Tsu Vivien Davis, Ginsburg Ophira
PATH, Seattle, WA, USA.
Department of Population Health, NYU School of Medicine, Laura and Isaac Perlmutter Cancer Center at NYU Langone Medical Center, New York, NY, USA.
Int J Gynaecol Obstet. 2017 Jul;138 Suppl 1:69-73. doi: 10.1002/ijgo.12193.
We already know what causes cervical cancer, how to prevent it, and how to treat it, even in resource-constrained settings. Inequitable access to human papillomavirus vaccine for girls and screening and precancer treatment for women in low- and middle-income countries is unacceptable on ethical, social, and financial grounds. The burden of cervical cancer falls on the poor and extends beyond the narrow bounds of the family, affecting national economic development and community life, as family resources are drained and poverty tightens its grip. Proven solutions are available and the priorities for the next few years are clear, as shown by the papers in this Supplement. Sustained political commitment and strategic investments in cervical cancer prevention can not only save millions of lives over the next 10 years, but can also pave the way for the broader fight against all cancers.
我们已经知道宫颈癌的病因、预防方法以及治疗手段，即便在资源有限的环境下亦是如此。从伦理、社会和经济角度来看，低收入和中等收入国家的女孩无法公平获取人乳头瘤病毒疫苗，以及妇女无法公平获得筛查和癌前病变治疗，这是不可接受的。宫颈癌的负担落在穷人身上，且其影响范围超出了家庭的狭小范畴，随着家庭资源被耗尽以及贫困加剧，这会影响国家经济发展和社区生活。正如本增刊中的论文所示，已证实的解决方案是可行的，未来几年的优先事项也很明确。对宫颈癌预防工作持续投入政治承诺并进行战略投资，不仅能在未来10年挽救数百万人的生命，还能为更广泛的抗癌斗争铺平道路。
