Dr Sabah Baghdadi reports on the Romanian Society of Colposcopy
Romania has a high rate of cervical cancer (cancer of the neck of the womb). Women in Romania usually present to the doctor with cancer which already is advanced and this makes her treatment much more difficult and survival less likely. This in turn has a devastating effect on the woman's life and her family. It also represents a huge drain to the Romanian health care system, a system which already is suffering.
In the UK there is a cervical screening programme, "the smear test", which will detect changes in the skin of the cervix which are not yet cancerous but which have the potential to become cancer. Women with abnormal cells are referred to a colposcopy clinic where a gynaecologist (colposcopist) examines the cervix (neck of the womb) with a special microscope called a colposcope.
The aim of colposcopy is to identify where the abnormal cells are coming from and to treat the precancerous changes. In most instances the precancerous changes can be dealt with simply and efficiently on an out-patient basis and this simple treatment guarantees that the woman will not develop cancer in the future. In the UK the cervical screening
programme was introduced in 1988 and the intention was to reduce deaths from cervical cancer by 20% by the year 2000. This reduction actually occurred within 6 years and as of now the number of deaths from cervical cancer has more than halved in the last 14 years. Cancer of the cervix is now relatively rare in the UK.
In the UK every colposcopist has to undergo supervised training. The training is governed and controlled by the British Society for Colposcopy and Cervical Pathology (BSCCP). Only doctors who have been accredited by BSCCP are allowed to practice colposcopy in the UK. It is the intention that similar standards should be introduced throughout Europe and to that end the European Federation for Colposcopy (EFC) has a European grant which currently is being used to introduce minimum standards of training throughout the whole of Europe.
In 2001 Romania formed the Romanian Colposcopy Society and is now taking steps to ensure that the number of women developing cervical cancer in Romania is reduced significantly. Romania became a member of EFC in 2001 and is therefore involved with the training programme which is planned for the whole of Europe.
To promote cervical cancer prevention in Romania, CARE, appealed to Mr. Joe Jordan for help and advice. He is a well known Consultant Gynaecologist in Birmingham Women's Hospital and since 1972 has promoted teaching and training for those who wish to learn the technique of colposcopy. He is currently President of EFC and also an adviser to the World Health Organisation programme for prevention of cervical cancer world-wide. In 1997 2 Romanian gynaecologists (Dr. Nicu Cernea) visited Birmingham Women's Hospital to learn the technique of colposcopy. They returned home to establish the technique and in 1998 Mr. Jordan visited Romania and demonstrated the use of colposcopy to doctors there. The link between Romania and Birmingham is an important one and came about through the HEED programme (Help East European Doctors).
CARE sponsored the formation of the Romanian Society for Colposcopy largely through the hard work of Dr. Nicu Cernea. As a result of this representatives of the Romanian Society for Colposcopy attended the first
European meeting of the EFC in Rhodes, Greece, in October 2001. It was at this meeting that the Romanian Society for Colposcopy was accepted as a member of EFC. Through the link with EFC the Romanian doctors will receive much help and advice in colposcopy training and the primary aim of the Romanian Society is to promote colposcopy, so that more gynaecologists practice the technique of colposcopy, and to ensure that it is practised to the highest possible standard. In the long-term through the prevention of cervical cancer and through the detection of cancer at a very early stage, the women of Romania will benefit as will their families.
This project is now complete.
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