June 26, 2003
VIENNA, Austria (AP) -- Millions of lives a year could be
saved if people with cancer in developing countries had access
to radiotherapy, the U.N. nuclear agency said Thursday.
Agency officials compared the scourge of cancer in the
developing world with the devastation wrought by AIDS and
other more publicized diseases. Because cancer is less
attention grabbing, however, attempts to fight it are
foundering on lack of funding for the technology that could
drastically cut cancer death rates, they said.
"A silent crisis in cancer treatment exists in developing
countries and is intensifying every year," said Mohamed
ElBaradei, director-general of the International Atomic Energy
Agency.
Dr. Bhadrasain Vikram, an IAEA radiation oncologist, said
two thirds of last year's six million deaths occurred in
developing countries lacking radiotherapy machines and
experts.
"If we had the resources, probably half of those patients
could be saved," he said in a telephone interview from London.
Among those who survive, lack of radiation treatment often
leads to the removal, for example, of an eye, a breast or a
larynx that normally could be saved.
In the poorest countries of Africa and Asia, doctors
sometimes "don't even bother to make a diagnosis," he said.
"They consider it a death sentence."
Vikram spoke as part of an IAEA campaign to raise funds for
radiation therapy machines and training, amid projections that
cancer deaths will explode over the next decade, particularly
in poor countries unable to provide therapy available in the
developed world.
Citing figures from the World Health Organization, the
Vienna-based agency said annual cancer deaths worldwide will
rise to 10 million by 2020, compared to six million in 2000,
the last year full statistics were available.
It said at least US$2.5 billion is needed over the next 15
years, half to purchase machines, and half to train the
physicians, physicists and technicians needed to provide
treatment.
With only a "few million" dollars now available, Vikram
said the project was far away from meeting its funding goal.
"At the moment, we are only able to supply three to five
machines a year, and we need to supply hundreds, if not
thousands," he said.
Vikram said cancer rates in the developing world last year
exceeded those in developed countries for the first time in
history, in part because people in underdeveloped nations now
are living into their 40s and 50s, when cancers normally begin
to strike.
Radiotherapy is most effective against localized solid
tumors, such as cancers of the skin, mouth, larynx, brain,
breast, prostate or uterine cervix.
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