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16th January 2024 (12 Topics)

A jab in time

Context:

Cervical cancer vaccine drive is welcome news. It must be accompanied by quality treatment, preventive and palliative care.

Cervical Cancer in India: A Looming Health Challenge

  • Magnitude of the Issue: Cervical cancer's prevalence and mortality rates in India, contributing significantly to global burden, highlighting urgent health concerns.
  • Preventability and Cure: The long pre-invasive phase offers a critical window for detection, making cervical cancer preventable and highly curable with early diagnosis and treatment.
  • Challenges in Detection: Lack of awareness, delayed symptom recognition, and low screening rates contribute to late-stage diagnoses, impacting mortality and overall disease management.

Government Initiatives and Global Strategies for Elimination

  • Inclusive Immunization Programs: Government's plan to include cervical cancer vaccine in universal immunization; focusing on girls aged nine to 14 to commence in the coming year.
  • WHO's Global Strategy: Advocating for widespread HPV vaccination, screening, and early diagnosis, aligning with Sustainable Development Goal 3.4 to reduce premature deaths.
  • Targets and Means: WHO's strategy incorporates clear targets for vaccination coverage, screening rates, and treatment, emphasizing the significance of accountability and simplicity in interventions.

Comprehensive Approach for Cervical Cancer Elimination

  • Population-Level Awareness: Urgent need to enhance awareness on causes, prevention, and encourage the uptake of HPV vaccine to combat vaccine hesitancy.
  • Capacity Building: Strengthening health systems, cancer registries, and referral linkages; incorporating technology, digital communication, and research collaborations for effective care pathways.
  • Holistic Care and Collaboration: Emphasizing comprehensive patient care, early palliative care, reducing financial burdens, and building partnerships with NGOs, innovators, and public health professionals for successful elimination.
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