Colorectal cancer screening will still be tested on a sample of 20,000 people. In mammography screening, it will be important how many sites we will have.
Every year 200 women die for cervical cancer, one third of those who suffer from this disease. In the vast majority of cases, it is aware of the persistent HPV virus against which it can be vaccinated.
In Slovakia, however, only a small percentage of people will use it.
HPV virus is one of the most common sexually transmitted infections. More than half of both women and men are infected during their lifetime. Most people will overcome it within a few months, but in some cases it will develop into cervical cancer, genital warts, anal tumors, vaginal tumors or nasopharyngeal cancer.
Health insurers do not pay the full cost of the vaccine today, only part of it, and the rest of the patient is paid. The change is coming next year. From January, boys and girls receive the vaccine free of charge in the 13th year of life, that is, after having reached 12 birthdays.
As in other countries, this vaccination is not mandatory in our country. Parents can voluntarily decide whether their child will vaccinate against the HPV virus.
Why in the 13th year of life? The vaccine can not prevent the disease if someone is infected. Vaccination is therefore recommended at a young age when it is still assumed that they do not lead to sexual sexual life and therefore do not become infected.
Dissatisfied with plans
Vaccination against HPV is one of the measures of the National Ophthalmological Program (NOP), which has been missing for many years. The program should include everything from how we will address the prevention, treatment to treat cancer patients.
This is an important document because cancer is the second most common cause of death in our country.
Although we establish the NOP as one of the last countries in the European Union, patient organizations have not been enthusiastic when it was published in the summer of that year. They lacked specific things.
The ministry said it still came up with action plans.
"The action plan means what, for how many and when, then criticize me because I am not sufficiently substantive and direct," said Health Minister Andrea Kalavska.
The action plans were published by the Ministry at the end of November. There are at least approximate terms that are responsible for quantifying how much it will cost. Yet there is still criticism.
"With the exception of Action Plan Five, other action plans are clear, it relies on them and plans, recommendations, concepts and norms are drawn up, so that they only transfer the actual implementation to other future documents.
Moreover, there are hundreds of points out there, without concrete ideas – "Education and support for public policy in this direction plays a crucial role in achieving many of these objectives." But without debate, but how? ", Asks Katarína Fedorová of the association patients with hematological malignancies.
There are several questions. For example, whether or not to carry out a promised population screening or just to test a sample. Screening is a higher level of prevention.
Other social associations have not been able to express their plans because they have not yet been studied.
There are impressions active
Performing population screening for colon, uterine and breast cancer is one of the most important NOP measures. What it comes down to is that health insurers will actively invite a target group of people, so people of a certain age, to screen in time to detect cancer.
"Our goal is to achieve at least 50 percent participation in the screening, as we know, today it's only 30 percent," says the Ministry of Health.
Screening is cheaper than treatment and for the patient it is crucial that the disease is detected at a time when it is still treatable.
As it is with its launch, the ministry today explained during a press conference.
The screening program & # 39; s will start in January, but not at all. In the case of screening for colorectal cancer, a sample of 20,000 people was included, who received an attendee and a home-occult bleeding test. He then enters his doctor, and if the results are not good, they still get a colonoscopic wrinkle.
This screening is for people older than 50.
"In September we could know if that 50 percent were screening at the time, and if that is the case, mass screening will be organized in the near future, which would represent 400,000 people," says Rudolf Hrčka, the mayor of the endoscopic department of the hospital in Bratislava.
Such a screening campaign has been driving the Citizens Association No Cancer for years. Although the Ministry praises it, they are still waiting for coordination.
Jana Pifflová Spankova from the association says that as an organization that has been dealing with problems for 12 years, she has trained educational teams, gut-cups, information and advisory services.
"So far, despite the fact that we are not aware of the deadline, we are afraid it will be launched without support, awareness and public compliance," says Pifflová Španková.
Starting in January, screening for breast cancer should be started in women aged 50 to 69 years.
These should only be done in so-called workplaces. Of the 30 sites that have requested such an assessment, five.
Invitations will only be received from January onwards by those women close to whom the mammography workplace will be screened. The start will be gradual.
"I can imagine that after half a year we can tell which regions are fully represented by the workplaces," says Alena Kalylay, doctor at the Oncology Institute, Elizabeth in Bratislava.
The purpose of this screening is clear – to reduce the number of deaths from breast cancer by a third, which would mean saving lives for 300 women a year.
The screening for cervical cancer starts in the third year. Women between the ages of 23 and 64 are entitled to it.
"The aim is to record patients' oncological diseases as quickly as possible, thereby increasing the success of their treatment and the chance of recovery," explains Kalavska, the targets of the screening program.
If they see that women or men in a certain region do not go to screenings, they will take further steps.
"More GPs can be involved, it can influence the region by advertising," adds the head of the ministry.