Document Type : Research Articles
National Cancer Center, Japan, 5-1-1 Tsukiji, Chuo-ku, Tokyo, Japan.
Early Detection and Cancer Prevention Services, The Brunei Cancer Centre, Pantai Jerudong Specialist Centre, Brunei Darussalam.
National Cancer Institute, 4, Jalan P7, Presint 7, 62250 Putrajaya, Wilayah Persekutuan Putrajaya, Malaysia.
Dharmais Hospital - National Cancer Center, Jalan Letjend S. Parman No.84-86 Kecamatan Palmerah, Kota Jakarta Barat, DKI Jakarta, Indonesia.
Kathmandu Cancer Center, Tathali, Bhaktapur, Nepal.
Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan.
National Cancer Institute, National Cancer Hospital, Hanoi, Vietnam.
Tata Memorial Centre, Homi Bhabha National Institute, Dr Ernest Borges Rd, Parel, Mumbai, Maharashtra 2, India.
Medical School, Shahid Behshti University of Medical Sciences, Tehran, Iran.
National Cancer Centre of Singapore, 11, Hospital Crescent, Singapore.
Duke-NUS Medical School, 8 College Road, Singapore.
The COVID-pandemic has shown significant impact on cancer care from early detection, management plan to clinical outcomes of cancer patients. The Asian National Cancer Centres Alliance (ANCCA) has put together the 9 “Ps” as guidelines for cancer programs to better prepare for the next pandemic. The 9 “Ps” are Priority, Protocols and Processes, Patients, People, Personal Protective Equipments (PPEs), Pharmaceuticals, Places, Preparedness, and Politics. Priority: to maintain cancer care as a key priority in the health system response even during a global infectious disease pandemic. Protocol and processes: to develop a set of Standard Operating Procedures (SOPs) and have relevant expertise to man the Disease Outbreak Response (DORS) Taskforce before an outbreak. Patients: to prioritize patient safety in the event of an outbreak and the need to reschedule cancer management plan, supported by tele-consultation and use of artificial intelligence technology. People: to have business continuity planning to support surge capacity. PPEs and Pharmaceuticals: to develop plan for stockpiles management, build local manufacturing capacity and disseminate information on proper use and reduce wastage. Places: to design and build cancer care facilities to cater for the need of triaging, infection control, isolation and segregation. Preparedness: to invest early on manpower building and technology innovations through multisectoral and international collaborations. Politics: to ensure leadership which bring trust, cohesion and solidarity for successful response to pandemic and mitigate negative impact on the healthcare system.