As harm from chronic H pylori infection is often silent until serious disease such as a bleeding ulcer or invasive cancer occurs, full elucidation of the H pylori-associated disease burden at the community level requires screening people who do not seek healthcare for digestive symptoms.
The potential of short and ultrashort screening tools for LMIC settings is apparent in two important health care service contexts: at the community level for screening by home visitors and CHWs, and at the PHC level for screening by nurses and other health care professionals and within prevention of mother to child transmission programming in geographical areas heavily affected by HIV.
The CMAM approach focuses on prevention at community level through raising awareness on malnutrition, screening all children and treating identified malnutrition cases using therapeutic milk and foods.
This study gives more insight into the effectiveness of symptom screening at community level than previous studies.
This report documents increased 10-year LC-specific survival in an entire population-based cohort of 5,815 smokers invited to CXR screening at community level.
In 1997 we started to study the PREDICA cohort (hereafter concisely referred to as "cohort"), a clearly defined population-based cohort of 5,815 heavy or long-term smokers of the Province of Varese, Italy, to ascertain whether CXR screening at community level decreases LC mortality [ 17].
Based on these findings, the negative impact of HIV on the growth of infected children [ 7, 34], and the estimated high impact of HIV infection on child mortality [ 32], we recommend paediatric HIV screening at community level for those exposed to HIV or suspected to be at risk for HIV.
To ascertain whether CXR screening decreases LC mortality at community level, we studied a clearly defined population-based cohort of smokers invited to screening.
The evidence for risk screening at the community level yielded a Grade C assessment.
Here we analyze the LC detection results and the LC survival rates at community level, in the setting of CXR screening offered to a clearly defined population-based cohort of smokers.
