Global strategy to accelerate the elimination of cervical cancer as a public health problem

Overview

This global strategy to eliminate cervical cancer proposes:

• a vision of a world where cervical cancer is eliminated as a public health problem;
• a threshold of 4 per 100 000 women-years for elimination as a public health problem; 
• the following 90-70-90 targets that must be met by 2030 for countries to be on the path towards cervical cancer elimination:

• 90% of girls fully vaccinated with HPV vaccine by age 15 years.
• 70% of women are screened with a high-performance test by 35 years of age and again by 45 years of age
• 90% of women identified with cervical disease receive treatment (90% of women with precancer treated, and 90% of women with invasive cancer managed).

• a mathematical model that illustrates the following interim benefits of achieving the 90-70-90 targets by 2030 in low- and lower-middle-income countries:

• median cervical cancer incidence rate will fall by 42% by 2045, and by 97% by 2120, averting more than 74 million new cases of cervical cancer;
• median cumulative number of cervical cancer deaths averted will be 300 000 by 2030, over 14 million by 2070, and over 62 million by 2120.