To vaccinate or to screen - is that the question?


Hann, A; Peckham, S; (2008) To vaccinate or to screen - is that the question? The International journal of health planning and management, 23 (1). pp. 69-78. ISSN 0749-6753 DOI: 10.1002/hpm.918

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Abstract

The recent recommendation by the Joint Committee on Vaccination and Immunisation (JCVI) that the human papillomavirus (HPV) vaccine should be routinely given to girls aged 12-13 raises important questions about prevention programmes to combat cervical cancer in the UK. The proposal of a mass immunization programme against HPV also presents some important ethical dilemmas. This paper discusses these questions within the current context of cervical cancer prevention programmes considering issues of efficacy and the impact of immunization on women and the implications for the current cervical screening programme. We argue that despite the JCVI recommendation to implement a national vaccination programme in the UK, which will undoubtedly save lives, further consideration needs to be given to key concerns about the efficacy of the delivery programme and potential risks associated with this, the additional costs of delivery of such a programme, the challenge of ensuring continued vaccination coverage among the highest risk population, the goals of the vaccination programme and the need to continue cervical cancer screening despite a vaccination programme. Copyright (C) 2008 John Wiley & Sons, Ltd.

Item Type: Article
Keywords: vaccination, HPV, policy, cervical cancer, ethics, public health, CERVICAL-CANCER, YOUNG-WOMEN, PARTICLE VACCINE, INFECTION, PREVENTION, EFFICACY, TYPE-18, TRIAL, Adolescent, Adult, Clinical Trials as Topic, Female, Great Britain, Humans, Mass Screening, Papillomavirus Infections, complications, prevention & control, Papillomavirus Vaccines, Uterine Cervical Neoplasms, diagnosis, prevention & control, virology
Faculty and Department: Faculty of Public Health and Policy > Dept of Health Services Research and Policy
Research Centre: Vaccine Centre
PubMed ID: 18317994
Web of Science ID: 255049200006
URI: http://researchonline.lshtm.ac.uk/id/eprint/7617

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