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Cancer the leading cause of Death in the Developing Countries

2015-03-01 07:02:03  来源: 【返回列表】

Cancer the Leading Cause of Death in the Developing Countries

By Ram Deo Pandit, APD Health Reporter

 Cancer is one of the leading causes of death in the world, particularly in developing countries like Nepal.It is a generic term for a large group of diseases that can affect any part of the body. Other terms used are malignant tumors and neoplasms. Cancer arises from one single cell. The transformation from a normal cell into a tumor cell is a multistage process, typically a progression from a pre-cancerous lesion to malignant tumors.

 

 

Key facts

• Cancers figure among the leading causes of morbidity and mortality worldwide, with approximately 14 million new cases and 8.2 million cancer related deaths in 2012.

• The number of new cases is expected to rise by about 70% over the next 2 decades.

• Among men, the 5 most common sites of cancer diagnosed in 2012 were lung, prostate, colorectum, stomach, and liver cancer.

• Among women the 5 most common sites diagnosed were breast, colorectum, lung, cervix, and stomach cancer.

• Around one third of cancer deaths are due to the 5 leading behavioral and dietary risks: high body mass index, low fruit and vegetable intake, lack of physical activity, tobacco use, alcohol use.

• Tobacco use is the most important risk factor for cancer causing around 20% of global cancer deaths and around 70% of global lung cancer deaths.

• Cancer causing viral infections such as HBV / HCV and HPV are responsible for up to 20% of cancer deaths in low- and middle-income countries.

• More than 60% of world's total new annual cases occur in Africa, Asia and Central and South America. These regions account for 70% of the world's cancer deaths.

• It is expected that annual cancer cases will rise from 14 million in 2012 to 22 within the next 2 decades.

 

 

The problem

Cancer is a leading cause of death worldwide, accounting for 8.2 million deaths in 2012. The most common causes of cancer death are cancers of:

• Lung (1.59 million deaths)

• Liver (745 000 deaths)

• Stomach (723 000 deaths)

• Colorectal (694 000 deaths)

• Breast (521 000 deaths)

• Esophageal cancer (400 000 deaths).

Modifying and avoiding risk factors

More than 30% of cancer deaths could be prevented by modifying or avoiding key risk factors, including:

• Tobacco use

• Being overweight or obese

• Unhealthy diet with low fruit and vegetable intake

• Lack of physical activity

• Alcohol use

• Sexually transmitted HPV-infection

• Infection by HBV

• Ionizing and non-ionizing radiation

• Urban air pollution

• Indoor smoke from household use of solid fuels.

 

(Source: WHO cancer report 2014)

 

 V / VIP wards at Bir Hospital Turning into white Elephant

Bir Hospital, the oldest hospital of the country, had renovated the V / VIP wards at a huge cost with a view to providing quality medical services to dignitaries, who quite often prefer to fly abroad, at home. The facility, earlier used by former royal family, had come into operation almost after three decades as per a government decision.

But with few takers for the V / VIP wards, Bir Hospital's well-intended move seems to have gone in vain, and threat looms large that the facility, for the upkeep of which requires a huge fund, could turn into a white elephant.

The wards have all the required facilities. But even after two months in operation, the V / VIP wards have not seen anyone being admitted.

Dr. Swayam Prakash Pandit, Director, Bir Hospital, said President Ram Baran Yadav and Vice President ParmanandaJha have visited the wards for their regular health check-ups. Among political leaders, Unified CPN-M Chairman Pushpa Kamal Dahal, senior leader BaburamBhattarai and senior CPN-UML leader Madhav Kumar Nepal have also visited here once or twice, said Dr. Pandit.

Those who can avail the services of this facility are President, Vice President, prime minister, Constituent Assembly chairman and chief justice (VVIPs) and ministers, Supreme Court judges, CA members, chief secretary, secretaries, chief of constitutional bodies and chief of security agencies, among others (VIPs).

 

60,000 free Surgery in a Year

 

Over 60,000 patients suffering from eyesight problems have got themselves treated at the eye hospital of Siraha district in 2014. The hospital, which provides surgical services to a large number of people, is said to be the second largest eye hospital in the world.

The 32-year-old eye hospital, assisted by CBM International, Germany, has 450 beds. According to the manager of the hospital Sudhir Thakur, it has provided treatment services to more than four million eye patients till date.

In 2014, a total number of 321,175 eye patients received general treatment and 60,035 underwent surgical operations at the hospital, the hospital record disclosed.