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CC BY 4.0 · Indian J Med Paediatr Oncol 2024; 45(03): 266-270
DOI: 10.1055/s-0043-1771181
Perspective Article

The Conundrum of the Cancer Burden and Disparity in Cancer Care Delivery in Northeast India, with Special Reference to Nagaland

Matsungshila Pongener 
1   Department of Liberal Arts, Indian Institute of Technology, Hyderabad, Telangana, India
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Introduction

Cancer is a leading contributor to mortality worldwide with approximately nine million deaths in 2020.[1] India accounted for an estimated 7% of cancer cases worldwide with common cancer sites in the breast (14%), lip, oral cavity (10%), and the cervix uteri (9%).[2] Further, the highest estimated mortality rates were due to cancers of the lip, oral cavity (13%), lung (11%), and esophagus (8%).[2]

India has a diverse sociocultural population with unique habits and dietary practices; the incidence of cancers varies geographically due to the interplay of the genetic determinants and environmental factors.[3] The Northeast (NE) region[i] lies on the Eastern border of India and is inhabited by indigenous communities distinctive by a complexed transition zone of cultural, ethnic, religious, and linguistic diversity.[4] Further, these populations share their genomic pool with the southeastern region of China where nasopharyngeal carcinoma (NPC) is common. Comparatively, the incidence of NPC is higher in the NE region than in the rest of country.[5] Furthermore, there are higher incidences of specific types of cancer, such as the departure in the leading cancer site among males from the NE region to the rest of India (ROI).[6] Cancer of the esophagus is the common cancer site in the NE region compared to lip and oral cancer in ROI.[6]

Given the high incidence of cancer in the NE region with distinct clinical presentation compared to the rest of the county, this article highlights issues on cancer burden and the disparity in the cancer care delivery, and discusses ways to address the same.

Note

The manuscript, “The conundrum of the cancer burden and disparity in cancer care delivery in NE India, with special reference to Nagaland,” has been read and approved by the author (Matsungshila Pongener) that the requirements for authorship have been met, and that the author believes that the manuscript represents honest work.


Authors' Contributions

Matsungshila Pongener contributed to the concept, intellectual content, literature search, manuscript preparation, manuscript editing, and manuscript review.




Publikationsverlauf

Artikel online veröffentlicht:
26. Juni 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Ferlay J, Ervik M, Lam F. et al. Global Cancer Observatory: Cancer Today. International Agency for Research on Cancer. Accessed June 6, 2020 at: https://gco.iarc.fr/today
    Google Scholar
  • 2 World Health Organization. Global Cancer Observatory. International Agency for Research on Cancer. Accessed June 6, 2020 at: https://gco.iarc.fr/
    Google Scholar
  • 3 Ferlay J, Shin HR, Bray F, Forman D, Mathers C, Parkin DM. Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. Int J Cancer 2010; 127 (12) 2893-2917
    CrossrefPubMedGoogle Scholar
  • 4 Verghese BG. India's Northeast Resurgent: Ethnicity, Insurgency, Governance, Development. New Delhi: Konark Publishers; 1996
    Google Scholar
  • 5 Chelleng PK, Narain K, Das HK, Chetia M, Mahanta J. Risk factors for cancer nasopharynx: a case-control study from Nagaland, India. Natl Med J India 2000; 13 (01) 6-8
    PubMedGoogle Scholar
  • 6 National Centre for Disease Informatics and Research. A report on cancer burden in North Eastern States of India. Indian Council of Medical Research. Accessed June 6, 2021 at: https://www.ncdirindia.org/
    Google Scholar
  • 7 Sharma JD, Kalita M, Barman D. et al. Patterns of upper aero-digestive tract cancers in Kamrup Urban District of Assam: a retrospective study. Asian Pac J Cancer Prev 2014; 15 (17) 7267-7270
    CrossrefPubMedGoogle Scholar
  • 8 Kataki AC, Sharma JD, Krishnatreya M, Baishya N, Kalita M. Patterns of tobacco use in patients with upper aero digestive tract cancers: a hospital-based study. J Cancer Res Ther 2018; 14 (02) 437-440
    CrossrefPubMedGoogle Scholar
  • 9 Shanker N, Mathur P, Das P, Sathishkumar K, Martina Shalini AJ, Chaturvedi M. Cancer scenario in North-East India & need for an appropriate research agenda. Indian J Med Res 2021; 154 (01) 27-35
    CrossrefPubMedGoogle Scholar
  • 10 Sharma M, Sharma JD, Sarma A. et al. Triple negative breast cancer in people of North East India: critical insights gained at a regional cancer centre. Asian Pac J Cancer Prev 2014; 15 (11) 4507-4511
    CrossrefPubMedGoogle Scholar
  • 11 Ngaihte P, Zomawia E, Kaushik I. Cancer in the NorthEast India: where we are and what needs to be done?. Indian J Public Health 2019; 63 (03) 251-253
    CrossrefPubMedGoogle Scholar
  • 12 Ministry of Health and Family Welfare. Statistics Division. Rural health statistics 2018–19. New Delhi: Government of India; 2019
    Google Scholar
  • 13 Goyanka R, Yadav J, Sharma P. Financial burden and coping strategies for cancer care in India. Clin Epidemiol Glob Health 2023; 20: 101259
    CrossrefGoogle Scholar
  • 14 About PMJAY. . (PM-JAY). National Health Authority. Accessed June 6, 2019 at: https://nha.gov.in/PM-JAY
    Google Scholar
  • 15 Arunachal PCMFCCS. Govt schemes India. Accessed April 22, 2023 at: https://govtschemes.in/#gsc.tab=0
    Google Scholar
  • 16 Government of Tripura. Notification of scheme for providing pension to the cancer patients. Accessed May 12, 2016 at: https://socialwelfare.tripura.gov.in/sites/default/files/Notification%20of%20Scheme%20f or%20providing%20pension%20to%20the%20Cancer%20Patients_0.pdf
    Google Scholar
  • 17 Cancer Research and its Treatment. Government of Assam, Health & Family Welfare. Accessed February 21, 2013 at: https://assam.gov.in/
    Google Scholar
  • 18 Oswal K, Kanodia R, Pradhan A. et al. Assessment of knowledge and screening in oral, breast, and cervical cancer in the population of the northeast region of India. JCO Glob Oncol 2020; 6: 601-609
    CrossrefPubMedGoogle Scholar
  • 19 Pagán JA, Brown CJ, Asch DA, Armstrong K, Bastida E, Guerra C. Health literacy and breast cancer screening among Mexican American women in South Texas. J Cancer Educ 2012; 27 (01) 132-137
    CrossrefPubMedGoogle Scholar
  • 20 Zarcadoolas C, Pleasant A, Greer DS. Understanding health literacy: an expanded model. Health Promot Int 2005; 20 (02) 195-203
    CrossrefPubMedGoogle Scholar
  • 21 Ministry of Health and Family Welfare. National Family Health Survey I (NFHS-5). New Delhi: Government of India. Accessed June 8, 2020 at: http://rchiips.org/nfhs/factsheet_NFHS-5.shtml
    Google Scholar
  • 22 Ministry of Health and Family Welfare. National Family Health Survey II (NFHS-5). New Delhi: Government of India; . Accessed June 12, 2021 at: http://rchiips.org/nfhs/factsheet_NFHS-5.shtml
    Google Scholar
  • 23 Adsul P, Manjunath N, Srinivas V, Arun A, Madhivanan P. Implementing community-based cervical cancer screening programs using visual inspection with acetic acid in India: a systematic review. Cancer Epidemiol 2017; 49: 161-174
    CrossrefPubMedGoogle Scholar
  • 24 Basu P, Sarkar S, Mukherjee S. et al. Women's perceptions and social barriers determine compliance to cervical screening: results from a population based study in India. Cancer Detect Prev 2006; 30 (04) 369-374
    CrossrefPubMedGoogle Scholar
  • 25 Kamal MM, Sapkal RU, Sarodey CS. et al. Comparative study of four candidate strategies to detect cervical cancer in different health care settings. J Obstet Gynaecol Res 2007; 33 (04) 480-489
    CrossrefPubMedGoogle Scholar
  • 26 Satyanarayana L, Asthana S, Bhambani S, Sodhani P, Gupta S. A comparative study of cervical cancer screening methods in a rural community setting of North India. Indian J Cancer 2014; 51 (02) 124-128
    CrossrefPubMedGoogle Scholar
  • 27 Datta SS, Tripathi L, Varghese R. et al. Pivotal role of families in doctor-patient communication in oncology: a qualitative study of patients, their relatives and cancer clinicians. Eur J Cancer Care (Engl) 2017; 26 (05) e12543
    CrossrefPubMedGoogle Scholar
  • 28 Imchen T. Beyond cancer: a reflection on the narratives of nasopharyngeal carcinoma patients in Nagaland. Support Care Cancer 2021; 29 (10) 5839-5846
    CrossrefPubMedGoogle Scholar
  • 29 National Centre for Disease Informatics and Research. A report on cancer burden in North Eastern States of India. Indian Council of Medical Research. Accessed June 6, 2017 at: http://www.ncdirindia.org/Reports_Ne/NE2012_2014/Files/NE_2012_14.pdf
    Google Scholar
  • 30 Govt. of Nagaland and Tata Trusts to collaborate for cancer care. Tata Trusts. Accessed August 8, 2018 at: http://tatatrusts.org/
    Google Scholar
  • 31 Devarakonda S. Hub and spoke model: making rural healthcare in India affordable, available and accessible. Rural Remote Health 2016; 16 (01) 3476
    PubMedGoogle Scholar
  • 32 Patient Navigation Program – KEVAT. Tata Memorial Centre. (nd). Accessed June 12, 2021 at: https://tmc.gov.in/index.php/en/
    Google Scholar
  • 33 Dharaniprasad G, Srikanth L, Ballweg R, Sarma P, Indra Kumar S, Samantaray A. The journey of physician assistants in India: specialty areas to primary care. J Physician Assist Educ 2019; 30 (03) 184-187
    CrossrefPubMedGoogle Scholar