Save women from cervical cancer in low middle income countries and middle income countries

P. Bhattacharya
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Abstract

low income countries (LICS) and this disparity is likely to be due to differential access to screening of cervical pre cancerous lesions, treatment facilities available in primary level and taking preventive measures with new HPV-9 vaccinesas use of Human papilloma virus vaccinations continues to be lag in the low middle income countries (LMICS). Dramatic benefits were observed from vaccinations of HPV and early cervical precancerous lesions.1 The new HPV-9 vaccine which includes 9 or more HPV types there is good chance after several decades cervical cancer screening may no longer be warranted. But that is for the high income countries. What about for LMICS and MICS like India or in West Bengal Province of India? Hundreds and millions of women are already beyond the age of adolescence and age of vaccination and remains without screening and preventive treatment due to lack of human resources like trained pathologists & laboratory technicians as resource personals and this author apprehends that some 25millions women will die of cervical cancer by next 25years in MICS and LMICS.
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在中低收入国家和中等收入国家拯救妇女免于患癌症
这种差异很可能是由于在获得宫颈癌前病变筛查、初级治疗设施和采取新的HPV-9疫苗预防措施方面存在差异,因为在中低收入国家,人类乳头瘤病毒疫苗的使用仍然滞后。接种HPV疫苗和早期宫颈癌前病变观察到显著的益处新的HPV-9疫苗包括9种或更多类型的HPV在几十年的宫颈癌筛查后很有可能不再有必要。但这是针对高收入国家的。印度或印度西孟加拉省的中低收入和中等收入国家呢?数以亿计的妇女已经超过了青春期和接种疫苗的年龄,并且由于缺乏人力资源,如训练有素的病理学家和实验室技术人员作为资源人员,仍然没有进行筛查和预防性治疗。本作者认为,到未来25年,在多收入和中低收入国家,约有2500万妇女将死于宫颈癌。
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