Ortiz Ana Patricia, Hospedales C James, Méndez-Lázaro Pablo A, Hamilton William M, Rolle LaShae D, Shepherd J Marshall, Espinel Zelde, Gay Hiram A, Nogueira Leticia M, Shultz James M
Department of Biostatistics and Epidemiology, Graduate School of Public Health, University of Puerto Rico, San Juan, Puerto Rico; Division of Cancer Control and Population Sciences, University of Puerto Rico Comprehensive Cancer Center, San Juan, Puerto Rico.
EarthMedic and EarthNurse Foundation for Planetary Health, Port of Spain, Trinidad and Tobago; Defeat-NCD Partnership Executive Committee Climate and Health, Healthy Caribbean Coalition, Geneva, Switzerland.
Lancet Oncol. 2024 May;25(5):e217-e224. doi: 10.1016/S1470-2045(24)00071-8.
Caribbean small island developing states are becoming increasingly vulnerable to compounding disasters, prominently featuring climate-related hazards and pandemic diseases, which exacerbate existing barriers to cancer control in the region. We describe the complexities of cancer prevention and control efforts throughout the Caribbean small island developing states, including the unique challenges of people diagnosed with cancer in the region. We highlight potential solutions and strategies that concurrently address disaster adaptation and cancer control. Because Caribbean small island developing states are affected first and worst by the hazards of compounding disasters, the innovative solutions developed in the region are relevant for climate mitigation, disaster adaptation, and cancer control efforts globally. In the age of complex and cascading disaster scenarios, developing strategies to mitigate their effect on the cancer control continuum, and protecting the health and safety of people diagnosed with cancer from extreme events become increasingly urgent. The equitable development of such strategies relies on collaborative efforts among professionals whose diverse expertise from complementary fields infuses the local community perspective while focusing on implementing solutions.
加勒比小岛屿发展中国家正日益容易受到复合型灾害的影响，这些灾害主要包括与气候相关的危害和大流行性疾病，它们加剧了该地区癌症控制工作现有的障碍。我们描述了整个加勒比小岛屿发展中国家癌症预防和控制工作的复杂性，包括该地区癌症患者所面临的独特挑战。我们强调了同时应对灾害适应和癌症控制的潜在解决方案和策略。由于加勒比小岛屿发展中国家首先且最严重地受到复合型灾害危害的影响，该地区开发的创新解决方案与全球气候缓解、灾害适应和癌症控制工作相关。在复杂且连锁的灾害情景时代，制定减轻其对癌症控制连续过程影响的策略，以及保护癌症患者的健康和安全免受极端事件影响变得越来越紧迫。此类策略的公平发展依赖于专业人员之间的协作努力，他们来自互补领域的不同专业知识在关注实施解决方案的同时融入了当地社区的视角。
