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CERVICAL CANCER

Information for Program Managers and Coalition Members

Quick link to the Resources List for Program Managers and Coalition Members

Cervical cancer kills more than 288,000 women each year worldwide and disproportionately affects the poorest, most vulnerable women. At least 80 percent of cervical cancer deaths occur in developing countries, with most occurring in the poorest regions - South Asia, sub-Saharan Africa, and parts of Latin America.

Health care providers in developing countries regularly see women with advanced, incurable cervical cancer. At this late stage, there is little they can do to save women's lives. Even drugs designed to ease cancer pain often are unavailable.

Yet cervical cancer can be readily prevented, even in women at high risk for the disease, through screening and treatment using relatively simple technologies. When precancerous changes in cervical tissue are found and the abnormal tissue successfully treated, a woman will not develop cancer.

A Pap test is commonly used to screen for cervical cancer

A Pap test (also called a Pap smear) is a procedure to collect cells from the surface of the cervix and vagina. A piece of cotton, a brush, or a small wooden stick is used to gently scrape cells from the cervix and vagina. The cells are viewed under a microscope to find out if they are abnormal. This procedure is also called a Pap smear. A new method of collecting and viewing cells has been developed, in which the cells are placed into a liquid before being placed on a slide. It is not known if the new method will work better than the standard method to reduce the number of deaths from cervical cancer. Please visit the NCI site to learn more about pap smears click here

VIA & VILI

The screening tests promoted by International Agency for Research on Cancer (IARC) and the Alliance for Cervical Cancer Prevention (ACCP) are known as VIA and VILI. “VIA” stands for visual inspection with acetic acid (acetic acid is vinegar), and “VILI” for visual inspection Lugol's iodine. Both tests be done by a trained health professional and have been designed with low-resource countries in mind. Extensive training materials about both screening methods can be found in the practitioner’s link on this web site.

HPV Vaccine

A vaccine against cervical cancer is now available. This vaccine can be complemented with improved cervical screening to achieve a substantial reduction in cervical cancer, a disease that shatters families and destroys the lives of women in their prime. The costs of cervical cancer to communities and to individual women and their families are great, but this situation can be improved. To realize the full potential of the human papillomavirus (HPV) vaccine requires universal coverage of adolescent girls before the possibility of HPV contact. Although it will be challenging to reach these girls—many of whom do not routinely see health care providers—once effective systems are in place, they can be used to provide many additional health interventions necessary for older children and young adolescents.

The fight against cervical cancer, a disease that is preventable, can be regarded as both a health issue and a human rights and ethical issue. Current tools can tackle this problem and help to give more women, their families, and their communities a future without cervical cancer.(Source: PATH, About Cervical Cancer)

Acknowledgment: This text is from the IARC and rho.org web site. The International Agency for Research on Cancer (IARC) is part of the World Health Organization, Reproductive Health Outlook (RHO) is part of PATH.

What do we know about diet and cervical cancer?

The panel of the WCRF/AIRC concludes: (Chapter 7.13, pages 301-3, to download the 3 page pdf chapter click here)

"There is limited evidence suggesting that carrots protect against cervical cancer. The evidence is too limited to conclude that any aspect of food, nutrition, and physical activity directly modifies the risk of this cancer."

Second Expert Report: Food, Nutrition, Physical Activity, and the Prevention of Cancer: a Global Perspective. World Cancer Research Fund / American Institute for Cancer Research (WCRF/AICR), Washington DC: AICR, 2007. 537 Pages. Note: PDF file of the complete report is 12 MB in size. More about this report can be found on the “diet” link [or some other name later] of this website. To download the entire report (pdf 12MB) please click here.

To download a summary of the report (16 pages, pdf 1.2MB) please click here
To download the report’s summary in other languages than English (WCRF website), please click here

MedlinePlus - Cervical Cancer link
Please make sure you check the MedlinePlus online for cervical cancer with an extensive, constantly updated resource list. MedlinePlus will direct you to information to help answer health questions. MedlinePlus brings together authoritative information from NLM, the National Institutes of Health (NIH), and other government agencies and health-related organizations. MedlinePlus also has extensive information about drugs, an illustrated medical encyclopedia, interactive patient tutorials, and latest health news. Please click here 

 


 

RESOURCES FOR MANAGERS

The resources listed here are organized by relevance. They are published by well-known organizations working on cervical cancer prevention and HPV vaccine access. All PDF files listed can be downloaded from the pacificcancer.org website, without having to visit any other site.

Quick Overview Materials

Manuals

Evidence Based Programs

US Government and General Resources

Pap Test

Additional Resources

Flyers and Brochures as Examples

Quality Assurance & Improvement

Research Tools

On-line tools with Pacific Focus

Pacific Language Materials

Cervical Cancer Links

Questions & Answers about Cervical Cancer for the Public

Questions and Answers about Cervical Cancer for Practitioners and Managers

Pacific Cancer Programs - Documents

 

 

Note: There are many exciting breakthroughs in developing more effective prevention strategies for cervical cancer, both for early detection and HPV vaccine. To make sure you get access to the most up-to-date information, we recommend you check the web sites of rho.org, IARC and ACCP. If you have limited Internet access we recommend you start with rho's archive, organized by subject.


Acknowledgment: This text is adapted from the CDC website.

 
 
Principal Investigator: Neal Palafox, MD, MPH:
Program Manager CCC/ Registry: Lee Buenconsejo-Lum, MD 
 Pacific CEED Manager: Karen Heckert, Ph.D., pacificceed@gmail.com
Program Coordinator (Registry): Tricia Eidsmoe, MPA pcregistry@gmail.com
Program Coordinator (CCC): Brian Roberts, MBA pacificcompcancer@gmail.com
 

John A. Burns School of Medicine

University of Hawai‛i at Mānoa

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Mililani, Hawai‛i  96789

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