Ahmed Yasar, Karadawi Nabeeha, Abubaker Mutasim, Mustafa Awad
Medical Oncology Department, St Vincent's University Hospital, Dublin, Ireland.
School of Medicine, University College Dublin, Dublin, Ireland.
JCO Glob Oncol. 2025 Jun;11:e2400568. doi: 10.1200/GO-24-00568. Epub 2025 Jun 4.
The armed conflict that erupted in Sudan on April 15, 2023, has precipitated a catastrophic collapse of the nation's health care system, with oncology services bearing particularly devastating consequences. Once a regional leader in cancer care, Sudan's health care infrastructure, including its flagship Khartoum Oncology Hospital and numerous comprehensive cancer centers, has been rendered nearly nonfunctional. This crisis has left thousands of patients with cancer without access to essential treatments, exacerbating an already dire public health situation. The conflict has not only disrupted medical supply chains but also displaced health care personnel, further crippling the ability to deliver life-saving care. This manuscript provides a critical analysis of the impact of the conflict on cancer care in Sudan, focusing on the redistribution of patients to peripheral oncology centers and the strain on these facilities. Although existing literature has highlighted the collapse of health care infrastructure, this study offers new quantitative data on the surge in patient numbers at centers such as the East Oncology Centre and the White Nile Cancer Centre, alongside the critical shortages of medical supplies. It also underscores the equity concerns arising from the lack of global attention to Sudan's cancer care crisis compared with other conflict zones. By shedding light on these issues, this study aims to galvanize international action to support Sudanese patients with cancer and rebuild its health care system.
2023年4月15日在苏丹爆发的武装冲突，使该国的医疗保健系统陷入了灾难性的崩溃，肿瘤服务受到了尤为严重的影响。苏丹曾经是癌症治疗领域的地区领导者，其医疗保健基础设施，包括其旗舰喀土穆肿瘤医院和众多综合癌症中心，已几乎无法正常运转。这场危机使数千名癌症患者无法获得基本治疗，加剧了本就严峻的公共卫生状况。冲突不仅扰乱了医疗供应链，还导致医护人员流离失所，进一步削弱了提供救命护理的能力。本文对冲突对苏丹癌症护理的影响进行了批判性分析，重点关注患者向周边肿瘤中心的重新分配以及这些机构所承受的压力。尽管现有文献强调了医疗保健基础设施的崩溃，但本研究提供了关于东部肿瘤中心和白尼罗河癌症中心等机构患者数量激增以及医疗用品严重短缺的新定量数据。它还强调了与其他冲突地区相比，全球对苏丹癌症护理危机缺乏关注所引发的公平性问题。通过揭示这些问题，本研究旨在促使国际社会采取行动，支持苏丹癌症患者并重建其医疗保健系统。
