The Impact of Disasters on Cancer Care in Lebanon

Karak, Fady El; Rawadi, E; Sawan, Joud; Haddad, Fady G.

doi:10.2217/fon-2020-0927

Cited by 5 publications

(4 citation statements)

References 5 publications

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“… 104 , 105 Additionally, the severe infrastructural damage caused to several cancer care centers after the devastating Beirut blast on the 4th of August, has delayed the treatment of many cancer patients. 106 Amidst all the chaos, social distancing and hygiene measures have lost priority among the Lebanese people, further increasing exposure risk. 106 The Lebanese Society of Medical Oncology (LSMO) has issued several recommendations for cancer patient care, stressing the necessity to prioritize patients on a case-by-case scenario favoring screening for infections, telemedicine, oral rather than intravenous and curative rather than palliative therapy.…”

Section: Socio-economic Obstacles In Lebanonmentioning

confidence: 99%

“… 106 Amidst all the chaos, social distancing and hygiene measures have lost priority among the Lebanese people, further increasing exposure risk. 106 The Lebanese Society of Medical Oncology (LSMO) has issued several recommendations for cancer patient care, stressing the necessity to prioritize patients on a case-by-case scenario favoring screening for infections, telemedicine, oral rather than intravenous and curative rather than palliative therapy. 107 Unfortunately, Lebanese hospitals were not able to fully implement those guidelines for multiple reasons, including the reluctance of patients in delaying or modifying their treatments plans.…”

Section: Socio-economic Obstacles In Lebanonmentioning

confidence: 99%

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Management of colorectal cancer in the era of COVID-19: Challenges and suggestions

et al. 2021

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The Coronavirus (COVID-19) pandemic had a huge impact on all sectors around the world. In particular, the healthcare system has been subject to an enormous pressure that has surpassed its ability in many instances. Additionally, the pandemic has called for a review of our daily medical practices, including our approach to colorectal cancer management where treatment puts patients at high risk of virus exposure. Given their higher median age, patients are at an increased risk for severe symptoms and complications in cases of infection, especially in the setting of immunosuppression. Therefore, a review of the routine colorectal cancer practices is needed to minimize risk of exposure. Oncologists should weigh risk of exposure versus the patient’s oncologic benefits when approaching management. In addition, treatment protocols should be modified to minimize hospital visits and admissions while maintaining the same treatment efficacy. In this review, we will focus on challenges that colorectal cancer patients face during the pandemic, while highlighting the priority in each case. We will also discuss the evidence for potential modifications to existing treatment plans that could reduce infectious exposure without compromising care. Finally, we will discuss the impact of the socio-economic difficulties faced by Lebanese patients due to a poor economy toppled by an unexpected pandemic.

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Section: Socio-economic Obstacles In Lebanonmentioning

confidence: 99%

Section: Socio-economic Obstacles In Lebanonmentioning

confidence: 99%

Management of colorectal cancer in the era of COVID-19: Challenges and suggestions

et al. 2021

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“…The emergence of such a large refugee population in a small country facing economic recession, high unemployment, infrastructure constraints and environmental problems is increasingly threatening inter-community relationships and social stability ( United Nations High Commissioner for Refugees [UNHCR], 2020 ). The total unemployment rate hit 25% in 2017 ( Brihi et al, 2019 ) and this rate has risen to 30% in 2019 and 40% in 2020 ( WorldBank, 2019 ; Karak et al, 2021 ). According to a recent report by the Food and Agriculture Organization of the United Nations, the unemployment rate has climbed to more than 40%, with more than 60% of the country’s young people unemployed ( Food and Agriculture Organization [FAO], 2022 ).…”

Section: Introductionmentioning

confidence: 99%

Personal Economic Worries in Response to COVID-19 Pandemic: A Cross Sectional Study

et al. 2022

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ObjectivesThe emergence of the COVID-19 pandemic worsened Lebanon’s economic situation and generated worries about living conditions. This study aimed to explain personal economic worries patterns among Lebanese young adults while accounting for demographics and mental health characteristics.MethodsA total sample of 988 Lebanese responses were collected, using an online survey. The analysis was conducted using regression-based methods.ResultsMen exhibited higher economic worries than women. Lower levels of economic worries among people with higher wages were more pronounced. Lebanese retirees experience the highest economic worries compared to other employment status groups. Individuals with higher life satisfaction are less concerned about the economy. Mental wellbeing factors were positively associated with personal economic worries.ConclusionThe current study presents a seminal insight into the differences in economic worries caused by COVID-19 pandemic among individuals in a developing country context.

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“…This past year has seen the most precipitous and most substantial brain drain among healthcare professionals in decades and a scarcity of medical supplies to levels unprecedented in years. [3][4][5] The American University of Beirut Medical Center (AUBMC), a medical center that has been at the forefront of medical education and clinical care in the Middle East and North Africa region, is facing unparalleled challenges in acquiring and retaining talent. Physicians with practices maintained and reputations developed over decades are spending at least some of their time outside the country to be able to support their families as the economic whirlpool continues to cloud every aspect of life.…”

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confidence: 99%

The Lebanese healthcare sector: The point of exsanguination

Saliba

Taher

2021

American J Hematol

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A year since the Beirut seaport explosion, on the riverbank, Adonis is still bleeding. 1 This is not a slow ooze. Topical antifibrinolytics are no longer working. A few transfusions of platelets and plasma via timelimited foreign aid are not cutting it. The Lebanese healthcare system is in full-blown hemorrhagic shock with copious bleeding, internal and external, from all its vesselsnominate and innominate. External bleeding, through the medical brain drain, and visceral bleeding, mediated by the ongoing corrupt systems, have crippled the vital organs of the nation with ischemia in nearly every sector. Microthrombosis and paradoxical bleeding in every sector are paralyzing the function of the political system, the healthcare sector, and the financial apparatus. For both of us as hematologists/oncologists, the scenes are so absurd and so overwhelming that the closest pathophysiological process to this reality would be a state of hemorrhagic shock complicated by disseminated intravascular coagulation in the setting of decompensated liver cirrhosis, a state of chaos, where factors are missing, some vessels are clotting while others are bleeding, the hospital is out of blood products, the lab results are artifactual, and the medical staff is burned out.

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The Impact of Disasters on Cancer Care in Lebanon

Cited by 5 publications

References 5 publications

Management of colorectal cancer in the era of COVID-19: Challenges and suggestions

Management of colorectal cancer in the era of COVID-19: Challenges and suggestions

Personal Economic Worries in Response to COVID-19 Pandemic: A Cross Sectional Study

The Lebanese healthcare sector: The point of exsanguination

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