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3: <strong>HPV</strong> AND CERVICAL CANCER: PUBLIC HEALTH PERSPECTIVESSummary• The inclusion of <strong>HPV</strong> testing in cervical screeningprogrammes is a promising option– Knowledge of a woman’s <strong>HPV</strong> status may add to heranxiety, particularly given the sexual mode of transmissionof the virus– However, the great potential of <strong>HPV</strong> testing for reducinganxiety – either by returning her to ‘normal’ status, or byallowing doctors to proceed more decisively with hermanagement – may at least balance this out• The ultimate equation to be resolved, when comparing aprogramme that uses some form of <strong>HPV</strong> testing with thecurrently successful cytology-based programmes, is therelationship between sensitivity and specificity, financial costsand savings, and psychological effects58
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