With the aim of preventing and detecting cervical cancer among women in Kerala, Health Minister Veena George shared that the health department's campaign, ‘Aarogyam Anandam Akratham Arbutham,’ has seen participation from over 20 lakh people. Out of these, around 30,000 individuals underwent further examination, and cancer was confirmed in 84 of them. Additionally, 243 individuals showed pre-cancerous signs. By identifying and treating these early warning signs, the minister emphasized that cervical cancer can often be prevented.Cervical cancer remains one of the major cancers affecting women, she noted. While multiple factors can contribute to its development, the primary cause is infection with the human papillomavirus (HPV). Research indicates that roughly 7.9% of women in Kerala are affected by cervical cancer. Early detection is key, as it allows treatment to proceed without serious complications. Screening facilities are available to help in early identification.What Is Cervical Cancer?Cervical cancer develops in the cervix, the lower portion of the uterus. It is almost always linked to a long-lasting HPV infection, which can cause normal cells to change and grow uncontrollably. While the body often clears HPV naturally, persistent infection can lead to pre-cancerous cell changes. If these changes are left untreated, they may progress into invasive cancer.Signs Of Cervical CancerSome common warning signs of cervical cancer include abnormal vaginal bleeding (between periods, after sexual intercourse, or post-menopause), unusual vaginal discharge (which may be watery, bloody, or foul-smelling), and pelvic pain. As the cancer advances, more severe symptoms such as swelling in the legs, ongoing fatigue, and problems with urination or bowel movements can develop, according to the National Cancer Institute.Why Early Detection Of Cervical Cancer Is ImportantCatching cervical cancer early is critical because it allows treatment to begin before the disease advances, significantly improving survival chances. Cervical cancer usually develops slowly and may not cause symptoms in the early stages, making regular screening vital.What Causes Cervical Cancer?Most cases of cervical cancer are caused by HPV, a sexually transmitted infection. HPV spreads through sexual contact—including vaginal, anal, or oral sex—and can lead to cancer. Many people contract HPV at some point without realizing it, as their immune system may fight it off naturally. However, if the infection persists, it can trigger changes in cervical cells that may become cancerous.How To Detect Cervical Cancer?Early detection relies on routine screening tests such as the Pap test (Pap smear) and the HPV test, which can detect precancerous changes or high-risk HPV infections before cancer develops. If screening results are abnormal, a colposcopy with a biopsy may be conducted for a closer examination of the cervix.Screening tests:HPV test: Detects the human papillomavirus (HPV), the main cause of cervical cancer.Pap test (Pap smear): Examines cervical cells for abnormal changes that could progress to cancer.Combination test: A Pap test and HPV test may be done together for a more thorough screening.Importance Of HPV VaccinationThe HPV vaccine protects against genital warts and the majority of cervical cancer cases. It also shields against cancers of the vagina, vulva, penis, or anus caused by HPV, as well as cancers of the mouth, throat, and head and neck linked to the virus.The vaccine works by helping the body develop immunity to certain HPV strains, making it easier to fight off infection if exposed later.India is expanding HPV vaccination to prevent cervical cancer, targeting girls aged 9–14 through school-based campaigns and incorporating the indigenously developed Cervavac into the National Immunization Program. The ideal age to start vaccination is 9–12 years, before sexual activity begins, though catch-up doses are allowed up to age 26. Some guidance even permits vaccination up to age 45. The government is preparing for a nationwide rollout, but final plans and vaccine supply are still being finalized.
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