Cancer deaths rose by 260k globally during the economic crisis

  • Unemployment heavily linked to an increase in deaths from killer disease
  • Research looked at trends from last 20 years to make their findings
  • Patients in countries such as the US and Russia – where healthcare must be paid for by employers or people themselves fared the worst
  • Places with publicly provided healthcare saw few, if any, excess deaths

Stephen Matthews For Mailonline

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An extra 260,000 people died from cancer worldwide following the 2008 economic crisis, scientists revealed today.

Unemployment and reduced public sector health spending following the financial downturn were associated with an increase in deaths from the killer disease.

Patients in countries such as the US and Russia – where healthcare must be paid for by employers or people themselves – rather than relying on services like the NHS – fared the worst.

Researchers from leading universities across the world looked at trends over a period of 20 years in the first global analysis of its kind.

Countries within the Organisation for Economic Development were included in the statistics, totalling over two billion people.

Unemployment and reduced public sector health spending were linked with more deaths from cancer

Unemployment and reduced public sector health spending were linked with more deaths from cancer

Dr Mahiben Maruthappu, of Imperial College London, said: ‘Cancer is a leading cause of death worldwide so understanding how economic changes affect cancer survival is crucial.

‘We found increased unemployment was associated with increased cancer mortality but that universal health coverage protected against these effects. 

‘This was especially the case for treatable cancers including breast, prostate and colorectal cancer.

‘We also found public healthcare spending was tightly associated with cancer mortality – suggesting healthcare cuts could cost lives.’

Data obtained from the World Bank and World Health Organisation on unemployment, public health care spending and cancer deaths in over 70 countries.

HOW THE ECONOMIC DOWNTURN AFFECTED BRITAIN 

Dr Maruthappu calculated there had been no additional cancer deaths in the UK between 2008 and 2010 as a result of the global crisis. 

However, Dr Maruthappu calculated there had been no additional cancer deaths in the UK as a result of the economic crisis, despite more than 18,000 extra people dying in the US in the same period.

He praised the availability of the NHS in Britain as a major turning point as people could get still adequate healthcare even if they lost their jobs, while in the US unemployed people could not afford medical attention. 

But Dr Maruthappu said that if another downturn hit the UK now, the impact would be much greater, because NHS funding was squeezed in the aftermath of the crisis.

He said: ‘If we went into economic recession now, a 1 per cent increase in unemployment could result in up to 500 additional cancer deaths a year in the UK.

‘Universal healthcare is protective – but you need investment in the health system. Otherwise healthcare cuts could cost lives.’

Several cancers were included in the report, published in The Lancet.

The study found rises in unemployment were linked with an increase in deaths of all forms of cancer, with the link being strongest for treatable forms of cancer.

These included prostate cancer and breast cancer, while forms with survival rates of less than 10 per cent were classified as untreatable.

Statistics suggested a one per cent increase in unemployment led to an additional 0.37 deaths from all cancers per 100,000 people.  

Researchers say the study found an increase in unemployment was immediately followed by an increase in deaths from cancer.

Professor Rifat Atun, of Harvard University, said: ‘In countries without universal health coverage access to health care can often be provided via an employment package.

‘Without employment patients may be diagnosed late and face poor or delayed treatment.’

Cancer accounted for 8.2 million deaths globally in 2012, with an increase of 8 million cases expected by 2030. 

The economic crisis saw a substantial rise in unemployment forcing many countries into cutting their health care spending.

Several studies have previously shown the impact from the financial downturn on mental and physical healths such as suicide and cardiovascular diseases.

Dr Graham Colditz, of Washington University, and Dr Karen Emmons, of the Kaiser Foundation Research Institute in Oakland, California, reviewed the findings for the journal.

The economic crisis saw a huge rise in unemployment forcing many countries to cut their healthcare budgets

The economic crisis saw a huge rise in unemployment forcing many countries to cut their healthcare budgets

They said: ‘Add to the evidence the implementation of universal health coverage would further reduce the toll of cancer by making it possible to implement evidence based treatments and prevention strategies that are already in hand.

‘Universal health coverage is a key UN Development Programme Sustainable Development Goal and is described as the single most powerful concept public health has to offer.

‘Although in many countries universal health-care coverage is seen as an important societal investment so far this has not been the case in the USA. 

‘The country might find the promise of improving treatments difficult to achieve without first providing coverage to those affected by cancer.

‘Universal health coverage, specifically for all patients with cancer, would meet the Institute of Medicine recommendation to reduce disparities in access to cancer care for vulnerable and under served populations. 

‘Furthermore universal cancer coverage would generate a great return on investment.’

 

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