NEW UN REPORT IDENTIFIES UNMET NEED FOR PALLIATIVE CARE WORLDWIDE
New York, Jan 28 2014 1:00PM
Only
1 in 10 people who need medical care to relieve the pain, symptoms and
stress of serious illness is currently receiving it, according to a new
United Nations report, which calls on countries to include palliative
care as an essential component to their health systems.
The <"http://www.thewpca.org/resources/global-atlas-of-palliative-care/
">“Global
Atlas of palliative care at the end of life,” published jointly by the
UN World Health Organization (WHO) and the Worldwide Palliative Care
Alliance (WPCA), is the first tool to map the need for, and availability
of, palliative care globally as well as to identify the barriers to
this important element of patient and family care.
“Palliative
care is more than just pain relief. It includes addressing the
physical, psychosocial and emotional suffering of patients with serious
advanced illnesses and supporting family members providing care to a
loved one,” WHO stated in a <"http://www.who.int/mediacentre/news/releases/2014/palliative-care-20140128/en/index.html">news release.
According
to the agency, about one third of those needing palliative care suffer
from cancer. Others have progressive illnesses affecting their heart,
lung, liver, kidney, brain, or chronic, life-threatening diseases
including HIV and drug-resistant tuberculosis.
It
is estimated that every year more than 20 million patients need
palliative care at the end of life. Some 6 per cent of these are
children.
The
number of people requiring this care rises to at least 40 million if
all those that could benefit from palliative care at an earlier stage of
their illness are included. Hospice and palliative care often
encompasses some support to family members, which would more than double
care needs.
“The
Atlas shows that the great majority of the global need of end-of-life
care is associated with non-communicable diseases such as cancer, heart
disease, stroke and lung diseases,” said Oleg Chestnov, WHO Assistant
Director-General for Non-communicable Diseases and Mental Health.
“While
we strengthen efforts to reduce the burden of the biggest killers in
the world today, we must also alleviate the suffering of those with
progressive illness who do not respond to curative treatment,” Dr.
Chestnov stated.
In
2011, approximately 3 million patients received palliative care, the
vast majority at the end of their life. Although most palliative care is
provided in high-income countries, almost 80 per cent of the global
need for palliative care is in low- and middle-income countries. Only 20
countries worldwide have palliative care well integrated into their
health-care systems.
Briefing
reporters in Geneva on the report, WHO Senior Adviser Maria Cecilia
Sepulveda Bermedo noted a lack of policy supporting palliative care as
well as a lack of knowledge that such care is available.
“This
is a very important topic that has been neglected for many, many
years,” Dr. Sepulveda said, adding that often patients and family
members do not know that they can access palliative care.
In
addition, healthcare professionals do not know that they can integrate
the practice of palliative care in their clinical work. There is the
issue of lack of access to medicines, particularly opiates, the main
medicine used for pain relief.
The
Atlas calls on all countries to include palliative care as an essential
component to every modern health-care system in their moves towards
universal health coverage. This means addressing barriers such as lack
of policies, of resources and of knowledge of health-care professionals
and members of the public about the benefits of palliative care.
“Our
efforts to expand palliative care need to focus on bringing relief of
suffering and the benefits of palliative care to those with the least
resources,” noted David Praill, Co-Chair of the WPCA. “This will take
courage and creativity as we learn from each other how to integrate
palliative care into existing but very limited health-care systems.”
It
is expected that the 67th World Health Assembly, the decision-making
body of WHO, will discuss the subject at its annual session in Geneva in
May.
Jan 28 2014 1:00PM
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Source:For more details go to UN News Centre at http://www.un.org/news
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Posted on: 2014-01-28 00:00:00
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