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Every 2 minutes a woman in the world dies from this cancer.

what do we do with it?

Recently there is a feeling, or rather - an illusion, that we have already solved the problem of cervical cancer and other diseases caused by the human papillomavirus.

Unfortunately, this is not true at all.

So how do you deal with this disease?

Tags

• Cervical cancer

• Pap test

• Papilloma

Prof. Yaakov Bornstein

Tuesday, 19 January 2021, 07:06

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570,000 women worldwide suffer from cervical cancer each year.

Cervical cancer cells (Photo: ShutterStock)

In recent years there has been an illusion that we have already solved the problem of cervical cancer and other diseases caused by HPV - the human papillomavirus.

But reality continues to haunt us, and still about 570,000 women worldwide suffer from cervical cancer each year.

Every two minutes a woman dies, after a hard and painful struggle, from cervical cancer.

It is a tumor that harms young women and each case leaves behind a broken and suffering family.

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This reality was recently shaken when the World Health Organization recruited 194 countries that undertook to eradicate cervical cancer within a few years.

The announcement of the sweeping mobilization of the countries also moved veteran experts, as this is the first time that the World Health Organization is leading an initiative to eradicate cancer.

Immediately the memory of the success in eradicating and eradicating smallpox, which in the past also caused the deaths of millions of people, also rises.

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It is clear, however, that there is still a way to go before cervical cancer disappears from our lives.

The road involves meeting a threshold known as 90-70-90.

That is, at least a 90 percent immunization rate must be reached.

This means that at least 90 percent of girls will receive the HPV vaccine before the age of 15. In addition, at least 70 percent of girls should have a cervical scan surface using an effective test - which is currently performed using a PCR test for the presence of HPV.

Finally, women diagnosed with pre-cancer or cervical cancer will be treated.

At least 90 percent of them.

At least 70 percent of women need to be tested.

Pap test (Photo: ShutterStock)

There is no doubt that the new goal inspires enthusiasm and hope for a significant improvement in the quality of life, but it immediately raises a number of questions, which I will try to answer below:

Is the intention to completely eradicate and eliminate the disease?

The plan is to reach the incidence of less than 4 women with cervical cancer by 100,000 in 2030.

This prevented the death of 300,000 women worldwide for 10 years.

Who will finance the achievement of the required goals?

As mentioned, 194 countries have joined the initiative of the World Health Organization and have pledged to invest everything it takes to meet the common goal.

In fact, an economic calculation found that beyond saving lives, the investment will also bring significant economic gain due to savings in funding for cancer treatments, and the labor force of women who have survived the disease.

Is it possible to eradicate cervical cancer in Israel?

Yes.

We are one of the advanced countries where there is a cervical scan and quality treatment of cervical findings.

In addition, the vaccine is given in Israel as part of the vaccination routine in eighth grade, for girls and boys.

But unfortunately, the immunization rate among schoolchildren did not exceed 60 percent even before the corona plague began.

There is no reason to worry.

Papilloma vaccine (Photo: ShutterStock)

Prof. Bornstein

What are the reasons for avoiding full immunization against HPV in Israel:

1. The fear that the vaccine is not safe - a false concern, since the safety of the vaccine was tested after 270 million doses were injected, and the World Health Organization found it to be extremely safe.

Severe side effects previously attributed to the vaccine have since been shown to be unrelated to the vaccine itself.

2. In a number of circles, the concern was raised that a recommendation to be vaccinated would be interpreted as approval for permissiveness.

This concern is also unfounded, as multi-participant studies have found that there is no connection between the two.

Recently, the PUA Institute - the Institute for Fertility and Medicine according to Halacha - announced that: "... the PUA Institute, in consultation with the great rabbis and senior doctors ... recommends giving the vaccine in fourth grade, this recommendation has not yet been accepted." Ministry of Education.

Until you are accepted, you can be vaccinated in the eighth grade without emphasizing the educational significance of the vaccine ... ".

3. Avoiding the boys' vaccine: The claim is that" boys do not have cervix, so why get vaccinated against cervical cancer? " Whites to prevent diseases caused by HPV and affecting the boys themselves, such as penile and rectal cancer, recent oral and pharyngeal cancer, and genital warts - which are diagnosed each year in 20,000 women and men. And lowering the incidence of cervical cancer in women.

4. Hesitation on the part of physicians: When parents receive a vaccination summons for their children, they often consult with family physicians or pediatricians. and vaccine safety, the rate of vaccination will rise significantly.

5. lack of knowledge and lack of awareness: there are reliable sites of science where you can get information about the virus, related diseases and vaccination. the stories of women who have cervical cancer can help increase awareness.

declaration of WHO The global illuminated the spotlight on a path to eradicate Sir disease

Cervical spondylitis, and other diseases caused by the virus.

We can increase awareness of the prevention of the disease, and especially the importance of the HPV vaccine, and make sure that patients are referred for a cervical scan and appropriate treatment.

Prof. Yaakov Bornstein is the director of the Department of Obstetrics and Gynecology, Galilee - Nahariya Medical Center and the Azrieli Faculty of Medicine, Bar-Ilan University.

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