Aggarwal Sumit, Agarwal Pragati, Gupta Nivedita
Division of ECD, Indian Council of Medical Research, New Delhi, India.
Cancer Med. 2024 Feb;13(3):e6862. doi: 10.1002/cam4.6862. Epub 2024 Jan 11.
Cervical cancer has been considered as one of the most common cancers in women (15-44 years) globally, but the advent of the human papilloma virus (HPV) vaccine has raised the anticipation that eradication of cervical carcinoma might be achieved in the near future as several prophylactic cervical carcinoma vaccines have already been currently licensed in various countries. Countries should devise strategies, practices and policies to attain and sustain higher levels of HPV immunization coverage as still 68% countries have introduced HPV vaccine in their national immunization programs even after 17 years following the licensure of the first prophylactic HPV vaccine.
A comprehensive literature analysis was conducted using various databases and search engines, to include the most relevant research articles and data available and critically discussed the operational gaps that need to be answered to achieve adequate coverage of HPV vaccination.
The present review highlights the existing HPV vaccination strategies, unmet needs and challenges needed to be addressed for proper implementation framework as well as the collaborations required to achieve decent vaccination coverage. Well-coordinated vaccination strategy with focus on adolescent girls and if possible, boys can lead to dramatic impact on disease reduction around the world.
宫颈癌一直被认为是全球女性(15 - 44岁)中最常见的癌症之一,但随着人乳头瘤病毒(HPV)疫苗的问世,人们期待在不久的将来能够消除宫颈癌,因为目前已有几种预防性宫颈癌疫苗在各国获得许可。各国应制定战略、做法和政策,以实现并维持更高水平的HPV免疫接种覆盖率,即便在第一种预防性HPV疫苗获批17年后,仍有68%的国家在其国家免疫规划中引入了HPV疫苗。
使用各种数据库和搜索引擎进行了全面的文献分析,纳入了最相关的研究文章和可用数据,并批判性地讨论了为实现HPV疫苗接种的充分覆盖而需要解决的操作差距。
本综述强调了现有的HPV疫苗接种策略、未满足的需求以及为建立适当的实施框架需要应对的挑战,以及为实现良好的疫苗接种覆盖率所需的合作。精心协调的疫苗接种策略,重点关注青春期女孩,如有可能也包括男孩,可对全球疾病减少产生巨大影响。