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In 2006 the first
vaccine against HPV was licensed. This vaccine (Gardasil;
Merck and Co.) protects against four strains of HPV: 6, 11,
16 and 18. Types 6 and 11 account for 90% of cases of
genital warts (Condyloma) and types 16 and 18 account for
70% of cases of cervical cancer. Studies show the vaccine
to have 99% efficacy against types 6 and 11 and 100%
efficacy against types 16 and 18 when given before exposure
to any of these types. It is of no benefit against existing
infection with individual types, though would still protect
against types to which an individual is naïve (has not yet
been exposed). The vaccine is safe and effective for
females 9-26 years old, regardless of their sexual history.
The vaccine has been
recommended by the Centers for Disease Control (CDC) for all
females 9-26 years of age. No Pap smear or screening is
required prior to starting the vaccine. It is
contraindicated in individuals with an active pregnancy or
known to have been previously infected with HPV strains 16
AND 18. The latest data obtained from a conference on
Antimicrobial Agents in Chicago fall 2007 indicates that
this vaccine, Gardasil, partially prevents infection of 10
HPV strains in addition to the four previously targeted. In
other words, the HPV Vaccine, Gardasil, may be even more
effective in preventing HPV infection than previously
believed.
The vaccine requires
three shots over six months. The vaccine is expensive,
costing $155 per shot (recently reduced after contracting
directly with the manufacturer). It can be billed to the
student account and payment must be made at the time of
appointment. Please call 860-685-2470 to schedule an
appointment.
Many insurance
carriers cover the vaccine and students receiving it here
will be provided with a bill they can submit to their
insurance carrier for reimbursement. The vaccine is not
covered under the University-sponsored health plan.
However, eligible students can apply for a partial rebate
through a program sponsored by Merck Pharmaceutical.
An application is available at the Health Center. If
eligible you can apply for a partial rebate up to $130 per
shot.
Planned Parenthood operates on
a sliding fee scale system and will offer the vaccine at a
discounted rate. This may be as little as $20 depending on
your financial screening. You can contact Planned
Parenthood in Meriden at 203-238-0542.
The Davison Health
Center (DHC) recommends this vaccine for all females under
26. Those wishing to discuss receiving the vaccine should
schedule an appointment with a DHC provider. Others may
wish to discuss and/or begin receiving the vaccine at the
time of their next annual exam. Those who have started the
vaccine at home or elsewhere may continue receiving it here
and should discuss these plans with the DHC vaccine nurse.
Students over 26 interested in the vaccine should schedule
an appointment with Dr. Smith or Dr. Daponte to discuss
options.
For Males: The
vaccine is not currently licensed for males, but the
manufacturer states they expect to file for licensure in
2008 or 2009. Males who are seriously immune compromised
should make an appointment with Dr. Smith to discuss their
options regarding the vaccine. Other males are encouraged
to wait until the licensure process is complete. Males who
have started the vaccine elsewhere may continue or complete
their series at the Health Center.
Any student wishing
counseling regarding HPV or to further discuss the vaccine
should schedule an appointment with a Health Center
Provider.
Click here for the HPV Vaccine Information Sheet.
Check out the following link regarding Gardasil vaccine
safety:
http://www.cdc.gov/vaccinesafety/vaers/FDA_and_CDC_Statement.htm
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