It is High Time Indian doctors focus on Pubic Awareness Cervical Cancer Prevention : Dr Sharda Jain

1. It is High Time Indian
doctors focus on Pubic
Awareness
Cervical Cancer
Prevention
Dr Sharda Jain

2. Cervical cancer is leading
cause of mortality among
women
2020
6 lac /3.5 lac
23-Commonest
36 – Major
Cause of death

3. Imagine an Airbus with
200 female passengers crashing every day in India

4. SAME NO OF DEATHS OCCUR PER DAY IN INDIA DUE TO CERVICAL CANCER
~200 WOMEN DIE DAILY DUE TO CERVICAL CANCER
1 in 8 minutes

5. WHO NOV 2020  C C M B

6. Itis a cancer of cervix caused by
Human Papilloma virus (HPV),
a sexually transmitted infection (STI)
CERVICAL CANCER

7. CERVICAL
CANCERHPV
Normal cervix Early stage Late stage

8. WHO ALL ARE AT RISK ?
• Nearly everyone gets contracted with HPV at some point in their lives
• Over 51 crore woman aged 15 yrs. or more are at risk of cervical cancer in India
• 2nd leading cause of female cancer in India
• 2nd most common female cancer in women aged 15 to 44years in India
• DEATHS DUE TOCERVICALCANCER ARE 3TIMES MORETHANMATERNALDEATHS

9. SIGNS AND SYMPTOMS OF CERVICAL CANCER
• At early stage, cervical cancer may not cause signs and symptoms.
• Advanced cervical cancer  bleeding or discharge from
the vagina that is not normal, such as bleeding after sex.
• AWARENESS tobecreated In case of any of these signs, its advisable
to consult your doctor.

10. Other HPV associated Female cancers are
• Vaginal cancers
• Vulvar cancers
• Anal cancers &
• Oropharyngeal cancers
CERVICAL CANCER…is not the only ca ncer HPV
causes

11. • Apart from cancers, HPV can also cause
warts at the genital parts
• They appear as brown or pink swelling
• Cauliflower like shaped caused by several warts
• These warts are non-cancerous
• They cause itching or discomfort in the genital area
• Bleeding after intercourse
HPV ALSO CAUSES GENITAL WARTS…

12. ARE ONLY FEMALES AFFECTED WITH HPV?
MALES ARE EQUALLY AFFECTED
• At 30 year clearence of HPV in Males is less than
Females
• HPV associated Male cancers are Anal cancers,
penile cancers & oropharyngeal cancers
Penile Cancer

13. genital warts in male
HPV ALSO CAUSES GENITAL WARTS…

14. MODES OF TRANSMISSION
• HPV is transmitted through intimate, skin-to-skin contact with an
infected person. Transmission is most common during vaginal,
penile, anal or oral sex
• Poor genital hygiene has been related to Cervical cancer due
to HPV infection
• Males act as HPV reservoir and transmit to female partner
time & again.

15. • Cervical cancer affects women in the prime of their LIFE when she is
needed most by family & time that is critical to economic
and social stability
• It enforces the victim to reduce their work productivity while they
incur heavy medical costs
CHALLENGES ASSOCIATED WITHCERVICAL CANCER?

16. Social impact of Cervical cancer includes –
1.Social discrimination from neighbors, community, close friends & husband while
majority of victim devalue themselves because of bad smell of vaginal discharge,
isolation, rejection by others, and prolonged cancer hospitalization
2. Loss of sexual functioning
3.Treatment negatively affects body image .
4. Loss of femininity or womanhood due to infertility problems
5. Loss of confidence
CHALLENGES ASSOCIATED WITHCERVICAL CANCER?

17. • Economic impact of Cervical cancer includes –
• Financial distress
• Work and Employment Challenge –Negatively affects work and
employment status of victims working in public & private sector.
Illness reduces work hours and even stop work.
• Loss of monthly Income
CHALLENGES ASSOCIATED WITHCERVICAL CANCER?

18. PREVENTION
की सोचो
P

19. Would you invest Rs. 2000 in
maintenance & servicing your car?
Spend 2,00,000 on repair?
OR
Same with Cervical Cancer 
90/70/90

20. WHAT
SCHOOL
/COLLEGES
CAN DO FOR
STUDENTS
WELFARE?

21. WHAT
ORGANISATION
CAN DO FOR
EMPLOYEE
WELFARE?

22. WHAT SHOULD BE THE ROLE –
school / college /organisation
• Conduct awareness sessions for parents on HPV preventable cancers and
diseases
• Conduct open sessions in which employees along with their children can
come and attend the session
• Conduct vaccination campaigns for employee’s children or young
employees
• Guide parents on burden of disease and itspreventive measures like
vaccination, screening and awareness of HPV related cancers and diseases

23. CERVICAL CANCER –PREVENTION ISTHE BEST CURE
CURE
CARE
HPV vaccination could prevent CERVICAL & OTHER
CANCERS caused by certain type of HPV

24. HPV VACCINATION –BASIS OF CANCER CONTROL
Primary prevention is VACCINATION
Secondary prevention is
Awareness & Screening
Cancer Treatment
Palliative CARE

25. PRIMARY PREVENTION - VACCINATION
HPV Vaccination is indicated in Women &Men
Age at the time
of the first injection
Immunization and
schedule
9 to 14 years
Two doses schedule
at 0, 6 months
15-26 years Three doses
schedule at 0, 2,
6 months
1. Preventing cancer isbetterthan treating it
2. Treating cancer is a costly affair includes lakhs of rupees
3.Vaccination costs only Rs. 2000 per dose
Sii qHPV vaccine schedule

26. HPV VACCINES
• Three HPV vaccines are available in India to prevent HPV
related disease. Two vaccines are imported hence the cost of
vaccine ishigh.
• Recently, a new brand of HPV is launched in India. In fact, this is
India’s firstIndigenously manufactured quadrivalent HPV
vaccine.
• This vaccine is made available at a very affordable price
offering easy accessibility to everyone.

27. SECONDARY PREVENTION - SCREENING
Cervical cancer screening should start at 21 years of age
Age group Screening recommendation
21 - 29 years old Pap test every three years
30 - 65 years old • Pap test and HPV test
(co-testing) every five years or
• Pap test every three years.
Benefits:
1. Screening helps find cervical cancer early before symptoms appear
2. A Pap test helps find cervical cancer before it spreads when it is easier to treat
3. Early detection may mean less treatment and better prognosis
4. The earlier cervical cancer is detected, the better are the chances of survival
VIA /
VILI

28. FOR MORE INFORMATION ON HPV INFECTION & VACCINATION
CONSULT YOUR DOCTOR TODAY!

29. 1.Fondly known as Teacher of Teachers
2.Director Lifecare Centre & Lifecare IVF
3.Founder & Secretary general of Delhi Gynaecologist forum , a body of over 2500 members .
4.Founder & Chairperson of North India Gynaecologist forum (NIGF) , body cover 10 sates .
5.NMC / MCI : Ethical committee member ,an apex body of 14 lacs modern Medicine doctors since
2018
6.Business World : Included her in Top 20 Most Influential women in Healthcare in INDIA (8/03/22)
7.DMC Expert since 2009 to till date
8.Passionate medical activist..has given leadership role in removing Female Feticide , Movement of
Anemia, Save Uterus Campaign, Save ovary Campaign and Every Mother Counts etc.
9.Given concept of JANANI SURAKSHA YOJNA & ASHA WORKER to GOI.
10. Spearheading movement of Doctors safety /Medico legal Awareness Unity of North India
Gynaecologists
11.Decorated with many Lifetime achievement & Living Legend Award from many bodies including
LHMC AA, FOGSI ,DMA ,DGF , WOW India
Dr. Sharda Jain
M.D. (PGIMER), MNAMS,FICOG,FIMSA,DHM,
QM &AHO
PGDMLS (SYMBIOSIS)