Reducing how many women are screened for cervical cancer is safe and should be expanded across the UK, experts say.
A study of 1.3 million women in the UK found evidence of longer intervals between cervical exams, also known as smears. It is transmitted sexually as long as a person tests negative for human papillomavirus (HPV), a very common group of viruses that are often found.
Researchers from King’s College London, the University of Manchester and the NHS analyzed data from the UK’s NHS cervical screening program.
Results published today in the British Medical Journal (BMJ) show that screenings every five years prevent as many cancers as screenings every three years because the tests used to screen the cervix are changing and becoming more accurate.
A new test introduced in 2019, known as the HPV primary screening test, is more accurate at detecting people at higher risk of developing cervical cancer.
Most people get some type of HPV during their lifetime, and almost all cervical cancers are caused by infection.
Although often harmless, sometimes abnormal cells can develop in the cervix. If these abnormal cells are not treated, they can develop into cancer.
Prior to 2019, abnormalities in cervical cells were first identified through cytology. If found, you will be tested for HPV. This examination is recommended every 3 years.
Northern Ireland still uses cytology, but cervical screening in England, Wales and Scotland now uses primary screening for HPV, as recommended by scientists.
‘Early introduction of HPV screening can prevent cancer’
Laura Flaherty with her children Alex (now 11) and Violet (age 7) (Photo: Laura Flaherty)
Laura Flaherty, above, was 31 years old when the smears revealed cervical cancer.
Just like before HPV screening was introduced in 2019, the mother of two believes the screening system might have been detected earlier or might have been prevented if the screening system had changed.
Ms Flaherty, now 35, said: I’ve made it all clear that having cancer still affects me today, but my treatment means I can’t have children anymore and the trauma still affects me.
“I’m not a scientist, but big changes can sound pretty scary, so I think it’s important that all the evidence for a decision related to screening is really and clearly communicated. For me, the priority should be to get more women and people getting cervical screenings and I’m really worried that so many people still don’t get tested.
“I think we need to make the checkup easier because many women find it uncomfortable, embarrassing, or even difficult to go to a GP. Home HPV testing is what we need to see so you can be tested at home. Awareness campaigns are also important, so remind people why tests exist and don’t ignore their invitations.”
Lead author Dr Matejka Rebolj, lead epidemiologist at King’s, said: They build on previous research showing that an interval of 5 years following the introduction of HPV testing for cervical screening is at least as safe as an interval of 3 years prior. By switching to screenings every five years, we can allow fewer screenings while preventing as many cancers as before.”
Michelle Mitchell, CEO of Cancer Research UK, which funded the study, said: It’s important to remember that screening tests are for people who have no symptoms. So, if any abnormal changes are detected, do not wait for an invitation to screen and talk to your doctor.”
Stephen Duffy, professor of cancer screenings at Queen Mary University of London, said, “These results indicate that we can be confident that a 5-year interval in negative patients screened for primary HPV screening will be at least as effective as a 3-year interval. With a cytology department at a one-year interval, perhaps more effective.”
We asked for comments from the Ministry of Health.
“My husband is old and wants a young man… so I killed him to rest.” This is how a housewife named “Nadia” justified her crime of killing her husband in a hideous way following a period of marriage in the Abu Nomros area in Giza.
In a new episode of “Blood in the Nest of Marriage”, which “Masrawy” deals with from the reality of official investigations and various sources, we tell the details of the murder of an “old man” at the hands of his wife less than a year following their wedding.
The accused is called “Nadia,” 34 years old, and her husband, the victim, is “Yahya. A.,” 58, a cleaner, 24 years younger than him. Their lives were not straight from the start due to the large age difference between them, which prompted the wife to think regarding getting rid of the victim.
The accused married several times, had 6 children, and following her last divorce, she married the victim, describing him as an “old man”, for a period not exceeding nine months, where she married him without her consent, following her family forced her to marry him for fear of delinquency.
“My family feared me from walking idle, and Jozoni is 24 years older than me.” But it seems that she was not happy from the first day of marriage, as she had a romantic relationship with a young man, 24 years old, who resides in Fayoum Governorate.
The accused’s emotional relationship with the young man prompted her to try to persuade her husband to divorce her, but he refused to separate from her, and the length of the last period continued in disputes with him, until she agreed with him to give him an amount of 3 thousand pounds in exchange for separating from her, but he continued to refuse, so she decided to get rid of him and made the intention and determination to kill him.
The age difference between the spouses and his inability to meet the needs of the wife who hopes for her groom, was the justification that actually prompted the accused to commit her crime less than a year following the marriage, and to get rid of her husband to escape with the young man in Fayoum Governorate.
The wife developed more than one scenario to get rid of the husband, until she finally decided to determine the way that would rid her of her husband; So she asked him to play with her, as they tie each other to untie him, so the husband tied her with a “sharp”, but she untied her, then it was her turn and tied him with a washing line from the hands and feet.
The accused surprised him by clasping her hands and wrapping an scarf around his neck until he died, and began to think regarding her way to ensure that she would delude everyone that the death was natural, so the wife called for an ambulance and transferred her husband to Abu Al-Nomros Hospital and called the family of the victim, and told them that her husband “Yahya” had been in a car accident. , and that unknown persons took him to the house and left, and I was surprised by his death following that.
The accused did not wait long until she fled to Fayoum Governorate to meet her lover, following she got rid of her husband forever so that the air would be clear for her with her lover and to meet together whenever they wanted to.
The Public Prosecution, in turn, recorded the accused’s confession to the victim’s family, and her location was found, arrested, and brought to the investigation authorities, which confronted her with the details of the crime.
For its part, the Public Prosecution decided to detain the accused, pending investigations, and then referred her to the Criminal Court, which sentenced her to death for the accusations attributed to her for the premeditated murder of her husband.
Riyadh വി Ahmed al-Ayada, undersecretary of the Ministry of Environment, said that the price of seeds and fertilizers in Saudi Arabia is lower than in neighboring countries. Al-Aida added that comparing the prices of fertilizers between neighboring countries and Saudi Arabia would show that difference.
Prices of fertilizers in Saudi Arabia have not increased for six months compared to other countries. Al-Ayada said seed prices have risen not only in the country but around the world.
He added that he hoped the increase would restore the balance of prices. He pointed out that there are many varieties of seeds which, like wheat in other countries, do not increase in price. Al-Aida confirmed that the three companies had not raised prices until they had coordinated with the ministry. It is noteworthy that Prince Fahad bin Sultan, the Governor of the Tabuk Region, has initiated 26 development projects in the region with an economic cost of more than 2.5 billion riyals.
The development plans are in line with Saudi Vision 2030’s targets to serve one million new beneficiaries and support the region’s environmental and water sustainability.
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Andin did not expect the biggest surprise in his life to finally arrive as well. Andin can hug the man she loves the most besides Papa Surya.
In the previous episode, Andin indeed being made dizzy and uncomfortable with the attitude Elsa who always accuse Andin as a cause of death Keisya.
