Recently, the Meixian District Health Bureau, the District Education Bureau, the District Finance Bureau, and the District Women's Federation jointly issued a document to implement free human papillomavirus (HPV) vaccination for school-age girls in Meixian District from September 2022 in accordance with the principle of informed and voluntary, aiming to improve the health level of women in the whole district and reduce the prevalence of cervical cancer.
Photo courtesy of Meixian District Health bureau.
What are the requirements for free vaccination recipients? Can I postpone vaccination if I fail to vaccinate in time for special reasons? When is the specific vaccination time? The answer is here
The name of the scenario
Work Plan for Free Human Papillomavirus (HPV) Vaccination for School-Age Girls in Meixian District, Meizhou City (2022-2024)
Project principles
Free vaccination, informed and voluntary.
Project objectives
By 2030, 90% of girls under the age of 15 will have been fully immunized against HPV.
The knowledge of cervical cancer prevention and control (including vaccination) among junior high school girls and parents ≥ 90%.
Inoculation targets
Girls who have a school registration in Guangdong Province, have entered the first grade of junior high school from September 2022, have not been vaccinated against HPV, and are under the age of 14.
The first grade girls who failed to be vaccinated in time due to special reasons in that year will be included in the vaccination list of the following year after being counted by their schools, and two doses of vaccination will be completed before the age of 15.
Time of inoculation
Vaccination is implemented from September to November every year, and the District Health Bureau and the District Education Bureau agree on a specific time.
Girls of appropriate age who need to postpone vaccination due to contraindications shall be vaccinated in consultation with the school by the designated vaccination unit and arrange a separate vaccination time.
Vaccination days should avoid routine childhood immunization and COVID-19 vaccination, so that the personnel do not cross.
Place of vaccination
The District Health Bureau designates vaccination units according to the vaccination plan provided by the District Education Bureau.
Types of vaccines
Free vaccination is the domestic bivalent (2-valent) HPV vaccine. Other types of HPV vaccines are self-administered.
Personnel organization
The school organizes the recipients to go to the designated vaccination unit at the agreed vaccination time. On the day of vaccination, the recipient and his/her legal guardian go to the vaccination unit together, and the recipient is required to bring personal identification materials (ID card, household registration booklet or student ID card).
Information reconciliation
According to the roster of recipients, the vaccinator checks the recipient information to confirm whether he is the target of this vaccination. For those who cannot be vaccinated due to contraindications to vaccination, the vaccinator should make medical recommendations and inform the prevention of cervical cancer and other related diseases.
informed consent
Recipients must provide vaccination certificates on the spot, and the vaccinators shall be vaccinated in accordance with the requirements of the "Vaccination Work Specifications" and record the vaccination information on the vaccination certificate, and at the same time, the information in the vaccination information system shall be consolidated and managed to avoid heavy trucks.
Stay on site
After inoculation, the recipient is required to stay on site for 30 minutes. Recipients who have not observed adverse reactions during this period may leave.
【Know more】
Vaccination prevents cervical cancer
Cervical cancer is recognized worldwide as the main "killer" of women's health, ranking 4th in the global incidence of cancer and female cancer mortality in 2020, and is the only cancer with a clear etiology, preventable and controllable cause.
For now, early diagnosis and early treatment of cervical cancer can be carried out from two aspects:
Regular screening over the age of 45;
Vaccinations for those under the age of 45 are mainly prevented.
HPV is the human papillomavirus, a sexually transmitted pathogen that causes anal and genital diseases and oropharyngeal diseases in both men and women. Almost all cervical cancers are caused by persistent viral infections of high-risk HPV genotypes.
The "Guidelines for the Comprehensive Prevention and Control of Cervical Cancer in China" points out that the primary prevention of cervical cancer is hpv vaccination. There are currently three HPV vaccines on the market, namely bivalent, quadrivalent and nine-valent vaccines.
Bivalent/quadrivalent/9valent vaccines, which is better?
The three HPV vaccines are different in the suitable population in mainland China, please note:
Bivalent HPV vaccine: women aged 9 to 45 years. That is, the first dose can be started at the age of 9 years, and no more after reaching the age of 46. Only worried that you will get cervical cancer, the divalent HPV vaccine is more affordable.
Quadrivalent HPV vaccine: women aged 9 to 45 years. The first dose can be started at the age of 9 years and will not be given after reaching the age of 46. In addition to cervical cancer, you also want to prevent genital warts + affordable economic conditions, choose the quadrivalent HPV vaccine.
Nine-valent HPV vaccine: women aged 16 to 26 years. That is, the first dose can be started at the age of 16 years, and cannot be given after reaching the age of 27. In pursuit of the most comprehensive protective effect, choose the nine-valent HPV vaccine.
Another point is the availability of vaccines. At present, the imbalance between supply and demand of HPV vaccines in the country is prominent, and the approval of domestic bivalent HPV vaccines is relatively sufficient, but it is still necessary to make an appointment in advance, which plays a certain role in alleviating the HPV vaccine market that is currently tight in supply and demand. Under the premise of age, what can be played, do not wait.
Precautions for HPV vaccination
Avoid vaccinations during fever, colds, frailty, or acute infections.
People who are severely allergic to any of the components of the HPV vaccine should not be vaccinated.
If there is a slight discomfort during the vaccination, such as pain, erythema, swelling or mild fever and headache at the vaccination site, it does not need to be treated, it can be relieved by itself, and if the symptoms are serious, it will be treated in the hospital as soon as possible.
Unwanted pregnancies during vaccination do not require termination of pregnancy, and the remaining doses are completed after delivery.
Because lactation is not a contraindication to HPV vaccination, HPV vaccination can be given as soon as pregnancy is over, and from the available data, HPV vaccination during lactation is safe for both mothers and babies.
HPV vaccine and COVID-19 vaccine will not affect the immune effect, but suspected adverse reactions need to be differentiated, and it is recommended that the new crown vaccine and HPV vaccine be given at least 2 weeks apart.
[All-media reporter] Huang Taowei
[Correspondent] Zhong Lingfen
【Author】 Huang Taowei
【Source】 Southern Press Media Group South + client