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

Wilson and Jungner criteria for ideal screening include all of the following EXCEPT:

  • A The condition should be an important health problem
  • B There should be an accepted treatment for patients with the disease
  • C The cost of case finding should be economically balanced
  • D The test should be 100% sensitive to avoid all false negatives
Correct answer: D. The test should be 100% sensitive to avoid all false negatives

Explanation

Wilson and Jungner (1968) criteria for screening include: important health problem, known natural history, recognisable latent/early symptomatic stage, accepted treatment, facilities for diagnosis and treatment available, agreed policy on treatment, suitable test, test acceptable to population, and cost-effectiveness. There is NO requirement for 100% sensitivity — this is neither achievable nor a stated criterion. The choice of sensitivity/specificity threshold depends on the purpose of screening.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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