Global demand for cancer surgery will rise by 52 per cent within the next 20 years, according to a new study in The Lancet Oncology.
This figure is equal to 4.7 million procedures, and most worryingly the greatest relative increase in demand is expected in low-income countries.
The study says that a huge increase in the global surgical workforce will be required to contend with this jump, equating to nearly 200,000 more surgeons and 87,000 anaesthetists.
A complementary study found that cancer patients in low and middle-income countries are four times more likely to die from colorectal or gastric cancer than those in high-income countries.
The reports' authors said the findings "highlight an urgent need to improve cancer surgery provision in low and middle-income countries, while also scaling up their workforces to cope with increasing demand".
"There needs to be an increased focus on the application of cost-effective models of care, along with government endorsement of scientific evidence to mobilise resources for expanding services,” said Dr Sathira Perera, one of the scientists involved in the research, from the University of New South Wales in Australia.
While neither study assessed the effects of Covid-19, the authors said that the pandemic increased the challenges of delivering high-quality post-operative care.
NHS bosses on Monday instructed hospitals in the UK to give urgent cancer care an equal footing with care for Covid patients.
The edict came after fears of an escalation of cancelled cancer treatments as Britain's medical front line battles to stem the flow of coronavirus admissions.
NHS chief executive Simon Stevens on Sunday said that a Covid-19 patient was being admitted to hospital "every 30 seconds", and warned of the "extreme pressure" facing the NHS.
$6.2 trillion in global GDP could be lost by 2030 if surgical cancer systems are not improved
Despite its acute Covid crisis, the UK's position as a high-income nation inures it from some of the greatest cancer treatment challenges the global community will face in years to come.
But the authors said this is not an "us and them situation".
They cited a 2015 study published in The Lancet Oncology which estimated that "$6.2 trillion in global GDP could be lost by 2030 if surgical cancer systems are not improved".
They also highlighted the stark disparity in the task facing low-income countries.
To meet the high-income country benchmark the actual number of surgeons in low-income countries would need to increase almost 400 per cent (from 6,000 to 28,000), and anaesthetists by nearly 550 per cent (from 2,000 to 13,000), of their baseline values.
Cancer is one of the world's leading causes of death behind heart disease and stroke.
In 2018 it accounted for 9.6 million deaths, the equivalent of one in six people, the World Health Organisation said.
In numbers
- Number of children under five will fall from 681 million in 2017 to 401m in 2100
- Over-80s will rise from 141m in 2017 to 866m in 2100
- Nigeria will become the world’s second most populous country with 791m by 2100, behind India
- China will fall dramatically from a peak of 2.4 billion in 2024 to 732 million by 2100
- an average of 2.1 children per woman is required to sustain population growth
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MATCH INFO
Chelsea 4 (Mount 18',Werner 44', Hudson-Odoi 49', Havertz 85')
Morecambe 0
MATCH INFO
Uefa Nations League
League A, Group 4
Spain v England, 10.45pm (UAE)
Results
5pm: Wadi Nagab – Maiden (PA) Dh80,000 (Turf) 1,200m; Winner: Al Falaq, Antonio Fresu (jockey), Ahmed Al Shemaili (trainer)
5.30pm: Wadi Sidr – Handicap (PA) Dh80,000 (T) 1,200m; Winner: AF Majalis, Tadhg O’Shea, Ernst Oertel
6pm: Wathba Stallions Cup – Handicap (PA) Dh70,000 (T) 2,200m; Winner: AF Fakhama, Fernando Jara, Mohamed Daggash
6.30pm: Wadi Shees – Handicap (PA) Dh80,000 (T) 2,200m; Winner: Mutaqadim, Antonio Fresu, Ibrahim Al Hadhrami
7pm: Arabian Triple Crown Round-1 – Listed (PA) Dh230,000 (T) 1,600m; Winner: Bahar Muscat, Antonio Fresu, Ibrahim Al Hadhrami
7.30pm: Wadi Tayyibah – Maiden (TB) Dh80,000 (T) 1,600m; Winner: Poster Paint, Patrick Cosgrave, Bhupat Seemar
THE DETAILS
Director: Milan Jhaveri
Producer: Emmay Entertainment and T-Series
Cast: John Abraham, Manoj Bajpayee
Rating: 2/5
Key findings of Jenkins report
- Founder of the Muslim Brotherhood, Hassan al Banna, "accepted the political utility of violence"
- Views of key Muslim Brotherhood ideologue, Sayyid Qutb, have “consistently been understood” as permitting “the use of extreme violence in the pursuit of the perfect Islamic society” and “never been institutionally disowned” by the movement.
- Muslim Brotherhood at all levels has repeatedly defended Hamas attacks against Israel, including the use of suicide bombers and the killing of civilians.
- Laying out the report in the House of Commons, David Cameron told MPs: "The main findings of the review support the conclusion that membership of, association with, or influence by the Muslim Brotherhood should be considered as a possible indicator of extremism."
Another way to earn air miles
In addition to the Emirates and Etihad programmes, there is the Air Miles Middle East card, which offers members the ability to choose any airline, has no black-out dates and no restrictions on seat availability. Air Miles is linked up to HSBC credit cards and can also be earned through retail partners such as Spinneys, Sharaf DG and The Toy Store.
An Emirates Dubai-London round-trip ticket costs 180,000 miles on the Air Miles website. But customers earn these ‘miles’ at a much faster rate than airline miles. Adidas offers two air miles per Dh1 spent. Air Miles has partnerships with websites as well, so booking.com and agoda.com offer three miles per Dh1 spent.
“If you use your HSBC credit card when shopping at our partners, you are able to earn Air Miles twice which will mean you can get that flight reward faster and for less spend,” says Paul Lacey, the managing director for Europe, Middle East and India for Aimia, which owns and operates Air Miles Middle East.
The specs
Engine: 3.0-litre six-cylinder turbo
Power: 398hp from 5,250rpm
Torque: 580Nm at 1,900-4,800rpm
Transmission: Eight-speed auto
Fuel economy, combined: 6.5L/100km
On sale: December
Price: From Dh330,000 (estimate)
