New approaches to cervical cancer screening in Latin America and the Caribbean.

摘要: Cervical cancer remains an important public health problem in the Latin America and Caribbean region (LAC), with expected significant increase disease burden next decades as a result of population ageing. Prophylactic human papillomavirus (HPV) vaccine is currently unaffordable LAC countries. However, even if vaccination was implemented, additional two will be required to observe its impact on HPV related cancer. With some exceptions, cytology-based screening programs have been largely ineffective control region, there need for new approaches organization use newly developed techniques. Several research groups conducted methods, which are summarized this paper. A recommendation reorganize presented considering visual inspection very low resource areas, improvement cytology where it operating successfully DNA testing followed by acetic acid (VIA) or soon method becomes technically economically sustainable. This could facilitated incorporation new, low-cost methods self-collected vaginal specimens selected population. An requisite based quality assurance laboratory technique validation certification measures.