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Cancer is a leading cause of death in Small Island Developing States (SIDS), and is forecast to increase substantially over the coming years. Governments, regional agencies, and health services of SIDS face daunting challenges -including small and vulnerable economies, unequal distribution of resources, weak or fragmented health services, small population sizes making sustainable workforce and service development problematic, and specialised cancer services unavailable to many. Deliberate action is required to prevent massive human and economic costs relating to cancer. This paper highlights challenges and opportunities for SIDS, and identifies ways in which the international community can support efforts to improve cancer control in these settings. Our recommendations focus on funding and investment opportunities for cancerrelated health system strengthening, sharing of technical assistance for research, surveillance, workforce and service development, and supporting SIDS with policies changes to reduce consumption of commodities that increase cancer risk. AbstractCancer is a leading cause of death in Small Island Developing States (SIDS), and is forecast to increase substantially over the coming years. Governments, regional agencies, and health services of SIDS face daunting challenges -including small and vulnerable economies, unequal distribution of resources, weak or fragmented health services, small population sizes making sustainable workforce and service development problematic, and specialised cancer services unavailable to many.Deliberate action is required to prevent massive human and economic costs relating to cancer. This paper highlights challenges and opportunities for SIDS, and identifies ways in which the international community can support efforts to improve cancer control in these settings. Our recommendations focus on funding and investment opportunities for cancer-related health system strengthening, sharing of technical assistance for research, surveillance, workforce and service development, and supporting SIDS with policies changes to reduce consumption of commodities that increase cancer risk.

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