Screening for Cervical Cancer and Human Papillomavirus Vaccination in Israel: Recommendations

[...]mortality rates from cervical cancer and rates of cervical intraepithelial neoplasia (CIN) and condyloma acuminata are similar to those in countries with higher cervical cancer incidence rates (Fig. 1). Because of this low burden of cervical cancer, health policy makers in Israel decided to bas...

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Bibliographic Details
Published in:Vaccine 2013-11, Vol.31, p.I58-I60
Main Authors: Bornstein, Jacob, Fisher, William A, Ginsberg, Gary M, Shavit, Oren, Schejter, Eduardo, Diaz, Mireia, Bosch, F. Xavier
Format: Article
Language:English
Subjects:
Adolescent
Adult
Allergy and Immunology
Cervical cancer
Costs and Cost Analysis
Disease prevention
Early Detection of Cancer - methods
Female
Health policy
Human papillomavirus
Humans
Incidence
Israel - epidemiology
Middle Aged
Mortality
Papillomavirus Infections - complications
Papillomavirus Infections - diagnosis
Papillomavirus Infections - epidemiology
Papillomavirus Infections - prevention & control
Papillomavirus Vaccines - administration & dosage
Studies
Uterine Cervical Neoplasms - diagnosis
Uterine Cervical Neoplasms - epidemiology
Uterine Cervical Neoplasms - prevention & control
Vaccination - utilization
Vaccines
Womens health
Young Adult
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Summary:[...]mortality rates from cervical cancer and rates of cervical intraepithelial neoplasia (CIN) and condyloma acuminata are similar to those in countries with higher cervical cancer incidence rates (Fig. 1). Because of this low burden of cervical cancer, health policy makers in Israel decided to base cervical cancer prevention on opportunistic screening, where every woman can have a Pap test smear every 3years free of charge between ages of 35 and 54years. The implementation of an organized national cervical screening program, similar to Israel's current call and recall breast and colon cancer screening programs, tends to be more efficient, balances health inequalities and usually achieves higher coverage. [...]the first step that Israel should face is to improve by means of an organized effort the current screening coverage in unscreened and underscreened women, in whom most cervical cancer cases are concentrated.
ISSN:0264-410X
1873-2518
DOI:10.1016/j.vaccine.2013.07.048