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一 |     最新调查发现，50岁到69岁妇女的乳腺癌筛查有所减少。    Colombo, Oct 11 (UNI) Since Sri Lanka announced in April that it will default on its foreign debt, its 22 million residents have lost access to most medicine and medical supplies, setting them on course for a humanitarian disaster, a report published on Tuesday said.
The report by ReliefWeb, a humanitarian information project of the UN Office for the Coordination of Humanitarian Affairs, was quoted as saying by The Island newspaper that unlike Russia’s invasion of Ukraine, Sri Lanka’s crisis grew slowly and has garnered few international headlines.
But Sri Lankans are suffering amid the harshest economic crisis the country has confronted since gaining independence in 1948, it said.
With the country’s foreign reserves depleted, the nationalized healthcare system cannot afford to import medicine and medical supplies in sufficient quantities, it said.
Sri Lanka relies on imports for about 85 per cent of its pharmaceutical needs and about 80 per cent of its medical supplies. The country imported $815 million in medicine in 2021, but by May had only about $25 million in foreign reserves to pay for imports of any kind.
Last week in Sri Lanka, Direct Relief staff participated in an extensive series of meetings with Prime Minister Dinesh Gunawardena and much of the country’s healthcare leadership while overseeing the arrival of what may be the largest donation of medicine to the country since the crisis began.
“For the next six months, they’re (Sri Lanka) expecting a catastrophic number of deaths,” said Chris Alleway, Direct Relief’s manager of emergency response and new initiatives, who led the Sri Lanka meetings.
The 3,500-bed National Hospital of Sri Lanka in Columbo, which usually has 1,300 medicines in stock, is now down to requesting only the 60 most essential medicines, the newspaper reported.
With anesthesia in short supply, most general surgeries in the country have ceased, including kidney transplants. Cancer patients have lost access to medications needed to fight the deadly disease. Diabetes patients must secure and bring their own glucose meters for blood sugar check-ups.
Many hospitals are stocked out of basic items like bandages and cotton balls. The stockouts are forcing rural clinics to close their doors and refer patients to larger facilities in urban areas, which also are overwhelmed by the flow of patients.
Due to a severe fuel shortage, the country’s fishing fleets cannot go far out to sea, slashing the supply of fish that is a significant source of protein in the country, including at its largest children’s hospital, it said.
Sri Lanka is also losing clinicians as they migrate to other countries with more opportunities, while its medical colleges see the number of applicants for medical education decline sharply.
Responding to the crisis spurred by Sri Lanka’s default in June of this year, Direct Relief has delivered eight humanitarian shipments totaling 27 tonnes and 16 million defined daily doses of donated medicine.
The largest shipment from Direct Relief to Sri Lanka -- 18 tonnes of medicine and medical supplies requested explicitly by Sri Lanka’s government -- arrived in recent weeks.
UNI MR。乳癌基金会表示，有些妇女因为害怕被确诊或是担心过程疼痛而不去筛查。基金会说要提高筛查率，需要采用更先进仪器，并进一步宣导减少妇女的忧虑。乳癌基金会指出，本地乳腺癌筛查率低有几个主要原因，除了畏惧和疼痛，有一些人觉得身体没问题，因此不需要筛查。医生表示如果及早筛查，治好的几率达到约95%到100%。朱博爱医生也说，近10年来也有看到乳癌患者年轻化的趋势，尤其是40岁以下的患者，而他本身所接触的最年轻患者是22岁。医生也说，目前政府推行健康SG，让医生与病人建立关系，也能进一步提醒病人进行定期的筛查，进而推高全国乳腺癌的筛查率。乳癌基金会副主席朱博爱医生说：“如果你是第零期或第一期的话其实你只是切除相关部分肿瘤就很小的部分不用整个乳房切除如果第三期第四期才检测出医好的机会是少过50%同侪压力效果也不错如果你做了（筛查）等下你会问朋友为何没有做，我做了也是没有事，所以一个全体努力的方案会比较好。

二 | ”国大癌症中心表示，尽管本地女性对于乳癌的意识高，西方国家是70%或以上，但筛查率确实比西方国家低许多，很多人因为个人或文化原因，而没去筛查。国大癌症中心肿瘤血液科高级顾问医生欧冠伟医生说：“可能会觉得乳房的乳癌的产生可能是不能受到控制的，所以他们是必须非常的需要家人的鼓励，很多人都以为乳癌只是产生一个肿块的时候才会怀疑是乳癌，可是其实乳癌是有非常早期的乳癌，比如说是摸不出察觉不到的做X光的筛查，在可以摸到癌之前做出诊断。”本地最新调查发现，在2023年，50岁到69岁的新加坡妇女中，只有34.7%接受乳腺癌筛查，同比减少约3%。马来族妇女的比例最少，只有16.9%。全国人口健康调查显示，去年在50岁到69岁的本地妇女中，只有34.7%接受乳腺癌筛查，同比减少约3%。

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Published on:02:12:00