Health
Study Finds One-Third of Global Cancer Cases Could Be Prevented by Controlling Risk Factors
A new study published in Nature Medicine on Tuesday shows that nearly 40 percent of new cancer cases worldwide could be prevented by managing common risk factors such as smoking, alcohol use, and infections. The research, released ahead of World Cancer Day, analyzed 36 types of cancer across 185 countries using data from 2022 and examined 30 modifiable risk factors that can be controlled or managed to reduce the likelihood of developing the disease.
The study found that tobacco use remains the leading contributor to cancer globally, followed by infections and alcohol consumption. Out of the 18.7 million new cancer cases recorded in 2022, about 7.1 million, or 38 percent, were linked to preventable causes. Stomach, lung, and cervical cancers accounted for nearly half of these avoidable cases.
Smoking was responsible for approximately 15 percent of preventable cancers, making it the single largest risk factor worldwide. Infections, including human papillomavirus (HPV), contributed to around 10 percent of cases, while alcohol consumption accounted for three percent.
Regional differences were evident in the data. In low- and middle-income regions, such as sub-Saharan Africa, infections were the leading contributor to preventable cancers, with cervical cancer being particularly prevalent. In contrast, in high-income regions such as Europe and North America, smoking was the primary factor driving cancer cases among women. Smoking also remained the top risk factor among men globally, responsible for nearly 25 percent of 4.3 million avoidable cases. Infections were the second leading cause of cancer among men, especially in Asia, Africa, and South America.
Among the 9.2 million new cancer cases in women, roughly 30 percent were considered preventable. Infections such as HPV were linked to over 11 percent of these cases, highlighting the importance of vaccination and early detection programs in vulnerable regions.
The research also considered population-level exposure to each risk factor, showing how the number of cases varied across regions based on lifestyle, healthcare access, and public health interventions. Previous studies often focused on single risk factors or mortality, but this study provides a more comprehensive view of cancer incidence globally and the proportion that could be avoided through preventive measures.
Researchers say the findings could help guide more targeted cancer prevention strategies. By identifying the most significant risk factors in different regions, policymakers and health organizations can design interventions tailored to local needs rather than applying a one-size-fits-all approach.
“This study underscores the potential for prevention in reducing the global burden of cancer,” the authors said. “Addressing smoking, infections, and alcohol consumption could prevent millions of cases each year and save countless lives.”
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Uzbekistan to Launch Nationwide State Medical Insurance System in 2026
Uzbekistan will begin introducing a nationwide state medical insurance system from 2026, part of a broader overhaul of the country’s healthcare financing and service delivery. The reform will introduce digital referrals, a national health insurance fund, and a guaranteed package of essential medical services funded through the state budget. Officials say the changes aim to improve efficiency, expand access, and reduce informal payments.
“State health insurance is a social protection system designed to guarantee access to quality healthcare services,” said Zokhid Ermatov, executive director of the State Health Insurance Fund.
Discussions about state medical insurance in Uzbekistan began in 2017, but implementing such a system required years of preparation. The State Health Insurance Fund was formally established in December 2020, and pilot programmes launched in the Syrdarya region in 2021 tested new financing mechanisms, regulatory frameworks, and digital health systems. In November 2025, the Cabinet of Ministers approved regulations governing how medical care funded through the state budget will be provided in public and private medical institutions, with the rules set to come into force on January 1, 2026.
At the centre of the new model is stronger primary healthcare. Patients will first visit their assigned family clinic, where doctors provide consultations, prescribe tests, and determine whether specialist care is needed. If necessary, patients will receive an electronic referral to hospitals or specialists. Emergency and urgent care will remain available without referrals.
The reform introduces a patient-centred financing model, where healthcare providers are paid by the State Health Insurance Fund based on services delivered. Primary healthcare will be funded through capitation payments, while hospital treatment will follow case-based payments, a structure designed to improve efficiency and treatment outcomes.
A fully digital referral system will allow patients to choose hospitals from a list of institutions contracted with the State Health Insurance Fund using a government portal or mobile app. Referrals will remain valid for 60 days, and waiting lists and hospitalisations will be managed through a unified electronic health information system.
The insurance system guarantees essential healthcare services, including family doctor consultations, diagnostic tests, outpatient treatment, preventive screening, some medicines, hospital care, and certain rehabilitation services. Patients will not be charged additional fees for services included in the approved package.
Funding for the program will come primarily from the state budget, ensuring citizens do not pay direct insurance contributions. Priority access will be given to socially vulnerable groups, including children with disabilities, orphans, pensioners, pregnant women, unemployed citizens, and low-income families. The State Health Insurance Fund will allocate resources across regions to strengthen medical services and reduce inequalities.
International organisations have praised Uzbekistan’s approach, noting that general tax financing and universal coverage can improve financial protection and ensure predictable healthcare funding. Jessika Yin, Health Policy Adviser at the World Health Organization in Uzbekistan, said the reforms align with global trends toward universal health coverage.
If implemented successfully, Uzbekistan’s state medical insurance system could represent a major step toward universal healthcare, ensuring that people receive care without facing financial hardship.
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