Pain pp 1185-1189 | Cite as

Global Disparities in Access to Pain Relief

  • Reda TolbaEmail author
  • Ehab Meselhy
  • Islaam Hassan Elnagar


There is an enormous disparity in access to care and medicines that alleviate pain from disease and terminal conditions. Those suffering live predominantly in low to middle income countries. We have identified several of the main causes that explain this disparity, as well as steps necessary to correct the lack of access to what should be considered an essential human right.


Pain medicine Palliative care Disparity Access 


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    United Nations: Single Convention on Narcotic Drugs. UN 1961.
  2. 2.
    Global state of pain treatment, Access to palliative care as a human right. Human Rights Watch. (May 2011).
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    Knaull FM, et al. Alleviating the access abyss in palliative care and pain relief – an imperative of universal health coverage: the Lancet Commission report. The Lancet. October 12, 2017.Google Scholar
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    Global access to pain relief: Evidence for action. European Society of medical oncology.
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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Reda Tolba
    • 1
    Email author
  • Ehab Meselhy
    • 2
  • Islaam Hassan Elnagar
    • 3
  1. 1.Anesthesiology Department, Pain Management DivisionWake Forest University Medical CenterWinston-SalemUSA
  2. 2.Department of Anesthesiology, Pain Management and Perioperative MedicineHenry Ford Health SystemDetroitUSA
  3. 3.Anethesiology DepartmentCleveland Clinic FoundationClevelandUSA

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