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If the focus on cancer sometimes tilts toward its impact in rich, industrialized nations, statistics show that the disease is a scourge all around the world, with 95 percent of cancer deaths occurring in developing countries.
Children in poor countries aren't spared. An estimated 90 percent of children with cancer die in the world's 25 poorest countries, compared with just 12 percent in a wealthy country such as Canada, according to statistics from the Global Task Force on Expanded Access to Cancer Care and Control in Developing Countries.
That glaring disparity has mobilized a group of Harvard School of Public Health (HSPS) students. The students, together with the HSPH student government, the student group Students in Latino Public Health, and the Harvard Global Equity Initiative, have put together a half-day event to raise awareness and dispel myths about cancer as a global health issue. The event, scheduled for Friday at the School of Public Health's Kresge Building, marks World Cancer Day on Monday. As part of their commitment, students are also gathering signatures for the World Cancer Declaration by the Union for International Cancer Control, which contains a list of 11 cancer-related health priorities.
"There is a lot of difference between what happens in low-income countries and what happens in high-income countries," said HSPH student Sebastián Rodríguez Llamazares.
Rodriguez said the effort calls attention to the fact that cancer is a serious problem in poor nations and that steps to prevent or treat it—routine in richer countries—should be part of the global health agenda.
Associate Professor of Medicine Felicia Knaul, who heads the Harvard Global Equity Initiative, which supports student World Cancer Day efforts, said there are few cancers whose outcomes are similar in both developed and developing countries. Pancreatic cancer is one, because it's equally deadly everywhere.
"For every other cancer that can be treated, the outcomes are very different," said Knaul, a breast cancer survivor.
There are several reasons for the disparity. People in poor countries seldom hear messages about lifestyle changes—don't smoke, eat a healthy diet, exercise—that have been shown to prevent cancer. Similarly, a vaccine that can prevent one cancer fatal to women, cervical cancer, is not widely distributed. As a result, 90 percent of cervical cancer cases are found in developing countries, Knaul said.
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