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Cervi
cal
Screening
Program
me
Cervical Screening Programme Websit e:
www.cervicalscreening.gov.hk
Cervical Screening Programme
18/F Wu Chung House,
213, Queens Road East , Wan Chai
Enquiry Hot line: 2961 8778
Fax: 2833 5445
Department of Health
24-hour Healt h Education Hotline:
2833 0111
Al l Rig ht Reserved 2006 CSP-BKFE-0607
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Cervical Screening Programme
InvitationProtect yourself from Cervical Cancer!
Please have cervical smears regularly and regist er
w it h t he Cervical Screening Programme of t he
Department of Health.
Cervical CancerDisease Burden of Cervical Cancer
in Hong KongCervical cancer was the fourth most common
cancer among females in Hong Kong in 2003.There were 408 new cases, accounting for 4.3%
of all new cancer cases in f emales. The median
age at diagnosiswas50. The chance of developing
cervical cancer in the l ifetime was 1 in 112.
Cervical cancer was the eighth most commoncause of cancer deaths among f emales in 2004.
There were 128 deaths, accounting for 2.8% of
all cancer deat hs in f emales.
Prevention of Cervical CancerRisk factorsfor cervical cancer include infection with
human p apillomavirus (HPV), sexual act ivit y at an
early age, having mult iple sexual part ners, smoking
and the lack of vegetablesand fruitsin diet. Cervical
cancer is prevented primarily by cont roll ing t he risk
f act ors w it h measures such as pract ising safer sex,
avoiding smoking and adopting healthy lifestyle.
Scientif ic evidence has demonstrated that organized
population-based screening is very effective in
reducing cervical cancer incidence and deaths.
Screening of Cervical CancerCervical cancer is usually preceded by abnormalchangesin the cervical cellswhich can occur without
any sympt oms or pain. Cervical smear is a screening
test that could detect these abnormal cellular
changesin t he cervix. Wit h early det ect ion, promptand proper management, such lesion would be
prevented from developing into cervical cancer.
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Diagram show ing how a cervical smear is t aken
Cervical SmearIt is a very safe and simple t est t hat only t akes a
few minutes. The doctor or nurse will use a special
instrument called speculum to gently open the
vagin a so t hat t he cervix can be seen. A slim
spatula or a small brush is then used t o w ipe some
cells f rom t he cervix. The cells are t ransf erred
ont o a glass slide or int o a bot t le of preservative
fluid, and sent to the laboratory for examination.
The test should not hurt; if it does, tell the doctor
or nurse.
Persons Who Need Cervical Smear All w omen aged 25-64 years w ho have ever had
sexual experience, irrespective of whether being
single or married, or whether having reached
menopause or not, are recommended to have
regular smears. Even if one has had no sexual
experience f or a long t ime or had st erilizat ion,
cervical smear is st il l needed.
Women aged 65 years or above, w ho have had
sexual experience, should seek doct ors advice on
having a cervical smear if they have never had
one befor e.
Women below the age of 25 who have had sexual
experience and have risk factors for cervical cancer,
such as smoking, mult iple sexual partners,
decreased body resistance, could seek medical
advice from doctors concerning the need for cervical
smear. Women who have never had sexual experience
or who have had total hysterectomy do not need
cervical smear.
Cervix
Uterus
Spatula
Speculum
Vagina
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A posit ive result means abno rmal cells are
det ect ed. How ever, it does not necessarily mean
t hat t here is cancer. M ost of t he ti me, it means
some minor changes and only needs foll ow -up
o b se r vat i o n s b y d o ct o r. So m e t i m e s f u r t h e r
investigationsmay be required to see if the changes
are serious or not . Women should discuss t he
management plan w it h t heir doct or.
A f alse negat ive result means t hat abnormalit y
in t he cervix is not detect ed by t he test . It could be
due t o sampling, transf er or laboratory error. Since
it t akes a long t ime f or cervical cancer t o develop,
having regular smears can detect those abnormalit ies
t hat may be missed by a single smear.
A false posit ive result means t hat t he t est result
is abnormal, but no abnormality is detect ed on
subsequent invest igations. Since some lesions regress
completely, or are very local, or small, they can
hardly be detected in fol low up tests. Further
examinat ions or repeated smears can assure t hat
the woman isnot harbouring an abnormality.
Screening IntervalThe screening interval can follow the sequence
of : 1year, 1 year, 3 years, 3 years and so on. That
is, if t he first 2 annual cervical smears show normal
result s, repeat smears every 3 years. If t here is
any problem, such as vaginal bleeding or pain,
don t w ait unt il t he next cervical smear. See a
doctor straight away, even if the recent cervical
smear w as normal. Besides, some women may
need more f requent screening. Doct ors w ill
make recommendationsaccording to the clinical
situation.
Result s of Cervical SmearThe dif f erent t ypes of cervical smear result s are
asfollows:
A negat ive result means no abnormal cells are
detect ed. The woman has a much low er risk of
harbouring cancerous changes in the cervix whencompared t o t he unscreened populat ion.
No worry when start with 2 annual
smears, peace of mind when have
it every 3 years af t erw ards
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Methodsof registration1.Regist ratio n t hrou gh healt h prof essionals w ho
h a v e j o i n e d t h e p r o g r a m m e b y f i l l i n g t h e
regist ration f orm.
2.Direct registration
i. Online method
Complete the on-line regist rat ion f orm on CSIS
website (www.csis.gov.hk ). Send a photocopy
of your Hong Kong ident it y card to CSP by mail.
ii.Offline method
Download t he regist rati on f orm f rom t he CSP
website (www.cervicalscreening.gov.hk) or
cont act us f or t he regist ration f orm. Complete
the form and send it with a photocopy of your
Hong Kong ident it y card t o CSP by mail.
The benef it s of joining t he syst em
A f t er r eg i st r a t i o n , w i t h yo u r d em o g r ap h i cinf ormat ion and smear records provided by your
service provider and laboratory to CSIS, you will:
1.Receive reminder letter before your next smear
isdue.
2.View your st ored smear result s t hrough CSIS(www.csis.gov.hk)
Cervical Screening ProgrammeThe Cervical Screening Programme (CSP) is a
territory-wide screening programme launched by
t he Depart ment of Health (DH) on 8 M arch 2004
in collaboration with public and private health
care providers and laborat ori es. The object ives
are to increase the population coverage rate of
cervical screening among women and to reduce
the incidence and mortality of cervical cancer in
Hong Kong. Women are encouraged t o have
cervical smear in the clinicsor medical centresof
their own choice and to provide their cervical
smear information through their health careproviders t o t he centr al regist ry of t he Cervical
Screening Programme.
The Cervical Screening Information System
(CSIS).CSIS is an elect roni c central regist ry f or st oring
part icipants' information. The Department of Health
const antly st rict ly adheres t o t he Personal Dat a
(Privacy) Ordinance and will keep personal data
conf idential at all t imes. All w omen w ho receivecervical smear are eligible to register free of charge.
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Flowchart of the Cervical Screening Programme3.Wit h your approval, your registered healt h careprovider can access your smear hist ory. This will
f acilitate t hem in providing bett er f ollow -up
care to you.
Point s t o not e to applicant :1.After approving of your registration, a personal
account and a personal authorization code will
be created in the CSIS. Please remember the
code. Your service provider has t o use t his code
f or accessing your smear records and personal
information.
2.If you register through your service provider,
he/she w il l submit your smear resul t s t o CSIS.
If you register by yourself, you have to send
t he smear result s t o t he CSP by mail.
3.Af t er r egist rat ion w it h CSIS, you shou ld st il l
have to make appointment with your service
pr ov i der. CSI S w i l l not ar r ange m edi cal
appoint ment f or t he part icipants.
Women and service
providerscooperate
wit h t he DH in
providing thecervical screening
information t o t he
central registry
The cent ral regist ry
sends reminder
lett ers to women
due fo r next
screening andprovides
information to
service providersfor
better medical care
The DH conducts
publicity programmes
to raise the awareness
in t he public
Women select and pay
service providers t o have
cervical smears
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N.B.: Women w ho are practi sing contr aception can go di rectl y to birt h control clinicswit hout a prior appoint ment. Those who are not practising contraception cancall the women'shealth clinicsfor an appointment. Unmarried women below
the age of 26 can call a Youth Health Care Centre for an appointment.
Birth Address Telephone
Control Clinic Number
Wanchai Clinic G/F, Southorn Centre, 130 Hennessy Road, 2919 7777
Wan Chai, Hong Kong
Ma Tau Chung Clinic 1/F, 105 Ma Tau Chung Road, Kowloon 2711 9271
Yuen Long Clinic G/F, 149-153 On Ning Road, Yuen Long, 2477 3201
New Territories
Wong Tai Sin Clinic G/F, No. 1-2, Lung On House, Low er Wong 2326 2447
Tai Sin Estate II, Kowloon
New Tsuen Wan Room 1622B, 16/F, Nan Fung Centre, 264-298 2742 8183
Cl inic Cast le Peak Road, Tsuen Wan, New Terri tor ies
Tsuen Wan Clinic G/F, No. 10, Wing Hong House, Fuk Loi Estat e, 2493 3318
Tsuen Wan, New Territories
Wo Che Cl inic 4/F, 18 Wo Che Commercial Complex, 2604 2720
Shati n, New Territ ories
Unit ed Christ ian Net hersole Communit y Healt h Service
Community Address Telephone
Health Centre Number
Jockey Club Wo Lok Unit 26-33, G/F, Kui On House, Wo Lok Estat e, 2344 3444
Communit y Health Hip Wo Street, Kwun Tong, Kowloon
CentreBradbury Kwong Unit 203, Kwong Tin Shopping Centre, Kwong 2340 3022
Tin Community Tin Estate, Lam Tin, Kowloon
Health Centre
Fu Heng Community 4/F, Neighbo urh ood Communi t y Cent re, Fu Heng 2664 6231
Health Centre Estate, Tai Po, New Territories
Kwong Fuk Community No. 19, G/F, Kwong Yan House, Kwong Fuk 2638 3846
Health Centre Est ate, Tai Po, New Terri t ori esJordan Communit y Room 610, Champion Building, 301-309 Nathan 2770 8365
Healt h Cent re Road, Kowloon 2783 7628
M edical Prof essionals or Organizat ions
that Provide Cervical Screening Service
Gynaecologi st s in pr ivat e pract ice and f amily doct ors
Family Planning Associati on of Hong Kong and Yout h
Health Care Centre:
Service ho t li ne: 2572 2222
Women's Address Telephone
Health Clinic NumberWanchai Clinic Room 901, 9/F, Southorn Centre, 130 2574 9523
Hennessy Road, Wan Chai, Hong Kong
Ma Tau Chung Clinic 2/F, 105 Ma Tau Chung Road, Kowloon 2711 9656
Yuen Long Clinic 1/F, 149-153 On Ning Road, Yuen Long, 2477 3201
New Territories
New Tsuen Wan Room 1622B, 16/F, Nan Fung Centre, 2742 8183
Cl inic 264-298 Cast le Peak Road, Tsuen Wan,New Territories
Wong Tai Sin Clini c G/F, No. 1-2, Lung On House, Low er Wong 2326 2447
Tai Sin Est ate II, Kow loo n
Wo Che Clinic 4/F, 18 Wo Che Commercial Complex, 2604 2720
Shati n, New Territ ories
M obile Clinic - 2711 9656
Youth Health Address Telephone
Care Centre Number
Wanchai Youth Room 902, 9/F, Southorn Centre,130 2575 4799
Healt h Care Cent re Hennessy Road, Wanchai, Hong Kong
Mon gkok Yout h Room A, 13/F, Full Win Commercial Centre, 2770 4994
Health Care Centre 573 Nathan Road, Kowloon
Tsuen Wan Youth Room 1621A, 16/F, Nan Fung Centre, 2443 2773
Health Care Cent re 264-298 Cast le Peak Road, Tsuen Wan,
New Territories
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Caritas Hong KongPrecious Blood Hospit al (Carit as)Address: 113 Castle Peak Road, Sham Shui Po, KowloonEnquiry Hotline: 2386 4281 (Ext. 109 or 110)
Caritas Clinic Address Telephone
Number
Caritas Tsuen Wan G/F, 146 Chung On Str eet, Tsuen Wan, 2498 6941
Clinic New Territ ories
Carit as Caine Road Room 032, Carit as House, 2 Caine Road, 2843 4617
Clinic Hong Kong
Carit as Ngau 1 On Tak Road, Ngau Tau Kok, Kowloon 2750 2728Tau Kok Clinic
The Universit y of Hong Kong Lady Helen WOO
Womens Diagnost ic and Treat ment Centre
Addr ess: 2/F, East Wing, Tsan Yuk Hospi t al, 30
Hospital Road, Sai Ying Pun, Hong KongEnquiry hot lin e: 2589 2405
Fax: 2549 7375
The Centre of Research and
Promotion of WomensHealth
The Chinese University of Hong Kong
Address: Room 307, School of Publ ic Healt h,
Prin ce of Wales Hospit al, Shat in, New Territ ori es
Enquiry hot lin e: 2252 8839
Kwong Wah Hospital Well Women Clinic
Address: 4/F, TWGHs Tsui Tsin Tong Out pat ient Bui lding,
Kwong Wah Hospit al, 25 Waterloo Road, Kowlo on
Telephone number: 2782 1773
Tung Wah Eastern Hospital Well Women Clinic
Address: 2/F, TWGHsLo Ka Chow Ophthalmic Memorial Centre,19 Eastern Hospital Road, Causeway Bay, Hong Kong
Enquiry hot lin e: 2915 7311
Appoi nt ment Hotli ne: 2915 7555
Haven of Hope Chri st ian Service Clinics Net w ork
Clinic Address Telephone
Number
Haven of Hope Shop 55, G/F, Beverly Garden, 1 Tong Ming 2217 9600
Beverly Garden Clinic Street, Tseung Kwan O, Kowloon
Haven of Hope Shop 101-104, Hau Tak Estate Shopping 2706 6881
Bradbury Hau Tak Centre, Hau Tak Estate, Tseung Kwan O,
Clinic Kowloon
Haven of Hope Bradbury Shop No. 3, G/F, King Lui House, King Lam 2701 9223
King Lam Clinic Estate, Tseung Kwan O, Kowloon
Haven of Hope S. K. G/F, Haven of Hope Woo Ping Care & 2703 2060
Yee Hang Hau Clin ic At t enti on Home, 8 Pui Shing Lane,Tseung Kwan O, Kowl oon
Haven of Hope S. K. Unit 327-328, Po Ning House, Po Lam Estate, 2704 5334
Yee Po Lam Clinic Tseung Kwan O, Kowloon
Haven of Hope S. K. Yee Shop 7, G/F, Block 2, Verbena Height s, 2997 0324
Verbena Heights Clini c 8 Mau Tai Road, Tseung Kwan O, Kowloon
Haven of Hope S. K. Yee G/F, Wing B, Min g Yat House, Kin Mi ng 3144 9250
Tiu Keng Leng Clinic Estate, Tseung Kwan O, Kowloon
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Woman Health Centresof Department of HealthProvide compr ehensive examinati on f or w omen und er 65 years old.
Woman Address Enquiry
Healt h Centre TelephoneChai Wan Woman 2/F, Chai Wan Health Centre, 1 Hong Man 2975 0236
Health Centre St reet, Chai Wan, Hong Kong
Lam Tin Woman 6/F, Lam Tin Polyclinic, 99 Kai Tin Road, Lam 2727 5332
Health Centre Tin, Kowloon
Tuen Mun Woman Yan Oi Polyclinic, 4 Tuen Lee Street, 2451 6667
Health Centre Tuen Mun, New Territories
M aternal and Child Health Centres of Department of HealthProvide cervical screening for women from 25 yearsonwards.
Enqui ry ho t line: 2112 9900
Appoint ment Hotline: 3166 6631
Hong Kong
Maternal and Addresses
Child Health Centre
Anne Black Maternal 1/F, Anne Black Health Centre, 140 Tsat Tsz Mui
& Child Health Centre Road, Nort h Point
Ap Lei Chau Maternal 2/F, Ap Lei Chau Cli nic, 161 Ap Lei Chau Main St reet,
& Child Health Centre Ap Lei Chau
Chai Wan Maternal Level 2, Government Office, Block 6, New Jade
& Child Health Centre Garden, 233 Chai Wan Road, Chai Wan
Sai Wan Ho Maternal 2/F, Sai Wan Ho Health Centre, 28 Tai Hong Street,
& Child Health Centre Sai Wan Ho
Tang Chi Ngong M aternal & 5/F, Tang Chi Ngong Specialist Clini c, 284 Queen' s
Child Health Centre Road East, Wan Chai
Sai Ying Pun Maternal 6/F, Sai Ying Pun Jockey Club Pol yclin ic, 134 Queens
& Child Health Centre Road West, Sai Ying Pun
New Terri t or ies East and Island s
Maternal and Addresses
Child Health Centre
Fanling Maternal & 3/F, Fanling Health Centre, 2 Pik Fung Road,
Child Health Centre # Fanling
Lek Yuen Maternal & 1/F, Lek Yuen Health Centre, 9 Lek Yuen Street,
Child Health Centre # Shatin
Ma On Shan Mat ernal & 1/F, Ma On Shan Health Centre, 609 Sai Sha Road,
Child Health Centre # Ma On Shan
Tseung Kwan O Po Ning Road 1/F, Tseung Kw an O Po Ning Road Healt h Centre,
Maternal & Child Healt h Centre 28 Po Ning Road, Tseung Kwan O
Kowloon
Maternal and Addresses
Child Health Centre
East Kowl oon Mat ernal & 1/F, East Kow loon Polyclinic, 160 Hammer HillChild Health Centre # Road, Diamond Hill
Hung Hom Maternal & 2/F, Hung Hom Clinic, 22 Station Lane,
Child Healt h Centr e Hung Hom
Lam Tin Maternal & 1/F, Lam Tin Polyclinic, 99 Kai Tin Road,
Child Healt h Centr e Lam Tin
Ngau Tau Kok Mat ernal & 1/F, Ngau Tau Kok Jockey Club Clinic,
Child Health Centre # 60 Ting On Street, Ngau Tau Kok
Robert Black Maternal & 1/F, Robert Black Health Centre,
Child Health Centre 600 Prince Edward Road, San Po Kong
Wang Tau Hom Mat ernal G/F, Wang Tau Hom Jockey Club Clinic,
& Child Health Centre 200 Junct ion Road East , Wang Tau Hom
West Kowloon Maternal 2/F, West Kowloon Health Centre,
& Child Health Centre # Cheung Sha Wan Government Offices,
303 Cheung Sha Wan Road, Sham Shui Po
Wu York Yu Maternal & 1/F, Wu York Yu Health Centre,
Child Health Centre # 55 Sheung Fung Street, Wong Tai Sin
Yaumatei Maternal & 6/F, Yaumatei Specialist Clinic Extension,
Child Healt h Centr e 143 Batt ery St reet, Yaumatei
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Note:
with lift facility
# w it h sound reminder syst em in l if t
with toilet for disabled persons w it h t act ile-guided path
Enquiry telephone for l if t, toilet and tactile-guided path
facilit ies fo r disabled persons in Women Health Centres and
in Maternal and Child Health Centres: 3166 6631 (Press 2*
and then press 6* ). For facili t ies in ot her organizations, please
cont act respect ive organi zat ions f or det ails.
The above clinics/centres are listed for ref erence only. It is not
meant to be exhaustive.
New Territ ories West
Mat ernal and Addresses
Child Health Centre
Madam Yung Fung Shee Maternal 1/F, M adam Yung Fung Shee Healt h Cent re,
& Child Health Centre 26 Sai Ching Street, Yuen Long
Maurine Grantham Maternal G/F, Maurine Grantham Healt h Centre,
& Child Health Centre 115 Castle Peak Road, Tsuen Wan
Nort h Kwai Chung M aternal 1/F, Nort h Kwai Chung Clini c, 125 Tai Pak Tin
& Child Health Centre Street, Kwai Chung
Sout h Kw ai Chung Mat ernal 1/F, Sout h Kw ai Chung Polyclinic,
& Child Health Centre 310 Kwai Shing Circuit , Kw ai Chung
Tin Shui Wai Mat ernal & 1/F, Tin Shui Wai Health Centre, 3 Tin Shui
Child Health Centre Road, Tin Shui Wai, Yuen Long
Tsing Yi Mat ernal & Child 3/F, Cheung Hong Commercial Complex,
Health Centre Phase I, Cheung Hong Estate, Tsing Yi
Tuen Mu n Wu Hong Mat ernal 2/F, Tuen Mu n Wu Hong Clini c, 2 Wu Hong
& Child Health Centre # Street, Tuen Mun
Yan Oi Mat ernal & Child 1/F, Yan Oi Polyclinic, 4 Tuen Lee Street,
Health Centre # Tuen M un
Tung Chung Mat ernal & G/F, Tung Chung Health Centre, 6 Fu Tung
Child Health Centre Street, Tung Chung, Lantau Island
Wong Siu Ching Maternal 1/F, Wong Siu Ching Clinic, 1 Po Wu Lane,
& Child Health Centre Tai Po
Cheung Chau Mat ernal & G/F, St. John Hospit al, Cheung Chau Hospit alChild Health Centre Road, Cheung Chau
Mui Wo Maternal & 1/F, Mui Wo Clinic, 2 Ngan Kwong Wan Road,
Child Health Centre Mui Wo, Lantau Island