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First-ever Rays of Hope Anchor Centre Event in Latin America and the Caribbean Aims to Strengthen Paediatric Cancer Care

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Under Rays of Hope, the Anchor Centre in Argentina hosted its first-ever capacity building event for the region in November 2024. (Photo: Hospital de Pediatría Juan Pedro Garrahan)

The IAEA’s Rays of Hope Anchor Centre in Argentina held its first-ever capacity building event in November – facilitating the development of a roadmap that will help to strengthen paediatric radiotherapy services across Latin America and the Caribbean. The event also led to the creation of a regional network for knowledge exchange and expert support. Capacity building is a key element of the IAEA’s Rays of Hope: Cancer Care for All initiative that aims to expand access to radiation medicine where it is needed most.

“The event with the Comisión Nacional de Energía Atómica (CNEA) is a shining example of the capacity building support that is possible through regional cooperation via Anchor Centres,” said May Abdel Wahab, Director of the IAEA Division of Human Health. “By providing targeted assistance to neighbouring countries in key areas such as education, training, research, innovation and quality assurance, Anchor Centres promise an enduring impact for Rays of Hope.”

As capacity building and knowledge hubs central to the initiative’s sustainability, Anchor Centres are chosen because of their history of collaboration with the IAEA; deep technical expertise; long-term commitment; and robust governance and medical infrastructure, among other criteria. These Centres play a pivotal role in enhancing cancer care by creating opportunities for advancement. In that vein, CNEA and its associated institutes – one of eleven Anchor Centres globally and the only such Centre in Latin America and the Caribbean region currently – organized a workshop in Buenos Aires in November 2024 on the status of the region’s paediatric radiotherapy services.

Despite radiation oncology being an essential component of the multidisciplinary cancer care that paediatric patients should receive, access to high-quality radiotherapy continues to be limited in low- and middle-income countries, where more than 90 per cent of children with cancer reside. This disparity contributes to lower survival rates that are at most estimated to be 20 to 30 per cent in these settings. Within high-income countries on the other hand, more than 80 per cent of children survive cancer.

The week-long workshop brought together 46 senior radiotherapy professionals from the region along with global experts to examine the status of paediatric radiotherapy. (Photo: Hospital de Pediatría Juan Pedro Garrahan)

With the support of the technical cooperation programme, the IAEA and CNEA brought together 46 senior radiotherapy professionals; representatives from the World Health Organization, the Pan American Health Organization, St. Jude Children’s Research Hospital, and the Paediatric Radiation Oncology Society (PROS); as well as other key collaborators to examine the status of paediatric radiotherapy in Latin America and the Caribbean. Held at Hospital de Pediatría Juan Pedro Garrahan – Argentina’s national reference centre for paediatric healthcare – the workshop took stock of existing radiotherapy services, centres, infrastructure and human resources.

Among other things, participants identified key gaps and needs; exchanged information about current practices related to the use of advanced radiotherapy techniques; and explored ways to optimize service delivery. In particular, they discussed how the educational and training needs of paediatric radiation oncologists, medical physicists and radiation therapists can be better met. Fostering professional networks across the region, leveraging research and ensuring the quality of clinical care can all help to systematically address common barriers and challenges, they noted. As a direct result of the in-depth technical discussions, participants were able to develop a regional roadmap to improve cancer care for children.

“These discussions not only facilitated an exchange of experiences among countries but also led to the creation of a regional network for knowledge exchange and expert support,” said Natalia Pinto, who directed the event and is Head of the Department of Radiotherapy at Hospital de Pediatría Juan Pedro Garrahan. “Above all, the event highlighted the importance of specialized education and training in paediatric radiotherapy – a field that requires a unique approach – while underscoring the need to harmonize treatment criteria across the region.”

The workshop also featured eight educational sessions on various advanced aspects of childhood cancer care such as craniospinal irradiation, magnetic resonance simulation for radiotherapy planning and total body irradiation set-ups. Delivered by experts from partner institutions such as St. Jude Children’s Research Hospital, these sessions helped to strengthen participants’ medical knowledge as well as their skills.

Michael Chen – a radiation oncologist at the A.C. Camargo Cancer Center in Brazil – said: “It was a unique opportunity to exchange experiences about the difficulties on the front line of paediatric radiotherapy, master treatment standards from internationally renowned institutions and learn about the various IAEA projects, which support present and future improvements in paediatric cancer care on the continent.”

Experts of the week-long capacity-building workshop in paediatric radiotherapy. (Photo: Hospital de Pediatría Juan Pedro Garrahan)

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