Entre Nous: the European magazine for sexual and reproductive health: no. 64: can we prevent cervical cancer?

2 Entn� Nous The European Magazine for Sexual and Reproductive Health Entre Nous is published by: Reproductive Health and Research Programme WHO Regional Office for Europe Scherfigsvej 8 DK-2100Copenhagen 0 Denmark Tel:(+45)39171602 Fax:(+45)39171818 E-mail:entrenous@euro.who.int www.euro.who.int/entrenous Chief editor Dr Gunta Lazdane Editor Jacqueline Bryld Editorial assistant Dominique Gundelach Layout Sputnik Reklame Aps, Denmark. www.sputnikreklame.dk Print Central tryk Hobro a/s Entre Nous is funded by the United Nations Population Fund (UNFPA), New York, with the assistance of the World Health Organization Regional Office for Europe, Copenhagen, Denmark. It is published three times a year. Present distribution figures stand at: 3,000 English, 2,000 Spanish, 2,000 Portuguese, 1,000 Bul­ garian, 1,500 Russian and 500 Hungarian. Entre Nous is produced in: Bulgarian by the Ministry of Health in Bul­ garia as a part of a UNFPA-funded project; Hungarian by the Department of Obstetrics and Gynaecology, University Medial School of Debrecen, PO Box 37, Debrecen, Hungary; Portuguese by the General Directorate for Health, Alameda Afonso Henriques 45, P-1056 Lisbon, Portugal; Russian by WHO Regional Office for Europe Rigas, Komercfirma S & G; Spanish by the lnstituto de la Mujer, Minis­ terio de Trabajo y Asuntos Sociales, Almagro 36, ES-28010 Madrid, Spain. The Portuguese and Spanish issues are dis­ tributed directly through UNFPA representa­ tives and WHO regional offices to Portuguese and Spanish speaking countries in Africa and South America. Material from Entre Nous may be freely trans­ lated into any national language and reprinted in journals, magazines and newspapers or placed on the Web provided due acknowl­ edgement is made to Entre Nous, UN FPA and the WHO Regional Office for Europe. Articles appearing in Entre Nous do not necessarily reflect the views of UNFPA or WHO. Please address enquiries to the authors of the signed articles. For information on WHO-supported activi­ ties and WHO documents, please contact the Family and Community Health unit at the address given above. Please order WHO publications directly from the WHO sales agent in each country or from Marketing and Dissemination, WHO, CH-1211, Geneva 27, Switzerland ISSN: 1014-8485 © World Health Organization 2006 CONTENTS Editorial By Gudj6n Magnusson WHO's action plan against cervical cancer By Andreas Ullrich, Paul Garwood, Patricia C/ayes 3 4 Human papillomavirus, cervical cancer and HPV vaccines: public health issues By Felicity Cutts, Nathalie Broutet, Gunto Lazdane Cervical cancer prevention in Europe By Marc Arbyn 7 10 Integration of the vaccine against human papillomaviruses into national vaccination programmes By Matti Lethinen The European Cervical Cancer Association and the prevention of cervical cancer in Europe 12 By Magdalena Gree, Aleksandra Bogdanovic-Gillion, Imelda Read, Philip Davies 14 Cervical cancer screening -effectiveness and implications of HPV vaccines in Iceland By Kristjan Sigurdson 16 Cervical cancer screening in Lithuania By Oaiva Vaitkiene Recent trends in cervical cancer control in Poland By Marek Spaczyniski, Jan Kotarski, Andrzej Nowakowski, Witold K�dzia 19 22 Implementation of the national programme on diagnoses, treatment and prevention of cervical cancer in Armenia, 2006-201 S By Gayane Avagyan, Razmik Abrahamyan 24 Cervical cancer screening is effective-the Finnish experience By Ahti Antilla 26 Questions and answers - Common questions related to prevention of cervical cancer and the HPV vaccine By Gunto Lazdane Resources By Jacqueline Bryld 29 30 THE ENTRE NOUS EDITORIAL ADVISORY BOARD Dr Assia Brandrup­ Lukanow Senior Adviser to the Health Matrix Network WHO Headquarters, Geneva Mr Bjarne B. Christensen Secretary General, The Danish Family Planning Association Ms Vicky Claeys Regional Director International Planned Parent­ hood Federation, European Network, Brussels Jane Cottingham Coordinator, Gender, Repro­ ductive Rights, Sexual Health and Adolescence, WHO Headquarters, Geneva Dr Helle Karro Professor, Head Department of Obstetries and gynaecology Medical Faculty University ofTartu Estonia Dr Evert Ketting Netherlands School of Public and Occupational Health Amsterdam, The Netherlands Ms Nell Rasmussen Senior Consultant, Danish Centre for Research on Social Vulnerability Dr Peer Sieben UNFPA Representative and Country Director, Romania Dr Robert Thomson Adviser on Sexuality, Repro­ ductive Health & Advocacy, UNFPA Country Technical Services Team for Europe, Bratislava