The most recent report of the National Cancer Registry, Cancer in Ireland 1994-1998 – Incidence, Mortality, Treatment and Survival, indicates that there is a significant upward trend in breast cancer incidence in women under 65 years. Importantly, there is also a downward trend in mortality rates in all age groups combined, reflecting the fact that survival from breast cancer is good. We are currently carrying out an evaluation of the national cancer strategy. The initial finding is that the original objective of reducing mortality rates is well on target. It is gratifying to see that because we would not like see services and facilities being provided if we were not getting some results in terms of better survival rates and reduced mortality rates. That is the key issue. These trends were evident prior to the initiation of the breast screening programme and I expect them to continue as a result of the continued improvements in treatments and also as a result of the national breast screening programme.