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Summary. The appearance, in younger women, of a rapidly progressive form of cervical carcinoma has been suggested. This, together with evident deficiencies in the provision and technique of screening services, has been taken to indicate a need for more frequent screening. We show that a substantial increase in the observed number of such rapidly progressive cancers would be expected simply on the basis of changes in population structure, a general increase in cervical cancer rates and increases in the proportion of women screened.