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No change in death rate since 1968 USA and Finland have reduced their death rates by 50% in 10 years Does it satisfy Wilsons Criteria?
Wilsons Criteria Condition must be: –common –important –diagnosable –have a latent interval Screening must be: –cheap and simple –continuous –targeted towards a high risk group
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Ellman & Chamberlain 1984 Review of 100 Cervical Cancer Deaths 68 never screened 10 no smear for 5 years 13 positive smears not followed up 91 potentially preventable
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