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The authors gratefully acknowledge the following colleagues who reviewed draft versions of this manual and provided useful suggestions and advice for revision:

  • Dr Geetanjali Amin, Tata Memorial Hospital, Mumbai, India
  • Dr Parthasarathi Basu, Chittaranjan National Cancer Institute, Kolkata, India
  • Dr Martha Jacob, EngenderHealth, New York, NY, USA
  • Dr Josť Jeronimo Guibovich, Ginecologia Oncologia, Patalogia Mamaria, Colposcopia, Instituto de Enfermedades Neoplasicas, Peru
  • Dr B.M. Nene, Nargis Dutt Memorial Cancer Hospital, Barshi, India
  • Dr R. Rajkumar, Christian Fellowship Community Health Centre, Ambillikai, India
  • Dr John Sellors, Program for Appropriate Technology in Health, Seattle, WA, USA
  • Dr Sudha S. Sundar, John Radcliffe Hospital, Oxford, UK

The authors are much indebted to the following colleagues for their valuable and tireless contribution in the preparation of this manual:

  • Dr John Cheney, IARC, Lyon, France, who undertook the task of editing this manual;
  • Mrs Evelyn Bayle, IARC, Lyon, France, who carried out the preliminary editing and typing of the several draft versions of this manual;
  • Ms Krittika Pitaksaringkarn, IARC, Lyon, France, who helped in the preparation of the diagrams;
  • Mrs Lakshmi Sankaranarayanan, Lyon, France, who helped with the line drawings.

The authors are grateful to all the students at the training courses where this manual was used, for their helpful suggestions.


Web version : Eric Lucas, IARC, Lyon France - January 2005.
A Practical Manual on Visual Screening for Cervical Neoplasia


Edited by R. Sankaranarayanan and Ramani S. Wesley
2003; 52 pages
80 color photographs
ISBN 92 832 2423 X
US$ 15

Cervical cancer is the second most common cancer among women worldwide, and this book is a teaching manual on VIA and VILI to train health personnel, especially in developing countries, with the aim to detect this disease in the early pre-invasive phase and save womenís lives.
Two simple, low-technology screening tests, namely visual inspection with acetic acid (VIA) and with Lugolís iodine (VILI) Ė based on the ability of the trained health-care personnel to detect acetowhite areas, or yellow non-iodine uptake areas, in the cervical transformation zone Ė are being evaluated as potential alternatives to cervical cytology.
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