WASHINGTONDespite the enormous progress that researchers have made against cancer, the unequal disease burden borne by minority and under-served populations constitutes "a moral and ethical dilemma for society," said Harold P. Freeman, MD, who chairs the President’s Cancer Panel and also serves as director of the NCI’s Center to Reduce Cancer Health Disparities (CRCHD).
Inequity in cancer care and outcomes is a longstanding issue, he said at a plenary session of the 8th Biennial Symposium on Minorities, the Medically Underserved, and Cancer. He recalled facing it as a surgeon at Harlem Hospital and as an official of the American Cancer Society. Now, however, its "time has come."
His appointment a year ago to head the CRCHD is indicative of a new national commitment, he said. The CRCHD incorporates the old Office of Special Population Research, and its director reports directly to the NCI director.
The nation has seen great advances in biomedical knowledge in the 31 years since President Nixon declared war on cancer, Dr. Freeman said, but he noted that "the battle has not been fought well" in many communities, especially in those set in poor rural areas or composed of racial minorities.
Although the racial and ethnic categories that divide Americans are "real," Dr. Freeman continued, they are not, according to anthropologists, based on meaningful biological differences.
Among the initiatives underway at CRCHD to end health disparities are projects to establish sustainable infrastructures for awareness in underserved and minority populations.
Another priority is establishing partnerships with academic institutions that will increase these populations’ participation in clinical trials, train health disparity researchers, and build disparity research groups that can compete at the highest levels.