Australia will become the first country in the world, winning cervical cancer. By 2028, according to the state Council for the fight against cancer (Cancer Council Australia), it would be so rare that it will cease to be a problem for the health system of the country. How is this possible and why in Russia this type of cancer, unfortunately, the main cause of death among women aged 30-39 years.
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According to forecasts, the Council for the fight against cancer published in the Lancet Public Health, by 2020, the incidence of cervical cancer will be in the country only 6 cases per 100 thousand women, and by 2028 – no more than 4 cases per 100 thousand women.
Cervical cancer caused by human papillomavirus (HPV) is the most common sexually transmitted infection. Today, cervical cancer is a serious public health problem worldwide, each year it claims the lives of more than 310 thousand women.
Optimistic forecast of the Australian Council for the fight against cancer due to results of the implementation of more than 10 years ago in the National immunization program of vaccination of schoolchildren against HPV, as well as launched in 1991 a program of cytological screening (PAP tests).
In 2007 the Australian government launched a program of free HPV vaccination of girls aged 12 – 13 years, in 2013, was added and the vaccination of boys. In addition, adolescents outside this age group, but have not yet reached 19 years of age are also eligible to receive two free doses of the vaccine. Immunization programs were well organized and allowed us to achieve high coverage of the target groups.
In 10 years of implementation, the level of HPV infection among Australian women aged 18 – 24 years decreased 22%, from 22.7 to 1.1%, and the incidence of cervical cancer in women has dropped by about 50%. Currently, the incidence of cervical cancer in Australia is 7 cases per 100 thousand people, which is about two times less than the world average.
In Russia, cancer is diagnosed too late not just to save the chance to give birth, but also life-saving
In Russia from cervical cancer die every day. 17 women, in the year — bole six thousand. “In addition, for women age groups 30-39 years cervical cancer — the leading cause of death. It is a statistic, but behind it lies a tragedy. Young, suffering from cervical cancer are women who had the potential to be moms!”, – the Director of the Institute of oncogynecology and mammology Center of obstetrics, gynecology and Perinatology academician Kulakov lion Ashrafyan. When young women cervical cancer is very short-lived and progresses rapidly.
“70% of girls under the age of 25 years cervical cancer diagnosed at the late stages (III and IV) when it is difficult to save, not to mention the preservation of fertility. Without the adoption of state prevention programs, this trend will only worsen,” – said Ashrafyan.
The world Health Organization (who) and UN Children’s Fund (UNICEF) consider HPV vaccination as a priority for national immunization programmes. Today, this vaccine is available in more than 130 countries in the world, in 86 countries, it is mass that is included in the National immunization programme, 20 of them were vaccinated and boys and girls.
“In Russia HPV vaccination into the national calendar, unfortunately, is still not included, — says chief freelance children’s specialist in preventive medicine of the Minzdrav of Russia, head of Department of faculty Pediatrics rnsmu.N. And.Pirogov Leyla Namazova-Baranova. In 2007, Russia had sold about 30 of the regional programmes of HPV vaccination, which demonstrate its effectiveness primarily on the individual level. To achieve maximum benefit from HPV vaccination is reducing the incidence of HPV-associated cancer and non-cancer diseases — it is necessary to introduce mass vaccination of girls and boys at the national level”.
The problem of HPV and associated diseases in our country is very acute. In 2018, more than 7 thousand Russian women die because of cervical cancer, a disease that could have been prevented with timely preventive interventions, based on correct and complete information available for a person at each stage of his life. This research poll again draws the attention of the public that doctors play a major role in increasing literacy rate of our country in matters of its health and that of their loved ones.