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CDC urges more widespread HPV vaccination

Human papillomavirus vaccination rates in girls ages 13 to 17 failed to increase between 2011 and 2012, according to data from the CDC, and three-dose coverage actually declined.

Among girls unvaccinated for HPV, 84% had a healthcare visit where they received another vaccine — such as for meningitis or pertussis — but not HPV vaccine. If HPV vaccine had been administered in those instances, vaccination coverage for at least one dose could be nearly 93% rather than 53.8%, researchers reported in the July 26 issue of the Morbidity and Mortality Weekly Report.

According to CDC, for each year the three-dose HPV vaccine series coverage remains near the current level of 33.4% instead of achieving the Healthy People 2020 goal of 80%, an additional 4,400 women will be diagnosed with cervical cancer and 1,400 cervical cancer-attributable deaths will occur in the future.

Data from the 2012 National Immunization Survey-Teen show that not receiving a healthcare provider’s recommendation for HPV vaccine was a primary reason parents reported for not vaccinating daughters. Healthcare providers are urged to give a strong recommendation for HPV vaccination for boys and girls ages 11 or 12, according to the CDC.

Parents also reported safety concerns as a reason for not vaccinating. In the seven years of post-licensure vaccine safety monitoring and evaluation conducted independently by federal agencies and vaccine manufacturers, no serious safety concerns have been identified, according to the CDC. Reports of adverse events after HPV vaccination to the Vaccine Adverse Event Reporting System have steadily decreased from 2008 to 2012 and the numbers of serious adverse events reported has declined since 2009, according to the article.

About 79 million Americans are infected with HPV, with 14 million newly infected each year, according to the CDC, which states that “nearly all sexually-active men and women will get at least one type of HPV at some point in their lives.”

Recommendations

Parents and caregivers are encouraged to ask about vaccination every time they take children for a healthcare visit, the CDC stated. If a boy or girl age 11 or 12 has not started the HPV vaccine series, parents should make an appointment to get him or her vaccinated. Teens who have not started or finished the three-dose series should do so. Under the Affordable Care Act, most private health insurance plans must cover the HPV vaccine at no out-of-pocket cost

CDC officials urge healthcare providers to increase the consistency and strength of how they recommend HPV vaccine, especially when patients are 11 or 12. Reviewing vaccination status at every healthcare encounter and taking advantage of every visit, including acute care visits, can increase HPV vaccine coverage in the United States.

Read the report: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6229a4.htm?s_cid=mm6229a4_w.

By | 2013-07-29T00:00:00-04:00 July 29th, 2013|Categories: Nursing specialties, Specialty|0 Comments

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