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CANCER: A LOOMING DISASTER

Cancer in India has become an epidemic that requires urgent, multidimensional intervention and systemic transformation. ICMR predicts a 12% to 18% increase in cancer cases in the future years, putting the nation at a crucial point. Medical advances aside, cancer is the second biggest cause of death worldwide, including in India. Due to a growing population and insufficient resources, the healthcare system is unprepared to meet this disease’s rising burden. India must move beyond awareness campaigns and adopt a holistic, action-oriented approach to this challenge. 

India’s cancer epidemic comes from modern lifestyles and environmental concerns. Rapid urbanization has introduced processed diets, sedentary lifestyles, and air and water pollution. These factors, combined with widespread tobacco and alcohol use, have fuelled cancer rates. Breast cancer is most common in women, but oral and lung cancers afflict men more. The World Health Organization estimates that 30% to 50% of these illnesses are avoidable. Lack of early detection and response worsens the issue. Late-stage diagnoses are frighteningly common, lowering survival rates and burdening patients and their families financially and emotionally. The economic impact of cancer is another major issue. Treatment is too expensive, forcing families into debt and hardship. Some noteworthy proposals in the Union Budget 2025-26 include tax exemptions on life-saving drugs and chemotherapy decentralization through day-care centres, although these are little changes. Rural India’s healthcare infrastructure is poor. Diagnostic facilities, specialist care, and cheap treatment alternatives are limited, leaving millions vulnerable. Successful cancer management relies on early detection, which many people cannot achieve. This stark difference highlights the need for a nationwide screening program that emphasizes high-risk populations and uses technology to reach marginalized communities. India’s cancer strategy must prioritize prevention. Treatment is necessary but not sustainable or sufficient to solve the situation. A multifaceted approach that addresses cancer’s causes and encourages healthy lives is needed. Higher taxes and stricter tobacco and alcohol regulations may discourage use and fund public health programs. Policies targeting ultra-processed foods and supporting healthy diets must also be introduced to reduce obesity, a cancer risk factor. Public awareness initiatives are crucial, but they must change things. Schools, businesses, and community centres should host information and screening programmes to promote prevention and early detection. Environmental factors also contribute to India’s cancer issue. Industrial pollution, pesticide use, and workplace carcinogens are increasing the disease. The government must regulate polluting sectors and invest in cleaner, sustainable alternatives. Active lifestyle programs like public parks and pedestrian-friendly infrastructure can also reduce sedentary behaviour risks. These seemingly unrelated factors are essential to a comprehensive cancer prevention strategy. India cannot fight cancer alone. Healthcare providers, legislators, educators, and the private sector must collaborate. Public-private collaborations may significantly enhance access to cheap and innovative care. Comprehensive cancer screening and treatment coverage must be added to insurance to prevent financial barriers to treatment. To comprehend India’s specific difficulties and generate tailored solutions, research and data collection must be prioritized. 

The stakes are high, and the window for action is narrowing. Without decisive intervention, India risks being overwhelmed by an escalating health and economic crisis. This is not just a medical issue; it is a national imperative that demands collective action and political will. The fight against cancer is a marathon, not a sprint, and every step taken today will determine the health and well-being of future generations. The time to act is now—before the epidemic spirals further out of control.

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