title: Organization and first results of cervical cancer screening program in Mayotte, from 2010 to 2014.
abstract: OBJECTIVE
  Our main goal was to report the organization of individual screening for uterus cancer in Mayotte, the last French department since 2011, and its first results.
  
  
  METHODS
  Epidemiological and observational study describing the prior situation, the beginning of the screening with pap smears in 2010, the colposcopy consultations and the treatment of the patients by the Mayotte network for screening of cancers since 2010.
  
  
  RESULTS
  The screening allowed an improvement of the global cover rate from 5% to 24% in 5 years. The best results concern the woman from 25 to 39 years old, with a rate that rose from 14 to 46%.
  
  
  CONCLUSIONS
  This study confirms the possibility and the efficiency of a screening program on this island, which is French by law, by much closer to developing countries on many other sides.
authors.affiliation: Service de gynécologie, d'obstétrique et de médecine de la reproduction, CHU de Caen, avenue de la Côte de Nacre, 14033 Caen cedex 9, France; Centre hospitalier de Mayotte, BP 04, 97600 Mamoudzou, Mayotte, France. Electronic address: zelda.stewart@hotmail.com.
authors.forename: Z
authors.initials: Z
authors.lastname: Stewart
authors.affiliation: Maternité régionale universitaire de Nancy, 10, rue du Docteur-Heydenreich, CS 74213, 54042 Nancy cedex, France; Centre hospitalier de Mayotte, BP 04, 97600 Mamoudzou, Mayotte, France. Electronic address: emilie.garcin04@gmail.com.
authors.forename: E
authors.initials: E
authors.lastname: Garcin
authors.affiliation: Service de gynécologie-obstétrique, CHU Brugmann, Bruxelles, Belgium; LPICM, CNRS, école polytechnique, université Paris Saclay, 91128 Palaiseau, France. Electronic address: andre.nazac@chu-brugmann.be.
authors.forename: A
authors.initials: A
authors.lastname: Nazac
authors.affiliation: Maternité régionale universitaire de Nancy, 10, rue du Docteur-Heydenreich, CS 74213, 54042 Nancy cedex, France. Electronic address: cecile.malartic@gmail.com.
authors.forename: C
authors.initials: C
authors.lastname: Mezan de Malartic
authors.affiliation: Réseau de dépistage du cancer (REDECA), 4, rue Mariazé, 97600 Mamoudzou, France. Electronic address: clemence.georges@hotmail.fr.
authors.forename: C
authors.initials: C
authors.lastname: Georges
authors.affiliation: Réseau de dépistage du cancer (REDECA), 4, rue Mariazé, 97600 Mamoudzou, France. Electronic address: aminatagoud@yahoo.fr.
authors.forename: A
authors.initials: A
authors.lastname: Cimmino
mesh_terms: D000328:Adult; D003127:Colposcopy; D017507:Comoros / Q000453:epidemiology; D055088:Early Detection of Cancer / Q000379:methods / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008403:Mass Screening / Q000379:methods* / Q000458:organization & administration* / Q000706:statistics & numerical data; D008875:Middle Aged; D065006:Papanicolaou Test; D015397:Program Evaluation; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000453:epidemiology*; D014626:Vaginal Smears; D055815:Young Adult; D002578:Uterine Cervical Dysplasia / Q000175:diagnosis / Q000453:epidemiology
keywords: Cervical cancer; Colposcopy; Mayotte island; Organized screening