将癌症纳入危机:世卫组织及其合作伙伴的全球行动愿景

Raffaella Casolino, Richard Sullivan, Kiran Jobanputra, May Abdel-Wahab, Miljana Grbic, Nazik Hammad, Tezer Kutluk, Nelya Melnitchouk, Alexandra Mueller, Roberta Ortiz, Diana Paez, Omar Shamieh, Gevorg Tamamyan, Horia Vulpe, Bente Mikkelsen, Andrè Ilbawi, Slim Slama
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摘要

超过十亿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,在这些环境中,癌症是一个严重的健康问题。尽管癌症对人口产生了重大影响,但在应急准备和响应框架以及人道主义行动规划中,癌症护理仍未被列为优先事项。本政策回顾总结了第一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,重点关注癌症。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所面临的挑战,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当前和长期需求。主要解决方案包括:将癌症护理的连续性纳入国家准备和响应计划,以增强医疗保健系统的复原力;将癌症纳入人道主义响应工作;满足儿科癌症患者的特殊需求;改进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所面临的后勤和财务挑战。此外,本文还概述了国际合作所需的实际行动和下一步措施,以推动全球卫生优先事项的转变,提升癌症在全球卫生安全议程中的地位。我们希望所提出的理念将有助于防止数百万癌症患者死于本可避免的疾病。
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Integrating cancer into crisis: a global vision for action from WHO and partners
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.
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