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Radiotherapy continuity for cancer treatment: Lessons learned from natural disasters.

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Area of Science:

  • Oncology
  • Disaster Management
  • Public Health

Background:

  • Climate change exacerbates natural disasters, impacting global populations.
  • Cancer remains a leading cause of death, with 10 million annual fatalities.
  • Radiotherapy continuity is crucial for effective cancer treatment but is vulnerable to disruptions.

Purpose of the Study:

  • To explore the impact of natural disasters on radiotherapy practice.
  • To compare these impacts with man-made disasters.
  • To develop strategies for mitigating adverse effects and enhancing resilience.

Main Methods:

  • A Structured Literature Review of academic publications was conducted.
  • Global radiotherapy centers' experiences in resuming operations post-disaster were examined.
  • Findings were validated and extended through a global online survey of radiotherapy professionals.

Main Results:

  • Twelve publications detailed disruptions from hurricanes, floods, and earthquakes.
  • Nine overarching themes and 36 distinct groups of impact were identified.
  • A conceptual framework for natural disaster-resilient radiotherapy and a practitioner checklist were developed.

Conclusions:

  • Developing business continuity programs and risk mitigation measures is essential for uninterrupted radiotherapy services.
  • Learning from past disasters enhances preparedness and resilience in radiotherapy practice.
  • The study provides a resource for policy initiatives to mitigate the impact of natural hazards on cancer care.