Plesnicar S, Plesnicar A
Dr J. Cholewa Foundation for Cancer Research, Ljubljana, Slovenia.
Semin Oncol. 2001 Apr;28(2):210-6. doi: 10.1016/s0093-7754(01)90094-6.
World societies have changed significantly in the last decades. The main characteristics of these changes are reciprocal connections and interdependencies. It has been thus realized that a major part of the world population still lives in poverty. Due to specific health care interventions and consequent demographic changes, it is expected that the population in general, and of the older people in particular, will increase significantly in the future. The annual number of new cases of cancer is expected to double from 10 million at present to 20 million in the next 20 years. Considering the increases in life expectancy and in tobacco abuse worldwide, and the existence of viral diseases leading to cancer in less developed countries besides other factors, the majority of new cases will probably occur in the emerging world. The number of new cases of cancer could in the future be reduced with the enhancement of education on vertical and horizontal levels in less developed countries. On the vertical arm, the education would concentrate on physicians, nurses, and other health care workers, while on the horizontal arm, it would be provided to government officials, politicians, and other decision-makers. It should be accepted that the world is one and that the problems associated with cancer in less developed countries are global problems. Semin Oncol 28:210-216.
在过去几十年里，世界社会发生了显著变化。这些变化的主要特征是相互联系和相互依存。人们已经认识到，世界上大部分人口仍生活在贫困之中。由于特定的医疗保健干预措施以及随之而来的人口结构变化，预计未来总体人口，尤其是老年人口将大幅增加。预计癌症新发病例的年数量将从目前的1000万翻倍至未来20年的2000万。考虑到全球预期寿命的增加、烟草滥用情况，以及除其他因素外，欠发达国家存在导致癌症的病毒性疾病，大多数新发病例可能会出现在新兴世界。通过在欠发达国家加强纵向和横向层面的教育，未来癌症新发病例数量有望减少。在纵向方面，教育将集中于医生、护士和其他医护人员；而在横向方面，将向政府官员、政治家和其他决策者提供教育。应该认识到，世界是一个整体，欠发达国家与癌症相关的问题是全球性问题。《肿瘤学研讨会》28:210 - 216。
