Title:
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Weak surveillance and policy attention to cancer in global
health: the example of Mozambique
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Author:
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Lorenzoni, Cesaltina; Oliveras, Laura; Vilajeliu, Alba; Carrilho, Carla; Ismail, Mamudo R.; Castillo, Paola; Augusto, Orvalho; Sidat, Mohsin; Menéndez, Clara; García-Basteiro, Alberto L.; Ordi i Majà, Jaume
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Abstract:
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Cancer is an emerging public health problem in sub-Saharan
Africa due to population growth, ageing and westernisation of
lifestyles. The increasing burden of cancer calls for urgent
policy attention to develop cancer prevention and control
programmes. Cancer surveillance is an essential prerequisite.
Only one in five low-income and middle-income countries have the
necessary data to drive policy and reduce the cancer burden. In
this piece, we use data from Mozambique over a 50-year period to
illustrate cancer epidemiological trends in low-income and
middle-income countries to hypothesise potential circumstances
and factors that could explain changes in cancer burden and to
discuss surveillance weaknesses and potential improvements. Like
many low-income and middle-income countries, Mozambique faces
the dual challenge of a still high morbidity and mortality due
to infectious diseases in rural areas and increased incidence of
cancers associated with westernisation of lifestyles in urban
areas, as well as a rise of cancers related to the HIV epidemic.
An increase in cancer burden and changes in the cancer profile
should be expected in coming years. The Mozambican healthcare
and health-information systems, like in many other low-income
and middle-income countries, are not prepared to face this
epidemiological transition, which deserves increasing policy
attention. |
Subject(s):
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-Càncer -Moçambic -Cancer -Mozambique |
Rights:
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cc by-nc (c) Lorenzoni et al., 2018
http://creativecommons.org/licenses/by-nc/3.0/es/ |
Document type:
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Article Article - Published version |
Published by:
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BMJ
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