Cancer control in small island nations: From local challenges to global action

Diana Sarfati; Rachel Dyer; Paula Vivili; Josephine Herman; Dingle Spence; Richard Sullivan; David Weller; Freddie Bray; Sarah Hill; Christopher Bates; Sunia Foliaki; Neal Palafox; Silvana Luciani; Alec Ekeroma; James Hospedales

doi:10.1016/S1470-2045(19)30511-X

Cancer control in small island nations: From local challenges to global action

Diana Sarfati, Rachel Dyer, Paula Vivili, Josephine Herman, Dingle Spence, Richard Sullivan, David Weller, Freddie Bray, Sarah Hill, Christopher Bates, Sunia Foliaki, Neal Palafox, Silvana Luciani, Alec Ekeroma, James Hospedales

Research output: Contribution to journal › Article › peer-review

Abstract / Description of output

Cancer is a leading cause of death in small island nations and is forecast to increase substantially over the coming years. Governments, regional agencies, and health services of these nations face daunting challenges, including small and fragile economies, unequal distribution of resources, weak or fragmented health services, small population sizes that make sustainable workforce and service development problematic, and the unavailability of specialised cancer services to large parts of the population. Action is required to prevent large human and economic costs relating to cancer. This final Series paper highlights the challenges and opportunities for small island nations, and identifies ways in which the international community can support efforts to improve cancer control in these settings. Our recommendations focus on funding and investment opportunities to strengthen cancer-related health systems to improve sharing of technical assistance for research, surveillance, workforce, and service development, and to support small island nations with policy changes to reduce the consumption of commodities (eg, tobacco and unhealthy food products) that increase cancer risk.

Original language	English
Pages (from-to)	e535-e548
Journal	The Lancet Oncology
Volume	20
Issue number	9
Early online date	5 Aug 2019
DOIs	https://doi.org/10.1016/S1470-2045(19)30511-X
Publication status	Published - 30 Sept 2019

Keywords / Materials (for Non-textual outputs)

cancer
small island states
health systems
health policy
global health

Access to Document

10.1016/S1470-2045(19)30511-X

Cite this

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title = "Cancer control in small island nations: From local challenges to global action",

abstract = "Cancer is a leading cause of death in small island nations and is forecast to increase substantially over the coming years. Governments, regional agencies, and health services of these nations face daunting challenges, including small and fragile economies, unequal distribution of resources, weak or fragmented health services, small population sizes that make sustainable workforce and service development problematic, and the unavailability of specialised cancer services to large parts of the population. Action is required to prevent large human and economic costs relating to cancer. This final Series paper highlights the challenges and opportunities for small island nations, and identifies ways in which the international community can support efforts to improve cancer control in these settings. Our recommendations focus on funding and investment opportunities to strengthen cancer-related health systems to improve sharing of technical assistance for research, surveillance, workforce, and service development, and to support small island nations with policy changes to reduce the consumption of commodities (eg, tobacco and unhealthy food products) that increase cancer risk. ",

keywords = "cancer, small island states, health systems, health policy, global health",

author = "Diana Sarfati and Rachel Dyer and Paula Vivili and Josephine Herman and Dingle Spence and Richard Sullivan and David Weller and Freddie Bray and Sarah Hill and Christopher Bates and Sunia Foliaki and Neal Palafox and Silvana Luciani and Alec Ekeroma and James Hospedales",

year = "2019",

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doi = "10.1016/S1470-2045(19)30511-X",

language = "English",

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TY - JOUR

T1 - Cancer control in small island nations

T2 - From local challenges to global action

AU - Sarfati, Diana

AU - Dyer, Rachel

AU - Vivili, Paula

AU - Herman, Josephine

AU - Spence, Dingle

AU - Sullivan, Richard

AU - Weller, David

AU - Bray, Freddie

AU - Hill, Sarah

AU - Bates, Christopher

AU - Foliaki, Sunia

AU - Palafox, Neal

AU - Luciani, Silvana

AU - Ekeroma, Alec

AU - Hospedales, James

PY - 2019/9/30

Y1 - 2019/9/30

N2 - Cancer is a leading cause of death in small island nations and is forecast to increase substantially over the coming years. Governments, regional agencies, and health services of these nations face daunting challenges, including small and fragile economies, unequal distribution of resources, weak or fragmented health services, small population sizes that make sustainable workforce and service development problematic, and the unavailability of specialised cancer services to large parts of the population. Action is required to prevent large human and economic costs relating to cancer. This final Series paper highlights the challenges and opportunities for small island nations, and identifies ways in which the international community can support efforts to improve cancer control in these settings. Our recommendations focus on funding and investment opportunities to strengthen cancer-related health systems to improve sharing of technical assistance for research, surveillance, workforce, and service development, and to support small island nations with policy changes to reduce the consumption of commodities (eg, tobacco and unhealthy food products) that increase cancer risk.

AB - Cancer is a leading cause of death in small island nations and is forecast to increase substantially over the coming years. Governments, regional agencies, and health services of these nations face daunting challenges, including small and fragile economies, unequal distribution of resources, weak or fragmented health services, small population sizes that make sustainable workforce and service development problematic, and the unavailability of specialised cancer services to large parts of the population. Action is required to prevent large human and economic costs relating to cancer. This final Series paper highlights the challenges and opportunities for small island nations, and identifies ways in which the international community can support efforts to improve cancer control in these settings. Our recommendations focus on funding and investment opportunities to strengthen cancer-related health systems to improve sharing of technical assistance for research, surveillance, workforce, and service development, and to support small island nations with policy changes to reduce the consumption of commodities (eg, tobacco and unhealthy food products) that increase cancer risk.

KW - cancer

KW - small island states

KW - health systems

KW - health policy

KW - global health

U2 - 10.1016/S1470-2045(19)30511-X

DO - 10.1016/S1470-2045(19)30511-X

M3 - Article

SN - 1470-2045

VL - 20

SP - e535-e548

JO - The Lancet Oncology

JF - The Lancet Oncology

IS - 9

ER -

Cancer control in small island nations: From local challenges to global action

Abstract / Description of output

Keywords / Materials (for Non-textual outputs)

Access to Document

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Cite this