1 July 2004 Media Statement
Roll-out of breastscreening programme extension
The BreastScreen Aotearoa programme will be extended to include younger and older women for regular two-yearly screens,
Health Minister Annette King says.
“The programme already provides more than 100,000 mammograms each year to women aged 50 to 64. From today, women aged
between 45 and 69 will be eligible to join the programme, and over the next few years, this extension to the programme
will effectively double the size of BreastScreen Aotearoa.”
Ms King said that breast screening programme service providers had shown great commitment to the programme, and had
worked hard since she announced the extension in February to ensure that the necessary capacity is available to screen
the extra women. “The overall aim is to be able to screen women new to the programme as soon as possible while
maintaining the programme’s high quality. Initiatives to build capacity include efforts to recruit and train new staff
to meet existing and future demand.
"Since February 2004, an expert advisory group has met twice to advise on a detailed implementation plan. Their advice
is that priority should be given to women who have been previously screened in the programme, and they also advise that
there should be two-yearly screening for all women involved in the programme. Women newly eligible to join the programme
should be invited for their two-yearly screen as soon as capacity allows.
"The expert advisory group recommended that screening for women aged 45 to 49 not commence until 1 July 2005, but, after
advice from the Ministry of Health, I have agreed that women in this age group should be offered screening as soon as
capacity is available", Ms King said. "All women aged 45 and up to their 70th birthday, who have not been screened
within the past two years, can register through the call centre (0800 270 200) and will receive a screening appointment
from the provider in their region as soon as capacity is available."
Ms King said substantial planning and infrastructure is required for a successful programme. Laying the original
foundations of the programme took three years, before BSA started nationwide, and women were invited to be screened in
late 1998, she said.
"In addition, once screening started then, it was some time before all women in the eligible age group were able to
receive their first screening mammogram. The same situation applies with this extension to the programme, which is
making publicly funded screening mammography available to over 200,000 more New Zealand women. It will take some time to
screen all these additional women.
"The programme will nearly double over the next four years. While women may have to wait for their first appointment,
once they are in the programme they will receive regular two-yearly mammograms while they are still eligible," she said.
“As capacity is built, more women will be screened. The programme has set provisional targets for the increases, with
these targets to be reviewed after three months and monitored monthly after that.
"The targets start with an extra 2850 screens for the first three months ending 30 September 2004, increasing to 3000
per month by June 2005. This represents about 22,000 extra women screened in the first year. In the following year the
number of extra women screened will increase to around 66,000. It is estimated the extension will cost $13.2 million in
the first year."
Ms King said the extra screens are additional to the 9642 women currently screened each month in the programme. "We also
must ensure health services can treat women where necessary, that any increased capacity in screening and assessment
services matches increased treatment capacity. The Ministry of Health will work closely with District Health Boards to
help develop this capacity.
“Early detection through regular mammograms offers the best chance of successful treatment, and women of any age should
be aware that if they have suspicious signs or symptoms of breast disease, have previously been treated for breast
cancer, or have a close family history of breast cancer, they already qualify for publicly-funded mammograms with a
referral from their GP to a DHB breast diagnostic service. These services are provided outside the programme.
"It is most important that all women remember that whether they are participating in the programme or not, if they have
any concerns or symptoms, they should discuss these with their GP."
Ms King says work is also continuing on the logistics of expanding the use of the BSA mobile mammography services to
include women at high risk of developing breast cancer, and women who are unable to access a fixed mammography site.
ENDS
Background information
Frequency of screening:
The current screening interval for women in the programme is two yearly. Some countries, such as the United Kingdom,
screen three yearly and others, such as Japan and the United States, screen more frequently, but many others screen two
yearly as the best way of balancing the benefits and potential harms of screening. The expert advisory group also
considered carefully the frequency with which women aged 45-49 should be screened, as there is evidence that although
breast cancer is more difficult to diagnose in this group, and the incidence is less, in a significant proportion of
younger women the cancer is more aggressive. The group recommended that all women should be screened every two years
based on the available evidence and taking into consideration the rate at which capacity can be increased in the
programme. This is the same as the current screening interval for women aged 50 to 64.
Extending the programme and maintaining quality:
In order to maintain the high quality of the programme, women 50 to 69 who have been previously screened within BSA will
be recalled as soon as their next mammogram is due, and then previously unscreened women in the 50 to 64 age group, who
register with the programme, will receive appointments as these become available. All other women in the eligible age
range who register with the programme will receive an appointment as soon as capacity in their region allows.
Screening for women who have been treated for breast cancer
Women in the eligible age range who have been treated for breast cancer previously require more regular follow-up under
the supervision of their doctor, and receive publicly-funded mammograms, if indicated, with a doctor’s referral. They
are able to rejoin the programme five years after the cancer was diagnosed.
Support for the programme
New Zealand women have shown strong support for BreastScreen Aotearoa since it began six years ago in December 1998. In
the two years to December 2003 more than 62 per cent of eligible women have had mammograms through BreastScreen
Aotearoa. During the same period 1200 cancers have been detected through the programme. Since the programme commenced
through to December last year (2003) 2926 cancers have been detected.
Contact information
Women aged 45 to 69 are encouraged to ring the BreastScreen Aotearoa free phone line - 0800 270 200 – for further
information about the programme, to find out what's involved in registering in BreastScreen Aotearoa, or for details of
availability of screening services in their area.
ENDS