Gastric cancer: a persistent public health challenge
Keywords:
gastric cancer;, chronic non-communicable diseases;, Helicobacter pylori.Abstract
Chronic noncommunicable diseases, particularly cancer, have surpassed infectious diseases as the leading threat to global health. Among them, gastric cancer occupies a worrying position. Gastric carcinogenesis is multifactorial, with the following factors standing out: Helicobacter pylori infection, genetic factors, and environmental exposures. The sequence of inflammation, atrophy, metaplasia, dysplasia, and cancer underscores the importance of early detection and eradication of Helicobacter pylori. Gastric cancer is not only a clinical problem but also a social and economic one. In Cuba, its control requires primary prevention, screening in at-risk groups, and health policies, including regulation of processed foods and access to diagnostics. It is urgent to integrate these strategies into national cancer programs, with a multisectoral approach that prioritizes primary care and local research. Cuba's experience in public health can be key to designing cost-effective interventions to address this challenge.
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