U.S.
Doctor Fights Cervical Cancer in
Developing Countries
By
JoAnn Mar |
Oakland, California
Post on October 31, 2011
Dr. Kay Taylor's
nonprofit screens women for HPV.
Cervical
cancer is the second deadliest cancer - after breast cancer - among
women in developing countries. Eight hundred women die of cervical
cancer every day, nearly 300,000 each year worldwide.
Photo courtesy of PINCC
Women in Kapenguria, Kenya, wait to be screened during a 'Prevention
International: No Cervical Cancer' training campaign.
California gynecologist Kay Taylor is
out to change those numbers. She's already saved thousands of women
in Latin America, Africa and India
.
Six years ago, Taylor gave up a successful medical
practice in the San Francisco Bay Area to start the non-profit
organization
Prevention International: No Cervical Cancer. PINCC, pronounced
“pink,” operates out of Taylor’s house in Oakland, California.
The bedrooms have been converted to office space and her living room
is overflowing with medical supplies and equipment
.
Photo by J. Mar, VOA Dr. Kay Taylor gave up a
successful California medical practice to fight against
cervical cancer in developing countries.
Screening women
Dr. Taylor is getting ready for her next visit to
Africa, where she and a medical team will visit rural
villages in Uganda and Kenya to screen hundreds of women
for the human papilloma virus. HPV, the most common
sexually transmitted disease, has been linked to the
development of cervical cancer.
Dr. Taylor first realized the magnitude of the
problem during a visit to assist abused women in Honduras in 2003.
“I found three cases of cervical cancer in that two-week visit. I’d
seen three cases of cervical cancer in my 25-year practice, so I was
stunned," she says. "And I started to do some research and
discovered that it is so high in these countries, just as if they
hadn’t invented the Pap smear, which is what we use to control it
here.”
By examining cells from a woman's cervix on a Pap smear, HPV
infections can be quickly identified and treated. But for most poor
women in developing countries, these exams are often inaccessible
and unaffordable. Taylor was determined to find a cost-effective way
to bring free medical care to these women.
See and treat
“I remember sitting in my office doing a screening
for the abnormal cells and treating this woman and thinking, 'You
know, I could put all this equipment in a suitcase and I could take
it there and teach doctors and nurses to do this new method that had
just been discovered and proven and which allows us to see and treat
the condition in one visit.' And that was sort of my 'aha' moment.
This wonderful method has now been discovered. It can be used in
these countries and taught and doesn’t cost a lot of money. Why not
go there and teach it?”
On a visit to Kenya two years ago, Taylor taught local doctors and
nurses the so-called ‘see and treat’ technique - screening a woman
for HPV, doing a biopsy, and removing cancerous cells - in a single
visit to the clinic.
Photo courtesy of PINCC Dr. Art Levit, (left) a
PINCC volunteer, supervises doctors during an
examination in Jalapa, Nicaragua.
“We go
to give training and equipment and establish a
sustainable program that will continue to give this
service after we’re gone. You can’t learn this in a few
days. I didn’t learn it in a few days," she says. "I
learned it in a few years as a gynecologist-resident. So
it takes time and experience and proctoring. We go back
every six months until the groups are well trained,
confident and competent.”
Expanding the program
Nurse practitioner Cheryl Brown is getting final
instructions from PINCC staff before leaving for Uganda with Taylor.
Like most team members, Brown is a volunteer, who has paid her own
way to Latin America for medical site visits. This will be her third
trip with PINCC and her first to Africa.
“Many of us, as volunteers, are returnees," Brown says. "It’s so
inspirational to be able to see how effective the technique is and
how enthusiastic the trainees are about learning the technique and
then employing it themselves when we’re not there.”
Since its first visit to Honduras in 2005, PINCC has
expanded its program to seven countries. Taylor and her teams have
set up 30 medical sites which screen and treat thousands of women
annually.
Six more sites will open in 2012. PINCC volunteers
now travel six times a year - to Africa, Latin America, and India -
treating an average of 2,500 women per visit.
Taylor estimates that, overall, PINCC has touched the lives of
50,000 women, yet she feels the need to do more.
“That’s what happens every time I go on one of these trips. I get
tired and so on. I’m no youngster. I’m 68 almost," she says. "But
every time I go, it stimulates me to want to keep going and come
back and open new programs because I see these women whose lives are
saved. They could have died if it weren’t for us.”
Cervical cancer is still far from being conquered. Taylor notes that
vaccines are being developed and may become available - and
affordable - in 25 years.
And she has another goal where the disease is concerned; she hopes
she'll be around to see cervical cancer wiped out for good.
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