Statistics as a Measure of Progress
The rise in cancer cases among children raises concerns for many. However, according to Sultan Stambekov, head of the pediatric oncology department at NCOMID, this is not due to an increase in incidence but rather to improved diagnostics.He stated, "Childhood cancer is a constant variable. It does not depend on factors such as ecology or habits, as it does in adults, and arises from genetic mutations.
Previously, children in the regions might not have lived to receive a diagnosis because their symptoms were not recognized, and the diagnosis was made too late.Now we detect 10-11 cases per 100,000 children, which brings us closer to global standards (14-18 cases). This means we have become better at identifying the disease and providing children with the opportunity for treatment," Stambekov adds.
Kyrgyzstan is actively participating in the WHO initiative aimed at increasing the survival rate of children with cancer by 2030. In recent years, funding for pediatric oncology has increased tenfold—from 20 million to 200 million soms. This has allowed for the introduction of modern drugs, such as "Blinatumomab" (Blincyto), which significantly reduce the risk of relapses.
Challenges and Issues for Adult Patients
Despite successes in treating children, adult oncology faces serious problems. Anastasia Gadzhieva points out that there are only two oncology centers in the country—one in Bishkek and one in Osh."The main problem lies in the huge queues and advanced stages of diseases due to late visits. Although the government is increasing funding, there are difficulties with the procurement and delivery of medications: with delays, diseases progress, and families have to cover the costs themselves. Additionally, many important tests, such as MRI and flow cytometry, remain paid," Gadzhieva notes.
Recommendations for Patients and Their Parents
Based on her experience, Gadzhieva highlighted several "golden rules" for those facing a diagnosis:- Do not experiment with "miracle herbs." Switching to folk remedies (such as mare's milk or dietary supplements) can be dangerous. Cancer does not wait for parents to finish their experiments.
- Get a second opinion. If there are doubts, it is worth double-checking the tests with another specialist. It is important to know the exact subtype of the disease, as this determines the treatment plan.
- Do not isolate yourself. Support from friends and family is important for both children and adults. Life should not stop because of treatment.
- Look for alternative options. If treatment in the country is not yielding results (for example, if a bone marrow transplant is needed), consider options abroad. The first successful transplant in Kyrgyzstan has already been performed, but the system is still under development.
Warning Signs: What to Pay Attention To
The "Sun of Hope" Foundation reminds that in the early stages, cancer may not show obvious symptoms. It is recommended to consult a doctor immediately if a child exhibits:- prolonged fever (more than two weeks) without signs of a cold;
- persistent weakness, paleness, loss of appetite;
- unexplained bruises, bleeding, bone pain;
- painless lumps and bumps on the body.
Prospects: From Treatment to Rehabilitation
Sultan Stambekov believes that in the future, oncology will become one of the most significant fields, as medicine has already learned to cope with infections and cardiovascular diseases.However, Kyrgyzstan lacks comprehensive rehabilitation. After treatment, patients often find themselves alone with psychological consequences."Socialization programs, camps for children, and support for adult patients are necessary. Cancer is a serious challenge, but today we have more and more resources to tackle this problem," the experts concluded.
Photo on the main page is illustrative: pharmasyntez.com.
