Cervical Cancer Elimination in Scotland Expert Group Final Report

Footnotes

1 Scottish cervical screening programme statistics - Annual update to 31 March 2021 - Scottish cervical screening programme statistics - Publications - Public Health Scotland

2 HPV Immunisation Statistics Scotland

3 Sustained impact of bivalent HPV immunisation on CIN incidence over two rounds of cervical screening. Int J Cancer 2025;1-13.

4 No cervical cancer cases detected in vaccinated women following HPV Immunisation Public Health Scotland

5 New study shows long-term effectiveness of HPV Vaccine Public Health Scotland

6 Please note, current eligibility applies to: females under 25 who would have been eligible under routine, and catch up programmes, introduced in 2008 and; those boys who became eligible from academic year 2019/20

7 Cervical Cancer Elimination Initiative

8 Framework for Monitoring the Implementation of the WHO Global Strategy to Accelerate the Elimination of Cervical Cancer as a Public Health Problem

9 the world age-standardised incidence rate for cervical cancer has been used to enable comparison with the WHO target and internationally. This may however, underestimate Scotland’s incidence rate due to differing demographic profiles

10 European age standardised rates has been used to better represent Scotland’s demographic profile and provide more meaningful local comparisons

11 Please note, PHS have recently identified data quality issues on the published statistics and users should be aware that these estimates have some errors. PHS are currently conducting detailed analysis of these data quality issues. PHS are working towards a publication date of Summer 2025 and updated publication plans will be announced on PHS Forthcoming Publications.

1 Scottish Index of Multiple Deprivation (SIMD) 2020v2 Scotland level population weighted quintile.

12 Derived from: Dr Kim Kavanagh, Tunde Csoban, Dr Kirsty Roy, Ross Cameron, Dr Tim Palmer, Professor Chris Robertson. (2023) Estimation of the time to cervical cancer elimination in Scotland: an age-period-cohort modelling approach (unpublished report). Commissioned by Scottish Government.

13 Cervical Cancer Elimination Expert Group - gov.scot

14 School attendance and absence statistics - gov.scot

15 For clarity, this (eligibility up to 25) only applies to: females under 25 who would have been eligible under routine, and catch up programmes, introduced in 2008 and; those boys who became eligible from academic year 2019/20.

16 it should be noted that the number of pupils in some ethnic groups is small and therefore the reported coverage rates are prone to fluctuation

17 Public Health Scotland Publishes First Annual Vaccination and Immunisation Report 2023 - News - Public Health Scotland

18 Scotland's 5-year Vaccination and Immunisation Framework and Delivery Plan - Publications - Public Health Scotland

19 Scotland's Population Health Framework - gov.scot

20 ScotPHO profiles

21 No cervical cancer cases detected in vaccinated women following HPV immunisation - News - Public Health Scotland

22 Arroyo Mühr, L.S., Gini, A., Yilmaz, E. et al. Concomitant human papillomavirus (HPV) vaccination and screening for elimination of HPV and cervical cancer. Nat Commun 15, 3679 (2024). https://doi.org/10.1038/s41467-024-47909-x

23 Portnoy, A., Pedersen, K., Kim, J.J. et al. Vaccination and screening strategies to accelerate cervical cancer elimination in Norway: a model-based analysis. Br J Cancer 130, 1951–1959 (2024). https://doi.org/10.1038/s41416-024-02682-y

24 Health screening: equity in screening strategy 2023 to 2026

25 Contained in the Scottish Cervical Screening Programme (SCSP) Work Plan (to note this is not a public document)

26 Contained in the Scottish Equity in Screening Strategy

27 The EVEN FASTER concept for cervical cancer elimination