2021-11-16-世界卫生组织-Cervical_cancer_Brazil_2021_country_profile_1页_64kb

Brazil Cervical Cancer Profile Summary

Morbidity and Mortality

• Crude cervical cancer incidence was 16.4 per 100,000 women in 2020.
• Age-standardized incidence was 12.7 per 100,000 women in 2020.
• Cumulative risk before age 74 was 1.3% in 2020.
• Cervical cancer deaths were 95,000 in 2019.
• Mortality-to-incidence ratio was 0.52 in 2020.
• A population-based cancer registry exists (as of 2021).

Primary Prevention

• HPV vaccination coverage among girls was 72% by age 15, with a program introduced in 2014 targeting 9–14-year-old girls.
• National HPV vaccination program coverage reached 89% by age 15, with about 6 in 10 girls vaccinated by age 15.
• Risk factors include tobacco use (prevalence 1.3% among women aged 15+ years), condom use (data not specified), and HIV incidence (2.8 per 1000 among women aged 15+ years).

Secondary Prevention and Screening

• A national screening program exists for cervical cancer (as of 2021).
• Primary screening test is cytology (as of 2021).
• Target age range for screening is 25–64 years (as of 2021).
• Only 41% of women aged 25–64 were screened in the last 5 years, with about 4 in 10 women reporting screening.
• Limited information on strengthening early detection at primary health care level.

Treatment and Supportive Care

• National guidelines on cervical cancer management exist (as of 2021).
• Cancer diagnosis and treatment services vary, with specific deficiencies noted in some resources like radiotherapy and medical staff availability.
• Treatments include cancer care services, with gaps in specialized personnel such as radiation oncologists and chemotherapy availability.
• Palliative care for non-communicable diseases is generally available in the public health system.

WHO Elimination Strategy and Targets

• Brazil has set targets under the WHO Cervical Cancer Elimination Strategy for 2030, focusing on reducing incidence and mortality through improved prevention and treatment.
• The female population in 2019 was 107.3 million, with related deaths around 608,000, indicating ongoing public health challenges.