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The best places in the world to have cancer

a.. 00:01 17 July 2008

b.. NewScientist.com news service

c.. Marshall

Women with cancer of the breast, colon or rectum have the best chance of

survival if they live in Cuba.

Algeria, in contrast, is one of the worst places to be if you have cancer.

Those are just two of many conclusions from a worldwide study comparing survival

rates in nearly 2 million cancer patients.

In general, people in North America, Western Europe and other developed

countries do better than people from Africa, South America and Eastern Europe.

Within the US, the analysis showed that black people with cancer have a worse

chance of survival than white people. For breast cancer, white women had an

84.7% chance of surviving for five years after diagnosis, while for blacks the

figure was 70.9%. The black-white disparity was also true of each of the smaller

sub-populations within the US that the team were able to analyse. New York was

the worst overall city in the US to live in.

Michel of the London School of Hygiene and Tropical Medicine, and

colleagues from around the world, pulled together data from 31 countries across

five continents. They looked at cancer of the breast and prostate - in,

respectively, women and men only - and of the colorectum in both sexes.

Countries vary in their background mortality rate for many reasons, including

crime rates, food availability and water quality. Accordingly, the team

calculated " relative survival rates " , which attempt to eliminate variation

caused by these factors.

Journal reference: The Lancet Oncology (DOI: 10.1016/S1470-2045(08)70179-7)

URL: http://www.newscientist.com/article.ns?id=dn14331 & print=true

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