Patel Madhuri
Nowrosjee Wadia Maternity Hospital, Mumbai, Maharashtra India.
J Obstet Gynaecol India. 2024 Aug;74(4):287-291. doi: 10.1007/s13224-024-02048-7. Epub 2024 Aug 28.
The effect of cancer in women has varied effects. Overall malignancies of the breast, cervix, and ovary account for over 43% of all cancer cases in India. Globally, cervical cancer is fourth cancer in terms of incidence among women, following breast, lung, and colorectal cancer. However, this illness primarily affects women in India, where it is the second most frequent malignancy after breast cancer. HPV-related cervical cancer is a serious public health issue that has a solution. In 2020, the World Health Organization (WHO) launched a global initiative to eliminate cervical cancer which set targets for three important strategies: HPV vaccination, cervical cancer screening, and treatment. The WHO's "Best Buys" recommendations for cancer sub-set place vaccination of females between the ages of 9 and 14 at the top of the list. In India, efforts are underway to increase the number of teenage girls receiving the human papillomavirus (HPV) vaccine. The nation granted licenses for bivalent and quadrivalent HPV vaccinations in 2008, and in 2018, a nonavalent vaccine was approved. It is important to keep in mind that the cervical carcinoma vaccination is not a quick fix; thus, screening for the disease should continue. Any nation can potentially significantly lower the incidence of cervical cancer by carefully combining economical, high-coverage vaccinations with well-organized screening programs. Since 9-14 years is the ideal age range before sexual debut in today's world, this is the key vaccine age range. Estimates of vaccine effectiveness for younger adolescents, those between the ages of 9 and 14 years, varied from roughly 74 to 93%. Let us envision an India of the future where girls grow up with one fewer cancer threatening their life and a place where cervical cancer has been eradicated.
癌症对女性有不同的影响。总体而言,乳腺癌、宫颈癌和卵巢癌占印度所有癌症病例的43%以上。在全球范围内,宫颈癌在女性癌症发病率中位居第四,仅次于乳腺癌、肺癌和结直肠癌。然而,这种疾病主要影响印度女性,在印度它是仅次于乳腺癌的第二常见恶性肿瘤。与HPV相关的宫颈癌是一个严重的公共卫生问题,但有解决办法。2020年,世界卫生组织(WHO)发起了一项全球消除宫颈癌倡议,为三项重要战略设定了目标:HPV疫苗接种、宫颈癌筛查和治疗。WHO针对癌症子集的“最佳采购”建议将9至14岁女性的疫苗接种列为首位。在印度,正在努力增加接种人乳头瘤病毒(HPV)疫苗的少女数量。该国于2008年批准了二价和四价HPV疫苗的许可,并于2018年批准了九价疫苗。需要牢记的是,宫颈癌疫苗接种并非一劳永逸的解决办法;因此,对该疾病的筛查仍应继续。任何国家通过将经济高效、高覆盖率的疫苗接种与组织良好的筛查项目精心结合,都有可能大幅降低宫颈癌的发病率。由于9至14岁是当今世界首次性行为之前的理想年龄范围,所以这是关键的疫苗接种年龄范围。对9至14岁的青少年接种疫苗有效性的估计约为74%至93%。让我们设想一个未来的印度,那里女孩们成长过程中少了一种威胁生命的癌症,一个宫颈癌已被根除的地方。