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. 2020 Nov 2;86(3):323–328. doi: 10.1097/QAI.0000000000002552

TABLE 2.

Summary of the Impact of VMMC on HPV and CC, With or Without Large-Scale HPV Vaccination or Screening Programs

Scenario
Baseline: No VMMC Scale-up, No VAX AGYW, No HPV Screen VMMC Scale-up Only “Substantial Control” VAX AGYW “Substantial Control” VAX AGYW + VMMC Scale-up “Moderate Aggressive” VAX AGYW “Moderate Aggressive” VAX AGYW + VMMC Scale-up HPV Screen Only HPV Screen + VMMC Scale-up
Epidemiology, female population
 Initial CC incidence: new clinically identified cases per 100,000 women in 2018 16.9 16.9 16.9 16.9 16.9 16.9 16.9 16.9
 End CC incidence: new clinically identified CC cases per 100,000 women in 2067 31.2 25.3 5.7 5.2 17.9 15.0 21.8 16.7
Cumulative outcomes and intervention impacts over the 2018–2067 period (50 years)
 Clinically identified CC cases (stage 1–4) (in 1000's) 602 554 339 332 472 445 546 495
 Clinically identified CC cases averted (in 1000's) N/A (ref) 48 263 270 130 157 56 107
 Female deaths averted (in 1000's) N/A (ref) 13 87 89 42 50 53 63

HPV screen, scale-up of HPV screen-and-treat; VAX AGYW, vaccination of adolescent girls and young women.