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Cancer prevention, care, and outreach among the Rohingya refugee population in Bangladesh
The Lancet Oncology ( IF 41.6 ) Pub Date : 2024-12-02 , DOI: 10.1016/s1470-2045(24)00631-4
Mohiuddin A K Chowdhury, Tuhin Biswas, Tofrida Rahman, Omar Salma, , Heath Devin Skinner, Stephen Avery, Wilfred Ngwa, M Saiful Huq

Section snippets

Demographic profile

As of October, 2023, the UN High Commissioner for Refugees (UNHCR) reported that 967 842 Rohingya refugees were living in Bangladesh. Approximately 936 961 (96%) of these refugees reside in 33 overcrowded camps (with approximately 40 000 people living per km2) in the Ukhiya and Teknaf subdistricts of Cox's Bazar, while around 30 000 have been relocated to the island of Bhasan Char as part of a resettlement initiative by the Bangladesh Government41 (Figure 1, Figure 2). The Rohingya population

Cancer prevention, awareness, and education

Low awareness and education about cancer prevention exacerbates the health crisis, directly contributing to high-risk lifestyle behaviours in the Rohingya refugee camps. A study revealed that 70 (82·4%) of 85 participants were unaware of the link between smoking and lung cancer, with more than three-quarters regularly using tobacco products. The widespread use of betel nuts with burnt tobacco (jorda) further elevates the risk of oral cancer, yet in another cross-sectional study, 95% of the

Cancer care gaps in Rohingya camps

Health-care providers in the Rohingya refugee camps are becoming increasingly concerned about the rising cancer burden, particularly of hepatocellular carcinoma, oral cancer, and cervical cancer. A health-care professional at Cox's Bazar Medical College Hospital mentioned, “We see a large number of hepatocellular carcinoma patients compared to other cancers. This could be because the Rohingya population lacks vaccination and awareness about cancer risk factors.”Inadequate infrastructure,

Barriers to cancer care in Rohingya camps

Cancer care in Rohingya camps in Bangladesh is heavily affected by political challenges, which directly influence the availability and quality of cancer treatment. The political recognition of Rohingya refugees by both the host country and the international community determines their access to medical care, including cancer treatment. Political decisions and legislation in Bangladesh can restrict the operations of humanitarian organisations and health-care providers, limiting the availability

Conclusion

The Rohingya refugee crisis presents unique challenges to cancer care, as they are often neglected in humanitarian responses. The scale of the crisis, coupled with a complex socio-political landscape and severe resource limitations, complicates efforts to address the growing cancer burden among this population. Inadequate infrastructure, insufficient advanced diagnostic equipment, and the absence of specialised medical professionals contribute to substantial delays in diagnosis and treatment,


中文翻译:


孟加拉国罗兴亚难民的癌症预防、护理和外展活动


 部分片段

 人口统计概况


截至 2023 年 10 月,联合国难民事务高级专员公署 (UNHCR) 报告称,有 967 842 名罗兴亚难民生活在孟加拉国。其中约 936 961 人 (96%) 居住在考克斯巴扎尔 Ukhiya 和 Teknaf 分区的 33 个过度拥挤的营地(每平方公里约有 40 000 人),而作为孟加拉国政府 41 重新安置计划的一部分,约 30 000 人已被安置到巴山查尔岛41(图 1、图 2)。罗兴亚人


癌症预防、意识和教育


对癌症预防的认识和教育不足加剧了健康危机,直接导致了罗兴亚难民营的高危生活方式行为。一项研究显示,85 名参与者中有 70 名 (82·4%) 不知道吸烟与肺癌之间的联系,其中超过四分之三的人经常使用烟草产品。槟榔与焦烟 (jorda) 的广泛使用进一步增加了患口腔癌的风险,但在另一项横断面研究中,95% 的


罗兴亚营地的癌症护理差距


罗兴亚难民营的医疗保健提供者越来越担心不断上升的癌症负担,尤其是肝细胞癌、口腔癌和宫颈癌。Cox's Bazar 医学院医院的一位医疗保健专业人员提到:“与其他癌症相比,我们看到了大量的肝细胞癌患者。这可能是因为罗兴亚人缺乏疫苗接种和对癌症风险因素的认识。基础设施不足,


罗兴亚难民营接受癌症治疗的障碍


孟加拉国罗兴亚难民营的癌症护理受到政治挑战的严重影响,政治挑战直接影响癌症治疗的可及性和质量。东道国和国际社会对罗兴亚难民的政治承认决定了他们获得医疗服务的机会,包括癌症治疗。孟加拉国的政治决策和立法可能会限制人道主义组织和医疗服务提供者的运作,从而限制其可用性

 结论


罗兴亚难民危机给癌症护理带来了独特的挑战,因为他们在人道主义应对措施中经常被忽视。这场危机的规模,加上复杂的社会政治格局和严重的资源限制,使解决这一人群日益增长的癌症负担的努力变得复杂。基础设施不足、先进诊断设备不足以及缺乏专业医疗专业人员导致诊断和治疗的严重延误。
更新日期:2024-12-03
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