2. Idea:
Policy/Position Paper
HPV vaccination requirement
for school entrance
3. Policy Paper Outline
Introduction
Describing the problem
Context/History/Overview
Sides of the debate
Presentation of problem
Government approaches
Past/Present
Current Laws/Policies
Proposed solution
How the solution addresses the problem
Conclusion
5. 5
HPV and Cervical Cancer
Important Facts
HPV is…
Highly prevalent among women in the United States.
Low risk: genital warts
High risk: cervical cancer
Source: CDC
6. 6
HPV and Cervical Cancer
Important Facts
Cervical cancer is…
The second most common cause of cancer worldwide. In the US,
11,000 women are diagnosed each year and approximately 4,000
will die from the disease.
Source: CDC
7. 7
HPV and Cervical Cancer
Important Facts
Cervical cancer is…
The 12th most common cancer diagnosed among women (all
races) in California…
Source: CMA Foundation
8. 8
HPV and Cervical Cancer
Important Facts
If we break it down by ethnic groups:
7th most common cause of cancer in the Latina and
Vietnamese populations
9th most common cause of cancer in the Filipino population
10th most common cause of cancer in the Japanese
population
Mortality rates from cervical cancer are highest among the
Hispanic and African American population
Source: CMA Foundation
9. 9
HPV and Cervical Cancer
Important Facts
Cervical cancer…
…is PREVENTABLE!
How?
Annual pap smears and vaccination.
Source: CMA Foundation
10. Why HPV vaccination requirement for
school entry could work in CA:
1. Already a precedence with Tdap immunization
requirement for entering school.
2. Quadrivalent HPV vaccine is recommended for
boys and girls.
3. Populations at high risk for HPV infection/cervical
cancer would get the vaccine.
4. There are programs that can help with the cost of
the vaccine.
12. What I still need to work on…
Opposing side of the argument
Precedence of HPV vaccination requirements in the
US (possibly abroad)
Resources for funding HPV vaccination
If I can find it…
Cost-benefit analysis of vaccination versus current
preventative measures (or a mixture of both)
Efficacy of 1 dose, 2 doses versus all 3 doses
Graph: prevalence of low and high risk HPV types among women of different ages in the United States. 2004 data. Highest prevalence among younger population.
Socioeconomic factors – lack of access to care; cultural/behavioral factors
1. 2. 3. Could start a dialogue about HPV in their community.4. Vaccines for Children for those who qualify will help offset the cost.