We appreciate the "Middle-Eastern Association for Cancer Research (www.mearcr.org)" for realizing the distressing situation of presence of large gap in cancer research between the western and the developing countries.  Their vision, that starting of a new journal on cancer investigation will be a step ahead in their quest to improve the picture of cancer research and thereby, cancer care in developing countries, is commendable. Coming up with their first issue that is January-March 2012, it has successfully completed its 2 years; publishing work on cancer research that highlights the cancer care in developing countries. Most of the developing countries including Pakistan, Nepal, Bhutan and Sri Lanka etc., do not have any indigenous oncology journal.  Hence, the clinical cancer investigation journal is serving as an excellent platform for the cancer researchers to share their knowledge with those in the developed countries.
Sir, after thoroughly reading numerous articles published in your esteemed journal, we realized that the lack of awareness, scarcity of funds coupled with lack of priority being given to cancer care programs and cancer research work, are the main reason behind the poor outcome of cancer treatment in developing countries. In this regard, we would like to give some suggestions, which can help change the dismal scenario of cancer research and care in developing countries.
First, the issue that needs to be addressed is the lack of awareness among our masses. For this, mass communication methods such as newspapers, television etc., should be utilized to their zenith along with incessant encouragement to the family and caregivers of the cancer patient including the patient himself, not to hide the fact of being fighting with cancer or having taken the cancer treatment, but to spread the word of how the cancer began, what were the symptoms, how was it detected and other related issues and more importantly, how bravely they fought with cancer. In addition to this, the hospitals should make an effort to increase cancer awareness by displaying posters or by running commentaries related to detection and treatment of cancer in waiting areas, canteens etc., where a large number of people can learn or can have a fair idea about the cancers prevalent in their region. Clinicians should also be made aware that practice and research are not two different things but they two sides of the same coin.
Majority of the population in developing countries is still below the poverty line and in a distressing situation where basic human requirements of food, shelter and clothing are not met, the information of being diagnosed with cancer is the final nail in the coffin, which shatters the urge of living of not only the patient but also the family members. Financial constraints are one of the most common causes for not seeking the cancer treatment and also for abandonment of treatment after initiation. , There is an urgent need for the government to formulate medical insurance policies and hence that the fundamental right to health is not violated and nobody dies due to financial deficit. In addition, more research grant schemes should be formulated to help young researchers to conduct the research work.
Finally, the government and the concerned authorities should realize that even one life is worth it and every effort should be made to sustain its existence, and high priority should be given to cancer research and cancer care programs. It should be made mandatory for the educational institutions, hospitals and clinicians involved in cancer care to conduct research and submit at least one project report in a year to continuously avail the funds provided by the government. Research methodology programs and continued medical/dental education programs on incorporating research in clinical practice should be conducted more frequently to orient and incline the minds of young clinicians towards cancer research. Being a part of the developing countries in the world, doesn′t mean that our lack in cancer research and care, will not make any difference, but we should think about the gigantic development that could be achieved once we utilize our huge manpower in its full knowledge and health.
Al Moustafa A. Middle-Eastern Association for Cancer Research and its activities dreams come true. Clin Cancer Invest J 2012;1:1.
Noronha V, Tsomo U, Jamshed A, Hai M, Wattegama S, Baral R, et al. A fresh look at oncology facts on south central Asia and SAARC countries. South Asian J Cancer 2012;1:1-4.
Kumar A, Moulik NR, Mishra RK, Kumar D. Causes, outcome and prevention of abandonment in retinoblastoma in India. Pediatr Blood Cancer 2013;60:771-5.
Sitaresmi MN, Mostert S, Schook RM, Sutaryo, Veerman AJ. Treatment refusal and abandonment in childhood acute lymphoblastic leukemia in Indonesia: An analysis of causes and consequences. Psychooncology 2010;19:361-7.