Two Indian-American doctors seek to arrest cancer 'tsunami' in India

Cancer can have profound social and economic consequences for the people in India often leading to family impoverishment and societal inequity

Two eminent Indian-American doctors, known for their pioneering research and treatment of cancer patients, are seeking to arrest what they describe as “tsunami” of the deadly disease that has now engulfed India through a massive effort of early detection and health education.

Dattatreyudu Nori, an internationally acclaimed oncologist, who has treated several top Indian leaders suffering from cancer going back to former president late Neelam Sanjeev Reddy, and Rekha Bhandari an eminent geriatrics and specialising in pain medicine, warn that if enough appropriate and urgent steps were not taken, their country of birth is facing an eminent “tsunami” of cancer.

"There are 1,300 deaths per day in India due to cancer. We have approximately 1.2 million new cancer cases every year in India. This indicates lower rates of early detection and poor treatment outcomes," Nori told PTI.

Cancer, he said, can have profound social and economic consequences for the people in India often leading to family impoverishment and societal inequity. The International Agency for Research on Cancer has predicted that by 2030, as many as 1.7 million new people would be detected of cancer every year. "Unless, we take some steps, cancer is (all set to) become like a tsunami," said Nori, adding that diagnosis in India often leads to catastrophic personal health expenditure that can push an entire family below the poverty line.

Describing this as a major public health care challenge for India, the 2015 Padma Shri awardee is inspired by the 'Ayushman Bharat project' of Prime Minister Narendra Modi and his decision to establish National Cancer Registry programme.

These are crucial steps in the right direction, Nori joined by Bhandari argue that early detection and a massive health education is key to addressing the public health challenge posed by cancer.

"Make cancer a notifiable disease," Nori said referring to his series of recommendations to the Indian government, while Bhandari is working on using new tools of information technologies like blockchain and artificial intelligence for early detection of cancer in India. Majority of cancers in India are mainly due to tobacco. Bhandari, chief of Pediatric and Palliative at the Kingsbrook Jewish Medical Center, argues that even though India has a young population it's time the country starts planning for 20 years from now, when it would have the world largest aged population.

Nori called for strengthening cancer care programmes in all medical colleges, giving six-months oncology training to doctors at the district level and make them liaison physician for the district so that they can implement treatment guidelines and refer them to regional cancer centers if necessary.
 
If enough preventive measures, including early detection and health education, are not done now and necessary health infrastructure are not created, India will face an unimaginable health crisis.

"I am very pleased with the establishment of National Cancer Registry and Ayushman Bharat Programme,” he said.
Among other major recommendations by the two doctors include establishing a cancer hotline, adopting precision medicine, precision screening and early detection, setting up regional cancer palliative centers, and setting up task forces for specific diseases that have alarmingly very high rates of incidence like breast cancer and cervical cancer.

“If you want to control the tsunami of cancer, we need to initiate, accelerate early detection. This can cure cancers and can have less expensive treatments," said Nori.

"The key to success in Indian scenario for cancer care is mostly prevention if it can be done early detection. These are the two key programmes that will change the outlook for cancer in India in next 10 years and maybe even reverse the expected incidence rates," he said.

“There should be a massive campaign on health education on cancer in schools, colleges and universities on tobacco control," he said, adding that the government should consider pediatric cancer care be provided free of charge. Noting that chemotherapy drugs are expensive, he called for a task force to develop a partnership between pharmaceutical industry and National Cancer Institute to incentivise them to produce cancer drugs locally.