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2008-11-08 State limits access to 2 free vaccines
http://www.adn.com/life/health/story/581569.html

For the first time in more than 30 years, the State of Alaska will no longer offer all vaccinations free to all Alaska schoolchildren, the state Division of Epidemiology reported this week. [HPV and bacterial meningitis]

Today’s news–

State-supplied Vaccine Available for Women Aged 9–18 Years
Due to an increase in federal funding, the Alaska Immunization Program is now able to provide HPV vaccine for all females aged 9–18 years. This represents a change from a previous Bulletin announcement.4 Furthermore, individual patient screening to determine eligibility for the federal Vaccines for Children (VFC) Program will not be required.

Background
Human papillomavirus (HPV) is the most common sexually transmitted infection in the United States. Most infections with HPV are asymptomatic and self-limited. However, a small proportion of infections become persistent and can lead to cervical cancer in women or other anogenital cancers and genital warts in both men and women. The burden of HPV in the United States is substantial

Efficacy
Vaccine efficacy has been shown to be 100% for prevention of HPV types 16 and 18 related cervical intraepithelial neoplasia (CIN).1 Efficacy is 99% for prevention of external genital lesions caused by all HPV vaccine types…. The use of HPV vaccine does not eliminate the need for Pap test screening, since 30% of cervical cancers are caused by HPV types not included in the vaccine.

Still not recommended for US boys and men (other countries, yes). View: Cancer vaccine now available

Quadrivalent Human Papillomavirus Vaccine Now Available through the Alaska Immunization Program June 4, 2007

http://www.epi.alaska.gov/bulletins/docs/b2007_22.pdf

Eligibility Criteria for Using Vaccines Currently Supplied by the Alaska Immunization Program — May, 2007 June 4, 2007
http://www.epi.alaska.gov/bulletins/docs/b2007_23.pdf

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