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- Understanding differences in cervical cancer incidence in Western Europe: comparing Portugal and EnglandPublication . Mendes, Diana; Mesher, David; Pista, Angela; Baguelin, Marc; Jit, MarkCervical cancer incidence has decreased over time in England particularly after the introduction of organized screening. In Portugal, where opportunistic screening has been widely available with only slightly lower coverage than that of the organized programme in England, rates of cervical cancer have been higher than in England. We compared the burden of cervical cancer, risk factors and preventive interventions over time in both countries, to identify elements hindering the further decline in incidence and mortality in Portugal.