The WHO global strategy adopted by member states sets three targets for 2030 to move countries towards eliminating cervical cancer as a public health problem. These targets are correctly stated as:

• A Screen 90 percent of women with HPV testing every five years, vaccinate 70 percent of boys, treat all CIN with cryotherapy
• B Vaccinate 70 percent of adolescents, screen 90 percent of women annually with Pap smear, treat 50 percent of precancerous lesions
• C Vaccinate 100 percent of girls at birth, screen every woman once by age 30, treat 80 percent of invasive cancers with radiotherapy
• D Vaccinate 90 percent of girls fully by 15 years, screen 70 percent of women twice with a high-performance test by ages 35 and 45, treat 90 percent of identified cervical disease ✓

Explanation

The WHO triple-intervention targets are 90-70-90: full HPV vaccination of 90 percent of girls by 15 years of age, twice-lifetime high-performance screening covering 70 percent of women at ages 35 and 45, and treatment of 90 percent of women with detected cervical precancer or invasive disease. Modelling suggests achieving these thresholds could avert the majority of future cervical cancer deaths and make elimination feasible within a century.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

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Written and medically reviewed by the StethoPrep medical team.