Table 3. Capacity to screen for, prevent and treat breast and cervical cancers in Latin America and the Caribbean, 2012.
Parameter | South Americaa | Mexico and Central Americab | “Latin” Caribbeanc | “English” Caribbeand |
---|---|---|---|---|
Cancer policy | ||||
Cancer policy | All countries except Paraguay | Costa Rica and Guatemala | All countries | Barbados, Dominica, Jamaica, Suriname, Trinidad and Tobago |
Action plan for cancer | All countries except Ecuador | All countries except Belize | All countries | All countries and territories except Antigua and Barbuda, Saint Kitts and Nevis, Saint Vincent and the Grenadines |
Cervical cancer screening | ||||
Cytology | ||||
Available | All countries | All countries | All countries | All countries and territories |
Free | All countries except Bolivia and Peru | All countries | Cuba and Dominican Republic | All countries and territories except Saint Vincent and the Grenadines and Suriname |
HPV DNA test | Argentina, Brazil, Chile, Colombia, Ecuador, Paraguay, Uruguay and Venezuela | Mexico | None | Bahamas |
Visual inspection of cervix with acetic acid | Bolivia, Colombia, Paraguay and Peru | El Salvador, Guatemala and Nicaragua | Cuba and Puerto Rica | Guyana and Suriname |
Breast cancer screening | ||||
Clinical breast examination | All countries except Bolivia | All countries | All countries | All countries and territories |
Mammography | ||||
Available | All countries except Bolivia | All countries except Guatemala | Cuba and Puerto Rico | All countries and territories except Grenada |
Free | All countries that have it available except Argentina, Paraguay and Peru | Costa Rica, Mexico and Nicaragua | Cuba | Barbados, Guyana, Jamaica, Saint Lucia and Trinidad and Tobago |
Cancer treatment | ||||
Chemotherapye | ||||
Available | All countries | All countries except Belize | All countries | All countries and territories except Saint Kitts and Nevis |
Free | All countries except Bolivia | Costa Rica, Mexico and Nicaragua | Cuba | Antigua and Barbuda, Barbados, Grenada, Guyana, Jamaica and Trinidad and Tobago |
Radiation therapy | ||||
Available | All countries | All countries except Belize | All countries | Bahamas, Barbados, Guyana, Jamaica, Suriname and Trinidad and Tobago |
Free | All countries except Bolivia and Peru | Costa Rica, Mexico and Nicaragua | Cuba | Barbados, Guyana, Jamaica and Trinidad and Tobago |
Tamoxifen | ||||
Available | All countries except Paraguay | All countries except El Salvador and Guatemala | All countries | All countries and territories except Saint Kitts and Nevis and Grenada |
Free | Brazil, Chile, Ecuador and Venezuela | Costa Rica and Nicaragua | Cuba | Antigua and Barbuda, Barbados, Dominica, Guyana, Jamaica and Trinidad and Tobago |
Oral morphine | ||||
Available | All countries except Paraguay | Belize, Costa Rica and Panama | Cuba and Puerto Rico | All countries and territories except Guyana and Saint Kitts and Nevis |
Free | Brazil, Chile and Venezuela | Belize and, Costa Rica | Cuba | Antigua and Barbuda, Barbados, Dominica, Grenada, Jamaica and Trinidad and Tobago |
DNA, deoxyribonucleic acid; HPV, human papillomavirus.
a Information available for Argentina, Bolivia, Brazil, Chile, Colombia, Ecuador, Paraguay, Peru, Uruguay and Venezuela.
b Information available for Belize, Costa Rica, El Salvador, Guatemala, Honduras, Mexico, Nicaragua and Panama.
c Information available for Cuba, Dominican Republic and Puerto Rico.
d Information available for Antigua and Barbuda, Bahamas, Barbados, Dominica, Grenada, Guyana, Jamaica, Saint Kitts and Nevis, Saint Lucia, Saint Vincent and the Grenadines, Suriname, Trinidad and Tobago.
e Chemotherapy refers to the list of cytotoxic medicines contained in the WHO Model List of Essential Medicines (17th list, March 2011), accessible at: http://whqlibdoc.who.int/hq/2011/a95053_eng.pdf