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Harris asks HSE to introduce HPV testing 'as soon as possible' as roll out is pushed out due to smear test backlog

Health Minister Simon Harris promised it would be introduced in September last year. This was then pushed out to January 2019.

LAST UPDATE | 13 Feb 2019

HEALTH MINISTER SIMON Harris has asked the HSE to introduce HPV testing as the primary screening method for the prevention of cervical cancer “as soon as possible”.

The roll out of the new cervical cancer test has been held up by the backlog in smear tests, an Oireachtas Committee has heard today. 

Fianna Fáil health spokesman Stephen Donnelly asked when HPV testing, which is more accurate than current smear exams, will be introduced.

Harris promised it would be introduced in September last year. This was then pushed out to January 2019. 

Today, Anne O’Connor, interim director general of the HSE, said she was unable to give a date for the new regime. The committee was told the backlog in smear tests would have to be sorted out before the new test could be provided.

A spokesperson for the minister said the HPV test is a more accurate testing mechanism than liquid-based cytology, which is the current testing mechanism, and its use will result in fewer false negative results, though it will not eliminate them completely.

They added: 

Its introduction is in line with developments in cervical screening internationally. 
There is no doubt that the issues which emerged last year have resulted in operational challenges for the HSE and the Screening Service, and that stabilisation of the programme in 2019 is an important element in supporting the switch to HPV testing.
Accordingly, the HSE is working very actively to manage these challenges while progressing this major development as a priority. 
Funding to implement the switch to HPV screening has been allocated in Budget 2019.
The Department of Health is continuing to work intensively with the HSE  on this matter. 

The health committee was also told today that there are 78,000 slides left in the CervicalCheck smear backlog.

HSE officials said that no start date has been committed to for the new HPV test, and it would take at least nine months to sign a contract with the service provider who will undertake and review the tests. 

Taoiseach Leo Varadkar was asked about why the promise was being rolled back on. He said the government is “absolutely still committed” to the new test.

Fianna Fáil leader Micheál Martin said that January has come and gone, and asked for a definitive timeline for the new test’s introduction.

Lab capacity

Varadkar said funding was allocated in the budget to roll out the test this year, but he added that laboratory capacity is a “key part” of the new service roll out.

He added that when the new test will be introduced is dependent on contractual arrangements, which have yet to be signed.

Having learned about committing to a specific date, seeing as the last two have been missed, the Taoiseach said it would be wrong to give a date that he cannot stand over.

Following the recommendation from the National Screening Service, the minister approved a switch to HPV testing.The HPV screening test was described by the previous HSE boss Tony O’Brien as an “additional enhancement” in cervical cancer prevention, and will make the current smear test system “redundant”. The accuracy of HPV testing is significantly higher than the current liquid based cytology testing, and is expected to result in fewer women receiving a false negative result.

The minister of health said last year the testing for the HPV virus will be a more appropriate strategy for the cohort of women who have received vaccination against HPV. (The HPV vaccine prevents 7 out of 10 cervical cancers and is given to girls in Ireland age of 12 to 13 years.)

What’s the difference between a smear test and the HPV test?

The smear test detects abnormal cells that may develop into cancer if left untreated.

HPV testing is used to look for the presence of HPV in cervical cells. These tests can detect HPV infections that cause cell abnormalities, sometimes even before cell abnormalities are evident.

Like the smear test, the HPV test is done on a sample of cells collected from the cervix.

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    Mute Maria Hickey-Fagan
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    Oct 11th 2022, 1:45 PM

    Only because he knows nobody will tolerate the reimposition of restrictions

    150
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    Mute Declan Doyle
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    Oct 11th 2022, 1:50 PM

    @Maria Hickey-Fagan: yYou’re dead right, look at the fallout lockdowns are having on inflation which is a long way from finished yet. Lockdowns affecting and will affect more than covid ever did…

    114
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    Mute Joe_X
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    Oct 11th 2022, 11:37 PM

    @Declan Doyle: really? A certain war currently ongoing has nothing to do with it? You know, the one driving up the prices of electricity and causing an energy crisis…….something that to my knowledge the lockdowns never did.

    5
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    Mute alan
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    Oct 11th 2022, 12:21 PM

    Good idea to get going on a winter strategy…almost midway through October. Donnelly on the ball.

    134
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    Mute Mickety Dee
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    Oct 11th 2022, 12:23 PM

    @alan: Eh, they’ve published the plan? That’s well beyond strategy

    59
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    Mute Frank Cauldhame
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    Oct 11th 2022, 6:52 PM

    @alan: C’mon, what evidence of proactivity have we seen from this gov’t, they spend all their time chasing their tails. There are certain areas where we should err on the side of caution yet when it comes to Covid.

    14
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    Mute Crow
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    Oct 11th 2022, 12:38 PM

    His plan to treat Long-COVID is to ignore it and hope it goes away by itself.

    Imagine getting away with that in any other profession.

    133
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    Mute Conor King
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    Oct 11th 2022, 1:39 PM

    @Crow: imagine still going on about long covid

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    Mute Crow
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    Oct 11th 2022, 1:48 PM

    @Conor King: you would be ‘still going on about it’ if you were totally debilitated by it.

    Imagine belittling sick people because you want to deny reality. Back to you QAnon mates there like a good lad.

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    Mute Damien Leen
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    Oct 11th 2022, 1:49 PM

    @Crow: like they did with covid initially

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    Mute Stephen Grehan
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    Oct 11th 2022, 1:51 PM

    Journal deletes documentary from the UK, that available on most platforms so the one sided narrative continues. Well done Journal.

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    Mute SquintEastwood
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    Oct 11th 2022, 2:18 PM

    @Stephen Grehan: and nobody even got to call you a conspiracy theorist

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    Mute SquintEastwood
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    Oct 11th 2022, 2:21 PM

    @Stephen Grehan: thumbs up for trying

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    Mute SquintEastwood
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    Oct 11th 2022, 2:23 PM

    @SquintEastwood: Safe and Effective: A Second Opinion

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    Mute Stephen Grehan
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    Oct 11th 2022, 2:47 PM

    @SquintEastwood: Well done i was afraid to mention it as i suspect that comment would also be deleted. Perhaps the Journalist Tadgh McNally would care to explain why it was deleted when most platforms are showing this now, when up until a few weeks ago would have taken it down.

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    Mute Sequoia
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    Oct 11th 2022, 1:17 PM

    I’m fully vaxxed, have had it twice and the second time was a whole lot easier.

    My father in law has just had it for the third time and had little more than a sore throat.

    I’ll get the fku & covid jab and continue on.

    We really need to stop going on about it at this point and just get on with life.

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    Mute Tom Jacob
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    Oct 11th 2022, 2:44 PM

    @Sequoia: You tell everyone to not talk about it meanwhile you’re talking about it? Thanks for giving us your father in laws life story

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    Mute Sequoia
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    Oct 11th 2022, 2:56 PM

    @Tom Jacob:

    My opinion & thoughts are vitally important round here.

    Didn’t you get the memo? I’m kind of a big deal.

    Have an awesome day.

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    Mute Frank Cauldhame
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    Oct 11th 2022, 7:04 PM

    @Sequoia: I thought at first you said, “I’m fully waxed….”

    Agree with your post, I think the gov’t have exhausted their money orchard.

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    Mute Celtic Eagle
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    Oct 11th 2022, 12:30 PM

    1 in 40 had the virus last week in Northern Ireland. I’d imagine its similar here.

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    Mute Ian James Burgess
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    Oct 11th 2022, 12:41 PM

    @Celtic Eagle: exactly, case numbers rising quickly in the UK, but sure let’s not talk about it in Ireland and hope it goes away

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    Mute Tom Jacob
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    Oct 11th 2022, 2:38 PM

    @Ian James Burgess: Ya gman because talking about it will make it go away. Does every comment you make about it reduce cases by 1 or what? If you’re so afraid of Covid then stay in your room all day lol

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    Mute Paul Hedderman
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    Oct 11th 2022, 4:16 PM

    @Celtic Eagle: I dont believe thats true unless you can back that up!……. In the whole of the UK there was 62.4k new cases reported in the week to the 6th of October (From Our World In Data)….. 1 in 40 of population of 1.9 million in the north is around 47.5k people. By what your saying most of the cases in the while of the UK just happen to be in the north……… Then when you say you imagine its the same here that equates to around 125k cases here in a week?!?! Laughable!…… Officially its 2.4k here in the week to 5th of Oct.

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    Mute Celtic Eagle
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    Oct 11th 2022, 4:37 PM

    Google it, I cant post links.

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    Mute Paul Hedderman
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    Oct 11th 2022, 6:35 PM

    @Celtic Eagle: I did. In the last 7 days there was 1,819 cases in the north. Far from 1 in 40 in a population of 1.9million or 47.5k!……. Funny how you can make up stuff and not back it up with links but I can post links…… Link to the NI covid dashboard…… Some dose of fake news out of you!

    https://app.powerbi.com/view?r=eyJrIjoiODJjOGE3ZDUtM2ViNy00YjBlLTllMjktOTNjZjlkODJhODU4IiwidCI6ImU3YTEzYWVhLTk0MzctNGRiNy1hMjJiLWNmYWE0Y2UzM2I2ZSJ9

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    Mute Paul Hedderman
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    Oct 11th 2022, 6:36 PM

    @Celtic Eagle: just over 1 in 1,000 FYI

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    Mute Gearóid MacEachaidh
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    Oct 11th 2022, 2:03 PM

    Hospital numbers here have risen by approx 100 over the last week and the percentage of positive tests by 4%. Thankfully icu numbers haven’t risen. It was 11 last night which is down a couple from this time last month. Vaccines are still important though. The UK are still averaging around 300 covid related deaths per week. Of course they didn’t have the same uptake in vaccines among the older population that we had, especially in ethnic groups. I get my 2nd booster tomorrow and I’m dreading it. Have had reactions to all my shots so far. But needs must.

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    Mute Tom Jacob
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    Oct 11th 2022, 2:33 PM

    @Gearóid MacEachaidh: No one cares

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    Mute Gearóid MacEachaidh
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    Oct 11th 2022, 5:39 PM

    @Tom Jacob: well clearly you do

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    Mute Damien Leen
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    Oct 11th 2022, 6:37 PM

    @Gearóid MacEachaidh: he’s a half wit, pay no attention.

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    Mute alan
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    Oct 11th 2022, 12:21 PM

    Good idea to get going on a winter strategy…almost midway through October. Donnelly on the ball.j

    23
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    Mute Betty O Sullivan
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    Oct 11th 2022, 12:29 PM

    @alan: Shrup

    54
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    Mute Tom Jacob
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    Oct 11th 2022, 2:34 PM

    @alan: No one cares about Covid unless your 90 years old and smoked 100 fags a day since you were 5.

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    Mute Lisa O'Connor
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    Oct 11th 2022, 5:57 PM

    Good god, sounds like they will only make masks mandatory in certain situations, if it happens, though I’m not holding my breath. Similar to 2020, how they mandated masks in shops and on public transport before other places like covid can’t spread in other areas outside of shops/public transport/healthcare.

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    Mute Joe_X
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    Oct 11th 2022, 11:27 PM

    @Lisa O’Connor: no, but they are the places where the public congregate and move around the most (shops) or are packed in the most(public transport)

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    Mute Verners Tess
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    Oct 11th 2022, 11:32 PM
    3
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    Mute Joe_X
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    Oct 11th 2022, 9:11 PM

    Well those of us who are willing to be vaxed are better protected and those who don’t want it can take their own chances, as long as when they do catch it, they have the cop on to stay away from others.

    BTW, before anyone mentions it, those who contract it and are vaxed, already show that they have that cop on seeing as they got vaxed in the first place!

    2
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