© 2006 European Society for Medical Oncology
symposium article |
World Health Organization cancer priorities in developing countries
Ocean Road Cancer Institute, Dar es Salaam, Tanzania
*Correspondence to: Dr T. A. Ngoma, Executive Director, Ocean Road Cancer Institute, Junction of Luthuli and Ocean Road, P.O. Box 3592, Dar es Salaam, Tanzania. Tel: +255 22 2127597; Fax: +255 22 2118704; E-mail: ngoma{at}uccmail.co.tz
The burden of cancer in developing countries is growing and threatens to exact a heavy morbidity, mortality, and economic cost in these countries in the next 20 years. The unfolding global public health dimensions of the cancer pandemic demand a widespread effective international response. The good news is that the majority of cancers in developing countries are preventable, and the efficacy of treatment can be improved with early detection. Currently, the knowledge exists to implement sound, evidence-based practices in cancer prevention, screening/early detection, treatment, and palliation. It is estimated that the information at hand could prevent up to one-third of new cancers and increase survival for another one-third of cancers detected at an early stage. To achieve this, knowledge must be translated into action. To facilitate the call to action in the fight against cancer, the World Health Organization (WHO) has developed a comprehensive approach to cancer control. The WHO has produced many valuable guidelines and resources for the effective implementation of national cancer control programs. Several milestones in the WHO's efforts include the Framework Convention for Tobacco Control, and global strategies for diet and exercise, reproductive health, and cervical cancer. This review examines the strategies and approaches that have successfully resulted into global action to confront the rising global burden of cancer in the developing world.