Fri, 11 Apr 2025

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DHIVEHI

Rising cancer cases in Maldives highlight urgency for expanded care

04 Feb 2025

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Aishath Leah

Photo: President's Office

As the world marks World Cancer Day 2025, the Maldives faces a growing challenge in its fight against cancer, with recent data revealing a significant rise in cases.

According to the Health Protection Agency (HPA), over 1,600 cancer cases have been recorded in the Malé region alone. Health authorities are now preparing to expand data collection to include cases from other islands throughout 2025, shedding light on the full scope of the issue. 

Medical experts have identified oral, breast, cervical, thyroid, and ovarian cancers as the most prevalent forms in the Maldives. Of particular concern is the increasing incidence of blood cancer among children, underscoring the need for targeted interventions and specialised care. 

The country’s cancer care infrastructure is under strain, with only two Maldivian specialists dedicated to cancer treatment. The chemotherapy department at Hulhumalé Hospital, operational since 2012, has just five beds for treatment, highlighting the urgent need for expanded facilities and resources. 

In response to these challenges, the Government has announced plans to establish a specialised cancer hospital, aiming to strengthen treatment capabilities and reduce reliance on overseas medical care. Cancer currently accounts for the highest number of overseas treatment requests under the Aasandha national healthcare scheme for non-communicable diseases. 

Understanding cancer: A growing threat

Cancer is a complex group of diseases characterised by uncontrolled cell growth, which can form tumours and interfere with vital bodily functions. While benign tumours remain localised, malignant tumours can spread through the bloodstream or lymphatic system, invading healthy tissues in a process known as metastasis. This spread is a major factor in cancer mortality, with metastatic tumours accounting for the majority of cancer-related deaths. 

Early detection is critical to improving survival rates, and the Maldives has made advances in this area. Screening for five common cancers is currently available through Primary Health Care services at island and atoll levels. Plans are underway to develop specialised screening facilities, which will further enhance early detection efforts. 

President’s message of unity and commitment

On this significant day, President Dr Mohamed Muizzu shared a message of solidarity and hope, aligning with this year's World Cancer Day theme, "United by Unique." The theme celebrates the individuality of each person's cancer journey while emphasising their collective strength.

In his message, the President outlined key initiatives including the Maldives' efforts toward eliminating cervical cancer by 2030 and plans for a dedicated cancer facility with expanded palliative care services. He noted that screening for five common cancers is currently available through Primary Health Care at both island and atoll levels, with specialised screening facilities being developed for urban healthcare centres.

On prevention efforts, the President highlighted the implementation of an electronic cigarette ban, enhanced tobacco control legislation, and the introduction of free cessation services.

The President acknowledged those affected by cancer, remembering those lost to the disease and recognising current patients' courage. He concluded by emphasising that collective action would help build a future focused on prevention, early detection, and equitable care access, reaffirming the government's dedication to fostering a healthier nation.

National Cancer Control Plan: A blueprint for action

The Maldives has made significant strides in addressing cancer through the National Cancer Control Plan (NCCP) 2022–2026, developed in collaboration with the World Health Organization (WHO) and other stakeholders. The plan focuses on five strategic objectives: 

  • Scaling up prevention through health promotion: This includes awareness campaigns, tobacco control, and promoting healthy diets.
  • Ensuring early detection and timely diagnosis: Expanding screening programmes for breast, cervical, oral, and colon cancers.
  • Promoting evidence-based treatment without financial burden: Establishing referral pathways and improving access to chemotherapy and other treatments. 
  • Expanding palliative and supportive care: Training healthcare professionals in palliative care and increasing the availability of morphine for pain relief. 
  • Establishing a national cancer registry and conducting research: Strengthening data collection to monitor cancer trends and inform policy decisions. 

The NCCP also emphasises the importance of addressing risk factors such as tobacco use, unhealthy diets, and physical inactivity, which contribute to a significant portion of cancer cases.

A call for action

As the Maldives grapples with rising cancer cases and infrastructure challenges, World Cancer Day 2025 serves as a poignant reminder of the importance of collaboration, innovation, and compassion. With plans for a specialised cancer hospital and expanded screening programmes, the nation is taking critical steps towards a future where cancer is no longer a public health crisis. 

Medical experts and health authorities continue to emphasise the importance of early detection and prevention, urging citizens to take advantage of available screening services. The government’s initiatives, coupled with the unwavering dedication of healthcare professionals and the community, offer hope in the ongoing battle against cancer. 

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