[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-378308-105":59,"doc-detail-378308-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","subregional-efforts-to-improve-childhood-cancer-care-in-the-andean-countries","Subregional efforts to improve childhood cancer care in the Andean countries","","Childhood cancer remains a leading cause of death for children and adolescents under 19 in Latin America and the Caribbean, with an estimated 10,000 annual deaths in the region. Survival varies widely: up to 85% in high-income settings versus 10%–60% in middle- and low-income countries, reflecting major inequities. The report outlines actions by Andean ministries of health and ORAS-CONHU to develop an Andean Cancer Prevention and Control Policy focused on childhood cancers, based on analysis from 2015–2020 and approved in 2022.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/subregional-efforts-to-improve-childhood-cancer-care-in-the-andean-countries/378308/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/subregional-efforts-to-improve-childhood-cancer-care-in-the-andean-countries/378308.png","ImageObject",300,407,{"name":92,"@type":93},"supergirl","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-24",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"How does survival for childhood cancer differ between high-income and middle- to low-income countries?","Question",{"text":113,"@type":114},"In high-income countries, survival for children and adolescents with neoplasms can reach about 85%, while in middle- and low-income countries survival is significantly lower, estimated between 10% and 60%.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"Which organizations and ministries contributed to developing the Andean Cancer Prevention and Control Policy?",{"text":118,"@type":114},"The policy was developed jointly by ministries of health from the six Andean countries and ORAS-CONHU, with support and alignment with the Pan American Health Organization (PAHO) and the WHO Global Initiative of Childhood Cancer.",{"name":120,"@type":111,"acceptedAnswer":121},"What time period and basis were used for analyzing the Andean childhood cancer situation?",{"text":122,"@type":114},"The policy was based on analysis of the cancer situation in Bolivia, Colombia, Chile, Ecuador, Peru, and Venezuela between 2015 and 2020, and it was approved in 2022.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},378308,1790791569,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":24,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145},962088121634,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","Brief communication  \n| Subregional efforts to improve childhood cancer care in the Andean countries\u003Cbr>Maria del Carmen Calle,1 Marisela Mallqui,1 Luis Beingolea, 1 Forlly Chavez, 1 Patricia Gallardo2, Liliana Vásquez3, and Hernan Sepúlveda2\u003Cbr>Suggested citation. Calle M, Mallqui M, Beingolea L, Chavez F, Gallardo P, Vásquez L, Sepúlveda H. Subregional efforts to improve childhood cancer care in the Andean countries. Rev Panam Salud Publica. 2023;47:e151 . [https://doi.org/10.26633/RPSP.2023.151](https://doi.org/10.26633/RPSP.2023.151) |  |  |\n| --- | --- | --- |\n| ABSTRACT | Cancer is one of the leading causes of death in children and adolescents younger than 19 years. An estimated 10 000 deaths are caused by this disease annually in this age group in Latin America and the Caribbean. In high-income countries, the survival of children and adolescents with neoplasms can reach 85%; however, in middle-and low-income countries, despite progress, survival rates are significantly lower (between 10% and 60%) . Important inequities exist is survival from childhood cancer that need to be addressed through decisive actions from the health systems. This report describes the work of the ministries of health and the Secretariat of the Andean Health Organization (Organismo Andino de Salud – Convenio Hipólito Unánue (ORAS-CONHU)), to develop the Andean Cancer Prevention and Control Policy, with consideration given to childhood cancers. The policy was based on analysis of the cancer situation in the six Andean countries – Bolivia (Plurinational State of), Colombia, Chile, Ecuador, Peru and Venezuela (Bolivarian Republic of)– between 2015 and 2020, and it was approved in 2022. An in-depth study is currently being carried out on the situation of childhood cancer in the Andean countries. |  |\n| Keywords | Neoplasms; child health; adolescent health; policy; South America. |  |\n| Childhood cancer is one of the leading causes of death in childhood. Every year, more than 29 000 cases of cancer are diagnosed in children younger than 19 years in Latin America and the Caribbean with an estimated 10 000 deaths (1) . In high-income countries, the survival rate of children with neoplasms can reach 85% . However, in middle- and low-income countries, despite progress, survival rates are considerably lower, ranging from 10% to 60%(1) . In countries of the Andean subregion – Bolivia (Plurinational State of), Chile, Colombia, Ecuador, Peru, and Venezuela (Bolivarian Republic of)– the standardized incidence rate of cancer in this age group is similar to that of other Latin American countries (13.9 new cases per 100 000), but the mortality rate for pediatric cancer (5.3 deaths per 100 000) is substantially higher than the overall regional average for the Americas (4.0 deaths per 100 000) (2) .\u003Cbr>1 Organismo Andino de Salud – Convenio Hipólito Unanue (ORAS-CONHU), Lima, Peru.\u003Cbr>2 Pan American Health Organization, Subregional South America Office, Lima, Peru. |  | The Organismo Andino de Salud – Convenio Hipólito Unánue (ORAS-CONHU) is a subregional organization focused on advancing health care in the Andean countries (3) . Founded in 1971, ORAS-CONHU has six member countries. This organization has a clear mission to enhance health systems, promote collaboration among member countries, and improve health outcomes for the populations within the Andean subregion. By using the collective knowledge and resources of its member countries, ORAS-CONHU aims to address key health challenges and foster a collaborative environment for health research and policy development. Given the importance of addressing childhood cancer in the Andean subregion, ORASCONHU approved the Andean Cancer Prevention and Control Policy (4) . This policy was developed jointly with the Pan American Health Organization (PAHO) which is supporting\u003Cbr>3 Pan American Health Organization, Washington, D.C., United States of America. |\n\nThis is an open access article distributed under the terms of the ","cbCaih1sfZsWutmI","https://ap.wps.com/l/cbCaih1sfZsWutmI","pdf",482173,"English","# Abstract\n# Childhood cancer burden in the Andean subregion\n## Mortality and incidence comparisons\n# Policy development and regional activities\n## ORAS-CONHU mission and role\n## Andean Cancer Prevention and Control Policy\n# Activities for advocacy and implementation","[{\"question\":\"How does survival for childhood cancer differ between high-income and middle- to low-income countries?\",\"answer\":\"In high-income countries, survival for children and adolescents with neoplasms can reach about 85%, while in middle- and low-income countries survival is significantly lower, estimated between 10% and 60%.\"},{\"question\":\"Which organizations and ministries contributed to developing the Andean Cancer Prevention and Control Policy?\",\"answer\":\"The policy was developed jointly by ministries of health from the six Andean countries and ORAS-CONHU, with support and alignment with the Pan American Health Organization (PAHO) and the WHO Global Initiative of Childhood Cancer.\"},{\"question\":\"What time period and basis were used for analyzing the Andean childhood cancer situation?\",\"answer\":\"The policy was based on analysis of the cancer situation in Bolivia, Colombia, Chile, Ecuador, Peru, and Venezuela between 2015 and 2020, and it was approved in 2022.\"}]","Subregional efforts to improve childhood cancer care in the Andean countries | PDF",1790229429,13]