| The 2012 Access to Medicine Index
mostly focuses on access to medicines
for communicable diseases in
developing countries. Nevertheless,
as emphasised in an Editorial in
The Lancet Oncology, the burden of
non-communicable diseases such as
cancer has greatly increased in these
countries, and is expected to impose
an extra burden on their health-care
systems.1 The eastern Mediterranean is
predicted to face the most exponential
increase in cancer incidence in the
next decade, underlining the need for
further health support and education
in these countries.2
Excluded from the latest Access to
Medicine Index, Iran has the highest
incidence of cancer in the Middle East
at 100 cases per 100 000 population
per year, leading to 105 deaths every
day.3 Such substantial rises in the
number of patients with cancer would
warrant timely and abundant access
to anticancer drugs—a constant
challenge to health-care providers,
including pharmaceutical companies,
in Iran. These companies have to
overcome not only the obstacles of
low-resource conditions in developing
countries, but also the increasing
multilateral international sanctions
against Iran. Although these sanctions
are not on humanitarian supplies,
such as food and medicine, they
have indirect consequences leading
to shortages of both patented
and generic cancer drugs, possibly
because international pharmaceutical
companies are reluctant to transact
with Iran. Whereas delays in delivery
of medical supplies to patients
with cancer can be life-threatening,
even those who can access their
daily required medicines are not
guaranteed aff ordable prices.
Emphasis on the pivotal role of the
pharmaceutical industry in reducing
barriers to medicine access, and
inclusion of developing countries
under sanction, such as Iran, in the
Access to Medicine Index might
improve medicine availability for the
thousands of patients with cancer in
these countries. Furthermore, a legal
international conduit for medicines
could be started to tackle the issue in
Iran. Global events such as the annual
World Cancer Day4—of which a main
target is increased access to, and
treatment of, patients with cancer—
should be used to champion the
global fi ght against cancer, with the
aim to overcome political, cultural,
and national diff erences |