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Integrating cancer into crisis: a global vision for action from WHO and partners
The Lancet Oncology ( IF 41.6 ) Pub Date : 2024-12-18 , DOI: 10.1016/s1470-2045(24)00522-9
Raffaella Casolino, Richard Sullivan, Kiran Jobanputra, May Abdel-Wahab, Miljana Grbic, Nazik Hammad, Tezer Kutluk, Nelya Melnitchouk, Alexandra Mueller, Roberta Ortiz, Diana Paez, Omar Shamieh, Gevorg Tamamyan, Horia Vulpe, Bente Mikkelsen, Andrè Ilbawi, Slim Slama

More than a billion people live in fragile, conflict-affected, and vulnerable settings requiring humanitarian support, where cancer is a substantial health issue. Despite its substantial effect on populations, cancer care remains underprioritised in emergency preparedness and response frameworks and humanitarian operational planning. This Policy Review summarises the perspectives and actionable recommendations from the First Global High-Level Technical Meeting on Non-communicable Diseases in Humanitarian Settings, with a focus on cancer. The paper highlights the challenges of providing cancer care in fragile, conflict-affected, and vulnerable settings and proposes a comprehensive roadmap to address both immediate and long-term needs of patients with cancer living in these settings. Key solutions include: integrating the cancer care continuum into national preparedness and response plans to enhance health-care system resilience; integrating cancer into humanitarian responses efforts; addressing the specific needs of paediatric patients with cancer; improving cancer intelligence and surveillance systems; and developing strategies to navigate the logistical and financial challenges of providing cancer care during crises. Additionally, the paper outlines practical actions and next steps for international cooperation needed to drive a shift in global health priorities and elevate cancer in the global health security agenda. We hope the presented notions will help prevent millions of avoidable deaths among people with cancer.

中文翻译:


将癌症纳入危机:世卫组织和合作伙伴的全球行动愿景



超过 10 亿人生活在需要人道主义支持的脆弱、受冲突影响和脆弱的环境中,而癌症是一个重大的健康问题。尽管癌症护理对人群产生了重大影响,但在应急准备和响应框架以及人道主义行动规划中,癌症护理仍然没有得到充分重视。本政策审查总结了人道主义环境中非传染性疾病第一届全球高级别技术会议的观点和可操作的建议,重点是癌症。该论文强调了在脆弱、受冲突影响和脆弱环境中提供癌症护理的挑战,并提出了一个全面的路线图,以满足生活在这些环境中的癌症患者的即时和长期需求。主要解决方案包括:将癌症护理连续体纳入国家准备和响应计划,以增强医疗保健系统的复原力;将癌症纳入人道主义应对工作;满足儿科癌症患者的特定需求;改善癌症情报和监测系统;并制定策略以应对在危机期间提供癌症护理的后勤和财务挑战。此外,该文件概述了推动全球卫生重点转变和提升癌症在全球卫生安全议程中所需的国际合作的实际行动和下一步行动。我们希望提出的概念将有助于防止数百万癌症患者本可避免的死亡。
更新日期:2024-12-19
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