“Cancer is an escalating yet neglected health crisis among refugees, migrants, and populations affected by conflict.”
Cancer is increasingly recognized as a major global health challenge, yet for people living through war, displacement, and humanitarian crises, access to even basic oncology services can be difficult or impossible. While emergency responses typically focus on trauma care, infectious diseases, and immediate survival needs, cancer care remains largely absent from many humanitarian health programs.
A review paper on this topic was published in Volume 17 of Oncotarget titled “Cancer without borders: Policy frameworks for oncology care in humanitarian and conflict settings.” The study was led by first and corresponding author Pragnesh Parmar, with Gunvanti Rathod as co-author, both from AIIMS Bibinagar, Telangana, India.
Cancer Care in Humanitarian Emergencies
The authors reviewed published research, humanitarian agency reports, and case studies from conflict-affected regions, including Gaza, Sudan, and Ukraine. Their analysis highlights how disrupted healthcare infrastructure, shortages of medical personnel, legal barriers, and fragmented healthcare systems can prevent patients from receiving timely cancer diagnosis and treatment.
According to the review, oncology services are frequently overlooked during humanitarian emergencies because health systems are often forced to prioritize immediate life-threatening conditions. However, the authors note that non-communicable diseases, including cancer, account for a substantial portion of the disease burden among displaced populations.
Barriers to Diagnosis and Treatment
The review identifies several challenges that cancer patients commonly face in humanitarian settings. These include interruptions in diagnostic services, limited access to chemotherapy and radiotherapy, lack of specialist care, financial hardship, and difficulties crossing borders to receive treatment.
The authors also emphasize that vulnerable groups—including women, children, and older adults—often face additional obstacles to obtaining care. In many settings, social stigma, transportation difficulties, and legal restrictions can further delay diagnosis and treatment.
Lessons From Conflict Zones
The paper examines experiences from several regions affected by conflict. In Gaza, restrictions on movement and limited local oncology resources have complicated access to specialized cancer treatment. In Sudan, ongoing conflict has severely disrupted cancer services and damaged healthcare infrastructure. In contrast, the response to displaced cancer patients from Ukraine demonstrated how international coordination and cross-border referral systems can help maintain continuity of care during crises.
These examples illustrate how healthcare outcomes can vary dramatically depending on available infrastructure, policy support, and international collaboration.
The Role of Technology
The review also discusses emerging approaches that may improve access to oncology care in crisis settings. Tele-oncology programs allow healthcare providers to consult with cancer specialists remotely, while mobile medical units can bring screening and diagnostic services closer to displaced populations.
According to the authors, these strategies may help bridge gaps in access where traditional oncology facilities are unavailable or inaccessible.
Policy Changes Needed
The authors argue that cancer should no longer be viewed as a secondary concern during humanitarian emergencies. They recommend integrating oncology services into emergency response planning, developing cross-border treatment agreements, expanding telemedicine programs, and strengthening international cooperation to support displaced cancer patients.
They also highlight the need for better cancer surveillance systems and more comprehensive data collection to understand the true burden of cancer among refugees and conflict-affected populations.
Looking Ahead
The authors conclude that improving cancer care in humanitarian settings will require coordinated action from governments, international organizations, healthcare providers, and humanitarian agencies. Expanding access to diagnosis, treatment, and palliative care could help reduce preventable suffering among millions of displaced people worldwide.
As the authors write, “Addressing cancer in humanitarian contexts is not merely a technical challenge but a moral imperative.” Their findings suggest that ensuring access to cancer care should become a central component of global humanitarian health efforts rather than an afterthought.
Click here to read the full review published in Oncotarget.
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Oncotarget is an open-access, peer-reviewed journal that has published primarily oncology-focused research papers since 2010. These papers are available to readers (at no cost and free of subscription barriers) in a continuous publishing format at Oncotarget.com.
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