{"id":187328,"date":"2025-10-06T19:20:44","date_gmt":"2025-10-06T17:20:44","guid":{"rendered":"https:\/\/efecomunica.efe.com\/?p=187328"},"modified":"2025-10-06T19:39:36","modified_gmt":"2025-10-06T17:39:36","slug":"breast-cancer-care-in-latin-america-hampered-by-inequality-lack-of-resources","status":"publish","type":"post","link":"https:\/\/efecomunica.efe.com\/en\/breast-cancer-care-in-latin-america-hampered-by-inequality-lack-of-resources\/","title":{"rendered":"Breast cancer care in Latin America hampered by inequality, lack of resources"},"content":{"rendered":"<p data-start=\"632\" data-end=\"815\"><strong data-start=\"632\" data-end=\"662\">Mexico City, Oct 6 (EFE).\u2013<\/strong> Latin America and the Caribbean face <strong data-start=\"700\" data-end=\"754\">sharp inequalities in access to breast cancer care<\/strong>, along with <strong data-start=\"767\" data-end=\"788\">limited resources<\/strong> to confront the disease.<\/p>\n<p data-start=\"817\" data-end=\"1107\">Breast cancer is the leading cause of cancer deaths among women in the region, which in 2020 recorded <strong data-start=\"919\" data-end=\"950\">more than 210,000 new cases<\/strong> and nearly <strong data-start=\"962\" data-end=\"979\">68,000 deaths<\/strong>, according to the <strong data-start=\"998\" data-end=\"1041\">Pan American Health Organization (PAHO)<\/strong> and the <strong data-start=\"1050\" data-end=\"1104\">International Agency for Research on Cancer (IARC)<\/strong>.<\/p>\n<p data-start=\"1109\" data-end=\"1297\">The organizations warn that, although <strong data-start=\"1147\" data-end=\"1187\">early detection and timely treatment<\/strong> could significantly reduce mortality, <strong data-start=\"1226\" data-end=\"1295\">gaps between countries and social groups remain decisive factors.<\/strong><\/p>\n<h2 data-start=\"1304\" data-end=\"1337\">Barriers to early detection<\/h2>\n<p data-start=\"1339\" data-end=\"1439\">Salvador Gonz\u00e1lez Santiesteban, an oncologist with the <strong data-start=\"1394\" data-end=\"1430\">Breast Cancer Foundation (FUCAM)<\/strong>, said:<\/p>\n<blockquote data-start=\"1441\" data-end=\"1581\">\n<p data-start=\"1443\" data-end=\"1581\">\u201cAccess to mammography in the general population continues to be one of the main barriers for timely breast cancer detection in Mexico.\u201d<\/p>\n<\/blockquote>\n<p data-start=\"1583\" data-end=\"1724\">\u201cThis limitation is even greater in rural areas, where screening is less accessible and of lower quality compared to cities,\u201d he explained.<\/p>\n<p data-start=\"1726\" data-end=\"1892\">He added that access to advanced diagnostic techniques such as <strong data-start=\"1789\" data-end=\"1828\">immunohistochemistry and biomarkers<\/strong> is both <strong data-start=\"1837\" data-end=\"1859\">limited and costly<\/strong>, delaying treatment decisions.<\/p>\n<p data-start=\"1894\" data-end=\"2150\">Gonz\u00e1lez also warned that treatment start times vary widely. In regions with greater difficulties, \u201c<strong data-start=\"1994\" data-end=\"2036\">it can take up to six or eight months,<\/strong>\u201d when the <strong data-start=\"2047\" data-end=\"2082\">World Health Organization (WHO)<\/strong> recommends no more than <strong data-start=\"2107\" data-end=\"2148\">60 days after histological diagnosis.<\/strong><\/p>\n<p data-start=\"2152\" data-end=\"2380\">The inequity extends beyond infrastructure. In Indigenous communities where Spanish is not the main language, he said, \u201c<strong data-start=\"2272\" data-end=\"2377\">delivering essential information and ensuring active patient participation in their care are limited.<\/strong>\u201d<\/p>\n<h2 data-start=\"2387\" data-end=\"2432\">Governance needed to meet the challenge<\/h2>\n<p data-start=\"2434\" data-end=\"2676\">According to PAHO, <strong data-start=\"2453\" data-end=\"2491\">population-based cancer registries<\/strong> are essential for designing, budgeting and evaluating national plans, but coverage in Latin America has historically been <strong data-start=\"2614\" data-end=\"2621\">low<\/strong>, hindering outcome measurement and service planning.<\/p>\n<p data-start=\"2678\" data-end=\"2871\">\u201cIn Mexico there is still no general cancer law,\u201d Gonz\u00e1lez said. That gap, he noted, has prompted civil groups to push for a <strong data-start=\"2803\" data-end=\"2869\">National Plan for Comprehensive Cancer Prevention and Control.<\/strong><\/p>\n<p data-start=\"2873\" data-end=\"3123\">The proposal, he said, would create a <strong data-start=\"2901\" data-end=\"2929\">National Cancer Registry<\/strong> and a <strong data-start=\"2936\" data-end=\"2967\">nationwide oncology network<\/strong> to improve patient care and follow-up, underscoring the need for a <strong data-start=\"3035\" data-end=\"3121\">coordinated strategy among authorities, the private sector, and medical societies.<\/strong><\/p>\n<p data-start=\"3125\" data-end=\"3298\">Breast cancer survivor and activist <strong data-start=\"3161\" data-end=\"3182\">Alejandra de Cima<\/strong>, founder of <strong data-start=\"3195\" data-end=\"3213\">Fundaci\u00f3n CIMA<\/strong>, insisted that the foundation of any effective policy is <strong data-start=\"3271\" data-end=\"3295\">reliable information<\/strong>:<\/p>\n<blockquote data-start=\"3300\" data-end=\"3411\">\n<p data-start=\"3302\" data-end=\"3411\">\u201cTo provide exhaustive data on incidence and mortality and enable prevention and early diagnosis programs.\u201d<\/p>\n<\/blockquote>\n<p data-start=\"3413\" data-end=\"3625\">She also stressed that the problem is not just the lack of registries but also <strong data-start=\"3492\" data-end=\"3531\">insufficient health system funding.<\/strong> While the <strong data-start=\"3542\" data-end=\"3581\">WHO recommends dedicating 6% of GDP<\/strong>, Mexico allocated only <strong data-start=\"3605\" data-end=\"3623\">3.03% in 2024.<\/strong><\/p>\n<blockquote data-start=\"3627\" data-end=\"3770\">\n<p data-start=\"3629\" data-end=\"3770\">\u201cAdequate resource allocation is needed, but so is medical infrastructure and human resources that meet international standards,\u201d she said.<\/p>\n<\/blockquote>\n<h2 data-start=\"3777\" data-end=\"3805\">Toward a common cancer agenda<\/h2>\n<p data-start=\"3807\" data-end=\"4004\">PAHO and WHO have repeatedly noted that breast cancer <strong data-start=\"3861\" data-end=\"3923\">disproportionately affects women in their productive years<\/strong>, with significant <strong data-start=\"3942\" data-end=\"3973\">economic and social impacts<\/strong> on families and communities.<\/p>\n<blockquote data-start=\"4006\" data-end=\"4183\">\n<p data-start=\"4008\" data-end=\"4183\">\u201cThe most evident inequalities in care in Mexico are access to innovative therapies and the infrastructure needed for a comprehensive approach to the disease,\u201d de Cima said.<\/p>\n<\/blockquote>\n<p data-start=\"4185\" data-end=\"4322\">\u201cThat\u2019s why it is essential to decentralize oncology services and strengthen the care network across different regions of the country.\u201d<\/p>\n<p data-start=\"4324\" data-end=\"4561\">The challenge, experts conclude, is ensuring that successful local experiences translate into <strong data-start=\"4431\" data-end=\"4476\">sustainable, measurable national policies<\/strong> to reduce inequalities and meet <strong data-start=\"4526\" data-end=\"4559\">WHO\u2019s global 2040 target.<\/strong><\/p>\n<p data-start=\"4563\" data-end=\"4777\">This analysis is part of the virtual forum <strong data-start=\"4606\" data-end=\"4695\">\u201cAdvancing the patient journey: innovative therapeutic approaches for breast cancer,\u201d<\/strong> to be held Oct. 9 and organized by <strong data-start=\"4731\" data-end=\"4738\">EFE<\/strong> with the support of <strong data-start=\"4759\" data-end=\"4775\">AstraZeneca. <\/strong>EFE<\/p>\n<p data-start=\"4779\" data-end=\"4859\"><em data-start=\"4779\" data-end=\"4857\">EFE received support from AstraZeneca for the dissemination of this content.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mexico City, Oct 6 (EFE).\u2013 Latin America and the Caribbean face sharp inequalities in access to breast cancer care, along with limited resources to confront the disease. Breast cancer is [&hellip;]<\/p>\n","protected":false},"author":198164071,"featured_media":187329,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[123780],"tags":[],"class_list":["post-187328","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Breast cancer care in Latin America hampered by inequality, lack of resources - EFE Comunica<\/title>\n<meta name=\"description\" content=\"Latin America faces major inequalities in breast cancer care, with gaps in early detection, treatment delays, and lack of registries. 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