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Title: Planning cancer control in Latin America and the Caribbean
Authors: Goss, Paul E.
Lee, Brittany L.
Badovinac-Crnjevic, Tanja
Strasser-Weippl, Kathrin
Chavarri-Guerra, Yanin
St Louis, Jessica
Villarreal-Garza, Cynthia
Unger-Saldana, Karla
Ferreyra, Mayra
Debiasi, Marcio
Liedke, Pedro E. R.
Touya, Diego
Werutsky, Gustavo
Higgins, Michaela
Fan, Lei
Vasconcelos, Claudia
Cazap, Eduardo
Vallejos, Carlos
Mohar, Alejandro
Knaul, Felicia
Arreola, Hector
Batura, Rekha
Luciani, Silvana
Sullivan, Richard
Finkelstein, Dianne
Simon, Sergio Daniel [UNIFESP]
Barrios, Carlos
Kightlinger, Rebecca
Gelrud, Andres
Bychkovsky, Vladimir
Lopes, Gilberto
Stefani, Stephen
Blaya, Marcelo
Souza, Fabiano Hahn
Santos, Franklin Santana
Kaemmerer, Alberto
Azambuja, Evandro de
Cardona Zorilla, Andres Felipe
Murillo, Raul
Jeronimo, Jose
Tsu, Vivien
Carvalho, Andre
Gil, Carlos Ferreira
Sternberg, Cinthya
Duenas-Gonzalez, Alfonso
Sgroi, Dennis
Cuello, Mauricio
Fresco, Rodrigo
Reis, Rui Manuel
Masera, Guiseppe
Gabus, Raul
Ribeiro, Raul
Knust, Renata
Ismael, Gustavo
Rosenblatt, Eduardo
Roth, Berta
Villa, Luisa
Lara Solares, Argelia
Ximena Leon, Marta
Torres-Vigil, Isabel
Covarrubias-Gomez, Alfredo
Hernandez, Andres
Bertolino, Mariela
Schwartsmann, Gilberto
Santillana, Sergio
Esteva, Francisco
Fein, Luis
Mano, Max
Gomez, Henry
Hurlbert, Marc
Durstine, Alessandra
Azenha, Gustavo
Massachusetts Gen Hosp
Harvard Univ
Beth Israel Deaconess Med Ctr
Wilhelminen Hosp
Inst Nacl Ciencias Med & Nutr Salvador Zubiran
Inst Nacl Cancerol
Maria Curie Hosp
Hosp Mae Deus
Pontificia Univ Catolica Rio Grande do Sul
Univ Fed Rio Grande do Sul
Univ Republica
Hosp Sao Lucas PUCRS
Grp Brasileiro Estudios Canc Mama
Minist Hlth
Inst Nacl Enfermedades Neoplas
Univ Nacl Autonoma Mexico
Harvard Global Equity Initiat
Mexican Hlth Fdn
Tomatelo Pecho
Fdn Mexicana Salud
Kings Coll London
Pan Amer Hlth Org
Universidade Federal de São Paulo (UNIFESP)
Brazilian Breast Canc Study Grp GBECAM
Univ Virginia
Univ Chicago
Johns Hopkins Singapore Int Med Ctr
Johns Hopkins Univ
Fundacao Unimed
East Jefferson Gen Hosp
Roche Diagnost Latin Amer
Arnaldo Vieira de Carvalho Inst Canc
Inst Jules Bordet
Fdn Santa Fe
Barretos Canc Hosp
Inst Nacl Canc Jose Alencar Gomes da Silva
Insitituto Nacl Canc INCA
Univ Milano Bicocca
Hosp Maciel
St Jude Childrens Res Hosp
Univ Tennessee
Hosp Amaral Carvalho
Univ Buenos Aires
Universidade de São Paulo (USP)
Univ La Sabana
Univ Houston
Univ Texas MD Anderson Canc Ctr
Hosp Tornu FEMEBA Fdn
Icalma Fdn
GlaxoSmithKline Oncol
Hosp Sirio Libanes
Avon Fdn Breast Canc Crusade
Amer Canc Soc
Issue Date: 1-Apr-2013
Publisher: Elsevier B.V.
Citation: Lancet Oncology. New York: Elsevier Science Inc, v. 14, n. 5, p. 391-436, 2013.
Abstract: Non-communicable diseases, including cancer, are overtaking infectious disease as the leading health-care threat in middle-income and low-income countries. Latin American and Caribbean countries are struggling to respond to increasing morbidity and death from advanced disease. Health ministries and health-care systems in these countries face many challenges caring for patients with advanced cancer: inadequate funding; inequitable distribution of resources and services; inadequate numbers, training, and distribution of health-care personnel and equipment; lack of adequate care for many populations based on socioeconomic, geographic, ethnic, and other factors; and current systems geared toward the needs of wealthy, urban minorities at a cost to the entire population. This burgeoning cancer problem threatens to cause widespread suffering and economic peril to the countries of Latin America. Prompt and deliberate actions must be taken to avoid this scenario. Increasing efforts towards prevention of cancer and avoidance of advanced, stage IV disease will reduce suffering and mortality and will make overall cancer care more affordable. We hope the findings of our Commission and our recommendations will inspire Latin American stakeholders to redouble their efforts to address this increasing cancer burden and to prevent it from worsening and threatening their societies.
ISSN: 1470-2045
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