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SECTION I<br />

1. Total population<br />

2. Total males<br />

3. Total females<br />

4. Urban population<br />

5. Rural population<br />

6. Number of women 30-59 years of age<br />

7. Number of girls 9 years of age<br />

8. Number of girls 10 years of age<br />

9. Number of girls 11 years of age<br />

10. Number of girls 12 years of age<br />

11. Percentage of girls who have completed<br />

primary education<br />

Note: Please indicate year and source<br />

DEMOGRAPHIC DATA<br />

SECTION II<br />

1. Incidence of cervical cancer<br />

2. Mortality due to cervical cancer<br />

3. Number of cases annually<br />

4. Number of deaths annually<br />

BURDEN OF DISEASE<br />

5. Has any study of HPV infection prevalence been<br />

conducted in your country?<br />

If yes, please provide reference:<br />

Report of an African Regional Meeting on Cervical Cancer: September 2010 77

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