2024-01-16 02:29:00
Health16 Jan. ’24 9:29
Every January, the World Health Organization organizes it as Cervical Health Awareness Month (January is Cervical Health Awareness Month). Dr. Sukumarn Sawangwaree, obstetrician, gynecological oncologist. and gynecological laparoscopic surgery. Paolo Phaholyothin Hospital revealed that according to the latest statistics from the World Health Organization, there are 604,000 new cases of cervical cancer per year and 342,000 deaths from cervical cancer worldwide per year. Cervical cancer It is the most common cancer in 23 countries around the world. and is the leading cause of death for women in 36 countries around the world.
For statistics in Thailand in the year 2023, it is found that cancer in Thailand is still considered one of the important national public health problems. There are approximately 140,000 new cancer patients per year, and of these, approximately 80,000 people die per year. Cervical cancer has statistics of 9,158 new cervical cancer cases in Thailand per year, and the rate of death 4705 lives per year (Data from WHO 2022) makes the World Health Organization realize the importance of eliminating cervical cancer worldwide. The goal is to reduce the incidence of new cases to less than 4 cases per 100,000 people in every country around the world in 2030 (according to IARC data, Thailand has 100,000 new cases of cervical cancer per 100,000 people per year). Section 25.6) and aims for up to 90 percent of cervical cancer patients to receive appropriate treatment. In addition, it also aims to prevent disease by covering up to 90 percent of HPV vaccination among teenage women. And women around the world receive high performance screening (High performance test) up to 70 percent (refer to WHO data 17 November 2020) and every January of every year, the World Health Organization organizes it as a campaign month. Fight once morest cervical cancer (January is Cervical Health Awareness Month). In 2024, the World Health Organization has focused on cervical health and cervical cancer prevention.
Dr. Sukumarn said that HPV virus screening, which the World Health Organization has set as one goal to eliminate cervical cancer worldwide, is to check for the HPV virus in cervical specimens. is a virus that is a major cause of cervical cancer. by HPV There are hundreds of species. But the strains that cause cancer are classified as HPV viruses. High risk HPV type includes strains 16, 18, 31, 33, 34, 35, 39, 45, 51, 52, 56, 58, 59, 66, 68, 70, 73,82, etc., which It is a virus that has the potential to cause cervical cancer. That is most common if there is this type of infection. By the mechanism of cervical cancer. It starts when the woman gets the HPV virus into her cervix. Then there is a persistent infection (Persistent infection) for a long time. Then the HPV virus enters the body’s cells, causing changes within the cells at the genetic level, leading to lesions under the cervical epithelium (Cervical intraepithelial) lesion) and eventually spreads to cervical cancer.
Therefore, if cervical cancer is screened from the beginning of infection, timely care and treatment will be possible before it becomes cervical cancer. By testing for the HPV virus, it was found to be sensitive. (Sensitivity) in the examination was as high as 98.1% (96.7%-100%) and had high accuracy in the examination results (Negative predictive value 98.48% (97.75%-99.23%) specificity 83.6-90.8 %, meaning that in the case HPV infection was not detected. It will be found that the chance of errors in the test results finding advanced subepithelial lesions (High grade cervical lesions) leading to cervical cancer is very low. Therefore, there are guidelines from the World Health Organization that certify that If women are screened for cervical cancer with Primary high-risk human papillomavirus (hrHPV) testing and the results do not find HPV infection, they can refrain from cervical cancer screening for up to 5 years (USPSTF guidelines) and or get tested. Can be paired with Co-testing cytology (hr HPV testing and cytology).
Dr. Sukumarn further said that it can be seen that current cervical cancer screening guidelines have evolved to directly detect the virus that is the cause of cervical cancer. And to prevent cervical cancer, there is also advice on HPV vaccination. and reducing various risk factors regarding proper sexual intercourse Abstaining from smoking, etc., in order to promote the elimination of cervical cancer from the world’s population in line with the World Health Organization’s ambitions, including the current HPV vaccine, is more effective in preventing cervical cancer and can be injected. From the age of 9 years onwards, both males and females can prevent both cervical cancer and other HPV-related cancers.
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