Cancer occurs when there is overgrowth of abnormal cells in a tissue. These cells can grow beyond their normal boundaries and spread to surrounding organs in a process known as metastasis. Metastases tend to be the primary cause of cancer deaths. According to the World Health Organization (WHO), there were 10 million cancer deaths in 2020. The most common cancers globally for 2020 were breast, lung, colon and rectum, prostate, skin and stomach. In Jamaica for 2020, among the common cancers, were prostate, breast, cervix and colorectal cancers. These four cancers were also among those associated with the most cancer deaths in Jamaica in 2020.
As with the other NCDs, risk factors for cancers include tobacco use, alcohol use, unhealthy diet, physical inactivity and air pollution. Additionally, some chronic infections are risk factors for cancer, for example the human papillomavirus in cervical cancer and the Hepatitis virus in liver cancer. The WHO estimates that 30-50% of cancers could be prevented by the avoidance of risk factors, and the implementation of evidence-based prevention strategies.
In Jamaica, screening is offered through public and private health facilities island wide. Early detection is very important for outcome of a patient with cancer. Treatment for cancer varies according to the type and stage of cancer. Treatment may be surgery, chemotherapy, radiotherapy or a combination of these. Palliative care is offered for patients with advanced cancer.
There are currently two centres of excellence for cancer treatment in Jamaica – St. Joseph’s Hospital in Kingston, and Cornwall Regional Hospital in St. James. Additionally, other public and private health facilities provide some cancer treatment services.
The Four Priority Cancers are:
Other common cancers in Jamaica are uterine cancer, lung cancer, stomach cancer and Non-Hodgkin’s lymphoma. Investigations are available for the early detection of these cancers as well.
Myths and Facts
Myth: Cervical cancer cannot be treated
Fact: Cervical Cancer can be treated and even cured if diagnosed early.
Myth: Older women do not need Pap Smears.
Fact: All women aged 21 to 64 need a regular Pap Smear and for those aged 30+ years, they may also do HPV testing.
Myth: I’m not sexually active now…so I don’t need to do a Pap Smear.
Fact: Even if you are not currently sexually active you must still do regular Pap Smears.
Myth: Lung Cancer is the only cancer that is associated with tobacco use.
Fact: Tobacco use is a risk factor for a number of cancers including cervical cancer, colorectal cancer and stomach cancer.