Casolino Raffaella, Sullivan Richard, Jobanputra Kiran, Abdel-Wahab May, Grbic Miljana, Hammad Nazik, Kutluk Tezer, Melnitchouk Nelya, Mueller Alexandra, Ortiz Roberta, Paez Diana, Shamieh Omar, Tamamyan Gevorg, Vulpe Horia, Mikkelsen Bente, Ilbawi Andrè, Slama Slim
Department of Noncommunicable Diseases, Rehabilitation and Disability, WHO, Geneva, Switzerland.
Centre for Conflict & Health Research, London, UK; Institute of Cancer Policy, School of Cancer Sciences, King's College London, London, UK.
Lancet Oncol. 2025 Jan;26(1):e55-e66. doi: 10.1016/S1470-2045(24)00522-9. Epub 2024 Dec 18.
More than a billion people live in fragile, conflict-affected, and vulnerable settings requiring humanitarian support, where cancer is a substantial health issue. Despite its substantial effect on populations, cancer care remains underprioritised in emergency preparedness and response frameworks and humanitarian operational planning. This Policy Review summarises the perspectives and actionable recommendations from the First Global High-Level Technical Meeting on Non-communicable Diseases in Humanitarian Settings, with a focus on cancer. The paper highlights the challenges of providing cancer care in fragile, conflict-affected, and vulnerable settings and proposes a comprehensive roadmap to address both immediate and long-term needs of patients with cancer living in these settings. Key solutions include: integrating the cancer care continuum into national preparedness and response plans to enhance health-care system resilience; integrating cancer into humanitarian responses efforts; addressing the specific needs of paediatric patients with cancer; improving cancer intelligence and surveillance systems; and developing strategies to navigate the logistical and financial challenges of providing cancer care during crises. Additionally, the paper outlines practical actions and next steps for international cooperation needed to drive a shift in global health priorities and elevate cancer in the global health security agenda. We hope the presented notions will help prevent millions of avoidable deaths among people with cancer.
超过10亿人生活在需要人道主义支持的脆弱、受冲突影响和易受伤害的环境中，在这些地方，癌症是一个重大的健康问题。尽管癌症对民众有重大影响，但在应急准备和应对框架以及人道主义行动规划中，癌症护理的优先级仍然较低。本政策审查总结了首届人道主义环境下非传染性疾病全球高级别技术会议的观点和可行建议，重点是癌症。该文件强调了在脆弱、受冲突影响和易受伤害的环境中提供癌症护理的挑战，并提出了一个全面的路线图，以满足生活在这些环境中的癌症患者的短期和长期需求。关键解决方案包括：将癌症护理连续体纳入国家应急准备和应对计划，以增强医疗系统的复原力；将癌症纳入人道主义应对工作；满足癌症患儿的特殊需求；改善癌症情报和监测系统；以及制定战略，应对危机期间提供癌症护理的后勤和资金挑战。此外，该文件概述了推动全球卫生优先事项转变并将癌症纳入全球卫生安全议程所需的国际合作的实际行动和后续步骤。我们希望所提出的理念将有助于预防数百万癌症患者可避免的死亡。
