Preventing cervical cancer : overviews of the National Breast and Cervical Cancer Early Detection Program and 2 US immunization programs.
Three federal programs with the potential to reduce cervical cancer incidence, morbidity, and mortality, especially among underserved populations, are administered by the Centers for Disease Control and Prevention (CDC): the National Breast and Cervical Cancer Early Detection Program (NBCCEDP), the Vaccines for Children (VFC) Program, and the Section 317 immunization grant program. The NBCCEDP provides breast and cervical cancer screening and diagnostic services to uninsured and underinsured women. The VFC program and the Section 317 immunization grant program provide vaccines, including human papillomavirus (HPV) vaccine, to targeted populations at no cost for these vaccines. This article describes the programs, their histories, populations served, services offered, and roles in preventing cervical cancer through HPV vaccination and cervical cancer screening. Potential long-term reduction in healthcare costs resulting from HPV vaccination is also discussed. As an example of an initiative to vaccinate uninsured women aged 19-26 years through a cancer services program, a state-based effort that was recently launched in New York, is highlighted.
Khan
Kris
K
Centers for Disease Control and Prevention, National Center for Chronic Disease and Health Promotion, Division of Cancer Prevention and Control, Atlanta, Georgia, USA. kkhan@cdc.gov
Curtis
C Robinette
CR
Ekwueme
Donatus U
DU
Stokley
Shannon
S
Walker
Chastity
C
Roland
Katherine
K
Benard
Vicki
V
Saraiya
Mona
M
D000293:Adolescent; D000328:Adult; D002648:Child; D055088:Early Detection of Cancer; D005260:Female; D006801:Humans; D017589:Immunization Programs / Q000191:economics* / Q000639:trends; D009313:National Health Programs; D009518:New York; D030361:Papillomavirus Infections / Q000517:prevention & control*; D053918:Papillomavirus Vaccines / Q000008:administration & dosage* / Q000191:economics; D014481:United States; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000191:economics / Q000453:epidemiology / Q000517:prevention & control*
D053918:Papillomavirus Vaccines