Cervical cancer is the fourth most common cancer among women. Despite global advancements in healthcare, cervical cancer continues to be a major public health issue in India, affecting women primarily in their middle ages. Dr Padmapriya Vivek, Director, Obstetrics and Gynaecology, Gleneagles Hospitals Chennai talks about advancements in treatments and the challenges
Cervical cancer remains a poignant symbol of global health disparity, ranking as the fourth most common cancer among women worldwide. In India, this disparity is starkly visible, with thousands of women succumbing to this preventable disease annually. As we step into
Cervical Health Awareness Month, it becomes imperative to emphasise a unified strategy that encompasses prevention, early detection, and effective treatment, echoing the theme 'We Can Prevent Cervical Cancer.'
The current scenario in India
Despite global advancements in healthcare, cervical cancer continues to be a major public health issue in India, affecting women primarily in their middle ages. Persistent infection with high-risk human papillomavirus (HPV) types remains the most significant risk factor. Unfortunately, socioeconomic, cultural, and logistical challenges significantly hinder the widespread adoption of preventative measures.
Despite global advancements in healthcare, cervical cancer continues to be a major public health issue in India, affecting women primarily in their middle ages.
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Unfortunately, socioeconomic, cultural, and logistical challenges significantly hinder the widespread adoption of preventative measures.
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Epidemiological insights
Statistics indicate that cervical cancer ranks as the second most frequent cancer among Indian women. This high prevalence is coupled with a notable lack of structured screening programmes, which, if implemented effectively, could mitigate up to 80 per cent of new cases by detecting precancerous lesions early before they develop into full-blown cancer.
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Statistics indicate that cervical cancer ranks as the second most frequent cancer among Indian women.
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Challenges in prevention and treatment
Addressing cervical cancer in India involves navigating a maze of intertwined challenges:
• Low Awareness and Education: Knowledge about cervical cancer prevention, including the benefits of early HPV vaccination, is not widespread, especially in rural areas.
• Vaccination Hesitancy and Accessibility: Vaccination rates are abysmally low due to myths, fear of side effects, and lack of accessibility in remote areas.
• Inadequate Screening Programs: There is a critical need for regular and widespread screening that remains unmet due to a lack of infrastructure and awareness.
• Healthcare Disparities: Significant disparities in healthcare access between urban and rural populations limit the reach of advanced treatment options.
Advances in treatment and management
Thankfully, the landscape of cervical cancer treatment in India is evolving.
Recent advancements include:
• Minimally Invasive Techniques: These techniques reduce hospital stays and recovery times, making treatment less disruptive.
• Targeted Therapies and Immunotherapy: These new treatment paradigms improve outcomes and are gradually becoming more accessible in India.
• Radiation Therapy Innovations: Advances in radiation therapy, such as brachytherapy, have improved precision in targeting cancerous tissues while sparing healthy ones.
Public health strategies for a healthier tomorrow
A robust approach to eradicating cervical cancer in India must be multipronged:
1. Intensified Awareness Campaigns: Strategic, culturally sensitive information campaigns are crucial to educate women about the importance of vaccination and regular screenings.
2. Expansion of Vaccination Programs: Partnerships between the government, NGOs, and the private sector are necessary to improve vaccine availability and affordability.
3. Strengthening of Screening Efforts: Implementing cost-effective, widespread screening programmes using both traditional and innovative technologies can help in early detection.
4. Infrastructure Enhancement: Upgrading medical infrastructure and training healthcare professionals, especially in underserved areas, to manage cervical cancer effectively.
Collaborative efforts and community engagement
We should have stronger collaborations among healthcare providers, policymakers, and community leaders to create tailored health initiatives that resonate with diverse populations.
The battle against cervical cancer in India is increasing. With this year's 'We Can Prevent Cervical Cancer' we are reminded of the power of collective action and the critical role of preventive healthcare. It is time to ensure that every woman in India has access to the necessary tools to prevent and fight this disease effectively. Together, we can change. The narrative of cervical cancer in India create a future where women's health is no longer threatened by this preventable disease.
