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December 26, 2001

Cervical Cancer Screening in Developing Countries—Reply

Author Affiliations

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorJody W.ZylkeMD, Contributing EditorIndividualAuthor

JAMA. 2001;286(24):3079-3081. doi:10.1001/jama.286.24.3075

In Reply: Cytological screening has been available for more than 40 years, but less than 5% of women in the developing world have ever been screened.1 If the benefits of screening are to be extended to such women, safe and cost-effective alternatives to the Pap test must be identified. We disagree that our article may delay establishment of cytological screening. We evaluated alternative screening approaches because the infrastructure requirements and costs of cytological screening have essentially precluded its implementation in most of the developing world.

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