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Education in pain and palliative care in the low- and middle-income countries of the Asia Pacific region
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There is a woeful lack of access to pain relief and palliative care in many low- and middle-income countries (LMIC) across the world. Measured in terms of distribution of opioids, out of the 298.5 metric tonnes of morphine-equivalent distributed in the world (average distribution in 2010-2013), only 0.1 metric tonne is distributed to low-income countries. According to the Lancet Commission report on access to palliative care and pain relief, the
annual distribution of morphine-equivalent opioids in Haiti is 5 mg per patient in need of palliative care. This contrasts with 55,000 mg per patient in need of palliative care in the United States and over 68,000 mg per patient in need of palliative care in Canada, countries that are presently facing an opioid crisis because of inappropriate prescribing and use of opioids.
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