Fostering the need of HPV Vaccination Programmes in Pakistan

Madam, In Pakistan's female population of 112 million (1) , Human Papillomavirus (HPV) has caused devastating results of cervical cancer in females aged fifteen years and older. Being the second most common cancer in females aged fifteen to forty-four years and third most common cancer among...

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Main Authors: Sareema Eman Akhtar, Saad Shakil
Format: Article
Language:English
Published: Pakistan Medical Association 2022-03-01
Series:Journal of the Pakistan Medical Association
Online Access:https://www.ojs.jpma.org.pk/index.php/public_html/article/view/5371
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author Sareema Eman Akhtar
Saad Shakil
author_facet Sareema Eman Akhtar
Saad Shakil
author_sort Sareema Eman Akhtar
collection DOAJ
description Madam, In Pakistan's female population of 112 million (1) , Human Papillomavirus (HPV) has caused devastating results of cervical cancer in females aged fifteen years and older. Being the second most common cancer in females aged fifteen to forty-four years and third most common cancer amongst females, current statistics estimate 5000 victims and 3000 deaths annually due to HPV. (2)(3). This is becoming a huge burden and needs to be acknowledged. HPV, a circular double-stranded DNA virus, is a common infection of the reproductive tract. Worldwide accepted strategies to reduce the burden of this deadly virus is through vaccines and screening. Due to the uneven distribution of this lethal virus. there are currently three vaccines available that were approved by Food and Drug Administration (FDA) back in 2006, 2009 and 2014, namely Gardasil, Cervarix, and Gardasil-9, respectively(4). CDC has endorsed the need for two doses of the vaccine. At the age of 11-12, The first dose can also be given at 9 years followed by a second dose with an interval of 6-12 months (5). However, in a developing country like Pakistan, HPV vaccination programmes are still a challenge due to lack of awareness amongst the population and inconsistent efforts by the healthcare system in providing the screening and vaccination strategies. Many other factors are related with this gross burden:  the availability of the vaccines, insufficient funds and various collateral factors associated with the spread of rumours through social media. A study recently proved the strength of vaccination at a young age.  It concluded that females’ inoculation at the age of 12 to 13 years significantly reduced the risk of grade 3 cervical intraepithelial neoplasia (CIN) (6). Centres for disease and control and prevention (CDC) has stated that the majority of the people who are unvaccinated and sexually active will get HPV during their lives. Therefore, there is an essential need to vaccinate children below the age of fifteen years so that 33,000 of these cancers can be prevented that are caused by this infection. Since, cervical cancer is a public health problem, a global strategy for its elimination was inaugurated in 2020 by WHO. Despite the worldwide challenges, WHO did not take a step back and continued its challenging efforts. However, situation in Pakistan did not improve. ---Continue
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spelling doaj.art-b9881d5a1d5a4ecfaf6eb3f7d4d3c9f72023-05-25T04:22:38ZengPakistan Medical AssociationJournal of the Pakistan Medical Association0030-99822022-03-0110.47391/JPMA.5371Fostering the need of HPV Vaccination Programmes in PakistanSareema Eman Akhtar0Saad Shakil14th Year MBBS Student, Ziauddin Medical College, Karachi, Pakistan4th Year MBBS Student, Ziauddin Medical College, Karachi, Pakistan Madam, In Pakistan's female population of 112 million (1) , Human Papillomavirus (HPV) has caused devastating results of cervical cancer in females aged fifteen years and older. Being the second most common cancer in females aged fifteen to forty-four years and third most common cancer amongst females, current statistics estimate 5000 victims and 3000 deaths annually due to HPV. (2)(3). This is becoming a huge burden and needs to be acknowledged. HPV, a circular double-stranded DNA virus, is a common infection of the reproductive tract. Worldwide accepted strategies to reduce the burden of this deadly virus is through vaccines and screening. Due to the uneven distribution of this lethal virus. there are currently three vaccines available that were approved by Food and Drug Administration (FDA) back in 2006, 2009 and 2014, namely Gardasil, Cervarix, and Gardasil-9, respectively(4). CDC has endorsed the need for two doses of the vaccine. At the age of 11-12, The first dose can also be given at 9 years followed by a second dose with an interval of 6-12 months (5). However, in a developing country like Pakistan, HPV vaccination programmes are still a challenge due to lack of awareness amongst the population and inconsistent efforts by the healthcare system in providing the screening and vaccination strategies. Many other factors are related with this gross burden:  the availability of the vaccines, insufficient funds and various collateral factors associated with the spread of rumours through social media. A study recently proved the strength of vaccination at a young age.  It concluded that females’ inoculation at the age of 12 to 13 years significantly reduced the risk of grade 3 cervical intraepithelial neoplasia (CIN) (6). Centres for disease and control and prevention (CDC) has stated that the majority of the people who are unvaccinated and sexually active will get HPV during their lives. Therefore, there is an essential need to vaccinate children below the age of fifteen years so that 33,000 of these cancers can be prevented that are caused by this infection. Since, cervical cancer is a public health problem, a global strategy for its elimination was inaugurated in 2020 by WHO. Despite the worldwide challenges, WHO did not take a step back and continued its challenging efforts. However, situation in Pakistan did not improve. ---Continue https://www.ojs.jpma.org.pk/index.php/public_html/article/view/5371
spellingShingle Sareema Eman Akhtar
Saad Shakil
Fostering the need of HPV Vaccination Programmes in Pakistan
Journal of the Pakistan Medical Association
title Fostering the need of HPV Vaccination Programmes in Pakistan
title_full Fostering the need of HPV Vaccination Programmes in Pakistan
title_fullStr Fostering the need of HPV Vaccination Programmes in Pakistan
title_full_unstemmed Fostering the need of HPV Vaccination Programmes in Pakistan
title_short Fostering the need of HPV Vaccination Programmes in Pakistan
title_sort fostering the need of hpv vaccination programmes in pakistan
url https://www.ojs.jpma.org.pk/index.php/public_html/article/view/5371
work_keys_str_mv AT sareemaemanakhtar fosteringtheneedofhpvvaccinationprogrammesinpakistan
AT saadshakil fosteringtheneedofhpvvaccinationprogrammesinpakistan