Download Slide presentation for Primary HPV consultation

National Cervical Screening Programme Changing the primary laboratory test
Public consultation
October 2015
Presentation overview
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Success of the NCSP today
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What is HPV?
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HPV immunisation
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Future directions – changing the primary screening test
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Public consultation – what do you think?
NCSP Key Messages
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Our NCSP is one of the most successful cervical screening programmes in
the world.
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Cervical cancer is one of the most preventable cancers and screening
women every three years reduces the risk of developing it by up to 90
percent.
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We are reducing the incidence and mortality rate of cervical cancer by
detecting and treating pre-cancerous squamous cell changes.
Reducing the incidence and mortality of cervical cancer
Source: Cervical Cancer : Symptoms, Stages and Treatment.
www.medicinenet.com493 × 335
What is HPV?
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HPV is a common virus
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Infects both men and women
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It usually has no signs or symptoms and mostly goes away on its own
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Some types cause cancers, including cervical cancer
Parkin, D. M and Gray, F. 2006. Chapter 2: The burden of HPV-related
cancers. Vaccine, 31(24)S3, 11-25
HPV immunisation
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Immunisation and screening offer the most effective protection against
cervical cancer.
More Māori and Pacific women are HPV immunised than other ethnic
groups.
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Protects against high-risk HPV (16 and18) that cause up to 70% of cervical
cancer. Also protects against genital warts (HPV 6 and 11). The vaccine
does not protect against all hrHPV types.
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Immunised or not, women still need to participate in regular cervical
screening.
Future direction - Changing the test
Moving to HPV primary screening in NZ
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WHO recommends hrHPV primary screening and many countries are
implementing HPV primary screening programmes
A woman still needs to have a smear
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Less frequent screening: every 5 years instead of 3
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Possible age range 25 – 69
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Possibility of self-sampling for some women, could reduce barriers to
accessing screening
Potential benefits of HPV primary screening:
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Fewer cervical cancer cases and deaths
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Fewer smears throughout a woman’s life
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Better detection of risk of precancerous cervical cell changes
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Effective for HPV vaccinated, and those who are not
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Test interpretation is less subjective
Opportunity for some women to do HPV self-sampling for women
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New Zealand programme remains consistent with internationally recognised
best practice
Next steps
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Public consultation during October 2015
What do you think? www.nsu.govt.nz
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Nothing changes until 2018!
Questions?