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癌症的疾病负担日趋严重，具有诸多危险因素，防控形势严峻复杂。宫颈癌是女性健康的重要威胁，然而其病因明确，三级预防措施有效，是目前最有可能实现防控突破的癌种之一。2021年度，各地区初步建立政府主导、部门协同、专业机构支持、社会共担的工作机制，以宫颈癌防控为突破口逐步完善癌症三级预防体系。部分试点地区完成年度目标，在宫颈癌三级预防的工作中取得突出成果和政策性突破，形成癌症防控的创新服务模式。然而，癌症防控工作仍面临许多挑战，包括HPV疫苗接种率低、癌症筛查覆盖率低、癌症防控信息平台建设不完善等。未来应进一步促进将癌症防控融入政府政策，推进疫苗免费或定额补贴接种，提高癌症筛查精准度、可及性和业务水平，完善基于个案的信息系统建设，实现信息系统的互联互通等，最终促进试点工作的高效持续推进和创新模式的不断完善。
<<Cancer has been exerting an increasingly serious disease burden with a variety of risk factors and a complicated situation of prevention and control. Although cervical cancer is a prominent threat to women’s health，elucidated cause and effective comprehensive prevention strategies make it one of the cancers most likely to be conquered. Cancer prevention and control is one of the major actions of the Healthy China Initiative，and China has announced full support for the “Global Strategy to Accelerate the Elimination of Cervical Cancer” launched by the World Health Organization. In the context of promoting the Healthy China Initiative and constructing healthy cities，15 pilot areas are selected to implement innovative work of cancer prevention and control，with health education，HPV vaccination，cancer screening，and standardized treatment as the main contents. In 2021，pilot areas have initially established a government-leading，department-coordinating，professional institution-supporting，and society-sharing work mechanism to gradually improve the primary，secondary，and tertiary cancer prevention system with cervical cancer prevention and control as a breakthrough. Additionally，in some areas，annual targets have been accomplished with remarkable outcomes and policy breakthroughs，and innovative models of comprehensive prevention of cancer have been formulated. However，challenges embodying low coverage of HPV vaccination and cancer screening and imperfection of information platform are being encountered at work. In order to maintain an efficient and continuous pilot work and to refine the innovative model，future effort should be concentrated on integrating cancer prevention into policies，promoting free or subsided HPV vaccination，improving the accuracy，accessibility and operational ability of cancer screening，constructing and interconnecting individual-based information platform and system. The pilot work will be further expanded in aspect of regions covered and cancer types included，and will gradually form a reproducible and generalizable model of comprehensive cancer prevention and control for priority cancers，effectively protecting people’s health and helping achieve the goal of a healthy China.
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