![\"leukemia](\"https://s3.eu-central-1.amazonaws.com/bookimed/_images_without_dir/66e199309418d.jpeg\")
Bumrungrad International Hospital specializes in leukemia treatment with over 1 million annual patients from 190+ countries. Dr. Surasit Saleh Issarachai, an oncohematologist and bone marrow transplant specialist, leads the program. Treatment may cost around $35,200–$78,700. The hospital is recognized among the world’s top 10 and operates advanced oncology facilities.
Bumrungrad International Hospital is one of Southeast Asia's largest private medical centers. Over one million patients choose it each year, including a 50% international mix from 190+ countries. Its core specialties include oncology, cardiology, orthopedics, ophthalmology, neurosciences, and health screenings.
Dr. Litleaungdej is a hematologist specializing in leukemia, with training from Thammasat University Hospital, a leading institution in hematology.
Dr. Kodchanut Litleaungdej is a hematologist at Intrarat Hospital in Bangkok. She specializes in the treatment of leukemia, myeloma, and complex lymphomas. Dr. Litleaungdej co-authored a clinical risk prediction model for cancer-associated venous thromboembolism. She graduated with second-class honors from Naresuan University before completing a hematology fellowship at Thammasat University.
Intrarat Hospital is an ISO 9001:2015-certified hospital in Bangkok. It treats 100,000 patients each year across its main specialties. The hospital focuses on orthopedics, internal medicine, cardiology, and pediatrics.
Specializes in leukemia treatment with a focus on bone marrow transplants at Bumrungrad International Hospital.
The doctor is an experienced oncologist and oncohematologist with a specialization in bone marrow transplants. They have dedicated their career to advancing treatments in oncology and hematology, focusing on innovative therapies and patient care. The doctor has contributed significantly to clinical research in their field, enhancing treatment protocols and improving patient outcomes. Their work in bone marrow transplantation is particularly notable, with a track record of successful procedures and improved survival rates for patients.
","statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":250,"alias":"bumrungrad-international-hospital","name":"Bumrungrad International Hospital","short_description":"Bumrungrad International Hospital is one of Southeast Asia's largest private medical centers. Over one million patients choose it each year, including a 50% international mix from 190+ countries. Its core specialties include oncology, cardiology, orthopedics, ophthalmology, neurosciences, and health screenings.
Panacee Hospital Rama 2 specializes in cellular-level treatments focusing on preventive and regenerative approaches to hematology oncology conditions.
Panacee Hospital Rama 2 is an integrative chronic disease and regenerative center in Bangkok. It combines cell therapy, anti-aging, and detoxification with modern medical treatments. ISO 9001:2015 certified.
Leukemia treatment cost in Thailand typically includes essential diagnostics like a bone marrow biopsy, which ranges from _diag_36_price_from_ to _diag_36_price_to_. Primary treatments such as leukemia chemotherapy often cost between _op_833_price_from_ and _op_833_price_to_, while advanced CAR T-cell therapy runs from _op_800_price_from_ to _op_800_price_to_. Prices depend on the specific leukemia type, hospital tier, and medication protocol. Patients can save approximately 40-80% compared to the US. Top cities for care include Bangkok, Pattaya, and Phuket.
\n\nTypical Leukemia Treatment Costs in Thailand
\nBookimed Expert Insight: Patients seeking high-tech intervention benefit from centers like Bumrungrad International Hospital. It is a JCI-accredited facility ranked among the World's Best Hospitals 2023. This hospital is ideal for complex cases requiring multidisciplinary oncology and hematology teams. For specialized leukemia care, experts like Dr. Surasit Saleh Issarachai provide bone marrow transplant expertise. Leading Thai clinics utilize AI and digital imaging for precise protocols. These private international centers offer premium care with no wait times for international patients.
"},"pros_cons_mc":{"text":"What patients like
\nWhat patients don't like
\nBookimed, a leading global medical tourism platform, is committed to helping clients looking for Leukemia treatment in Thailand by offering expert assistance and trustworthy medical solutions for every situation. Smart automatic ranking system is used to compose transparent clinic listings, meticulously maintained by a data scientist using AI for accuracy. The platform guarantees authenticity by publishing reviews from real patients after their treatments. Bookimed offers comprehensive medical solutions, with updates from clinics to ensure trustworthiness. The content about Leukemia treatment in Thailand, crafted by experienced medical authors and reviewed by specialists, adheres to Bookimed\"s Editorial Guidelines, reflecting the platform\"s commitment to delivering high-quality and clear health information. For more details or inquiries, feel free to contact us at marketing@bookimed.com or learn more about us and our mission here.
"}},"texts":{"txt_illness_3_clinics":{"text":"Leukemia is a cancer that starts in the bone marrow, where blood cells are produced. It occurs when abnormal white blood cells form and multiply uncontrollably.
\n\nPatients may face additional costs beyond conventional medical bills, such as:
\n\nCaregiver loss of earnings;
\n\tTraveling for treatment;
\n\tOut-of-pocket expenses related to medications and insurance premiums.
\n\tThe 5-year survival rate for all types of leukemia is 67%.
\n\n
(Comparison of normal blood cells vs. leukemia. Source - BD Biosciences)
\n\nThe National Cancer Institute (NCI) recognizes leukemia as a type of cancer that requires specialized treatment and care. The treatment strategy is complex and depends on multiple factors. Yet, it’s possible to ease the disease progress with a personalized treatment plan.
\n\nLeukemia begins when a genetic mutation occurs in the DNA of bone marrow cells. These mutations cause the cells to grow and divide rapidly, forming abnormal white blood cells. These abnormal cells crowd out the healthy blood cells, leading to the symptoms of leukemia.
\n\nThe risk factors that can increase the likelihood of developing leukemia are:
\n\n🧬 Genetic factors, such as inherited conditions or family history of leukemia.
\n\n☢️ Exposure to radiation or certain chemicals, such as benzene.
\n\n🚬 Smoking, which increases the risk of some types of leukemia.
\n\n💉 Previous cancer treatments, including chemotherapy or radiation therapy.
\n\nLeukemia is classified into four main types based on the speed of progression and the type of blood cells affected:
\n\nAcute Lymphoblastic Leukemia (ALL) progresses rapidly and affects immature lymphocytes, a type of white blood cell.
\n\tAcute Myeloid Leukemia (AML) affects myeloid cells, which form white blood cells, red blood cells, and platelets.
\n\tChronic Lymphocytic Leukemia (CLL). A slower-growing leukemia affects mature lymphocytes.
\n\tChronic Myeloid Leukemia (CML) develops slowly and affects mature myeloid cells.
\n\tMultiple myeloma, another type of blood cancer, also has significant financial implications, often involving high costs for various stages of care.
\n\nThe doctors classify leukemia by:
\n\nHow advanced the disease is;
\n\tHow many abnormal cells are in the blood;
\n\tWhether the cancer has metastasized.
\n\t| Type of Leukemia | \n\t\t\tAge when diagnosed | \n\t\t\tProjected new cases in the next year | \n\t\t
| ALL | \n\t\t\t2-5 y.o. | \n\t\t\t6,550 | \n\t\t
| AML | \n\t\t\t65 years and older | \n\t\t\t20,800 | \n\t\t
| CLL | \n\t\t\t60-70 y.o. | \n\t\t\t20,700 | \n\t\t
| CML | \n\t\t\t~64 y.o. | \n\t\t\t9,280 | \n\t\t
Leukemia can present with a variety of symptoms, which may include:
\n\nFatigue and weakness;
\n\tFrequent infections due to a weakened immune system;
\n\tEasy bruising or bleeding, such as frequent nosebleeds or bleeding gums;
\n\tPetechiae (flat, pinpoint spots under the skin caused by bleeding);
\n\tPainless swellings in the neck, armpit, belly, or groin;
\n\tBone or joint pain;
\n\tShortness of breath;
\n\tFrequent infections;
\n\tThe feeling of fullness below the ribs;
\n\tUnexplained weight loss;
\n\tFever or night sweats.
\n\t![\"best](\"https://s3.eu-central-1.amazonaws.com/bookimed/_images_without_dir/66e198fa33c83.jpeg\")
As these symptoms often sound like flu or other common disease, the doctors perform lab and instrumental tests to detect the presence of cancer.
\n\nAlong with asking about personal and family health history and doing a physical exam, the doctor may do some tests, including:
\n\nComplete blood count (CBC) to check for abnormal white cells or low red blood cell counts;
\n\tIn a blood chemistry study, doctors check the levels of different substances in blood, such as glucose, fats, and proteins);
\n\tFor a peripheral blood smear, doctors examine a blood sample under a microscope to see if there are any abnormal cells. They look at the types and numbers of white blood cells, platelets, and changes in the shape of the blood cells;
\n\tImaging tests, like CT scans or MRIs, to check for bone metastasis;
\n\tDuring a bone marrow aspiration and biopsy, the doctor removes a small sample of bone marrow, blood, and bone from the hip or chest bone using a needle. A pathologist examines the sample under a microscope to spot any abnormal cells.
\n\t![\"leukemia](\"https://s3.eu-central-1.amazonaws.com/bookimed/_images_without_dir/66e19928df2de.jpeg\")
(Bone Marrow Aspiration and Biopsy, Source - National Cancer Institute)
\n\nCytogenetic testing determines whether there are missing or broken chromosomes and abnormal genes in a cell’s genome. Usually, doctors apply it to detect CML or Philadelphia-positive acute lymphoblastic leukemia (Ph+ALL).
\n\nThe most commonly used is the BCR-ABL1 method, which looks for a pathological gene called BCR-ABL1. It is an acquired genetic change, meaning patients do not take it from their parents and cannot pass it on to their children.
\n\nThe treatment of childhood acute lymphoblastic leukemia (ALL) happens in three main stages:
\n\nRemission induction. This is the first stage, where the aim is to destroy leukemia cells in the blood so the leukemia becomes remission (meaning there are no signs of cancer).
\n\tConsolidation/intensification. Once the leukemia is in remission, the goal is to get rid of any remaining cancer cells to prevent recurrence.
\n\tMaintenance. In this final stage, the goal is to kill any leftover leukemia cells. The treatment doses are usually lower during this phase compared to the earlier stages. This is also called the continuation phase.
\n\t![\"leukemia](\"https://s3.eu-central-1.amazonaws.com/bookimed/_images_without_dir/66e199212b4dc.jpeg\")
The leukemia treatment centers offer different approaches for children with ALL. In addition to standard medical treatments, patients may face financial burdens from other therapies, such as travel, lodging, and alternative treatments.
\n\n| Risk Level | \n\t\t\tMain Procedure | \n\t\t
| Standard risk | \n\t\t\t-Intrathecal chemotherapy: \n\t\t\t-Stem cell transplant during the first remission. | \n\t\t
| High risk | \n\t\t\t-Intrathecal and systemic chemotherapy \n\t\t\t-Radiation therapy. | \n\t\t
| Very high risk | \n\t\t\t-Intrathecal and systemic chemotherapy \n\t\t\t-Radiation therapy; \n\t\t\t-Stem cell transplant not during the first remission. | \n\t\t
When it comes to cancer treatment, there is no one-size-fits-all approach. The best leukemia treatment centers in the world offer various options tailored to the type and stage of cancer, as well as the patient’s overall health.
\n\nClinical trials play a pivotal role in advancing cancer treatment. These trials provide patients access to new and innovative therapies that are not yet widely available. Participating in a clinical trial can be valuable for those who have not responded to standard treatments or are seeking alternative options.
\n\nStandard treatment methods include:
\n\n✔️Surgery;
\n\t✔️Chemotherapy;
\n\t✔️Radiation therapy;
\n\tStem cell transplantation, for instance, is a cutting-edge treatment that has shown promise in treating blood cancer. This procedure involves replacing damaged or destroyed bone marrow with healthy stem cells, which can help restore average blood cell production.
\n\nStem cell transplants rarely serve as the first treatment for children and teens with ALL. Doctors typically use them if the leukemia returns after initial treatment.
\n\nIn a stem cell transplant, doctors collect stem cells from a donor’s blood or bone marrow, freeze them for later use, and store them. After the patient finishes chemotherapy and radiation, doctors infuse the stem cells into the patient’s body. Transplants for leukemia patients grow into red and white particles, restoring the regular bloodstream.
\n\nBookimed has ranked the best hospitals for treating blood cancers. Based on our Smart Ranking System, the top facilities are in Spain, Israel, and Turkey.
\n\nThe top leukemia treatment centers are:
\n\nSJD Barcelona Children’s Hospital (Spain). The hospital belongs to the ITCC (Innovative Therapies for Children with Cancer) consortium. It is the only hospital in Spain and among several in Europe treating lymphoblastic leukemia insensitive to traditional therapy with innovative CART-T therapy.
\n\tSourasky Medical Center (Ichilov) (Israel). According to Newsweek magazine, the hospital is one of the best in Europe for treating blood cancer. The oncologists have over 20 years of experience, with
\n\tAnadolu Medical Center (Turkey). The hospital has ESMO (European Society for Medical Oncology) certification, which proves its compliance with strict blood cancer treatment standards. Anadolu Medical Center also partners with Johns Hopkins Hospital in the USA, using the latest equipment for precise diagnosis and treatment.
\n\tThe type and treatment cost depends on leukemia's stage and severity. Here's a short overview of the most-demanded blood cancer destinations and their treatment costs.
\n\n| Country | \n\t\t\tTurkey | \n\t\t\tSpain | \n\t\t\tIsrael | \n\t\t
| CAR-T cell therapy cost | \n\t\t\tFrom $60,000 to $95,500 | \n\t\t\tFrom $133,607 | \n\t\t\tFrom $90,000 to $120,000 | \n\t\t
| Chemotherapy cost | \n\t\t\tFrom $5,200 to $13,480 | \n\t\t\tFrom $15,200 to $28,200 | \n\t\t\tFrom $6525 | \n\t\t
Health insurance plans help cover expensive drugs and procedures. Many people have insurance through their jobs or by purchasing a plan themselves. However, some treatments or costs may not be fully covered.
\n\n![\"leukemia](\"https://s3.eu-central-1.amazonaws.com/bookimed/_images_without_dir/66e1991a0661d.jpeg\")
The are several types of plans:
\n\nHealth Maintenance Organizations (HMOs). Lower costs with a specific network of doctors and hospitals. A primary care doctor (PCP) is chosen, and specialists need referrals.
\n\tPreferred Provider Organizations (PPOs). More flexibility in choosing doctors, both in-network and out-of-network, but out-of-network care costs more. No referrals are needed for specialists.
\n\tPoint-of-Service (POS). This health insurance plan is a mix of HMO and PPO. Members choose between in-network or out-of-network providers but usually need a referral to see a specialist.
\n\tFee-for-Service (FFS). Most flexible but with higher costs. Members pay upfront for care, submit claims for reimbursement, and often handle more paperwork.
\n\tThe patients who struggle to find healthcare professionals can fill a request on Bookimed, and the medical coordinator will contact an individual treatment plan.
\n\nSeeking a lower cost of childhood leukemia treatment should not be the sole factor influencing the hospital choice. Here's what else is essential:
\n\nHospital's Accreditation. The more evaluations the center has from international organizations, the higher its success rate will be. The most popular communities are National Cancer Institute and Joint Commission International. They provide the ranking of accredited centers with proven treatment and diagnostic standards.
\n\tLevel of Doctor's Expertise. Leukemia is a multimodal disease requiring the same approach. It demands high qualification in terms of modern treatment tools. Plus, patients can check the doctor's experience by looking at the number of successful procedures (or surgeries) they performed so far.
\n\tPatients Safety. For example, if the hospital has HEPA-filtered wards, ensuring 100% sterilization. HEPA filters usually contain glass or plastic fibers. It doesn't allow airborne pathogens into the environment and works excellently with UV light air filtration systems.
\n\tFor patients with less time to choose a center, Bookimed can find the best treatment facility and develop an individual treatment plan. Just submit a free request on our website to contact the medical coordinator and find a solution to your problem.
\n\nThe average price range for chemotherapy is $1,000-$5,000. This depends on a disease's complexity and medication response. According to recent data, about 2 out of 3 people with AML who get standard induction chemotherapy (chemo) go into remission.
\n\nThe average cost for leukemia treatment is:
\n\nVincristine, used for ALL, costs around $25 for a supply of 2 milliliters;
\n\tMitoxantrone, used for AML, is about $186 for a supply of 10 milliliters;
\n\tImbruvica (enzyme inhibitor), used for CLL, will cost around $616 per tablet.
\n\tIn 2024, the FDA approved blinatumomab for adult and pediatric patients one month and older with a specific type of B-cell precursor ALL. This treatment is applicable when cancer signs disappear after initial therapy.
\n\nChildhood Acute Lymphoblastic Leukemia. Comprehensive Cancer Information - NCI. URL: https://www.cancer.gov/types/leukemia/patient/child-all-treatment-pdq#_62 (date of access: 10.09.2024).
\n\nKey Statistics for Acute Lymphocytic Leukemia (ALL). Information and Resources about Cancer: Breast, Colon, Lung, Prostate, Skin | American Cancer Society. URL: https://www.cancer.org/cancer/types/acute-lymphocytic-leukemia/about/key-statistics.html (date of access: 10.09.2024).
\n\nLeukemia & Lymphoma Society | Blood Cancer Leaders | LLS. URL: https://www.lls.org/managing-your-cancer/finances-and-insurance-coverage/insurance-coverage (date of access: 11.09.2024).
\n\nSurvival Rate of Leukemia: Stats by Type, Age, and More. Healthline. URL: https://www.healthline.com/health/leukemia/survival-rate-of-leukemia (date of access: 10.09.2024).
\n\nTreatment Response Rates for Acute Myeloid Leukemia (AML). Information and Resources about Cancer: Breast, Colon, Lung, Prostate, Skin | American Cancer Society. URL: https://www.cancer.org/cancer/types/acute-myeloid-leukemia/treating/response-rates.html (date of access: 10.09.2024).
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The cost of leukemia treatment can range from $14,380 to $23,070:
The doctor will determine the total treatment cost based on your needs and past treatments.
"},"guide_mc":{"text":"Arrival
\nDiagnostics
\nTreatment plan development
\nTreatment
\nFollow-up
\nRehabilitation
\nPlease note, only a doctor can determine the most appropriate diagnostic and treatment plan for you, and it\"s individual. Additional diagnostic and treatment options could include genetic testing, immunotherapy, or clinical trials.
"}}},"faq":[{"id":"69f79bc0b9f3fa475c068792","question":"Which hospitals are best for leukemia in Thailand?","answer":"Top Thai hospitals for leukemia include Bumrungrad International Hospital and Wattanosoth Cancer Hospital. These JCI-accredited facilities offer advanced CAR T-cell therapy and haploidentical bone marrow transplants. Specialist Dr. Surasit Saleh Issarachai at Bumrungrad provides world-leading care for complex hematologic cancers in Bangkok.
Bookimed Expert Insight: While Bumrungrad is a global giant, look closely at the physician credentials. Specialists like Dr. Kodchanut Litleaungdej at Intrarat Hospital bring elite academic training. Dr. Issarachai at Bumrungrad is also widely recognized for leading-edge bone marrow transplant research. Choosing a hospital with a dedicated hematology-oncology unit ensures access to specialized nurses and isolation rooms.
","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"69f79bf1cd4a1ae33e0bd724","question":"What types of leukemia treatments are available in Thailand?","answer":"Thailand provides advanced leukemia treatments including chemotherapy, CAR T-cell therapy, and bone marrow transplants. JCI-accredited facilities offer targeted drug therapies and immunotherapy using monoclonal antibodies. Specialized centers perform allogeneic and haploidentical stem cell procedures to treat various leukemia types.
Bookimed Expert Insight: Thailand is a major hub for hematology with 146 clinics available. High-volume centers like Bumrungrad International Hospital treat 1,000,000 patients annually. Our data shows hematologists like Dr. Surasit Saleh Issarachai lead research in transplants. This volume translates to high survival rates for complex procedures.
Patient Consensus: Patients note that private hospitals offer faster access to oncology beds. Many recommend using telemedicine consultations to review treatment plans before traveling to Bangkok.
","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"69f79c34969b2511810aff02","question":"Does Thailand use the latest medical technology for leukemia care?","answer":"Thailand utilizes advanced medical technology for leukemia care. Leading centers like Bumrungrad International Hospital integrate AI diagnostics and digital imaging. They offer CAR T-cell therapy and haploidentical stem cell transplants. Facilities often hold Joint Commission International (JCI) accreditation to ensure global safety standards.
Bookimed Expert Insight: While Thailand offers high-tech care, the real value lies in its hybrid diagnostic approach. For example, Dr. Kodchanut Litleaungdej at Intrarat Hospital uses specialized risk-prediction models. This data-driven strategy combines clinical modeling with advanced hematology. This approach helps tailor treatments more precisely than generic protocols.
Patient Consensus: Patients note that verifying JCI accreditation helps confirm a hospital's technical capabilities. They suggest using Thai oncologists for genetic subtyping but caution that specific immunotherapy trials may arrive later than in the US.
","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"69f79c69164cb6b1c60c0512","question":"Are there specific leukemia specialists I should look for?","answer":"You should prioritize a hematologist-oncologist who specializes in blood cancers rather than a general oncologist. Look for experts board-certified in hematology and oncology. Seek specialists like Dr. Surasit Saleh Issarachai who focus on specific procedures like bone marrow transplants to improve clinical outcomes.
Bookimed Expert Insight: Thai specialists often hold dual board certifications from both Thailand and international bodies. For example, Dr. Kodchanut Litleaungdej at Intrarat Hospital combines internal medicine with specialized hematology research. This multidisciplinary background is vital. It ensures your doctor handles both the leukemia and potential internal complications during intensive treatment.
Patient Consensus: Patients advise others to check a doctor leukemia-specific research history on PubMed before booking. They also note it is helpful to use a coordinator to navigate private hospital systems effectively.
","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"69f79ca129d8ace0eb045772","question":"How long will I need to stay in Thailand for leukemia treatment?","answer":"Plan for a 1 to 4 month stay in Thailand for intensive leukemia treatment phases. Stem cell transplants require roughly 90 days in-country for safety. Maintenance therapy lasts 2 to 3 years. Patients can manage long-term phases with periodic return trips to Bangkok for expert monitoring.
Bookimed Expert Insight: Thailand is a strategic choice because centers like Bumrungrad International Hospital serve over 1,000,000 patients annually. This high volume ensures doctors manage complex blood recovery daily. Many patients choose Thailand because specialists like Dr. Surasit Saleh Issarachai offer Western-standard protocols at highly competitive regional rates.
Patient Consensus: Patients emphasize packing for at least 3 months to avoid stress. They note that stays often double if complications like low white blood cell counts occur during recovery.
","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"69f79ce416ea2d5f170516b2","question":"What support services are available for international patients?","answer":"Thai hospitals provide comprehensive coordination through specialized international departments. These teams manage medical visas, airport transfers, and interpreter services for over 200 languages. Facilities like Bumrungrad International Hospital maintain Global Healthcare Accreditation to ensure safe, high-quality care for foreign patients.
Bookimed Expert Insight: Thailand’s focus on international volume is truly unique. Bumrungrad International Hospital serves over 500,000 international patients annually from 190 countries. This massive volume means their support teams are experts at handling complex insurance claims and religious requirements. If traveling for leukemia treatment, look for GHA-accredited clinics. This specific certification confirms the hospital excels in non-clinical hospitality and medical tourism safety.
Patient Consensus: Patients note that the smooth coordination between medical teams and logistics staff reduces stress. Many emphasize that having a personal navigator makes navigating large hospital campuses much easier.
","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}}],"faqInSchema":true,"articles":[{"id":"en:how-much-leukemia-treatment-costs","name":"How Much Does Leukemia Treatment Cost? Price by Procedure and Country","image":{"main":"https://bookimed.s3.eu-central-1.amazonaws.com/articles/7e68_b.jpeg","preview":"https://bookimed.s3.eu-central-1.amazonaws.com/articles/7e68_s.jpeg"},"author":{"first_name":"Anna","last_name":"Leonova","avatar":"https://s3.eu-central-1.amazonaws.com/bookimed/admin/5d24698525ec3_b.jpeg"}}],"relations":{"countries":[{"name":"Austria","alias":"austria","iso_code":"AT"},{"name":"China","alias":"china","iso_code":"CN"},{"name":"Cyprus","alias":"cyprus","iso_code":"CY"},{"name":"Dominican 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