Wednesday, November 16, 2011

As part of its seven series Guardian Deborah Miranda investigated strategies for prevention of cervical cancer worldwide. A summary of some of its findings and identifies decisions that doctors and politicians should take now

In recent weeks, I tried to explain why we see so many differences in the prevention of cervical cancer between countries, especially in Europe. If we are to understand the complexity of this issue and develop the best strategies to fight against this disease is to continue to talk about cervical cancer.

Doctors are no longer the sole providers of health information. Health communicators play a crucial role in helping to decide what is best for our bodies. Henry Scowcroft, Director of Information Studies at Cancer Research UK, said the challenge is to "help people find accurate and timely, impartial facts amid the avalanche of information, so they can make informed decisions about their health cancer screening. It is an example of a complex area, where it is important that people have access to the best information possible. "

In recent weeks, I spent hours reading the latest research, interviewing experts and talk with patients, and have learned to talk about ways to prevent cervical cancer may be controversial.

The good news is that scientists have developed a vaccine against the virus that causes cervical cancer, but women still need to be protected and so far we do not know at what age should begin the review and how often occur.

Some experts believe that more lives could be saved if women evidence of HPV infection in the first hand, and then decide what additional tests to be applied.

And - just to complicate things - HPV affects men and women and can lead to the penis, anus, head, neck, tonsils and throat cancers, so change cancer Cervical HPV with a focus means that policy makers must consider whether the men should be vaccinated.

all depends on national policy makers to choose between different detection systems and vaccines available - which is why each country has its own strategy.

During my research, I received comments from health professionals who wanted to share their knowledge as well as women with cervical cancer, with the experience I have tried to introduce into the debate.

Many have criticized the policy of their country as "purely on the basis of costs." Ultimately, however, the concept of cost-effectiveness can not be underestimated. Governments operate on a budget - and implementation of a budget for the prevention of cervical cancer means that they must choose between saving young women from a rare but fatal disease, and to avoid a scenario where thousands of women who were examined in under the age of 25 suffer from complications during pregnancy.


also learned that these decisions can have a cultural dimension. Vaccines protect against different strains of the virus, preventing not only cervical cancer but also sexually transmitted genital warts. These, however, are not necessarily a priority for countries with less-than-liberal attitudes toward sex.



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