Article 3

Meeting of International Agency for Research on Cancer (IARC) held on 4 th February 2019 at Lyon, France declared the latest figures that

  • An estimated 5,70,000 new cases of cervical cancer were diagnosed worldwide in 2018
  • It is the fourth most common cancer in women globally
  • Every year more than 3,10,000 women die from this preventable disease.
  • About 90 % of these deaths occur in low and middle income countries (LMICs).
  • The estimated new cases of cervical cancer, India stands 2nd to China with a huge number of 96,922 new cases accounting of 17% in Asia with 68,000 deaths in 2017.

Present scenario of Cervical Cancer in India shows that :

  • About 1,00,000 new cervical cancer cases per year.
  • Have sporadic HPV Vaccination.
  • Have suboptimal Screening coverage, test, post test management.
  • High mortality reported due to late stage at presentation and treatment delays.
  • Also limited access to palliative care. &
  • Weak monitoring systems
    HPV Virus is the Causative Agent :
    It’s estimated that more than 80% of the sexually active women acquire genital HPV by 50 years of age.
    The lag period between the oncogenic HPV infection and the invasive cervical cancer is 15 – 20 years.
    The incidence rises in 30 – 34 years of age and peak at 55 – 65 years, with a median age of 38 years (age 20 – 67 years)
    Course of HPV Infection
    100 HPV Types have been identified
    HPV 31, 35 and 45 are responsible for 30 % of cervical cancer

The infection with HR-HPV typically lasts from 12 – 18 months and is eventually cleared by the immune system

Approximately 10% of women fail to clear HPV infections, We call this “Persistent” HPV infection.

Persistent infection with HR-HPV cause abnormal cells to develop leads to development of precancerous lesions. If left untreated progress to cervical cancer.

Our social customs, lack of personal hygiene and extramarital sex, Having sexual relation before theage of 18, Unprotected sex, Smoking, early marriage and frequent short-term pregnancies, Family History ofCancer, Weakened immune system are some of the risk factors of cervical cancer

Signs and Symptoms

Abnormal vaginal bleeding, Post coital bleeding, Intermittent bleeding, Heavy bleeding, Post menopausal bleeding, Abnormal Discharge

In November 2020 WHO declared to eliminate Cervical Cancer from all over world till 2030. The architecture and guideline decided for these are

90% of girls should be fully vaccinated with HPV vaccine by 15 years of age, 70% of women should be screened with a high precision test by 35 to 45 years of age

&

90% of women identified with cervical disease should receive treatment and care

10 to 15 year girls require two doses and above 15 year girls require three doses of any vaccine.

After taking vaccine there are only 0.03% chances to have cervical cancer in whole lifetime

If we can save one female from cervical cancer for life time just paying of Rs. 7000/- (Economical rate of two doses of vaccine for social cause) it is just negligible.

For every 1 rupee invested in elimination strategy, 3.2 rupees returned to the economy, 26 rupees returned in total societal benefits

We will be visionary if we step forward……..

When there is a thought of vaccine we should always think about safety The vaccine may causes some mild side effects, including : Soreness and Redness at the injection site. FatigueDizziness Headaches Nausea andVomiting

Currently, there are no serious side effects associated with the cervical cancer vaccine.

Rotary club of senoras Jamnagar (085585) and Shree Batukbhai khandheria charitable trust started campaign to vaccinate 10 to 15 years girls to prevent them from cervical cancer, collected the fund to provide free vaccine which cost more than Rs. 2500/- for one dose, create awareness in families of Champa Beraja Village and injected 1st dose of vaccine on 30th March 2021. We have taken consent of each lady, given them receipt of vaccination with dateof second dose i.e.30/09/21.

10 to 15 years girls require 2 doses and 15 to 25 years girls require 3 doses of vaccine. That 25 girls completed all doses on 9th October, no one has any side effect of the vaccine.

With “SEVA” N.G.O. succeed to promote free 2500 doses of vaccines to girls of all community and finished 2 nddose also without any complications.

It is not over ………. just giving vaccine. It is a Mammoth work with Computerized data handling and to prevent dropout for 2 nd dose and 3rd Dose.

HPV vaccine to men protect him from anal cancer and warts.

Now a Pause

  • WHO’s strategic advisory group of experts on immunization declared that 1 dose was as effective. This could be a game – changer for the prevention of the disease.
  • Serum Institute of India announced India vaccine at very low cost but still it is not clear when it will be available and whether provided to Central / State Government or general public too.

Join hand to achieves goal of W.H.O. to eliminate of cervical cancer from the globe till 2030

Yes, it is possible

It is wiser to protect your daughter, sister, wife and mother from cervical cancer than to treat it. No woman should die from cervical cancer.

A small effort from us can make the future women of India cervical cancer free.

Dr. Kalpana Khandheria

Preventive Oncologist

We did not come to fear the future, we came here to shape it.

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