TAILIEUCHUNG - Recent Evidence on Cervical Cancer Screening in Low-Resource Settings

This article offers a brief overview of the health evidence on Agent Orange and cancer, to help clinicians serve Vietnam veteran patients and their family members. The evidence comes from several sources including studies of Vietnam veterans, workers exposed to herbicides or dioxins (since dioxins contaminated the herbicide mixtures used in Vietnam) in occupational settings, and studies of health effects among Vietnamese populations in the aftermath of the war. This article does not offer a complete review of all these lines of evidence. Instead, it summarizes the evidence briefly, and introduces readers to benefits programs and other issues that arise in caring for cancer patients or. | Cervical Cancer Prevention FACT SHEET Recent Evidence on Cervical Cancer Screening in Low-Resource Settings In September 2009 the Alliance for Cervical Cancer Prevention ACCP partners summarized and shared key findings and recommendations for effective cervical cancer screening and treatment programs in low-resource Among their findings were the following The most efficient and effective strategy for detecting and treating cervical cancer precursors in low-resource settings is to screen using either visual inspection with acetic acid VIA or human papillomavirus HPV DNA testing and then to treat using cryotherapy. The use of HPV DNA testing followed by cryotherapy results in a greater reduction in the incidence of cervical cancer precursors than the use of other screen-and-treat approaches. When conducted by competent providers cryotherapy is a safe way of treating precancerous cervical lesions and results in cure rates of at least 85 percent. The current fact sheet presents evidence from selected reports of screening and treatment that have been published since the paper cited above was written in both low- and high-resource regions. This recent information continues to support the use of HPV DNA technologies and until low-cost versions are available for use in developing countries the use of visual inspection methods for cervical cancer screening. Cryotherapy continues to perform well for treating precancerous lesions in low-resource settings although the cure rate is not as high as that found in clinical trials in developed countries. Cervical cancer incidence and mortality update New estimates of worldwide and regional cancer incidence and mortality published by the World Health Organization in the GLOBOCAN 2008 report2 confirm the prediction that the numbers for cervical cancer would continue to climb especially in developing countries. The estimated annual incidence in the less-developed countries of the world is now more than 450 000 and the .

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