Interventions to close the divide for women with breast and cervical cancer between low-income and middle-income countries and high-income countries

Lynette Denny, Silvia de Sanjose, Miriam Mutebi, Benjamin O. Anderson, Jane Kim, Jose Jeronimo, Rolando Herrero, Karen Yeates, Ophira Ginsburg, Rengaswamy Sankaranarayanan

Research output: Contribution to journalReview articlepeer-review

160 Citations (Scopus)

Abstract

Breast and cervical cancers are the commonest cancers diagnosed in women living in low-income and middle-income countries (LMICs), where opportunities for prevention, early detection, or both, are few. Yet several cost-effective interventions could be used to reduce the burden of these two cancers in resource-limited environments. Population- wide vaccination against human papillomavirus (HPV) linked to cervical screening, at least once, for adult women has the potential to reduce the incidence of cervical cancer substantially. Strategies such as visual inspection with acetic acid and testing for oncogenic HPV types could make prevention of cervical cancer programmatically feasible. These two cancers need not be viewed as inevitably fatal, and can be cured, particularly if detected and treated at an early stage. Investing in the health of girls and women is an investment in the development of nations and their futures. Here we explore ways to lessen the divide between LMICs and high-income countries for breast and cervical cancers.

Original languageEnglish
Pages (from-to)861-870
Number of pages10
JournalThe Lancet
Volume389
Issue number10071
DOIs
Publication statusPublished - 25 Feb 2017

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