Exposing the Unseen Threat: Cervical Cancer’s Impact in Africa

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As I stepped into the bustling airport, a familiar scent wafted through the air, triggering vivid memories. It wasn’t just any odor—it carried with it a history etched in my mind. My colleague wrinkled his nose, questioning the unpleasant stench in an international airport. But for me, it held deeper significance.

It instantly transported me back to my early days as a doctor, the corridors of gynecology wards, and a vivid recollection just two weeks prior, meandering through the radiation oncology unit at my hospital. That scent—distinct and discomforting—tugged at my thoughts, echoing a silent and pervasive threat that quietly shadows the African continent: cervical cancer.

Cervical cancer—a term evoking dread—is the fourth most common cancer globally among women, but its grip is particularly alarming in Africa, claiming 12% of all cancer cases. The statistics paint a dire picture—34 in every 100,000 African women face this diagnosis, with 23 succumbing to its clutches annually. In contrast, North America’s numbers pale in comparison, with 7 in 100,000 diagnosed and 3 in 100,000 losing their lives yearly.

This disease, stemming from the cervix and often rooted in the Human Papillomavirus (HPV), is preventable and treatable in its infancy. Yet, when overlooked, its consequences are devastating, causing uncontrollable bleeding and excruciating pain. Its pungent odor becomes a haunting reminder—a lingering shadow signaling its silent presence.

Dr. Georgios Nikolaou Papanicolaou revolutionized cervical cancer detection in 1920, introducing the groundbreaking PAP smear, scrutinizing cervical cells under a microscope. This screening method, named after him, paved the path for early detection.

Technological strides have birthed alternative screening methods, including HPV testing, identifying those at risk. Vaccines targeting HPV have substantially slashed cervical cancer rates in vaccinated populations, a testament to their efficacy.

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Yet, while developed nations reap these benefits, most African countries grapple with limited vaccine access and screening challenges. Sparse healthcare facilities in rural areas, cultural barriers, and inadequate awareness impede progress. Affordability remains a barrier, placing these life-saving interventions beyond many’s reach.

The fight against cervical cancer in Africa necessitates collaboration—governments, nonprofits, healthcare providers, and communities must unite. Comprehensive awareness campaigns, free vaccinations, accessible screenings, and affordable treatments are the crux. Expansion of HPV vaccine usage to older age groups holds promise for secondary prevention.

As I departed the airport, that poignant odor lingered, a poignant reminder of the uphill battle against cervical cancer. History has taught us the power of early detection; now, it’s time to ensure every woman, irrespective of geography or status, has access to life-saving preventive measures.

  • Emmanuella “Ella” Amoako, Co-founder of Global Health Unfiltered, Global Health Unfiltered Podcast Co-host, Director of Clinical Affairs at Yemaachi Biotech, and fervent advocate for cancer care in Africa

Source: Citinews