University of Auckland, Auckland, New Zealand.
Sydney Law School, Eastern Avenue (F10), Sydney, NSW 2006, Australia.
Public Health. 2011 Dec;125(12):821-831. doi: 10.1016/j.puhe.2011.09.029. Epub 2011 Oct 22.
Cancer is a leading global cause of death and disability, responsible for approximately 7.6 million deaths each year. Around one-third of cancers are attributable to a small number of preventable risk factors - including smoking and the harmful consumption of alcohol - for which effective interventions exist at the population level. Despite this, progress in global cancer control has been slow and patchy, largely due to the weak and fragmented nature of both the global and national responses. This has been exacerbated by the economic crisis and the tendency for other challenges involving food, energy security and climate change to overshadow cancer on the global policy agenda. This paper reviews the global burden of cancer, and summarizes knowledge about effective interventions. Responding to the global challenge of cancer requires a comprehensive and integrated approach that includes legislation and regulation. A re-invigorated approach to global cancer prevention, within the broader context of non-communicable disease prevention, is an important pathway to global health and development.
癌症是全球主要的死亡和残疾原因,每年导致约 760 万人死亡。大约三分之一的癌症归因于少数可预防的风险因素,包括吸烟和有害饮酒,这些因素在人群层面上存在有效的干预措施。尽管如此,全球癌症控制方面的进展仍然缓慢且不均衡,这主要是由于全球和国家层面的应对措施薄弱且分散。经济危机以及其他涉及粮食、能源安全和气候变化的挑战倾向于使癌症在全球政策议程中黯然失色,这使情况进一步恶化。本文回顾了癌症的全球负担,并总结了有关有效干预措施的知识。应对癌症这一全球性挑战需要采取全面和综合的方法,包括立法和监管。在非传染性疾病预防的更广泛背景下,重新启动全球癌症预防措施是实现全球健康与发展的重要途径。