De Lima L, Bruera E, Joranson D E, Vanegas G, Cepeda S, Quesada L, Wenk R, Pavajeau M C, Derio L, Montejo G, Castillo G, Ruiz F, Pupo A R, Carlés B, Paredes E, Schoeller T
World Health Organization Palliative Care Program for Latin America, Santo Domingo, Dominican Republic.
J Pain Symptom Manage. 1997 Apr;13(4):213-9. doi: 10.1016/s0885-3924(96)00325-9.
The World Health Organization (WHO) has indicated that opioid analgesics are insufficiently available, particularly in developing countries, due to a variety of reasons, including legislative, educational, and policy issues. In its effort to promote the rational use of medical opioids and the adequate treatment of patients with cancer, WHO has sponsored a meeting of Latin American representatives every 2 years, which includes health professionals and government regulators. During March 24-27, 1996, a group of 86 representatives of cancer pain relief and palliative care programs from nine Latin American countries met in Santo Domingo under the auspices of the WHO Palliative Care Program for Latin America. For the first time since the First Latin American Meeting, government regulators were present to help address the issue of opioid availability from their perspective. During the meeting, issues pertaining to cancer pain, opioid availability, and palliative care were discussed. This report summarizes some of the events and presents a summary of the conclusions of an earlier meeting in 1994, as described in the Declaration of Florianopolis, and presents its follow-up, The Santo Domingo Report, generated following the 1996 meeting.
世界卫生组织（WHO）指出，由于包括立法、教育和政策问题在内的多种原因，阿片类镇痛药供应不足，在发展中国家尤为如此。为推动合理使用医用阿片类药物并对癌症患者进行充分治疗，WHO每两年主办一次拉丁美洲代表会议，参会人员包括卫生专业人员和政府监管人员。1996年3月24日至27日，来自九个拉丁美洲国家的86名癌症疼痛缓解与姑息治疗项目代表，在世卫组织拉丁美洲姑息治疗项目的支持下，于圣多明各举行会议。自第一次拉丁美洲会议以来，政府监管人员首次与会，从他们的角度协助解决阿片类药物供应问题。会议期间，讨论了与癌症疼痛、阿片类药物供应及姑息治疗相关的问题。本报告总结了部分会议情况，呈现了1994年一次早期会议的结论摘要（如《弗洛里亚诺波利斯宣言》所述），并介绍了1996年会议之后产生的后续报告《圣多明各报告》。
