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Inadequate diagnostic services still a critical gap in cancer care in India

Rising Cancer Burden in India

  • India currently records nearly 200,000 new cancer cases annually.
  • Cancer cases in India are projected to reach 2.08 million by 2040, a 57.5% increase from the 2020 figure.
  • India ranks third globally in the number of cancer cases, after China and the USA.

Relevance : GS 2(Health)

Diagnostic Challenges and Late Detection

  • Inadequate diagnostic services remain a major gap in cancer care, hampering early detection.
  • Delayed diagnosis leads to many patients presenting with advanced-stage cancers.
  • More than 60% of breast cancer patients in India are diagnosed at Stage 3 or 4, compared to about 60% of U.S. patients being diagnosed at Stage 0 or 1 (early stages).
  • Over 50% of patients experience delays exceeding three months before seeking medical care.

Breast Cancer Specifics

  • Breast cancer is the most common cancer among Indian women and a leading cause of cancer-related deaths.
  • Indian patients are diagnosed at a younger age compared to patients in high-income countries.
  • Lower survival rates in India are due to:
    • Late-stage presentation.
    • Delayed initiation of treatment.
    • Fragmented or inadequate treatment protocols.
  • The National Academy of Medical Sciences (NAMS) has set up a task force to develop comprehensive guidelines for breast cancer management.

Broader Context of Cancer in Asia

  • Asia houses 60% of the global population but accounts for:
    • 50% of global cancer cases.
    • 58% of global cancer-related deaths.
  • The high burden emphasizes the urgent need for enhanced cancer care infrastructure in India and across Asia.

Systemic Gaps in Cancer Care

  • Key shortcomings identified include:
    • Limited and inadequate diagnostic facilities.
    • Insufficient and fragmented treatment modalities.
    • Low levels of public awareness about early symptoms and the importance of timely medical intervention.

Implications and Urgency

  • The increasing cancer burden requires:
    • Strengthening diagnostic infrastructure nationwide.
    • Promoting early detection and screening programs, especially for high-risk cancers like breast cancer.
    • Increasing public awareness and education to reduce delays in seeking care.
    • Developing standardized treatment protocols and ensuring accessibility.
  • Failure to address these gaps could lead to worsening outcomes and increased mortality rates.

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