Despite cancer rates similar to Western Europe, patients in the Balkans are far more likely to die from the disease. Experts point to delayed detection, weak primary care, and limited access to advanced diagnostics as the principal culprits.

Across the Balkan Peninsula, health systems face a stark contradiction: while the incidence of solid tumours broadly mirrors that of Western Europe, mortality remains stubbornly elevated. Lung, colorectal, and prostate cancers are the leading killers among men, while breast, lung, colorectal, and cervical cancers take the heaviest toll on women.

New treatments – including experimental cancer vaccines from Moderna show promise in late-stage trials, but their cost puts them out of reach for most patients in the region. According to Dr Marchela Koleva, founder and Head of the Department of Medical Oncology at St. Sophia Hospital the core problem is not a lack of therapies but a chronic failure to diagnose early enough.