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> " Along the US-Mexico Border, a Treatable Disease is Still a

>Killer "

>

>

>Associated Press (03.02.02)::Lynn Brezosky

> For women worldwide, the Pap smear has detected cell

>abnormalities that can be treated long before they develop into

>cancer. But mortality rates have held frustratingly steady in

>some regions plagued by poverty, language barriers and young

>motherhood. These rates indicate that women are not getting the

>Pap test or are not pursuing follow-up care when tests show

>abnormalities.

> The 19-county US-Mexico border area known as the Rio Grande

>Valley is one of these regions. Other trouble spots include five

>counties in Maine; 14 counties in rural Alabama; parts of West

>Virginia and California; and concentrations of Native-Americans

>in the Southwest and Alaska. Worldwide, almost 360,000 cases of

>cervical cancer were detected in 1990, with 190,000 women dying

>of the disease. Women in Third World countries have relatively

>high incidences of STDs, including the human papilloma virus, a

>precursor to cervical cancer. By the time the cancer is caught,

>it's often far advanced.

> The incidence rate for cervical cancer in the Rio Grande

>between 1995 and 1997 was 13.6 per 100,000 women. From 1994 to

>1998, that figure was 8.5 per 100,000 women nationwide. Just as

>much a factor is failure at continuing care. Even when a Pap

>smear comes back abnormal, a woman may forego follow-up. The

>results are a regional mortality rate of 3.8 per 100,000,

>compared to 2.3 per 100,000 nationwide. " They may be afraid; they

>don't want to know they're sick. But the message we have to

>convey is: 'Get the Pap,' " said Jane Delgado, president and CEO

>of the National Alliance for Hispanic Health.

> Under the Breast and Cervical Cancer Prevention and

>Treatment Act passed by Congress last year, states are eligible

>for federal Medicaid matching funds to provide free medical care

>to low-income women diagnosed with breast or cervical cancer.

>Texas plans to take advantage of the initiative. A state law

>effective Sept. 1 provides free breast and cervical cancer

>treatment to women who have no insurance but whose incomes are

>too high for Medicaid.

>

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