Community Medicine (PSM) · Screening of Diseases and Health Concepts

Wilson and Jungner's classic criteria for a disease to be suitable for screening include all of the following EXCEPT:

  • A The condition should be an important health problem
  • B The test must have 100% sensitivity to avoid missing any case
  • C The natural history of the disease must be well understood
  • D The facilities for diagnosis and treatment must be available
Correct answer: B. The test must have 100% sensitivity to avoid missing any case

Explanation

Wilson and Jungner's 10 criteria (1968) do not require 100% sensitivity — they require that the test be simple, safe, precise, validated, and acceptable to the population. No screening test achieves 100% sensitivity without an unacceptable false-positive rate. The criteria emphasise that the test must be acceptable (not perfect), and that the programme should be cost-effective. A perfect sensitivity is neither achievable nor a stated criterion.

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

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