THE ISERE ANTICANCER DEPARTMENTAL OFFICE, A SCREENING FACILITY

The Isere anticancer departmental office (ODLC) created by order in Ju ne 1981, assumes the responsibility of screening. Since 1991 its actio n has focused on breast cancer mass screening in women aged 50 to 69 y ears, as well as cervix, colon and rectum carcinomas for the same age group, The board of directors includes politicians and representatives of administrative services from, DASS, DISS, CHU, cancer registry, ce ntre d'etudes nucleaires, University Joseph Fourier, the French Medica l Association, medical trade-unions, CPAM, and charitable organization s. Its budget for 1995 war 3.6 million FF, subsidized up to 90% by the regional council. After being invited by CPAM or private insurances, each woman is submitted to a consultation with a general practitioner or gynecologist who fill in the questionnaire, perform a clinical exam ination (including PAP smears), prescribe a mammography and give a hem occult test. This mass screening is free of charge thanks to FNPIES, C PAM and private insurances. ODLC seems to be the most qualified struct ure of coordination and follow-up to take charge of a departmental mas s screening.