• Paul E Goss, Brittany L Lee, Tanja Badovinac-Crnjevic, Kathrin Strasser-Weippl, Yanin Chavarri-Guerra, Jessica St Louis, Cynthia Villarreal-Garza, Karla Unger-Saldaña, Mayra Ferreyra, Márcio Debiasi, Pedro E R Liedke, Diego Touya, Gustavo Werutsky, Michaela Higgins, Lei Fan, Claudia Vasconcelos, Eduardo Cazap, Carlos Vallejos, Alejandro Mohar, Felicia Knaul, Hector Arreola, Rekha Batura, Silvana Luciani, Richard Sullivan, Dianne Finkelstein, Sergio Simon, Carlos Barrios, Rebecca Kightlinger, Andres Gelrud, Vladimir Bychkovsky, Gilberto Lopes, Stephen Stefani, Marcelo Blaya, Fabiano Hahn Souza, Franklin Santana Santos, Alberto Kaemmerer, Evandro de Azambuja, Andres Felipe Cardona Zorilla, Raul Murillo, Jose Jeronimo, Vivien Tsu, Andre Carvalho, Carlos Ferreira Gil, Cinthya Sternberg, Alfonso Dueñas-Gonzalez, Dennis Sgroi, Mauricio Cuello, Rodrigo Fresco, Rui Manuel Reis, Guiseppe Masera, Raúl Gabús, Raul Ribeiro, Renata Knust, Gustavo Ismael, Eduardo Rosenblatt, Berta Roth, Luisa Villa, Argelia Lara Solares, Marta Ximena Leon, Isabel Torres-Vigil, Alfredo Covarrubias-Gomez, Andrés Hernández, Mariela Bertolino, Gilberto Schwartsmann, Sergio Santillana, Francisco Esteva, Luis Fein, Max Mano, Henry Gomez, Marc Hurlbert, Alessandra Durstine, and Gustavo Azenha.
• Avon International Breast Cancer Research Program, Massachusetts General Hospital, Boston, MA 02114, USA. pgoss@partners.org
• Lancet Oncol.. 2013 Apr 1;14(5):391-436.

AbstractNon-communicable diseases, including cancer, are overtaking infectious disease as the leading health-care threat in middle-income and low-income countries. Latin American and Caribbean countries are struggling to respond to increasing morbidity and death from advanced disease. Health ministries and health-care systems in these countries face many challenges caring for patients with advanced cancer: inadequate funding; inequitable distribution of resources and services; inadequate numbers, training, and distribution of health-care personnel and equipment; lack of adequate care for many populations based on socioeconomic, geographic, ethnic, and other factors; and current systems geared toward the needs of wealthy, urban minorities at a cost to the entire population. This burgeoning cancer problem threatens to cause widespread suffering and economic peril to the countries of Latin America. Prompt and deliberate actions must be taken to avoid this scenario. Increasing efforts towards prevention of cancer and avoidance of advanced, stage IV disease will reduce suffering and mortality and will make overall cancer care more affordable. We hope the findings of our Commission and our recommendations will inspire Latin American stakeholders to redouble their efforts to address this increasing cancer burden and to prevent it from worsening and threatening their societies.Copyright © 2013 Elsevier Ltd. All rights reserved.

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