2023-09-06 22:26:52
06/09/23
Anti-HPV vaccination in college: the campaign will begin in October
From this year, vaccination against the human papillomavirus is offered to all fifth graders. It is free, optional and subject to parental consent. It will be carried out by the French Red Cross on the coast and Emspec in the interior, starting next month. The month of September will be devoted to informing parents and pupils. In the most advanced countries in terms of HPV prevention, the number of people infected with HPVs that cause cervical cancer has fallen by more than 90%.
As we know, France is one of the countries most behind in vaccination against the human papillomavirus (HPV) and, in France, Guyana is even more so. In our country, 15% of girls aged 11 to 19 have received at least one dose of HPV vaccine. This is half the national level (33%). In Europe, the second most backward country – Germany – has between 40 and 50% of vaccinated. And twenty countries have vaccination coverage above 75%. Among them: the United Kingdom (82%), Portugal (81%) and Sweden (80%). However, HPV infection can lead to various cancers: cervix, oropharynx, and four for which there is no means of screening: anus, penis, vulva and vagina. About 90% of these cancers could be prevented through vaccination. This is the reason why Emmanuel Macron announced, at the start of the year, that the anti-HPV vaccination will be offered free of charge to all fifth-grade students from this start of the school year. The President of the Republic hopes that, by 2020, 80% of an age group will be protected.
A second dose six months later
This vaccination will be deployed in Guyana. Offered to fifth graders, it will be free, optional and subject to parental consent. It will take place in colleges. On the coast, the French Red Cross will take care of it. In the communes of the interior, the mobile teams of public health in communes (Emspec) will be at the maneuver. The month of September will be devoted to raising awareness and informing parents and pupils. The actual vaccination will begin in October for the first dose and six months later for the second. It will be completely free:
For children with social security cover, the CGSS bears 65% of the cost and the ARS 35% through the regional intervention fund (FIR); For children without social security, the FIR will cover 100% of the cost.
Maripasoula and Saint-Georges precursors
Anti-HPV vaccination in college is not totally new in Guyana. In April 2019, the territory was chosen with the Grand Est region to benefit from it in preview. Delayed by the Covid-19 pandemic, it started last year in Maripasoula, then in Saint-Georges. In the professional letter of March 7s, Dr Cyril Rousseau, CDPS coordinating doctor, had stressed that the “success” of these operations was “a good surprise (…) The rate of return of parental consent was very good”, despite the post-Covid context distrust of vaccination.
Kourou vaccinates the most; Cayenne the least
It is in Kourou and in the Savanes that the vaccination coverage is the best. Nearly a quarter (23.9%) of teenage girls received at least one dose there, compared to 9% in Île-de-Cayenne. To convince hesitant parents, Dr Alain Fornet, general practitioner in the space city, indicated, in the Professional letter of April 25, that he cited the example of Australia, where HPV vaccination was introduced in 2007: 22.7% of women aged 18 to 25 were infected with HPV before that date; in 2015, they were only 1.5%. The Swedish cancer registry has shown a 65% drop in precancerous cells when vaccination is carried out before the age of 17. Parents can also find a lot of information on the National Cancer Institute website (Inca).
Its effectiveness and safety already demonstrated
Human papillomavirus infections are very common: 80% of men and women will be infected at some point in their lives. Although HPV infections usually disappear naturally, within a few months, they can persist in some cases and develop into cancer. Each year in France, 6,400 new cases of cancer are caused by HPV, including 100% of cancers of the cervix. Vaccination, which has therefore proven its effectiveness, is recommended for girls and boys (since 2021) from the age of 11. Its safety has also been demonstrated. In 2018, all European countries introduced HPV vaccination into their national programs. For more than ten years, more than six million doses have been prescribed in France, and more than 300 million worldwide. In Guyana, prescriptions have been on the rise since 2018: 1,410 that year, 1,718 the following year and 2,025 in 2021. No link between these vaccines and autoimmune diseases (multiple sclerosis, Guillain- Barré) has not been demonstrated.
From this year, vaccination against human papillomavirus is offered to all fifth grade students. It is free, optional and subject to parental authorization. It will be carried out by the French Red Cross on the coast and Emspec in the interior, starting next month. The month of September will be dedicated to informing parents and students. In the countries most advanced in terms of HPV prevention, the number of people infected with HPV causing cervical cancer has decreased by more than 90%.
We know that France is one of the countries furthest behind in vaccination against human papillomavirus (HPV) and, in France, Guyana is even further behind. In our country, 15% of girls aged 11 to 19 have received at least one dose of HPV vaccine. This is half as much as at the national level (33%). In Europe, the second country furthest behind – Germany – has between 40 and 50% vaccinated. And twenty countries have vaccination coverage above 75%. Among them: the United Kingdom (82%), Portugal (81%) and Sweden (80%). However, HPV infection can lead to various cancers: cervix, oropharynx, and four for which there is no means of screening: anus, penis, vulva and vagina. Around 90% of these cancers could be prevented through vaccination. This is why Emmanuel Macron announced, at the start of the year, that anti-HPV vaccination will be offered free of charge to all fifth grade students from this start of the school year. The President of the Republic wants, by 2020, 80% of an age group to be protected.
A second dose six months later
This vaccination will be deployed in Guyana. Offered to fifth grade students, it will be free, optional and subject to parental consent. It will take place within colleges. On the coast, the French Red Cross will take care of this. In the interior municipalities, mobile public health teams in municipalities (Emspec) will be on the job. The month of September will be dedicated to raising awareness and providing information to parents and students. The vaccination itself will begin in October for the first dose and six months later for the second. It will be completely free:
For children with social security coverage, the CGSS covers 65% of the cost and the ARS 35% through the regional intervention fund (FIR);
For children without social security coverage, the FIR will cover 100% of the cost.
Maripasoula and Saint-Georges precursors
HPV vaccination in middle school is not completely new in Guyana. In April 2019, the territory was chosen with the Grand Est region to benefit from it in preview. Delayed by the Covid-19 pandemic, it began last year in Maripasoula, then in Saint-Georges. In the Pro Letter of March 7s, Dr. Cyril Rousseau, CDPS coordinating doctor, emphasized that the “success” of these operations constituted “a good surprise (…) The rate of return of parental consent was very good”, despite the post-Covid context of mistrust vis-à-vis vaccination.
Kourou vaccinates the most; Cayenne least
It is in Kourou and the Savanes that vaccination coverage is best. Nearly a quarter (23.9%) of adolescent girls received at least one dose there, compared to 9% in Cayenne Island. To convince hesitant parents, Dr Alain Fornet, general practitioner in the space city, indicated, in the Pro letter of April 25that he cited to them the example of Australia, where the anti-HPV vaccination was introduced in 2007: 22.7% of women aged 18 to 25 were infected with HPV before this date; in 2015, they were only 1.5%. The Swedish cancer registry has shown, for its part, a 65% reduction in precancerous cells when vaccination is carried out before the age of 17. Parents can also find a lot of information on the cancers-HPV” rel=”noopener” target=”_blank”>site of the National Cancer Institute (Inca).
Its effectiveness and safety have already been demonstrated
Infections linked to human papillomaviruses are very common: 80% of men and women will be infected at some point in their lives. While HPV infections most of the time disappear naturally, within a few months, they can persist in some cases and progress to cancer. Every year in France, 6,400 new cases of cancer are caused by HPV, including 100% of cervical cancers. Vaccination, which has therefore proven its effectiveness, is recommended for girls and boys (since 2021) from 11 years old. Its safety has also been demonstrated. In 2018, all European countries introduced HPV vaccination into their national programs. For more than ten years, more than six million doses have been prescribed in France, and more than 300 million worldwide. In Guyana, prescriptions have been increasing since 2018: 1,410 that year, 1,718 the following year and 2,025 in 2021. No link between these vaccines and autoimmune diseases (multiple sclerosis, Guillain syndrome -Strike out) has not been demonstrated.
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