发展中世界的癌症治疗

波士顿—四十多年前,美国总统尼克松宣布“向癌症开战”。让他感到欢欣鼓舞以至于做出这一决定的是化疗能够治愈急性淋巴细胞白血病和何杰金氏淋巴瘤的该疾病的令人鼓舞的早期结果。自此以后,在使用化疗、手术和放疗治疗和治愈越来越多癌症患者方面取得了稳步进展。但中低收入国家仍难以接触到这些救命进步,而当今世界大部分癌症患者都在中低收入国家。

在美国,80%以上的乳腺癌患者都能长期生存,80%以上的癌症儿童可以存活。我在哈佛大学做了近40年肿瘤专家,医治过数千名患者,如果不是化疗,他们生存机会渺茫。许多患者在20世纪70年代开始接受治疗,至今仍活得好好的;他们的孩子们现在已长大成人并有生育能力。

但直到2011年我开始在卢旺达工作才充分认识到我手中的工具的力量,因为我目睹了没有它们所带来的影响。进入基加利公立中心医院儿科癌症病房就像进入了时间旅行。罹患维尔姆斯瘤(Wilms’ tumor,成年人很少得的肾癌)的卢旺达儿童的最后结局如同80年前的美国,而如今,药物可以让90%的确诊美国儿童病患存活下来。

To continue reading, please log in or enter your email address.

Registration is quick and easy and requires only your email address. If you already have an account with us, please log in. Or subscribe now for unlimited access.

required

Log in

http://prosyn.org/XTKV24T/zh;
  1. An employee works at a chemical fiber weaving company VCG/Getty Images

    China in the Lead?

    For four decades, China has achieved unprecedented economic growth under a centralized, authoritarian political system, far outpacing growth in the Western liberal democracies. So, is Chinese President Xi Jinping right to double down on authoritarianism, and is the “China model” truly a viable rival to Western-style democratic capitalism?

  2. The assembly line at Ford Bill Pugliano/Getty Images

    Whither the Multilateral Trading System?

    The global economy today is dominated by three major players – China, the EU, and the US – with roughly equal trading volumes and limited incentive to fight for the rules-based global trading system. With cooperation unlikely, the world should prepare itself for the erosion of the World Trade Organization.

  3. Donald Trump Saul Loeb/Getty Images

    The Globalization of Our Discontent

    Globalization, which was supposed to benefit developed and developing countries alike, is now reviled almost everywhere, as the political backlash in Europe and the US has shown. The challenge is to minimize the risk that the backlash will intensify, and that starts by understanding – and avoiding – past mistakes.

  4. A general view of the Corn Market in the City of Manchester Christopher Furlong/Getty Images

    A Better British Story

    Despite all of the doom and gloom over the United Kingdom's impending withdrawal from the European Union, key manufacturing indicators are at their highest levels in four years, and the mood for investment may be improving. While parts of the UK are certainly weakening economically, others may finally be overcoming longstanding challenges.

  5. UK supermarket Waring Abbott/Getty Images

    The UK’s Multilateral Trade Future

    With Brexit looming, the UK has no choice but to redesign its future trading relationships. As a major producer of sophisticated components, its long-term trade strategy should focus on gaining deep and unfettered access to integrated cross-border supply chains – and that means adopting a multilateral approach.

  6. The Year Ahead 2018

    The world’s leading thinkers and policymakers examine what’s come apart in the past year, and anticipate what will define the year ahead.

    Order now