Lynch H T, Rahim M A
Am J Public Health. 1981 Oct;71(10):1158-61. doi: 10.2105/ajph.71.10.1158.
Bangladesh exemplifies all of the problems of Third World countries: poverty, hunger, reduced longevity, and an illiteracy rate hovering at more than 80 per cent. The current status of oncology in Bangladesh was surveyed. Staff physicians, deans, medical students, nurses, and patients at six of the eight medical college hospitals, seven village hospitals, and a large private hospital provided background and clinical material. There are no medical or surgical oncologists in Bangladesh. The eight qualified radiation therapists are able to provide only meager diagnostic potential or radiation therapy with their antiquated equipment. Pathology service was severely handicapped by understaffing and outmoded equipment. With a relatively modest investment, epidemiological studies could be undertaken and an effective cancer control program established since oral and cervical cancers are common.
贫困、饥饿、人均寿命缩短,文盲率徘徊在80%以上。对孟加拉国肿瘤学的现状进行了调查。八所医学院附属医院中的六所、七所乡村医院以及一家大型私立医院的在职医生、院长、医科学生、护士和患者提供了背景资料和临床素材。孟加拉国没有医学或外科肿瘤学家。八位合格的放射治疗师仅能用其陈旧的设备提供有限的诊断服务或放射治疗。病理服务因人员不足和设备陈旧而严重受限。鉴于口腔癌和宫颈癌较为常见,只需相对适度的投资,就可以开展流行病学研究并建立有效的癌症控制项目。