Cancer in Developing Countries: The Great Challenge for Oncology in the 21st Century

Cancer in Developing Countries: The Great Challenge for Oncology in the 21st Century

von: S. Tanneberger, F. Cavalli, F. Pannuti

W. Zuckschwerdt Verlag, 2004

ISBN: 9783886038305 , 188 Seiten

Format: PDF, OL

Kopierschutz: DRM

Windows PC,Mac OSX Apple iPad, Android Tablet PC's Online-Lesen für: Windows PC,Mac OSX,Linux

Preis: 33,99 EUR

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Cancer in Developing Countries: The Great Challenge for Oncology in the 21st Century


 

Preface by the Editors

6

Acknowledgement

6

Contents

8

Contributors

10

Foreword

12

Developing Countries

12

An Unequal World

15

Challenge and Opportunity

18

Cancer in Context

20

The Coming Plague

23

I. Introduction

28

References

31

II.1 The Cancer Problem in Developing Countries

32

References

36

II.2 Some Observations on the Geography of Lymphoid Neoplasms

37

II.2.1 Global Distribution and Pathogenesis of Lymphoid Neoplasia

37

II.2.2 BurkittÌs Lymphoma

41

II.2.3 Acute Lymphoblastic Leukemia in Young People

45

II.2.4 Follicular Lymphoma

47

II.2.5 T Cell Lymphoma

48

References

50

II.3 Bridging the Childhood Cancer Mortality Gap between Economically Developed and Low- Income Countries: Lessons from the MISPHO Experience

53

II.3.1 Introduction

53

II.3.2 General Framework

54

II.3.3 What Can be Done and How? The Model Case of Nicaragua.

55

II.3.4 MonzaÌs International School for Pediatric Hemato-Oncology (MISPHO)

61

II.3.5 International Initiatives

65

II.3.6 Lesson from the Experience

68

II.3.7. Conclusions

69

References

70

II.4 Transfer of Medical Technology to Developing Countries: Nicaragua - Success and Failure

72

II.4.1 Introduction

72

II.4.2 Nicaragua: Geographical and Political Facts

72

II.4.3 Programme Background

73

II.4.4 Cervical Cancer in Nicaragua

74

II.4.5 The Swiss-Nicaraguan Project for Secondary Prevention of Cervical Cancer

76

II.4.6 How Political Upheaval Influences Health Care: Patients Pay the Price

76

III.4.7 Conclusions

77

References

77

II.5 Oncology in Serbia in the Last Ten Years: 1990-2000

78

II.5.1 General Remarks

78

II.5.2 Some Epidemiological Characteristics of Cancer in Vojvodina

84

II.5.3 Environmental Pollution

89

II.5.4 Summary

93

References

94

II.6 Oncology in Albania in the Last Ten Years: 1991-2001

97

II.6.1 General Overview

97

II.6.2 Actual Situation of General Health Care in Albania

98

II.6.3 Oncological Care in Albania

100

II.6.4 Different Points of View Regarding the Oncological Situation in Albania

104

References

107

II.7 CanSupport: Pioneering Domiciliary Palliative Care in Delhi

108

II.7.1 Introduction

108

II.7.2 The Cancer Scenario in India

109

II.7.3 The Situation in Delhi

110

II.7.4 The Burden of Cancer for Palliative Care Services in Delhi

111

II.7.5 CanSupport: The Conception

114

II.7.6 CanSupport: The Organization

116

II.7.6 CanSupport: Our Initial Experience

117

II.7.7 CanSupport: The Future

120

References

120

II.8 Developing Palliative Care in Kerala

121

II.8.1 Introduction

121

II.8.2 Methods

121

II.8.3 Results

122

II.8.4 Discussion

125

References

130

II.9 Breaking the Vicious Cycle that Hinders Cancer Control in Developing Countries

132

II.9.1 Introduction

132

II.9.2 The Vicious Cycle Encountered in Developing Countries

133

II.9.3 Addressing the Problem

135

II.9.4 Simplifying Therapy Ò Realistic or Retrogressive?

138

II.9.5 The Importance of Clinical Research in Developing Countries

142

II.9.6 The Need for Cooperation

143

II.9.7 Summary

145

References

146

III. Audit in Oncology in the Third World

148

III.1 The Growing Burden of Cancer: Incidence and Mortality

148

III.2 Risk Factors and Prevention: Do We Use the Chance?

153

III.3 Cancer Detection: Early or Too Late?

162

III.4 Treatment of Cancer: A Perspective

168

III.5 Palliative Care: The Most Urgent and Most Rapid Way to Less Suffering

173

References

176

IV. Conclusions and Strategies for Reducing Cancer Mortality in Developing Countries

182