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HPV Rates Falling: And that’s Good News

Posted by on August 21, 2013

 

One of the summer’s best kept secrets has been the findings from the Centers for Disease Control and Prevention (CDC) that, thanks to vaccination, rates of infection with Human Papilloma Virus (HPV) have fallen among girls age 14-19.

Why is this good news?  It means that we can expect a significant reduction in HPV caused cancer in women and men! CDC reports that each year in the United States, about 19,000 cancers caused by HPV occur in women, with cervical cancer the most common one. In men the numbers are lower, but still about 8,000 cancers caused by HPV occur each year in men, most of them oropharyngeal (throat) cancers;

Dr. Lauri Markowitz and colleagues at the CDC reported that they compared the prevalence of girls and women aged 14-59 years with certain types of HPV before the start of the HPV vaccination program (2003-2006) with the prevalence after vaccine introduction (2007-2010).  CDC Director Tom Frieden, M.D., M.P.H said, “This report shows that HPV vaccine works well, and the report should be a wake-up call to our nation to protect the next generation by increasing HPV vaccination rates. 

So that’s the good news.  Unfortunately only one third of girls aged 13-17 have been fully vaccinated with HPV vaccine.”. Other studies from CDC find that only one half of girls start the three-vaccine series, and only one third complete the entire series. The number is even lower for boys.   All three vaccines in the series need to be completed for full protection.

The HPV vaccine is highly effective and safe.  CDC recommends the vaccine for both girls and boys starting at age 11-12.  The reason for this is that, like all vaccines, it provides maximum protection if it is given before exposure to the virus.  The primary means of exposure to HPV is through sexual activity, and by giving the vaccine early, the body has time to develop the necessary antibodies before exposure.

Other studies have found that being vaccinated has no impact on sexual activity. “HPV vaccine does not open the door to sex. HPV vaccine closes the door to cancer,” Frieden said

Why are rates of vaccination so low?  There may be a number of factors including lack of knowledge on the part of parents/guardians about the vaccine and its role in preventing cancer.  In addition, many parents report that their health care provider did not mention or recommend the vaccine.  And although the HPV vaccine is not required for most school admission (the exceptions are in Virginia and the District of Columbia where it is currently required for 6th grade entry) parents and guardians can ask for it as part of their back-to-school health care visits. 

For more information about HPV vaccine and other childhood immunizations, see our publication Childhood Vaccination. To find out how you can help to advocate for immunization in your school community, see Advocacy for Vaccines.