Risk factors for HPV persistence and development of cervical cancer
Early first sexual intercourse
Multiple sexual partners
Tobacco use
Immune suppression
Scope of the problem
In developed countries, programmes are in place which enable women to get screened, making most pre-cancerous lesions identifiable at stages when they can easily be treated. Early treatment prevents up to 80% of cervical cancers in these countries.
In developing countries, limited access to effective screening means that the disease is often not identified until it is further advanced and symptoms develop. In addition, prospects for treatment of such late-stage disease may be poor, resulting in a higher rate of death from cervical cancer in these countries.
The high mortality rate from cervical cancer in India could be reduced by effective screening and treatment programmes.