Gupta Sudeep, Kerkar Rajendra A, Dikshit Rajesh, Badwe Rajendra A
Department of Medical Oncology, Tata Memorial Hospital, Parel, Mumbai, Maharashtra, India.
Department of Surgical Oncology, Tata Memorial Hospital, Parel, Mumbai, Maharashtra, India.
South Asian J Cancer. 2013 Oct;2(4):193-7. doi: 10.4103/2278-330X.119887.
Two vaccines that protect against infection by some of the oncogenic human papillomavirus (HPV) subtypes have recently been licensed for use in population-based vaccination strategies in many countries. However, these products are being promoted as 'cervical cancer vaccines' based on inadequate data. Specifically, there remain several concerns about the duration of immunogenicity, length of follow-up of trial subjects, endpoints chosen in vaccine trials, applicability of trial results to real populations, the safety of these products, and their cost-effectiveness as public health interventions. Furthermore, it is unlikely that vaccination will obviate the need for setting up robust and cost-effective screening programs in countries like India. This article will discuss various aspects of HPV vaccination from a public health perspective, especially from the point of view of its relevance to India and other South Asian countries.
两种预防某些致癌性人乳头瘤病毒(HPV)亚型感染的疫苗最近已在许多国家被批准用于基于人群的疫苗接种策略。然而,基于不充分的数据,这些产品被宣传为“宫颈癌疫苗”。具体而言,关于免疫原性的持续时间、试验对象的随访时长、疫苗试验中选择的终点、试验结果对实际人群的适用性、这些产品的安全性以及它们作为公共卫生干预措施的成本效益,仍然存在一些担忧。此外,在印度这样的国家,接种疫苗不太可能消除建立强大且具有成本效益的筛查项目的必要性。本文将从公共卫生角度,特别是从其与印度和其他南亚国家相关性的角度,讨论HPV疫苗接种的各个方面。
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