*Updated 8/5/22
If you're anything like Dr. Jaime Friedman, you might be a little fed up with all the misinformation floating around about different vaccines.
One vaccine in particular that has patients' parents skeptical is the human papillomavirus vaccine. There's a variety of objections, including safety concerns or a perceived "lack of necessity," citing their child's lack of sexual activity.
With all the misinformation out there, we're here to arm you with the most up-to-date HPV vaccine guidelines straight from our Pediatrics Core. If you are faced with a hesitant patient or parent, you'll have all the information you need to approach the situation. Here are some objections you might encounter—plus what to know—so you can educate your patients.
HPV is the most common sexually transmitted infection in the U.S. More than 50% of sexually active men and women are infected with HPV at some time in their lives.
In the U.S., HPV Types 16 and 18 cause about 12,000 annual cases of cancer (i.e., cervical, vulvar, vaginal) in females and 7,000 cases of cancer (i.e., penile, anal) in males.
Each year, nearly 4,000 die from HPV-related diseases. HPV also causes juvenile recurrent respiratory papillomatosis, characterized by recurring papillomas in the larynx and other areas of the upper respiratory tract.
Optimal vaccine efficacy is achieved when the vaccine is administered before the onset of sexual activity. The vaccine has no effect against HPV types previously acquired.
A history of previous HPV infection is not a contraindication to receiving the vaccine because it is highly unlikely that an individual was previously infected by all 9 HPV serotypes contained in the vaccine.
Both females and males should receive the vaccine.
The vaccine is recommended for all individuals between 11-26 years of age.
It is recommended to give the 9-valent vaccine (9vHPV) to all females 11–26 years of age and to all males 11–21 years of age to prevent genital warts and for cancer prevention.
Administer a 2-dose series of 9vHPV vaccine on a schedule of 0 and 6–12 months to all adolescents at 11–12 years of age. Administer 9vHPV vaccine to all adolescents through 18 years of age who were not previously vaccinated. If vaccination is initiated before 15 years of age, the recommended immunization schedule is 2 doses of HPV vaccine at 0 and 6–12 months. If vaccination is initiated at ≥ 15 years of age, 3 doses of HPV vaccine on a schedule of 0, 1–2, and 6 months is recommended.
For children with a history of sexual abuse or assault, the 9vHPV vaccination series should be initiated at 9 years of age.
Fainting (syncope) can occur after vaccination and has been observed among adolescents and young adults. It's recommended to have patients stick around for 15 minutes after they receive the vaccine to minimize the risk of injury due to a syncopal event.
It's also good to note that HPV vaccines are not recommended during pregnancy. Health care providers should inquire about pregnancy in sexually active patients, but a pregnancy test is not required before beginning the immunization series. The HPV vaccines can be administered to lactating women.
According to the Centers for Disease Control and Prevention:
"HPV vaccines are contraindicated for persons with a history of immediate hypersensitivity to any vaccine component. 4vHPV and 9vHPV are contraindicated for persons with a history of immediate hypersensitivity to yeast. 2vHPV should not be used in persons with anaphylactic latex allergy.
Adverse events occurring after administration of any vaccine should be reported to VAERS. Additional information about VAERS is available by telephone (1–800–822–7967) or online."
Finally, the CDC cites some other possible side effects including:
If these allergies or areas of concern are not present in the child in discussion, remind parents about what the HPV vaccine can prevent. Pediatricians have the power to educate parents and patients about why the HPV Vaccine is so important and correct the misinformation surrounding these topics.
Read more about what Pediatricians need to know about vaccines or get everything you need for boards and practice update with our Pediatrics Core.