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Palliative Care Service in Bangladesh – First step of ‘miles to go’

Bangladesh Society of Anaesthesiologists
Publication Date
  • Anesthesiology
  • Palliative Care
  • Medicine


Volume 19 No. 1&2 2006 Make.pmd Editorial PALLIATIVE CARE SERVICE IN BANGLADESH – FIRST STEP OF ‘MILES TO GO’ Journal of BSA, Vol. 19, No. 1 & 2, 2006 ‘The last part of life has an importance out of all proportion to its length’: Dame Cicely Saunders Like it did nearly 20 years ago to establish Intensive Care services in the country, the anesthetist community seems to be listening to the ‘ringing of the human bell’ somewhat more clearly. They are showing their keen interest to initiate an Organized Palliative Care (OPC) service in Bangladesh. ‘The reality has been ringing this human bell’ for quite sometime all over the world! Palliative Care (PC) has been an accepted specialty of medicine and nursing for quite sometime. The approach focuses on the ‘total care’ of patients suffering from incurable life limiting illness. It attempts to relief suffering and improves Quality Of Life (QOL) for both patients and their families throughout an illness experience, not just at the end of life. In recent days there has been increasing recognition of this care as a public health issue. All that this editorial intends to do is to raise certain issues and concerns from the beginners of palliative care service in Bangladesh. The need for Palliative Care: Globally of the 58 million people dying annually (45 million in developing countries and 13 million in developed countries) it is estimated that at least 60% (35 million) have an advanced illness and would benefit from palliative care. Taking cancer as an example, two thirds (seven million) of the ten million new patients each year are not cured and die within one year of their diagnosis. Global cancer rates will increase by fifty percent and their will be 15 million new cases in 2020 and 24 million new cancer cases per year by 2050.Fifty percent of worlds new cancer cases are now occurring in developing countries where only ten percent of the global resources allocated for health care services are being spent. PC probably remains the only

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