Eradication of human papillomavirus and elimination of HPV-related diseases - scientific basis for global public health policies

被引:36
|
作者
Lehtinen, Matti [1 ,2 ]
Baussano, Iacopo [3 ]
Paavonen, Jorma [4 ]
Vanska, Simopekka [5 ]
Dillner, Joakim [1 ]
机构
[1] Karolinska Inst, Dept Lab Med, Stockholm, Sweden
[2] Univ Tampere, Fac Social Sci, Tampere, Finland
[3] IARC, Div Infect & Canc, Lyon, France
[4] Univ Helsinki, Dept Obstet & Gynecol, Helsinki, Finland
[5] Natl Inst Hlth & Welf, Dept Vaccines, Helsinki, Finland
基金
芬兰科学院;
关键词
Cancer; eradication; gender-neutral vaccination; human papillomavirus; herd effect; impact; resilience; safety; vaccine efficacy; HPV-16/18 AS04-ADJUVANTED VACCINE; CERVICAL-CARCINOMA; DOUBLE-BLIND; YOUNG-WOMEN; INTRAEPITHELIAL NEOPLASIA; INTERIM ANALYSIS; HERD-IMMUNITY; RISK FACTOR; INFECTION; EFFICACY;
D O I
10.1080/14760584.2019.1568876
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Introduction: Infections with oncogenic human papillomaviruses (HPV) globally cause about 9% of cancers in females and 1% of cancers in males. HPV disease burden can be effectively controlled by prophylactic HPV-vaccination provided it has high impact. Areas covered: A unique series of biobank-based and health registry-based studies that exploit randomized intervention cohorts has provided data on population-level safety of HPV vaccination, duration of vaccine-induced protection and impact of gender-neutral HPV vaccination, providing a scientific basis for policies to eradicate oncogenic HPV types and associated diseases worldwide. Expert commentary: The ultimate goal of HPV vaccination is the eradication of high-risk (hr) HPVs. Seventy-five percent coverage gender-neutral vaccination of early adolescents will rapidly eradicate also HPV16 from the general population.
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页码:153 / 160
页数:8
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