Friday November 22, 2019

Less than 25% of cancer patients in need of surgery have access to it: Study

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By NewsGram Staff-Writer

London: A study released on Monday by the King’s College London revealed that over 80 percent of the 15 million people diagnosed with cancer worldwide in 2015 will need surgery. But, less than 25% of such people have access to proper, affordable surgical care.

Image from www.breadforthecity.org
Image from www.breadforthecity.org

The study revealed that the access is worse in low-income countries where as many as 95 percent of people with cancer do not receive basic cancer surgery, reported Xinhua.

The researchers estimated that less than five percent patients in low-income countries and only roughly 22 percent patients in middle-income countries can access even the most basic cancer surgery.

Poor access to basic cancer surgery and good quality cancer care is not just confined to the world’s poorer countries. Survival data across Europe showed that many of the European Union member states are also not delivering high quality cancer surgery to their populations.

Surgery is the mainstay of cancer control and cure, with over 80 percent of all cancers requiring some type of surgery, in many cases multiple times, say the researchers.

By 2030, of the almost 22 million new cancer patients, over 17 million will need operations, 10 million of them in low-and-middle-income countries, says the study which has been published in the journal The Lancet Oncology.

“With many competing health priorities and substantial financial constraints in many low-and-middle-income countries, surgical services for cancer are given low priority within national cancer plans and are allocated fewer resources,” said Professor Richard Sullivan from King’s College London who had participated in the study.

With a serious shortfall of cancer surgeons in over 82 percent of countries, radical action is needed to train general surgeons to deliver basic cancer surgery, produce more gynecological and surgical oncologists, and create more high quality surgical training programs, according to the study.

(With inputs from IANS)

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Vaping Can Lead to Chronic Disease in Lungs known as “Popcorn Injury”

This novel disease pattern of airway injury associated with vaping leading to chronic obstruction appears to be distinct from the alveolar injury

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Vaping
Novel disease pattern of airway injury associated with Vaping leading to chronic obstruction appears to be distinct from the alveolar injury characterizing the EVALI . Pixabay

In yet another serious health alert on e-cigarette use, researchers have documented first-ever case of a new form of damage from Vaping products in a youth which is similar to “popcorn lung,” a condition seen in workers exposed to food flavouring fumes in microwave popcorn factories.

If inhaled, the chemical called diacetyl causes bronchiolitis, which is characterized by the small airways of the lungs becoming inflamed and obstructed.

The 17-year-old patient who narrowly avoided the need for a double lung transplant suffered with this new type of vaping-related injury.

A team from Lawson Health Research Institute in London, Ontario, and University Health Network (UHN) in Toronto described the life-threatening bronchiolitis in a previously healthy 17-year-old male who initially presented for care after a week of persistent and intractable cough and was eventually hospitalized and put on life support.

After ruling out other causes, the team suspected flavoured e-liquids as the cause. The youth’s family reported that he vaped daily using a variety of flavoured cartridges and used tetrahydrocannabinol (THC) regularly. THC is the chemical responsible for most of marijuana’s psychological effects.

“This novel disease pattern of airway injury associated with vaping leading to chronic obstruction appears to be distinct from the alveolar injury characterizing the EVALI (e-cigarette or vaping product use-associated lung injury) have been described cases recently reported in the US, and the seven confirmed or probable cases in Canada, highlighting the need for further research and regulation of e-cigarettes,” elaborated lead author Dr Karen Bosma, Associate Scientist at Lawson.

The case study, published in CMAJ (Canadian Medical Association Journal), provides detailed medical information on the extent and type of injury as well as treatment.

“This case of life-threatening acute bronchiolitis posed a diagnostic and therapeutic challenge,” the authors wrote.

Vaping
In yet another serious health alert on e-cigarette use, researchers have documented first-ever case of a new form of damage from Vaping products in a youth which is similar to “popcorn lung,” a condition seen in workers exposed to food flavouring fumes in microwave popcorn factories. Pixabay

“Given the patient’s intense vaping exposure to flavoured e-liquid and negative workup for other causes of bronchiolitis, we suspected that bronchiolitis obliterans might have been developing in this patient as in microwave popcorn factory workers exposed to occupational inhalation of diacetyl.”

The youth narrowly avoided the need for a double lung transplant, but now has evidence of chronic damage to his airways.

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He is still recovering from his lengthy stay in the intensive care unit, and is abstaining from e-cigarettes, marijuana and tobacco.

“This case may represent the first direct evidence of the lung disease most expected to result from e-cigarette use,” said Dr Matthew Stanbrook, Deputy Editor, CMAJ. (IANS)