Franklin Renee A, Simeon Donald T
Faculty of Medical Sciences, University of the West Indies, St. Augustine, Trinidad & Tobago.
Cancer Causes Control. 2017 Nov;28(11):1177-1185. doi: 10.1007/s10552-017-0912-0. Epub 2017 Jun 26.
With high mortality in breast, cervical, prostate, and colorectal cancers in Caribbean Community (CARICOM) countries, we examined cancer control initiatives including screening as well as the implementation of relevant international and regional mandates.
Secondary data were used to examine cancer control initiatives, which included the presence of national policies, programs, and screening services as well as the implementation of international and regional mandates. To identify the data, an on-line search was conducted using Google/Google Scholar.
Data were available for 14 of the 15 full members of CARICOM. Although only six countries had distinct cancer control policies, strategies or action plans, all 14 had key elements of cancer control programs. Screening services were available in the 14 countries for cervical, in 12 countries for breast and in 11 for colorectal cancer. However, only four countries had screening policies. In addition, screening guidelines were available for cervical cancer in nine countries, in one country for breast and in none for colorectal cancer. Selected tobacco control policies were present in the 14 countries and immunization policies for human papillomavirus (HPV) in 13. Treatment services included chemotherapy in 10 countries and radiotherapy in six. Nine countries had palliative care services for patients with advanced disease. The countries were at different stages of implementation/compliance with international and regional mandates and frameworks.
There is an urgent need to develop and implement comprehensive and customized cancer control policies addressing screening programs, treatment and palliative care.
鉴于加勒比共同体（加共体）国家中乳腺癌、宫颈癌、前列腺癌和结直肠癌的死亡率较高，我们研究了包括筛查在内的癌症控制举措以及相关国际和地区指令的实施情况。
使用二手数据来研究癌症控制举措，其中包括国家政策、项目和筛查服务的存在情况以及国际和地区指令的实施情况。为了识别数据，利用谷歌/谷歌学术进行了在线搜索。
加共体15个正式成员国中有14个国家有相关数据。虽然只有6个国家有明确的癌症控制政策、战略或行动计划，但所有14个国家都有癌症控制项目的关键要素。14个国家提供宫颈癌筛查服务，12个国家提供乳腺癌筛查服务，11个国家提供结直肠癌筛查服务。然而，只有4个国家有筛查政策。此外，9个国家有宫颈癌筛查指南，1个国家有乳腺癌筛查指南，没有国家有结直肠癌筛查指南。14个国家有选定的烟草控制政策，13个国家有人乳头瘤病毒（HPV）免疫政策。治疗服务包括10个国家的化疗和6个国家的放疗。9个国家为晚期疾病患者提供姑息治疗服务。这些国家在实施/遵守国际和地区指令及框架方面处于不同阶段。
迫切需要制定和实施全面且量身定制的癌症控制政策，涵盖筛查项目、治疗和姑息治疗。
