On May 19, the reporter learned from the launching meeting of the HPV Vaccination Subsidy Project for school-age girls in Mianyang that the Mianyang municipal Party committee and government attach great importance to women's and children's health. In 2022, the HPV Vaccination Subsidy Project for school-age girls in Mianyang was determined as a voting project for deputies to the Municipal People's Congress, the Municipal Health Commission, the Municipal Bureau of education and sports, the Municipal Bureau of finance, the Municipal Medical Security Bureau The municipal market supervision and Administration Bureau jointly issued the implementation plan of HPV Vaccination Subsidy Project for school-age girls in Mianyang, which aims to improve the health level of women in Mianyang, reduce the prevalence of cervical cancer and improve the coverage of HPV vaccination.
Cervical cancer is one of the common female malignant tumors. It is the third highest incidence of cancer among Chinese women aged 15-44. It is also the third cause of death among women in this age group, which seriously threatens the health of Chinese women. HPV (human papillomavirus), the culprit of cervical cancer, can be effectively prevented by vaccination. The World Health Organization recommends that the primary target of HPV vaccine is women aged 9-14. The best age for HPV vaccine is 9-14 years before puberty.
"99.7% of cervical cancer is causally related to HPV infection. HPV infection in Chinese women is characterized by 'double peaks', and the first peak is 15-24 years old. For the protection of young women, it is recommended that women should be vaccinated with HPV vaccine in time at the age of 13-14." Pan Changqing, director of Obstetrics and Gynecology of Mianyang Central Hospital, said.
According to pan Changqing, HPV is divided into high-risk and low-risk types according to its carcinogenicity. Almost all cervical cancers are related to high-risk HPV infection. Bivalent HPV vaccine targets high-risk HPV16 and 18, while tetravalent HPV vaccine covers two additional low-risk types HPV6 and 11, which can cause 90% of condyloma acuminatum infection.
According to reports, HPV vaccine has good long-term effectiveness and safety. Taking the world's first quadrivalent HPV vaccine on the market as an example, after 14 years of follow-up research, it can be found that the protective efficacy of the vaccine is still 100%.
The implementation plan of HPV Vaccination Subsidy Project for school-age girls in Mianyang proposes to implement HPV vaccination in accordance with the principle of "informed consent and voluntary vaccination", and specify that school-age girls aged 13 ~ 14 in our city (aged from 0 days at the age of 13 to 364 days at the age of 14 at the time of the first dose of HPV vaccine) and without any history of HPV vaccination are the target population. According to the scope of HPV vaccination, the recipients in principle use domestic 2-valent HPV vaccine, and can also choose imported 2-valent and 4-valent HPV vaccine independently. The financial fund will provide a fixed subsidy of 600 yuan / person for HPV vaccination for the target population (300 yuan per dose for two doses and 200 yuan per dose for three doses). The difference in the subsidy and the vaccination service fee (20 yuan / dose) shall be borne by the recipient's parents (Guardians).
According to the data provided by the Bureau of education and sports, in 2022, about 50000 school-age girls in 9 counties (cities and districts) and 4 parks (including Science City) in our city met the vaccination conditions. The government will invest more than 30 million yuan of financial funds for HPV vaccination of school-age girls in the city every year to ensure that the project is popularized to every target population.
Zhang Xun, deputy director of the Institute of immunization planning of the Municipal Center for Disease Control and prevention, said that next, the city's disease control institutions will increase the training of vaccination personnel participating in the project, including school personnel participating in the project, as well as HPV related disease knowledge and HPV vaccine knowledge. And cooperate with the education and sports department to carry out the organization and implementation of vaccination personnel, and strengthen the vaccination standard training. Vaccination personnel must be trained and qualified before they can participate in the vaccination work of the project. In addition, the vaccine supply is mainly purchased by the disease control institutions in all counties and cities. The disease control institutions in all counties and cities will also fully cooperate with the project to ensure the supply of vaccines required by the project, so that all 13-14-year-old girls in the city can choose independently and "be willing to plant all kinds".
The reporter learned that the supply of vaccines in China will also increase significantly this year. It is reported that in the first quarter of this year, the number of batches of tetravalent vaccines issued in China increased by nearly 70% year-on-year.
Mianyang City is the first prefecture level city in the west to carry out the HPV Vaccination Subsidy Project for school-age girls. The launch and implementation of the project is the true embodiment of the Mianyang municipal Party committee and government's continuous enhancement of the national happiness and health index with people's health as the center and health construction as the main line, so as to protect the health of the people of the whole city.