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The overall number of cancer deaths in the U.S. fell for the second straight year from 2003 to 2004, and a marked decline in breast cancer mortality contributed to this notable achievement.1 The Cancer Intervention and Surveillance Modeling Network (CISNET; Journal Watch Women’s Health Dec 27 2005) has estimated that 28% to 65% of the decline in breast cancer mortality from 1975 to 2000 can be attributed to the use of screening mammography in women older than 40.2 However, a recent report from the Behavioral Risk Factor Surveillance System (BRFSS) suggests that the frequency of mammography screening in women 40 and older has decreased during recent years: In 2000, 76.4% of women 40 and older reported having a mammogram within the previous 2…