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He describes how his experience motivates him to research new therapies for cancer.

gardasil vaccine banned in what countries

Hear his story here. Europe is increasingly embracing it as a non-optional part of the cancer care process.

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A survey found that while 21 of 27 EU countries said psycho-social care was part of their national cancer plans, only 10 actually had a devoted budget line. I spoke with Csaba Dégia director of the International Psycho-Oncology Society based in Romania, about his efforts to bridge inequalities in treating so-called cancer distress.

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Among them: a mobile app to help people living far from cancer centers determine whether they need to get formal psychological help. The interview has been edited for length and clarity. What is psycho-oncology? Cancer distress is the core of this experience.

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The experience of a cancer patient most of the time is: I am alone in this, and I have to open up again to make meaning of my life.

Most of our patients are transitioning gardasil vaccine banned in what countries their new lives at home. Thirty or 40 years ago, when somebody finished [active treatment], they were just going back home, and the family took care of everything.

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The journey of transitioning from active treatment into survivorship resembles the journey you have taken from the first signs of your body changing [due to cancer]. We can also talk about fatigue, and sometimes even pain is part of survivorship.

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You have this fear of re-occurrence. In my country, stigmatization is also of high importance when we are talking about people with cancer.

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What are the biggest obstacles to overcome around Europe? All of the countries in a way are struggling.

gardasil vaccine banned in what countries

In some, there is a plan in place but there is no budget. We have neither in Romania. Most of the time, doctors think they understand everything that is happening with their patient, but other times they are missing things. Patients tend to not speak about issues like sexuality with their doctors.

We need to have more in the [medical] curricula… [including] training on [helping with] hard decisions, not just breaking bad news.

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It would be very helpful to have cancer survivorship codified as a specific clinical category. Survivorship is getting to be a bigger and bigger issue. So many European countries are not prepared for what it means. I come from a family where most of the gardasil vaccine banned in what countries have died before the age of I cannot accept the fact that maybe in a few years time I will face a diagnosis and nothing will have changed.

Living longer with cancer Survival rates have improved markedly in recent decades, and rectal cancer is a prime example.

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Five-year survival rate by year of diagnosis, age standardized, around the EU. No figures for Greece, Hungary and Luxembourg.

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No data for Romania. But the real key is scaling up vaccinations to make sure 70 to 80 percent of girls are inoculated against the human papillomavirus, which causes cervical cancer. When we looked at this issue in earlier chapters, one thing became clear: Worries that moves in wealthy countries to expand the vaccine to boys could eat up shots that need to go to girls in poor countries.

Distribution has doubled if not tripled sinceMassetti said, adding that MSD is pouring billions into vaccine production over the coming years.

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I asked if rich countries who will pay more to expand shots to boys will get priority over poorer countries, and Massetti said no. If you or someone you know is entering the survivorship phase of their cancer journey, this page workbook is worth digging into.

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