The 'Wilson and Jungner criteria' for screening include all of the following EXCEPT:
- A The disease should be an important health problem
- B There should be a recognisable latent or early symptomatic stage
- C The cost of case-finding should be balanced against overall expenditure
- D The screening test should be 100% specific to avoid false positives ✓
Explanation
Wilson and Jungner (1968) outlined 10 classic criteria for screening. A 100% specificity requirement is NOT among them — no real screening test achieves perfect specificity. The criteria require a suitable and acceptable test (simple, safe, valid) but acknowledge the trade-off between sensitivity and specificity. The other options are genuine Wilson-Jungner criteria: the condition should be important, have a detectable preclinical phase, and screening should be cost-effective.
Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.
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