Table 1:
Characteristics of small island nations in the Atlantic and Indian ocean, Mediterranean Sea, and South China seas20–24
| Estimated population (2017) | Income classification | GDP per capita (current US$, 2017) | Health expenditure as % of GDP (2015) | Life expectancy at birth (years) | Health staff per 10 000 population | Cancer registration | National cancer plan (year) | Current NCD plan | HBV vaccination coverage (BD %) | HBV vaccination coverage (B3 %) | HPV vaccination on national schedule | Organised national screening programme available | Radiology services | Pathology services | Publicly available cancer treatment services | Oral morphine available in public health sector | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Bahrain | 1 492 584 | High | 23 655 | 5·2% | 79·1 | 9·3 doctors, 24·9 nurses | National high quality PBCR | Yes (2010–20) | Yes | 98% | 98% | No | Breast | x-ray, ultrasound, mammography, CT, MRI, PET | Cytology, histology, immunohistochemistry | Surgery, chemotherapy, and radiotherapy | Yes |
| Cabo Verde | 546 388 | Lower middle | 3244 | 4·8% | 73·2 | 7·7 doctors, 10 nurses | Registration activity | Yes (2015) | Yes | 96% | 96% | No | No | x-ray, ultrasound, and mammography | n/a | Surgery and chemotherapy | No |
| Comoros | 813 912 | Lower middle | 1312 | 8·0% | 63·9 | 1·7 doctors, 7 nurses | No data | No | Yes | n/a | 91% | No | No | x-ray and ultrasound | n/a | Surgery | No |
| Guinea-Bissau | 1 861 283 | Low | 724 | 6·9% | 59·8 | 0·6 doctor, 6·9 nurses | No data | No | No | n/a | 79% | No | No | x-ray, ultrasound, mammography, and CT | n/a | Surgery | No |
| Maldives | 436 330 | Upper middle | 11 151 | 11·5% | 78·4 | 10·4 doctors, 57·2 nurses | No data | No | Yes | 99% | 99% | Yes | No | x-ray, ultrasound, mammography, CT, and MRI | Cytology and histology | Surgery and chemotherapy | No |
| Mauritius | 1 264 613 | Upper middle | 10 490 | 5·5% | 74·8 | 20·2 doctors, 32·8 nurses | PBCR | Yes (2015–19) | No | n/a | 96% | Yes | No | x-ray, ultrasound, mammography, CT, MRI | Cytology, histology, and IHC | Surgery, chemotherapy, and radiotherapy | Yes |
| São Tomé and Príncipe | 204 327 | Lower middle | 1921 | 9·8% | 68.7 | 3·2 doctors | No data | No | No | 95% | 93% | Yes | No | x-ray, ultrasound, and CT | n/a | Surgery | No |
| Seychelles | 95 843 | High | 15 629 | 3·4% | 73·3 | 9·5 doctors, 44·9 nurses | PBCR | No | Yes | n/a | 97% | Yes | No | x-ray, ultrasound, mammography, CT, and MRI | Cytology, histology, and immunohistochemistry | Surgery and chemotherapy | Yes |
| Singapore | 5 612 253 | High | 57 714 | 4·3% | 82·9 | 23·1 doctors, 58·3 nurses | National high quality PBCR | Yes | No | 91% | 96% | Yes | Cervical, breast, colorectal | x-ray, ultrasound, mammography, CT, MRI, and PET | Cytology, histology, and immunohistochemistry | Surgery, chemotherapy, and radiotherapy | Yes |
| Timor-Leste* | 1 296 311 | Lower middle | 2279 | 3·1% | 68·6 | 6·7 doctors, 13·6 nurses | No data | No | Yes | 62% | 92% | No | No | x-ray, ultrasound, and CT | n/a | Surgery | No |
GDP=gross domestic product. NCD=non-communicable disease. HBV=hepatitis B virus. BD=birth dose. B3=infant doses. HPV=human papillomavirus. PRCR=population-based cancer registry.
*
In this Series, Timor-Leste is considered to be an Africa, Indian Ocean, Mediterranean and South China Seas small island nation (rather than Pacific) because of its political and social ties with the south-east Asia region.