Monday, August 13, 2012


Certain facts about Cervical Cancer among Women in India -
1. Worldwide, cervical cancer is considered to be the second commonest cancer as far as mortality and incidence is concerned and India contributes to about 20-30% of the global burden ie one out of every four women in the world dying of Cervical Cancer is an Indian
2. Cancer killed 5,56,400 people across the country in 2010. The 30-69 age group accounted for 71 per cent (3,95,400) of the deaths
3.. Cervical cancer is the third largest cause of cancer mortality in India after cancers of the mouth & oropharynx, and oesophagus, accounting for nearly 10% of all cancer related deaths in the country (WHO, 2009b). 
4.. Among women, it is the leading cause of cancer mortality, accounting for 26% of all cancer deaths (GLOBOCAN 2002, IARC 2009). According to IARC estimates, mortality from cervical cancer is expected to witness a 79% increase from 74,118 deaths in 2002(203 per day) to 132,745 deaths (364 per day) by 2025 (National Cancer Registry Programme 2009, WHO 2004).
5. The prevalence and burden of cervical cancer is much higher among women of low Socio-Economic Status, as well as among rural women in India (Vallikad, 2006; Kurkue, and Yeole, 2006). The primary reason given for this is lack of access to screening and health services, and lack of awareness of the risk factors of cervical cancer.
6. In USA, the vaccine is available to girls aged 11-12 years. [Centers for Disease Control and Prevention (a)]. In the UK, a national HPV vaccination programme has been initiated, offering the vaccine 'Cervarix®' to all girls aged 12-13 [Cancer Research UK (a)] but India still does not have any such programme for prevention of this deadly disease
We are fortunate that DG RTn Uttam Ganguly of our Dist 3291 has taken up the Cause and included awareness against this deadly disease as a District Project. Rotary Clubs in our District 3291 can take a lead in immunizing School going Girls in the Government/ Municipal schools specially in rural & underdeveloped areas by giving them three shots of Gardasil ( Merck) or Cervarix (GlaxoSmithKline) which create immunity against cervical cancer-causing HPV strains of types 16 and 18 , which currently cause about 70% of cervical cancer cases. 
Cost of each dose is approx Rs 1500 (Cervarix) - Rs 2200 (Gardasil). 
Cost of Immunising 1000 girls comes to around Rs 45 Lakhs( USD 79000) for the vaccine only. Help in the form of Matching grant will help move the project forward. 

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