Is it not time more questions were raised about the pain burden in the developing world when cheap and effective remedies are available?
An article by Dr Bishnu Dutta Paudel and colleagues in the Journal of Pain and Symptom Management shows the remarkable changes that one committed individual can make, and also the impact of a planned organized international activity like the International Pain Policy Fellowship undertaken at the WHO Collaborating Centre at Pain and Policy Studies Group (PPSG) in Madison-Wisconsin. As the authors point out, Low and Middle Income countries “face a disproportionate lack of access to pain relieving medicines such as morphine, despite medical and scientific literature that shows morphine to be effective to treat moderate and severe cancer pain.”
Dr Paudel and colleagues have had great success; but it is not the end of the story. As the authors point out, “long-term implementation efforts, funding, and technical assistance by governments, philanthropic organizations, and international partners are necessary to ensure that pain relief and palliative care become accessible by all in need in Nepal and other LMICs.”