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Time to Take Responsibility

Arch Intern Med. 2004;164:1047-1048.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In their classic 1968 monograph, Wilson and Jungner¹ defined for the World Health Organization (WHO) principles intended to serve as the basis for recommending or planning screening for early detection of a disease:

1. The condition should be an important health problem.
   
2. There should be an accepted treatment for patients with recognized disease.
   
3. Facilities for diagnosis and treatment should be available.
   
4. There should be a recognizable latent or early symptomatic stage.
   
5. There should be a suitable test or examination.
   
6. The test should be acceptable to the population.
   
7. The natural history of the condition, including development from latent to declared disease, should be adequately understood.
   
8. There should be an agreed policy on whom to treat as patients.
   
9. The cost of case-finding should be economically balanced in relation to possible expenditure as a whole.
   
10. Case-finding should be a continuing process and not a "once and for all" project.
    

Daniel Mazanec, MD
The Cleveland Clinic Foundation
9500 Euclid Ave
Cleveland, OH 44195
(e-mail: mazaned@ccf.org)

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