The Bidayuh in Sarawak have among the highest rates of nasopharyngeal cancer (NPC) in the world. It is also the most common cancer among Sarawakian men. What are the factors that increase the risk of NPC among the Bidayuh community, and what are the systemic barriers to addressing early diagnosis and comprehensive care of NPC? We explore with Azrul Mohd Khalib, CEO of the Galen Centre for Health & Social Policy, and Professor Datu Dr Andrew Kiyu, Professor of Public Health from the Faculty of Medicine and Health Sciences, University Malaysia Sarawak.Image Credit: Shutterstock