Private bathing can beat cervical cancer

The other day some of us the senior cancer specialists were discussing about ‘prevention of cervical cancer’.

Cervical cancer incidence has decreased in most countries, including those who have not implemented pap smear screening.

What are the likely reasons?

Dr. Anita Borges came with the interesting thought.

“Do you know that most women in India don’t bathe in privacy”, she exclaimed. “Cervical cancer has a lot to do with personal hygiene. Fix that and the incidence will come down.”

A very valid thought coming from a leading pathologist with decades of experience.

It is very unfortunate that women and men in India do not have the privacy of taking a completely bath without clothes as most places are public bathing spaces.

This certainly leads to poor genital hygiene and HPV viral infections which ultimately lead to cervical cancer.

So one of the easy ways to decrease this is by creating private bathing spaces. Swachh Bharat Abhiyan is a great campaign towards constructing toilets. It will be even beneficial to add a private bathing facility which can be a small room with a tap. This can reduce the incidence not only of cervical cancer but many other infections.

This cost effective solution is a lot easier to implement than mass screening/mass vaccination. So it is an appeal to the Swachh Bharat Abhiyan to add bathing spaces in addition to just toilets for the population which can be done with hardly any additional cost.

It is also interesting that Akshay Kumar is following up his film ‘Toilet ki ek premkatha ’ with another social awareness film ‘Padman’ based on Arunachalam Muruganantham’s story.

Influence by Tina must by the inspiration  for taking up these movies.

Hats off Akshay and Tina for creating awareness of a problem, we try to hide ‘ literally under the clothes’.

 

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Toilet ki ek aur katha- Personal hygiene and Prevention of Cervical cancer

I am so glad that ‘toilets’ are receiving the importance thanks to the movie ‘toilet ki ek prem katha’. Here ‘s the reason why toilets should be demanded by every lady !

Cervical Cancer incidence and mortality is decreasing steadily.

However most of the reduction happened in the developed countries as this graph shows.(GLOBOCAN)

All this happened even before HPV vaccine was introduced . Even pap smear screening was not total in some countries.

How did this happen?

Its clear that improved personal hygiene due to access to toilets with privacy was an important factor . Personal genital hygiene in both men and women can reduce cervical cancer.

Just compare with the countries with least number of toilets per capita ( WHO/UNICEF)

20150708_Toilets_FoGLOBOCAN_BSC_87648723

All  in the areas with high cervical cancer.

Of course there are other factors like unprotected sexual activity and HPV does spread due to poor habits. There was a nice study way back in 1999 from Kerala, in a survey based in Trivandrum centre,  that highlighted the correlation of cervical dysplasia to  lack of access to hygiene with toilets, sanitary napkins etc .

Expensive vaccines and even more expensive population screening are not suitable for large rural populations like India and Africa.

The fact however is that the rural and urban poor ARE AWARE of the ill effects of poor hygiene but have no access to clean toilets

That’s a preventable tragedy!

Its time for action !! It’s time this basic need is ensured in every household

Conflict of interest:

I know Akshay Kumar but was neither influenced or approached to write. The  thought developed for sometime in discussion with Dr Anita Borges.