of
transportation, scholarships and lodging for
students and professors, personnel involved in
management, professors and the equipment
required for the training and assembly of the
virtual long-distance platform.
5
HIGHLIGHTED PROJECTS
6
2014 Annual Report
Tax Incentive
guarantees new projects
L TO THE RIGHT, RADIOTHERAPY DOCTOR RAFAEL DAHER CARVALHO, ACCOMPANIED BY TECHNICIANS, IN THE CONTROL ROOM
OF THE HIGH-ENERGY LINEAR PARTICLE ACCELERATOR AT THE UNIVERSITY CENTER FOR CANCER CONTROL (CUCC), RIO DE JANEIRO
L PROFESIONAL USING TOMOGRAPHY IMAGE
TO PLAN TREATMENT
STATE UNIVERSITY – UERJ
All the physicists and technicians will be
trained in Rio de Janeiro and São Paulo, but
will have to return to work at their original
institutions in their respective states. The
training will be carried out according to the
directives of the Brazilian Association of
Medical Physics, the International Atomic
Energy Agency and National Sanitary
Vigilance Agency (ANVISA). INCA and UERJ
will be responsible for the certifications of
technicians, physicists and doctors.
A specialist in Medical Physics, with a Master’s
and Doctor’s Degree at M.D. Anderson
Hospital, as well as a visiting researcher at
the Institut Marie Curie and Institut Gustave
Roussy in France, professor Almeida was
recently recognized by the International
Organization of Medical Physics as one of the
world’s leading specialists in Medical Physics,
having been one of just 18 people bestowed
with the title of Fellow by this organization,
which boasts over 30 thousand members.
In the line of oncologic care, radiotherapy is
recognized as an essential component of the
assistance required. Around 60% of patients
will benefit from such therapy at some
point in the course of their treatment, and
the results indicate a cure rate of 50% on an
isolated basis and over 60% when associated
with chemotherapy or surgery.
Head Professor of Medical Physics and
Coordinator of UERJ’s Radiological Sciences
Laboratory, Carlos Eduardo states that the
National Radiological Training Program
should benefit on a preferential basis
public and philanthropic institutions.
Then will come the turn of private
institutions with SUS credentials that have
installed radiotherapy. The priority in
selection will be those coming from cities
that have been benefitted by the Ministry
of Health’s program. The trained physicists
and technicians will aid in preparing other
professionals at their institutions.
“It is necessary to train human resources
in this expanding market where there is a
shortage of qualified personnel,” explains
the technical coordinator of the project at
the Foundation, professor Carlos Eduardo de
Almeida. “With 100 new machines operating,
we will be able to handle 50 thousand patients
per year. The waiting line for treatment will
move much faster! Today, the wait is long and
thousands of patients are not properly handled
each year owing to lack of equipment and
trained teams.”
“The physicists and technical professionals
will be trained at the Foundation and at
partner institutions, on a rotating basis, so
as to allow them to have varied experiences
in different centers and face new realities,
accompanied by local preceptors and the
Program’s Coordinating Office. For doctors,
the updating program will be more intense,
covering especially most prevalent pathologies
that use advanced technology. In the second
phase, the courses will be decentralized, with
regional steps,” Professor Almeida explains.
Carlos Eduardo de Almeida, who was the
creator and coordinator of INCA’s National
Radiotherapy Quality Program, points to
another contribution made by the Cancer
Foundation in the educational area. “The
development of teaching material for this
program will permit structuring of a longdistance instruction program. The database
will contain a complete set of actual clinical
cases (from diagnosis, with images, treatment
plans and a set of questions and answers) and
results of quality guarantee programs that will
be fed by the program participants based on
daily experiences in the treatment units.”
In other words, the project will be developed
so as to store all the educational content
employed, feeding a long-distance educational
program that can be consulted any
professional working or resident in courses
already set up in Brazil. The Foundation will
manage the collection of all the information
from the medical, physical and technical
areas and, based on this register, access will
be permitted to all interested persons on an
ongoing and updated basis. ■
Making the National Radiotherapy Training
Program viable through the National
Oncologic Attention Support Plan (Pronon)
is cause for special satisfaction for the
Cancer Foundation. In 2011, the President
of the Foundation’s Board of Trustees,
Marcos Moraes, together with the directors
of the São Paulo Cancer Institute (Icesp),
Paulo Hoff, and the Brazilian Association of
Philanthropic Institutions Fighting Cancer
(Abifcc), Aristides Maltez Filho, submitted to
Brazil’s President, Dilma Rousseff, a proposal
to create a law that would permit donations
to oncologic projects with tax deductions –
the starting point of Pronon.
In order to carry out the National
Radiotherapy Training Program, the
Foundation received tax-deductible donations
from companies and individuals under
Pronon. Instituted by Law No. 12.715/12,
the mechanism allows companies taxed
on the basis of their taxable income and
individuals electing to file complete returns
to donate 1% of the income tax due to
projects run by philanthropic entities in the
oncologic area.
Carrying out the project will be possible
thanks to around R$ 9.5 million
obtained from the companies Bradesco,
Cetip, EcoRodovias, Fábrica Carioca de
Catalisadores, Icatu, Itaú, IRB Brasil
Resseguros, Light, Moneo, Lojas Renna,
Multiterminais, Outback, Raizen, Software
One, Sotreq, Taesa, Ticket, Tractebel, Vale
and Zurich, as well as two individuals.
The Foundation is awaiting the appraisal
of the Ministry of Health for new projects
presented for funding in 2015. Donations
to projects approved under Pronon do
not prevent companies from using other
tax deduction mechanisms, such as the
Rouanet Law, the Sports Law, the Infancy
and Adolescence Fund (IFA), the Elderly Fund
or the National Program for Supporting
Handicapped Persons (Pronas/CDP).
Companies and individuals interested in
learning more about the projects can
obtain information through the e-mail
pronnon@cancer.org.br ■
7
8
HIGHLIGHTED PROJECTS
2014 Annual Report
“We already have a track record of nationwide engagement with the administrative
and financial management of the National
Register of Volunteer Bone Marrow Donors
(Redome) and expansion of the Brazilian
Network of Public Umbilical Cord and Placenta
Blood Banks (BrasilCord Network). But this
consulting engagement performed for the
Amazon is a landmark. It shows that the
Foundation can contribute throughout the
nation so that states and municipalities
can have their Oncologic Attention Plans”,
the Foundation’s Executive Director, Celso
Ruggiero, declares.
CONSULTING SERVICES
IN AMAZONAS CONSOLIDATES
NATIONAL ENGAGEMENT
operational processes, information systems,
billings and monitoring of results.
“One of the main concerns of the Oncologic
Attention Plans is precisely to define measures
capable of enhancing the conditions for
the basic attention to health and the first
exams, contributing to early diagnosis and
improving the quality of life of patients,”
explains epidemiologist Alfred Scaff, one
of the consulting doctors of the Cancer
Foundation involved in drawing up the plans
and consulting engagements. “The planning
work involves at least a decade and needs to
be integrated with the day-to-day routine in
society in order to gain life.”
Prior to the work undertaken in the Amazon,
the Cancer Foundation drew up Oncologic
Attention Plans, using similar methodology,
for the Health Secretariats of the State
of Rio de Janeiro and the Municipality of
Macaé (RJ). It also performed consulting
work for the Pará State Health Secretariat in
implementing a High Complexity Oncologic
Unit (Unacon) at João de Barros Barreto
University Hospital.
As regards the consulting experience in the
State of Amazonas, the Cancer Foundation’s
Manager for Projects, Reynaldo Tavares,
reports that one of the challenges for the
entire team was understanding the peculiarity
of a state where there are few roads and access
to the hinterland is mainly by river. “It was a
very rich experience for our team to work with
local technicians and the Coppe production
engineers,” he says.
A multi-disciplinary team of consultants in the area of health from the Cancer
Foundation and engineers from the Graduate Engineering Studies & Research Institute
of Rio de Janeiro Federal University (Coppe-UFRJ) worked for improvement of the
Amazonas State Oncologic Attention Network for six months in 2014. The experience
consolidates the Foundation’s nation-wide engagement to perform consulting services
in the oncologic assistance area.
Besides diagnostic work and recommendations
for actions to expand access to and enhance
the quality of the Oncologic Attention
Network, the consulting tasks performed
for the Amazonas State Health Secretariat
also included analysis and proposals for
management of the Amazonas State’s
Foundation for the Oncologic Control Center
(FECON). This foundation handles highly
complex cancer services in that northern
Brazilian state, the nation’s largest.
Appraisals were made of medical services,
The plans are a set of directives that encompass
all the aspects of oncologic attention, including
promotion of healthy habits, prevention,
diagnosis, treatment (clinical, surgical,
chemo- and radiotherapy), rehabilitation and
palliative care. Handling patients suspected
of having cancer in Brazil runs up against
complicating factors that delay early diagnosis,
which is just as important as the 60 days
guaranteed by law for beginning treatment.
This is because detecting the disease at the
outset greatly increases the chances of cure.
Another challenge, highlighted by a Cancer
Foundation doctor, José Eduardo Castro, was
the diagnosis for optimization of processes
in hospital care for patients with cancer in
the State of Amazonas. “The FECON hospital,
the only High Complex Oncology Center in
Amazonas and one of the region’s references,
needed to implement enhancements in its
administrative and assistance processes. We
made a considerable set of suggestions, some
of which have already been implemented with
positive results”, he comments.
Participating in the consulting engagement
for the State of Amazonas were the following:
doctors Alfredo Scaff, Cláudia Naylor, Carlos
Armando, Carlos Frederico Lima, Celso
Rotstein, Fernando Soares, José Eduardo Castro,
Luiza Lamosa, Roberto Fiszman and Rodrigo
Alves Torres; physicists Carlos Eduardo de
Almeida and Afonso Varela: nurses Myrna Beisi
and Johana Salla; psychologist Fabiane Gil;
pharmacist Andrea Tofani; researcher Isabele
Small; engineers Felipe Treistman, Heitor
Mansur, Leanardo Navarro, Lethicia Mallet and
Thais Spiegel; as well as the Planning Analyst
and Projects Manager of the Foundation, Jamil
Muçalam and Reynaldo Tavares, respectively. ■
L REPORT ON APPRAISAL OF
THE SITUATION OF ONCOLOGIC
ATTENTION IN THE STATE OF AMAZONAS
9
10
HIGHLIGHTED PROJECTS
2014 Annual Report
PROMOTING HEALTH AND
PREVENTION OF CANCER
Besides consulting services, the Cancer
Foundation has also expanded its activities
with projects in the area of promoting health
and preventing cancer. Among those being
developed there is more than one in the area
of controlling tobacco usage (or abusage)
and a Laboratory for Prevention and Early
Detection of Cervical-Uterine Cancer.
“The investment in promoting health
and prevention is indispensable given the
prospects of growth of cancer cases. We have
to increasingly act to avoid the disease and
diagnose it early”, comments epidemiologist
Alfredo Scaff.
The project for creation of a laboratory
for early diagnosis of cancer is based on a
double premise. One is the importance that
detecting the disease in the early phase
has for the effectiveness of treatment and
better prognosis. The second is the need to
offer services to establish early diagnosis of
cancer, chiefly in the cities and townships
(municipalities) of the State of Rio de Janeiro –
the project’s initial focus.
Now, in the tobacco abusage area, the
Foundation offers companies and entities
implementation of a joint set of control
actions – lectures, application of stopsmoking programs, development of booklets,
etc. Also in progress is a project for coalition
of entities to strengthen corporate policies
regarding smoke-free environments
as an effective tool in cutting down on
tobacco abusage. ■
IN ESPÍRITO SANTO,
SHARED EXPERIENCE
With experience to contribute with planning
in oncologic attention throughout the country,
the Cancer Foundation participated in 2014
in the XXX National Congress of Municipal
Health Secretariats, which took place in
Espírito Santo. Promoted by the National
Council of Municipal Health Secretariats
(Conasems), the congress brought together
around 5 thousand people: municipal and
state administrators, researchers and other
professionals active in Brazilian public health.
Representing the Foundation during four days
of the event were doctors Alfredo Scaff and
Carlos Frederico de Lima, executive director
Reynaldo Tavares, projects manager Reynaldo
Tavares and Marketing & Fundraising manager
Claudia Gomes.
“We went to the meeting of administrators to
demonstrate that the Cancer Foundation can
contribute with its know-how in the activities
of assistance, research, instruction and public
policies in all areas of oncology. We presented
the successful model of the Oncologic Attention
Plans already drawn up and brought new ideas
to the meeting,” comments Celso Ruggiero. ■
L ALEXANDRE ALMEIDA, REDOME MANAGER,
IN FRONT OF PART OF THE TEAM
INTEGRATION OF INFORMATION
TO
The administrative and financial
management of the National Register of
Volunteer Bone Marrow Donors (Redome)
is an important and complex undertaking
carried out by the Cancer Foundation in
partnership with the Bone Marrow Transplant
Center of the National Cancer Institute of
Brazil (Cemo/INCA), in charge of technical
direction. The Foundation’s team acts
jointly with Cemo /INCA professionals to
update a register of more than 3.5 million
SAVE LIVES
candidates for donation, requesting tests for
confirmation of compatibility, coordinating
interactions to gather and transport genetic
material to the recipient and interacting with
hospitals and professionals involved in the
transplants proper.
The year 2014 was noteworthy for several
initiatives aimed at enhancing the
effectiveness at all links along this chain.
The EY consulting firm (formerly Ernst &
11
12
HIGHLIGHTED PROJECTS
2014 Annual Report
place internally. Redome – the world’s third
largest marrow donor register – received
a team from the National Marrow Donor
Program (NMDP) and repaid the visit of the
U.S. team with a call on the NMDP in their
country. It also received the representative
of the DKMS, one of the largest registers
in Germany, the nation that holds second
place in the world-wide ranking of volunteer
marrow donor registers and has registers by
regions, reunited into a central agency.
Young) was selected to model the data of the
SisMatch and Rereme.net. systems. The first
is aimed at integrating the information of the
National Register of Bone Marrow Recipients
(Rereme), Redome and international registers,
besides storing information pertinent to the
entire process. The second allows doctors
throughout Brazil to register the data on their
patients who are candidates for transplants.
“We have gains through integration and
the possibility of inclusion of various
functionalities for improved handling of
demands that arise with the register’s
growth,” explains another Redome Manager,
Alexandre Almada. “We’ll gain quality and
speed at all points in the process.”
There was also reformulation of Redome’s
physical structure. The search, support,
logistical and network relationship areas
began working in an integrated fashion.
The displacements of the 28 collaborators
were reduced with the new layout. The new
format facilitates communication between
areas and permits the growth forecast in the
consulting firm’s study for fully meeting the
growing demands.
The stimulation for communication and
exchange of information did not just take
“With the visit of the NMDP team, the world’s
leading register in terms of good practices and
number of transplants, we were able to receive
some valuable instruction, principally in the
areas of contacts with donors, with a view to
the fidelity of those already registered. On the
other hand, the focus of the visit by the DKMS
was to expand the services for patients on the
German register and Redome. This year we will
be going to Germany to find out about their
work first hand,” Almada states.
Another important initiative was starting
up the search for international accreditation
certification, granted by the World Marrow
Donor Association (WMDA). The latter is
an association of international registers
which aims to disclose and monitor the best
practices for transporting and using bone
marrow transplant cells. A register with such
international accreditation has more globally
shared procedures.
Implementation of the Brazilian Bone
Marrow Register (RBTMO) is a project of the
Foundation and Cemo/INCA restarted in 2014.
According to Alexandre Almada, it deals with
a system aimed at obtaining and making
available pre-transplant data on bone marrow
in Brazil. Moreover, the proposal is integration
with the donor systems run by Redome and
Rereme with national and international
searches.
“Implementing the RBTMO will permit
consolidation of data and much more refined
analysis. It will be an excellent information
instrument that will also enhance the
monitoring and disclosure of data relating to
non-kin transplants carried out with greater
speed,” the Redome manager highlights. ■
13
LEARN MORE
A marrow transplant is a type of treatment proposed
for certain diseases that affect the blood cells, such as
leukemia, among others. It consists of the substitution
of sick or deficient bone marrow with normal bone
marrow cells, in order to reconstitute a new and
healthier marrow.
In 2014, 272 non-kin
transplants were
carried out in Brazil
The functioning of Redome is directly related to
the Brazilian Network of Public Umbilical
Cord and Placenta Blood Banks (BrasilCord
Network), the Program to Seek, Gather
and Transport Stem Cells for Non-Kin
Bone Marrow Transplants in Brazil
and the National Register of Bone
Marrow Recipients (Rereme).
4,000,000
In 2014, 227 non-kin transplants
were carried out in Brazil. Of
this total, 193 were carried out
thanks to donors registered on
Redome, another 75 based on
genetic material obtained from
registers of other nations and
four with umbilical cord blood
(BrasilCord Network). ■
TOTAL DONORS
REGISTERED ON REDOME
3,533,525
3,247,194
3,017,046
3,500,000
2,667,335
3,000,000
2,500,000
1,983,179
2,000,000
1,370,970
1,500,000
938,169
1,000,000
554,127
500,000
134,781
0
2005
314,961
2006 2007 2008 2009 2010
NON-KIN TRANSPLANTS
IN BRAZILIAN PATIENTS
(sources of cells)
300
75
64
250
99
200
45
100
45
0
4
69
53
150
50
10
56
58
71
46
14
11
18
179
11
30
13
118
193
135
96
12
75
7
60
1
52
22
33
36
30
27
21
7
2
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014
Redome (MO, SP)*
BrasilCord
International (MO, SP, USC)*
*MO – Bone Marrow; SP – Peripheral Blood; USC – Cord Blood Unit
2011
2012
2013
2014
14
MOBILIZATION
2014 Annual Report
LEGISLATION STRENGTHENS
CONTROL OVER TABACCO ABUSAGE
Brasília, May 31, 2014 – A landmark in the
struggle of Brazil against tobacco abusage.
On this date, the Federal Government
regulated the Anti-Smoking Law (No.
12.546/11), which took effect in December.
The decree was published on World NoTobacco Day, which could not have been
commemorated in a better manner:
prohibiting smoking in closed and partially
closed collective environments and without
advertising at cigarette sales outlets.
the Cancer Foundation, continued in
March of 2015 with their consciousnessraising campaign, which began when
the law took effect in December of 2014.
On radio stations in 11 Brazilian capital
cities, messages recorded by Dr. Dráuzio
Varella alerted the public regarding the
places where it is no longer permitted to
smoke and highlighted the importance of
the law for protection of the health of both
smokers and non-smokers alike.
The Cancer Foundation and partner entities
in the cause have been campaigning for
such regulations ever since the law was first
sanctioned, in 2011. Over the course of 2014,
the institution stressed the importance of
the measure’s validity in articles published
in newspapers in all the nation’s regions.
The campaign also gained strength on the
social networks, where information on the
new rules and guidelines on how to quit
smoking were disclosed during the year.
For the Chairman of the Cancer Foundation’s
Board of Trustees, Marcos Moraes, the
measure is major public healthy ally and
helps combat early tobacco abusage. “The
regulation of this law is a most important
victory for society. This measure does not
just result in protection for the health of
passive smokers, but also encourages people
to quit smoking. On the other hand, we
have to continue our work so that people do
not begin smoking, mainly the young, and
to support all those who want to quit,” the
oncologist comments. ■
Partners for a long time now, the Alliance
for Control of Tobacco & Health (ACT+) and
LAW VALID ALL
OVER THIS LAND
The Federal Anti-Smoking Law prohibits
any smoking product in closed spaces
used by the public, such as shopping
centers and restaurants. The norm
covers public environments that have
walls, roofs or awnings, such as outdoor
bars, news-stands and bus stops.
The former “smoking chambers” or
“smoke-dromes” have been banished
forever and can no longer exist, not
even in the corridors and halls of
condominiums. The law forbids posters
and any type of cigarette advertising at
sales outlets, and further lays down new
rules for warning messages on packs
and in commercial establishments ■
FORCES UNITED AGAINST
TOBACCO ABUSAGE
Since August of 2014 the Cancer Foundation
has been part of an alliance made up of more
than 350 non-governmental organizations
(NGO’s) in over 100 nations in all parts of
our planet, involved in initiatives to control
tobacco abusage, the Framework Convention
Alliance (FCA). The Cancer Foundation and
ACT+ (Alliance for Control of Tobacco &
Health) are the sole Brazilian members. “The
tobacco industry’s strategies are repeated in
most countries,” explains the Foundation’s
consultant for Health Promotion and
Prevention, psychologist Cristina Perez.
“Interaction among the FCA’s members allows
nations to get organized, stay informed and
anticipate the industry’s onslaughts.” ■
15
16
2014 Annual Report
MOBILIZATION
CANCER PREVENTION AND PROMOTION
OF HEALTH ON SOCIAL NETWORKS
The Cancer Foundation acts to encourage prevention by disclosing information on its web
site, its monthly new bulletin, as well as pamphlets and campaigns on Internet social
networks. Just on Facebook alone, almost 200 thousand followers were able to keep up with
the latest news and interviews regarding cancer in 2014. The Foundation’s page proved to be
welcoming space for many former patients, who have now been cured, to swap experiences
with people undergoing treatment, as part of a cycle of ongoing encouragement and
learning. Let’s recall the main digital campaigns conducted in the year.
In the long hot summer of the Southern
Hemisphere’s tropical zone, the Cancer
Foundation conducts campaigns to raise
people’s consciousness regarding skin cancer,
which is the most frequent type in Brazil.
A publication disseminated on the social
networks calls attention to severe burns on the
back of a woman who lolled too long under the
sun and directs those interested to a page with
prevention tips.
Created on the occasion of World Anti-Cancer
Day (February 4), the campaign – entitled
“Expose the myths against cancer” – shows
followers on Facebook four myths about the
disease and managed to reach far and wide:
over 25 thousand people discussed the issue.
Conceived of by the Union for International
Cancer Control (UICC), the campaign’s
objective was to disclose data and evidence
in order to overcome certain widely-held but
mistaken notions regarding the disease.
Almost 200 thousand followers
could keep up with news
and interviews on cancer
The Cancer Foundation celebrated National
Anti-Smoking Day (August 29) with tips from
specialists for those wishing to quit smoking
shared on Facebook during one week.
The date is an opportunity to reflect on the
evils of tobacco, responsible for 130 thousand
deaths per year in Brazil and almost 10 million
around the world.
Over the course of the year, former patients
now cured or persons still fighting against
cancer were invited to relate their stories on
the Foundation’s Facebook page. The idea
was to aid in the fight against the stigma
surrounding the disease and encouraging
donations for consciousness-raising,
prevention and treatment activities.
To commemorate National Anti-Cancer
Day (November 27), the Foundation shared
on Facebook information about healthy
living habits to prevent cancer and how risk
factors can be avoided based on changes
in life-style. ■
17
18
RESEARCH
2014 Annual Report
MORE RESOURCES
FOR RESEARCH
Research plays a fundamental role in disease control. In
the case of cancer, it provides increasingly precise early
detection techniques, enhances therapeutic procedures and
leads to the development of more effective medicines and
exams. Over the course of more than 20 years, the Cancer
Foundation has supported the research sector of the National
Cancer Institute of Brazil (INCA), in raising and managing
funds for studies to be carried out. Since 2005, it has already
invested R$ 2.7 million for the financing of projects run by the
Oncobiology Program of Rio de Janeiro Federal University (UFERJ).
In 2014, INCA’s Research & Education Area
commemorated the renewal of the partnership
with the Swiss Bridge Foundation. The Swiss
institution, which financed research work
and creation of the Brazilian National Tumor
and DNA Bank in 2003, approved and released
the first installment of resources for four
studies to be commenced in 2015. The studies
are aimed at clearing up questions regarding
pediatric leukemia, lymphoma and renal
cancer (Wilms tumor) and esophagus tumor
in adults. The Cancer Foundation manages
the funds, contracts personnel and purchases
equipment. Four groups of scientists will be
active on several fronts.
The pediatric research work has such objectives,
for example, as testing whether environmental
exposures are associated with sub-types of
leukemia, analyzing whether the regulation of
a category of genes can combat lymphomas and
compare genetic alterations in patients with
Wilms tumor. The project oriented to cancer of
the esophagus in adults aims to arrive at a lowcost method for early detection.
“Fund-raising is a fundamental strategy for
development of cancer research at INCA. The
Cancer Foundation has been a tremendous
ally in this process. This has not just taken
place at the national level here in Brazil,
but above all at the international level,
permitting the diversification of partnerships
and opening up funding options, besides
scientific production,” states INCA’s Research
& Education Coordinator, Marisa Maria Dreyer.
According to Dr. Dreyer, one important Project
underway appraises the molecular profile of
Latin women with locally advanced breast
cancer. “This study should be concluded in 2015
and has kicked off a Latin American network of
transnational research that currently involves
eight countries: Argentina, Brazil, Chile,
Colombia, Mexico, Peru, Puerto Rico and
Uruguay. It will certainly have an impact on
the advance of cancer research throughout the
region,” the coordinator believes.
Besides the breast cancer study, since 2005,
the INCA research area’s projects have been
systematically approved in the announcements
of CT-Infra, the sectorial fund of the Financier
of Studies and Projects (Finep), linked to the
Ministry of Science & Technology, which aims
to modernize and expand the infrastructure
and services for supporting research work
carried out by public institutions. Such
acquisitions have made INCA an institution
equipped with the right laboratories to
conduct research work with leading-edge
international technology.
New treatments
and early diagnosis
Finding alternatives for fighting cancer is the
main challenge of the researchers of the UFRJ
Oncobiology Program, which has counted on
the Cancer Foundation’s support since 2005.
At present, more than 300 professionals in
various specialty areas are involved in 42
research groups. They form a live cycle of
information swapping and are an important
ally in prevention and the discovery of new
treatments and techniques for early diagnosis.
Just in 2014 alone, the Foundation invested
in the Program R$ 225 thousand in assistance
and research scholarships and included three
researchers with graduate scholarships in the
amount of R$ 5 thousand per month each, with
a term of one year to carry out their projects.
The latter were awarded to Juliana Coelho
Aguiar, Luiz Gustavo Dubois and Mariana
Chantre Justino (pictured above to the right).
Since 2005, the Foundation has invested
R$ 2.7 million in the Oncobiology Program,
most of which (R$ 1.5 million) went to
scholarships and research work. The rest was
used to build an auditorium where courses,
lectures and symposia are given at the UFRJ
Health Sciences Center.
“These funds provide researchers with the
flexibility required for their projects, since
many times unforeseeable expenditures arise
during the course of their work,” points out
Vivian Rumjanek, the scientist who conceived
of the Oncobiology Program. “Normally, other
funding mechanisms are hampered by the
L JULIANA COELHO
AGUIAR, LUIZ
GUSTAVO DUBOIS
AND MARIAN CHANTRE
JUSTINO, WHO HAVE
ONCOBIOLOGY PROGRAM
GRADUATE SCHOLARSHIPS
original budget forecast, failing to consider
the changes that new results can bring to the
research. Moreover, the graduate scholarships
have contributed significantly for consolidation
of the careers of young doctors,” she explains.
Among the research projects initiated in
2014 are those involving groups aiming to
identify new therapeutic targets for control
of mammary tumors and endometriosis
lesions, among others. Continuing on course
are translational research projects into infant
leukemia, a panel for appraisal of instability in
the prospects for better diagnoses and a study
dedicated to clinical and experimental studies
of differentiated thyroid tumors.
The Oncobiology Program is an interinstitutional organization and brings together
research groups from various entities in the
State of Rio de Janeiro. There is UFRJ itself,
INCA, Rio de Janeiro Federal Rural University
(UFRRJ), Rio de Janeiro State University
(UERJ) and the Oswaldo Cruz Foundation
(Fiocruz). The Program includes a nucleus
for dissemination of information, which
prepares videos, electronic games and other
communication strategies with prevention
guidelines for children and adolescents.
NUCLEUS DISCLOSES RISKS OF ALCOHOL
The Dissemination Nucleus of the
Oncobiology Program launched a video in
August of 2014 to alert youths to the dangers
alcohol poses to their health and to call their
attention to the alcoholism stimulus created
by the media. The short animated work,
“Alcohol and its demons”, financed by the
Cancer Foundation, was based on research
work conducted by the Nucleus, which
identified that 63% of those interviewed had
low levels of perception regarding the risks
of cancer. Furthermore, fully 87% indicated
that they believed in the persuasive power of
ads for drinks on others, but only a minority
of them (10%) thought that they themselves
might be influenced. The survey consulted
Brazilians in 25 states, between the ages
of 13 and 72, in all social classes. ■
19
20
SOLIDARITY
2014 Annual Report
L The 15th birthday party of student Nina
PARTIES FOR
MORE LIFE
A party is a time for joy and getting
together, and it also can involve solidarity.
A Party for Life is a channel for donating
to the Cancer Foundation that transforms
birthdays, wedding receptions, anniversary
celebrations, baby showers and other
such events into opportunities to engage
in positive action. Instead of presents,
the organizer requests the people invited
to make donations to the Foundation.
Companies too can also turn their events and
commemorations into a Party for Life.
Varela (pictured to the left), which she
celebrated in 2014 in Rio de Janeiro, took
guests by surprise. Enthused by a highly
successful tumor treatment case in the
family, the teen’s mother, Rosane Varela,
had the idea to put on a Party for Life.
Together with the invitations (a 15th
birthday party is an important part of
Latin American culture), the mother and
daughter also gave invitees personalized
bank slips so they could fill in any amount
of donation they wished to make, payable
over an extended period. “They all liked the
initiative so much that they promised to do
the same with their parties,” Rosane boasts.
L Throwing a Party for Life does not require
mega-productions. Proof of this is Rio de
Janeiro chemical engineer Márcio Machado,
who celebrated his 37th birthday in his
home at the beginning of 2014. Besides
requesting invitees to make donations, he
distributed Cancer Foundation leaflets and
bookmarks with the Foundation’s logo.
“Instead of getting presents, which are
often superfluous anyway, contributing
to putting a smile on the face of a person
that we help save is much more enriching
and gratifying. Knowing that many friends
came become assiduous donors was a
tremendous present,” Márcio says. ■
THE BEAUTY
OF SOLIDARITY
During Pink October 2014, some companies
got in tune with the campaign to raise
consciousness about breast cancer and
conducted activities on behalf of the
Foundation.
L The L’Oreal Kérastase launched a hair
product line in partnership with the
beauty salon Care Body & Soul in Rio de
Janeiro, and proceeds from the products
sold on the launch day in October were
reverted to the Foundation. “This is such
an important action that we want to
L BIANCA PI, DIRECTOR OF KÉRASTASE, CLÁUDIA GOMES,
THE CANCER FOUNDATION’S MARKETING & FUNDRAISING
MANAGER, IVANI WERNECK, OWNER OF CARE BODY
& SOUL, PAOLA AZEVEDO AND TATIANA SILVA, PUBLIC
RELATIONS REPRESENTATIVE AND COMMERCIAL
INTELLIGENCE MANAGER OF KÉRASTATSE, RESPECTIVELY.
increasingly strengthen it,” Kérasatase
director Bianca Pi said on the occasion. “I
believe that in 2015 we can go even further,
also helping with information about
prevention for many women.”
To celebrate the consciousness-raising
campaign regarding breast cancer,
the establishment created an entirely
pink menu! Of each dish of the special
luncheon and dinner menu from Monday
to Thursday, R$ 1 was reverted to the
Foundation for a 15-day period.” ■
L INEZ MONTEIRO (TO THE LEFT) AND HER HAIRDRESSING
TEAM AT BELLADONNA.
L The Belladonna Coiffeur beauty salon
in downtown Rio de Janeiro encouraged
donations starting at R$ 5 among its
clientele over the course of the month of
October. Those participating were in the
running for prizes, including a tablet. The
initiative was that of business woman Inez
Monteiro: “I think we have to try to help
people. As our salon receives many women,
we wanted to collaborate in some way, to
spread the word on the importance
of prevention and early diagnosis.”
L The Gazebo restaurant in Brasília also
donated part of its October sales.
How to donate
With lump-sum or monthly
donations, in any amount,
individuals or companies
can aid the Cancer Foundation
to stick to its mission and
actions in the areas of research,
medical assistance and
social mobilization.
HELPING IS NEVER
OUT OF FASHION
The association that supports the fashion
industry in the State of Rio de Janeiro, Moda
Rio Sindiroupas, makes monthly donations to
the Foundation. Victor Antônio Misquey, the
entity’s president, decided to collaborate after
he lost his wife to the disease. He believes
that this makes it possible to decrease the
pain of other families who live with or will
live with cancer one day. “We’ve contributed
to the Foundation for over five years because
it is a serious institution that invests in
projects to fight cancer. It’s highly important
for other companies and institutions to also
mobilize for this cause,” Misquey states. ■
A Party for Life is an enjoyable way of exercising
solidarity: persons invited to parties and events
can receive personalized bank slips together with
their invitation or an indication of the Foundation’s
account number, to contribute with whatever
amount they want.
Help the Cancer Foundation continue to save
thousands of lives. You can contribute directly
through the site www.cancer.org.br/doe. If you
wish, just call 4002-2508 (local call) or send you
e-mail message to doador@cancer.org.br to obtain
further information. Those wishing to make bank
deposits can do so through the following accounts:
BANCO ITAÚ
Branch No. 0541
Account No. 10518-5
BANCO DO BRASIL
Branch No. 2234-9
Account No. 204783-7
BANCO BRADESCO
Branch No. 1791
Account No. 24.134-2
21
22
CANCER IN CHILDREN AND ADOLESCENTS
2014 Annual Report
suspected cancer cases”, explains Roberta Costa
Marques, executive director of the Desiderata
Institute. “Now it is necessary to improve the
Cancer Hospital Registers, implement the
Population Base Cancer Register in the State
and use such information to plan more effective
actions to enhance the treatment of children
and teenagers with cancer.”
For the Cancer Foundation’s medical
consultant, who represents the institution in
the United for the Cure group, together with
epidemiologist Alfredo Scaff, the initiative
of presenting the combined set of official
data available gives everyone an idea of the
dimension of the challenges and allows civil
society to criticize and contribute to the
process of improving the entire chain: from
diagnosis to treatment.
L MASS HUDDLE FOR THE HIKE PROMOTED BY STUDENTS
OF THE AMERICAN SCHOOL OF RIO DE JANEIRO.
JOINING FORCES
FOR CURE
Cancer among children and adolescents
is not the most common type here in
Brazil, but it is the leading cause of
disease-related deaths in the 5-19 age
bracket, even though chances of cure
are high – as much as 80% - if diagnosed
early and adequately treated. Hence
the importance of the work carried out
by the group United for the Cure – an
initiative of the Desiderata Institute
– which brings together managers of
the Single Health-care System (SUS),
specialized services and organizations
of Brazil’s civil society, including
among them the Cancer Foundation.
The objective of United for the Cure is
precisely to promote early diagnosis of
cancer in youths based on training healthcare professionals, access to within 72 hours
to investigation of suspicion of cancer and
monitoring of the flow of forwarding of
confirmed cases to treatment units.
In this sense, in 2014 the Desiderata Institute
launched - in partnership with the Cancer
Foundation – the infographic bulletin
Panorama of Pediatric Oncology in the State
of Rio de Janeiro.
The publication presents population data and
estimates of the incidence of cancer among
youths, information on pediatric assistance,
including the distribution of doctors in the
primary care networks and general and
specialized hospitals, as well as a detailed
survey of the infrastructure for diagnosis
and treatment. The bulletin further presents
indicators of quality of the registers and access
to treatment that will be monitored on an
annual basis.
“With the joint effort of the participants of
United for the Cure, a system has been created
in the municipality of Rio de Janeiro that speeds
up the forwarding of patients from family
health posts and units for confirmation of
The infographic bulletin can be accessed on
the web-sites of the Desiderata Institute, the
Cancer Foundation and United for the Cure. ■
HELP COMES FROM
MANY SOURCES
Foundation to invest in INCA’s Pediatric
Section further included the 10th Edition of
the Walkathon Against Cancer, carried out
each year by students of the American School
of Rio de Janeiro, and a bazaar put on by the
boutique shop La Luna Mia.
The event carried out by the students around
the shoreline of Rio de Janeiro’s Rodrigo de
Freitas Lagoon brought together around
650 people and raised R$ 53 thousand.
The bazaar that lasted for three days in a store
space granted by the Leblon Shopping Center
in Rio to the shop’s owners – Danielle Winits,
Fabiana Misse and Renata Ciraudo – raised
no less than R$ 171.6 thousand, which will
be used to remodel a pediatric infirmity.
“We are very grateful to all those who
participated in and contributed to these
campaigns”, says the head of INCA’s Pediatric
Oncology Section, Sima Ferman. “We have
infrastructure to provide quality care, plus
remodeling of our physical space, acquisition
of supplies and equipment, as well as some
services, that need to be acquired with donated
funds, chiefly to speed up treatment.” ■
The Cancer Foundation is also a partner of
the Pediatric Oncology Section of the National
Cancer Institute of Brazil – INCA, which handles
70% of the children and adolescent cancer
cases in the State of Rio de Janeiro. In 2014,
13,099 inquiries were made, 792 youths were
hospitalized and 277 new cases were registered.
Thanks to donations from companies and the
results of campaigns for early sale of Happy
McDay (McDia Feliz) receipts, coordinated
nationally by the Ronald McDonald Institute,
in recent years the Cancer Foundation has
contributed to expansion of the Pediatric
Intensive Care Unit, construction of the
Ophthalmological Doctors’ Consulting Office
and creation and maintenance of INCA’s
Emergency Pediatric Ward. The proceeds
obtained from Happy McDay in 2014, for
example, will be invested in revitalization
of several of INCA’s Pediatric Oncology areas.
Highlights among the initiatives carried out
in 2014 to raise funds for the Cancer
L PARTNERS RENATA CIRAUDO, DANIELLE WINITS AND FABIANA MISSE, ALONG WITH FASHION CONSULTANT CHRIS
PITANGUY AND BOY DAVI GOMES B. DA SILVA, WHO WAS
UNDERGOING TREATMENT FOR CANCER AT INCA DURING
THE BAZAAR.
23
24
MANAGEMENT
2014 Annual Report
2014
VISION OF THE FUTURE
Peter Rodenbeck,
President of the Board of Directors of the Cancer Foundation
25
FINANCIAL
STATEMENTS
Celso Ruggiero,
Executive Director of the Cancer Foundation
The Cancer Foundation is heading towards
its 25th Anniversary. This is a major
mark for any institution and
it cannot but have a special
meaning for us. By happy
coincidence we spent a
good part of 2014 around
an important project:
putting into operation a
cancer hospital in 2016,
precisely when we will be
commemorating our first
quarter century.
2,5
16,3
0,3
SOURCES OF FUNDS
In millions of Brazilian Reais (R$)
LCELSO RUGGIERO
•
•
•
•
Revenues from Contracts and Agreements
Revenues from Donations
Financial Revenues
Sundry Revenues
102,3
LPETER RODENBECK
This initiative is the result of our wide range of
activities in supporting Brazil’s National Cancer
Control Policy. We are going to inaugurate or
participation as protagonists in the area of
oncologic assistance, mainly taking advantage
of our experience as a partner of the National
Cancer Institute of Brazil – INCA. This project
makes every sense to complement and expand
the Foundation’s contribution in fulfilling its
mission of cancer prevention and control.
We are a non-profit organization but, like any
responsible organization, we need to plan the
future in a sustainable manner. Based on a
strategic option of the Foundation, we decided
to invest first in a complete oncologic hospital
and delay a little the construction of a hospice
in the Vargem Pequena in the western part
of Rio de Janeiro. At that palliative care unit
we intend to have a pilot model for the entire
country, with humanized service for patients
with cancer at the advanced stage.
Our partnership with INCA continues,
especially in the area of Research,
management of Redome and expansion of the
1,9
BrasilCord Network, while our engagement
8,1
related to the hiring of human resources
decreases and will tend to cease altogether,
USES OF FUNDS
and potential changes in the institute’s
In millions of Brazilian Reais (R$)
based on new government guidelines
management model.
We shall apply the knowledge that this
victorious partnership has given us at
a hospital unit, totally modeled and
administered by the Foundation. We are
talking about a hospital that will start with
no fewer than 100 beds, six small- and largescale surgery rooms, an outpatient service,
chemotherapy and radiotherapy wards and
which will positively impact cancer control
in the State of Rio de Janeiro and will strive
to be a reference for the entire nation. ■
•
•
•
•
•
•
10,0
1,0
Treatment and Diagnosis
Prevention and Vigilance Projects
Research Projects
14,9
Infrastructure and Management
Cancer Education and Instruction
Administration of the Foundation
59,5
26
2014 FINANCIAL STATEMENTS
2014 Annual Report
REPORT OF INDEPENDENT AUDITORS
ON THE FINANCIAL STATEMENTS
BALANCE SHEETS
As of December 31,2014 and 2013 (in thousands of Brazilian Reais–R$)
ASSETS
To the Board of Trustees, Board of Directors and Oversight Board,
Ary Frauzino Foundation for Cancer Research & Control – Cancer Foundation
Rio de Janeiro – RJ
We have audited the accompanying financial
statements of Fundação Ary Frauzino para
Pesquisa e Controle do Câncer – Fundação do
Câncer (“Company” or “Cancer Foundation”),
comprising the balance sheet as of December
31, 2014, and the related statements of
surplus, comprehensive income, changes
in equity and cash flows for the year then
ended, as well as the summary of significant
accounting policies and other explanatory
information contained in the notes to the
financial statements.
Management’ responsibility for the financial
statements
The Company’s Management is responsible
for the preparation and fair presentation
of the financial statements in accordance
with accounting practices adopted in Brazil
for non-profit entities and for such internal
control as Management determines is
necessary to enable preparation of financial
statements that are free from material
misstatement, whether due to fraud or error.
Responsibility of the independent auditors
Our responsibility is to express an opinion
on these financial statements based on our
audit. We conducted our audit in accordance
with Brazilian and International Standards
on Auditing. Those standards require that
we comply with ethical requirements
and plan and perform the audit to obtain
reasonable assurance about whether the
financial statements are free from material
misstatement.
An audit involves performing procedures to
obtain audit evidence about the amounts and
disclosures in the financial statements. The
procedures selected depend on the judgment
of the auditors, including the assessment
of the risks of material misstatement of the
financial statements, whether due to fraud
or error. In making those risk assessments,
the auditors consider the internal control
relevant to the Company’s preparation and
fair presentation of the financial statements
in order to design audit procedures that are
appropriate in the circumstances, but not
for the purpose of expressing an opinion on
the effectiveness of the Company’s internal
control. An audit also includes evaluating
the appropriateness of accounting policies
used and the reasonableness of accounting
estimates made by Management, as well
as evaluating the overall presentation of
the financial statements taken as a whole.
We believe that the audit evidence we have
obtained is sufficient and appropriate to
provide a basis for our audit opinion.
Opinion
In our opinion, the financial statements
referred to above present fairly, in all material
respects the financial position of the Cancer
Foundation as of December 31, 2014, the
performance of its operations and its cash
flows for the year then ended, in conformity
with accounting practices adopted in Brazil.
Note
2014
2013
46
1,681
4
14,636
18,451
Equity fundinvestments
5
141,151
120,649
Accounts receivable
6
41,124
32,773
924
553
Current assets
Cash and banks
Fund searmarked for programs
Advances
Prepaid expenses
Government agreements
7
Other credits receivable
101
116
18,310
7,262
2,431
110
218,723
181,595
Noncurrentassets
Long-termassets
12
4,601
4,038
Property and equipment
8
28,731
28,581
Intangible assets
1
2
33,333
32,621
252,056
214,216
2014
2013
Accounts payable to suppliers
3,430
3,692
Payroll charges and other obligations payable
1,492
1,427
5,013
4,943
Total assets
LIABILITIES AND EQUITY
Note
Current liabilities
Payroll accruals
9
Other provisions
10
2,517
366
Government agreements
7
18,373
7,262
Projects to be carried out
11
16,729
19,534
160
153
Other accounts payable
Other obligations payable
Rio de Janeiro, March 27th, 2015.
4
5
47,718
37,382
4,509
Non current liabilities
Provision for contingencies
12
4,965
Deferred revenues
13
23,698
17,429
28,663
21,938
109,808
89,029
Equity
Foundation equity
BDO RCS Auditores Independentes SS
CRC 2 SP 013846/O-1 – S – RJ
JULIAN CLEMENTE
Accountant CRC 1 SP 197232/O-6 – S – RJ
CRISTIANO MENDES DE OLIVEIRA
Accountant CRC 1 RJ 078157/O-2
Statutory equity fund
Total liabilities and equity
14
65,867
65,867
175,675
154,896
252,056
214,216
27
2014 FINANCIAL STATEMENTS
28
2014 Annual Report
STATEMENTS OF SURPLUS
STATEMENTS OF COMPREHENSIVE INCOME
For the years ended December 31, 2014 and 2013 (in thousands of Brazilian Reais – R$)
For the years ended December 31, 2014 and 2013 (in thousands of Brazilian Reais – R$)
Note
2014
Operating revenues
2013
(reclassified)
Without restriction
Service revenues
15
Research contracts
Courses and seminars
Donations
Equity donations
Sponsorships
Other revenues
Financial revenues
82,636
82,442
2,474
3,091
180
629
2,264
2,243
475
258
62
47
410
124
15,090
9,482
103,591
98,316
2014
2013
Surplus for the year
20,779
13,507
Total comprehensive income for the year
20,779
13,507
29
STATEMENT OF CHANGES IN EQUITY
For the years ended December 31, 2014 and 2013 (in thousands of Brazilian Reais – R$)
With restriction
Agreements – healthcare programs
7,396
4,775
Balances as of December 31, 2012 (reclassified)
Projects – healthcare programs
3,489
3,502
Retrospective adjustment
10,885
8,277
Adjusted balances as of January 1, 2013
Foundation
equity
Statutory
equity fund
Accumulated
surplus
Total
76,463
65,867
-
142,330
-
-
(941)
75,522
65,867
-
141,389
(941)
Operating costs on programs (activities)
Assistance
16.1
(50,944)
(54,307)
Education
16.2
(979)
(1,138)
Research
16.3
(7,935)
(7,085)
Prevention and mobilization
16.4
(1,791)
(2,103)
Institutional and human development
16.5
(9,284)
(11,765)
-
-
13,507
Incorporation of surplus for the year
13,507
-
(13,507)
Balances as of December 31, 2013
89,029
65,867
-
Expenses on agreements – healthcare programs
(7,396)
(4,775)
Surplus for the year
-
-
20,779
Expenses on projects – healthcare programs
(3,489)
(3,502)
Incorporation of surplus for the year
20,779
-
(20,779)
(81,818)
(84,675)
Balances as of December 31, 2014
109,808
Gross income
32,658
21,918
(11,878)
(8,411)
Operating expenses
Administration
Other operating expenses
Surplus for the year
Surplus for the year
(1)
-
(11,879)
(8,411)
20,779
13,507
65,867
-
13,507
154,896
20,779
175,675
30
2014 FINANCIAL STATEMENTS
2014 Annual Report
OUR PARTNERS
STATEMENTS OF CASH FLOWS
For the years ended December 31, 2014 and 2013 (in thousands of Brazilian Reais – R$)
2014
Cash flows from operating activities
Surplus for the year
2013
(Reclassified)
20,779
13,507
Adjustments to reconcile results for the year to funds provided by operating activities:
Depreciation and amortization
4,158
4,588
Reduction of fixed assets of projects
Write-off of fixed assets (property and equipment)
1
Retrospective adjustment
(941)
Decrease (increase) in assets:
Accounts receivable
Advances
Prepaid expenses
Other credits receivable
(8,351)
1,499
(371)
207
15
15
(2,884)
(168)
Increase (decrease) in liabilities:
Accounts payable to suppliers
ABC Turismo Mtravel
Instituto Nacional de Câncer (Inca)
Aliança de Controle do Tabagismo (ACT+)
Instituto Ronald McDonald
Amgen Brasil Biofarmacêutica
Intrials/Eurofarma
Associação Pró-Vita
Janssen - Cilag Farmacêutica Ltda.
Associação Vencer
Joalheria Ganish
Astellas Pharma/PRA
Kérastase Paris | L’Oréal
Astrazeneca do Brasil Ltda.
Laboratórios Pfizer
Banco Nacional de Desenvolvimento
Econômico e Social (BNDES)
Lapa 40º Sinuca e Gafieira
Bazar La Luna Mia
Belladonna Coiffeur
National Cancer Institute at the National
Institute of Health (NCI-NIH)
Boehringer Ingelheim
Novartis Biociências S.A.
Bristol-Myers SQUIBB Brasil S.A.
Organização Pan-Americana de Saúde - Opas
Bristol-Myers SQUIBB Farmacêutica Ltda.
Outback Steakhouse
Cancer International Research Group (Cirg/
Roche)
Pharmaceutical Research Associates Ltda.
(1,478)
Taxes and other obligations payable
65
(26)
Payroll accruals
70
(209)
Government agreements
63
Projects to be carried out
(2,805)
(922)
456
1,072
Celgene
6,269
2,370
Cephalon Inc.
2,157
(2,982)
Cobre Bem Tecnologia
19,360
16,532
Daiich Sankyo Pharma Development
Deferred revenues
Other obligations payable
Net funds provided by operating activities
Eli Lilly do Brasil Ltda.
Cash flows from investing activities
Acquisition of fixed assets (property and equipment)
(4,308)
(3,002)
Escola Americana do Rio de Janeiro (Earj)
Net funds used in investing activities
(4,308)
(3,002)
European Haematology Association (EHA)
Financiadora de Estudos e Projetos (Finep)
Increase in cash and cash equivalents
15,052
13,530
Cash and cash equivalents at beginning of year
140,781
127,251
Cash and cash equivalents at end of year
155,833
140,781
15,052
13,530
The Management’s notes are an integral part of the financial statements and are available
to interested parties in the Portuguese original at the Cancer Foundation’s website www.cancer.org.br
(Translator’s Note: Not Translated into English)
Adriana Cascareja Soares
Accountant registered with the Rio de Janeiro Chapter of the Brazilian Regional Accounting Council under No. CRC-RJ 078797/O-0
Morphotek Inc.
Bloomberg/Union
(262)
Provision for contingencies
Merck Sharp & Dohme Farmacêutica Ltda.
Fundo Nacional de Saúde (FNS/MS)
Glaxosmithkline Brasil Ltda.
Grupo Lat. Amer. Invest. Clínicas Oncologia
Grupo Severiano Ribeiro (Kinoplex)
Hospital Albert Einstein
Institute of Head and Neck Studies and
Education (Inhanse)
Instituto Desiderata
Pharm-Olam/Tesaro
PPD Development L.P.
Prod. Roche Químicos Farmacêuticos Ltda.
Quintiles Brasil Ltda.
Restaurante Dom Cavalcante
Restaurante Gazebo
Restaurante Siri Mole
Roche Químicos e Farmacêuticos S.A.
Salão Care Body & Soul
Sanofi-Aventis
Secretaria Estadual de Saúde do Amazonas
Secretaria Municipal de Saúde de Macaé
Swiss Bridge Foundation
União Internacional Contra o Câncer (UICC)
Wyeth Pharmaceuticals Inc.
31
EDITORIAL COORDINATION
SPS Comunicação
GRAPHIC DESIGN
Karyn Mathuiy Design
PHOTOS
Cristina Dantas
Fabio Guidoni
Gianne Carvalho
José Antonio Campos / INCA
Shutter Stock
GENERAL COORDINATION
Cancer Foundation Marketing & Fundraising Managership Advisory Staff
(Assessoria de Marketing e Captação de Recursos da Fundação do Câncer)
ENGLISH VERSION
Tony Zineski / IC – Intercontinental Communication
TO DONATE, ACCESS
www.cancer.org.br/doe
Rua dos Inválidos, 212 • 11º andar
20231-048 • Rio de Janeiro • RJ • Brazil
Phone +55 [21] 2157-4600 • Fax +55 [21] 2157-4630
www.cancer.org.br
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