The scope of cancer screening will be expanded, and cancer screening is a public welfare activity that cares for women's health. The publicity and education efforts of government departments in China are gradually increasing, and the social attention to women's health is also gradually increasing. Two cancer screening targets will be expanded.
The screening scope of two cancers will be expanded 1. On June 8, the National Health and Wellness Committee issued the Work Plan for Cervical Cancer Screening and the Work Plan for Breast Cancer Screening, proposing to provide cervical cancer and breast cancer screening services for school-age women. The scope of screening services has expanded from rural school-age women to urban and rural school-age women (35 to 64 years old), and priority has been given to rural women and urban low-income women.
Cervical cancer and breast cancer are the main diseases that affect women's health in China. Population screening is an effective measure to promote the early diagnosis and treatment of cervical cancer and breast cancer. 20 19 included the "two cancers" (cervical cancer and breast cancer) examination items of rural women in the original major public health service items into the basic public health service content. In recent years, local governments have continuously increased their investment in screening women for cervical cancer and breast cancer, and more and more women have benefited from it.
On June 4th, 2020, 65438+February 4th, 2020, in Beichentun Village, Xiaowangzhuang Town, Yunhe District, Cangzhou City, Hebei Province, medical staff registered the information of women's "two cancers" for the masses. (Photo by Xinhua News Agency reporter Ma Ning)
In 2020, the World Health Organization put forward the three-level prevention goal of eliminating cervical cancer. Under the new situation, National Health Commission revised and improved the 20 19 version of the management standard for rural women's "two cancers" examination project, and organized and formulated the above two screening programs. In addition to expanding the scope of screening services, the program also improved the content of screening services, updated the process of cervical cancer screening, proposed to make a good connection between screening and follow-up diagnosis, and actively used technologies such as the Internet and artificial intelligence to improve the primary prevention and treatment ability of cervical cancer and breast cancer.
According to the plan, the main processes of cervical cancer screening include gynecological examination, cervical cancer screening, colposcopy examination and histopathological examination. The main procedures of breast cancer screening include breast physical examination, breast color ultrasound examination and breast X-ray examination. Screening work also includes follow-up management of abnormal or suspicious cases, social publicity and health education services. To this end, the core knowledge of health education for the prevention and treatment of cervical cancer and breast cancer is added to the program.
The program emphasizes the principle of putting prevention first, combining prevention with treatment and comprehensive policy, aiming at promoting early diagnosis and treatment of diseases and improving women's health. According to the plan, by the end of 2025, China will achieve specific goals such as the cervical cancer screening rate of school-age women reaching over 50% and the breast cancer screening rate increasing continuously.
Two cancer screening targets will be expanded. Double Ribbon Action for Cancer Screening: In China, every year 10 is breast health care month, one of the purposes is to prevent and treat breast diseases as soon as possible and reduce the threat of breast cancer to women's lives. The symbol of its publicity and publicity is "pink ribbon". Using this idea for reference, the double cancer screening for simultaneous screening of breast cancer and cervical cancer is marked by "double ribbons".
Two cancers refer to cervical cancer and breast cancer. Screening for two cancers refers to finding out whether the subject is cancer or general gynecological diseases through advanced examination methods.
The purpose of screening two kinds of cancers is to eliminate these two kinds of cancers harmful to women's health as soon as possible. Do early diagnosis, early detection, early prevention and early treatment.
The nature of cancer screening: it is a public welfare activity that cares for women's health. The publicity and education efforts of government departments in China are gradually increasing, and the social attention to women's health is also gradually increasing.
Screening project
Cervical cancer screening mainly includes routine gynecological examination, vaginal/cervical secretion examination, Pap test of cervical exfoliated cells or acetic acid staining (VIA)/ compound iodine staining (VILI).
If the results of Pap test or cervical acetic acid staining/compound iodine staining are positive or suspicious, further colposcopy examination is needed.
Those with suspicious or positive colposcopy results need further histopathological diagnosis.
Breast cancer screening mainly includes: all women who have been examined have breast examination and palpation.
The suspected and high-risk groups were examined by breast color Doppler ultrasound, and those who were suspected or positive by color Doppler ultrasound were examined by molybdenum target X-ray.
Two cancer screening targets will be expanded. Cervical cancer and breast cancer are major diseases that affect women's health in China. Population screening is an effective measure to promote early diagnosis and treatment of cervical cancer and breast cancer. In order to further standardize the screening of cervical cancer and breast cancer, the General Office of the National Health and Wellness Committee recently issued the "Work Plan for Cervical Cancer Screening" and "Work Plan for Breast Cancer Screening" documents, mainly including five aspects: work objectives, clients, work contents, safeguard measures and division of responsibilities.
It is mentioned that the screening target is all women aged 35-64, giving priority to rural women and urban low-income women. Cervical cancer screening includes gynecological examination, cervical cancer screening, colposcopy, histopathological examination and other processes, while breast cancer screening includes breast physical examination, breast color ultrasound examination and breast X-ray examination and other processes. By the end of 2025, it is necessary to achieve specific goals such as the cervical cancer screening rate of school-age women reaching more than 50% and the breast cancer screening rate constantly improving.
According to reports, on the basis of the 20 19 version of the "two cancers" examination standard for rural women, the "cervical cancer screening work plan" and "breast cancer screening work plan" mainly have the following adjustments:
First, the screening service targets have been expanded. We will expand the screening target from rural school-age women to urban and rural school-age women, giving priority to rural women and urban low-income women.
The second is to improve the content of screening services. Update the cervical cancer screening process, put forward the connection between screening and follow-up diagnosis, and actively use technologies such as the Internet and artificial intelligence to improve the screening ability at the grassroots level.
The third is to highlight the quality control requirements. It is clear that the medical institutions and delivery testing institutions involved in the screening should carry out the whole process quality control, and carry out the quality control work according to the specific requirements of the quality evaluation manual for cervical cancer and breast cancer screening.
The fourth is to clarify the main points of publicity and education. Guide all localities to further strengthen the publicity of knowledge about the prevention and treatment of cervical cancer and breast cancer, raise the awareness of those who are the first responsible for women's health, and provide core knowledge about the prevention and treatment of cervical cancer and breast cancer for local reference, so as to improve the publicity efficiency.