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• W2012971301 abstract "Your Editorial on human papillomavirus (HPV) vaccination (Oct 7, p 1212)1The LancetShould HPV vaccines be mandatory for all adolescents?.Lancet. 2006; 368: 1212Scopus (7) Google Scholar is disastrous for public health. Your message—that the EU is misguidedly dragging its feet over compulsory vaccination—is what the manufacturers want us to believe. But it is wrong. You say we must eradicate HPV infection, irrespective of cost or collateral damage. This is rubbish, our aim must be to reduce illness caused by HPV infection, and the prime ill effect is cervical cancer. Countries with high mortality and no screening can achieve major gain from vaccination. But rushed introduction in Europe will worsen HPV-related illness by undermining existing screening and leaving women less protected than now. In November, 2005, a meeting in London, UK, brought experts from all fields to consider the needs of National Health Service (NHS) research and policy. The conclusions were: women are well served by the NHS screening programme, which meets exacting standards2NHS Cancer Screening Programmeshttp://www.cancerscreening.nhs.uk/Google Scholar and is averting 80% of deaths;3Quinn M Babb P Jones J Allen E Effect of screening on incidence of and mortality from cancer of cervix in England: evaluation based on routinely collected statistics.BMJ. 1999; 318: 904-908Crossref PubMed Scopus (107) Google Scholar if and when we have vaccine evidence on long-term disease outcomes, and in all risk groups, then we can model the effect of a range of vaccination and screening combinations and implement accordingly; but on current evidence, adding vaccination for UK teenagers will more than double the cost of our cervical cancer control programme for little or no gain. The manufacturers know this, so to sell vaccination in countries such as the UK they are busily branding HPV as a new disease, undermining national policymaking by running promotional “stakeholder” meetings in every locality, planting press stories to create a smoke screen—implying that the real barrier to protecting our daughters is unjustified prudishness—and securing promotional articles in prestigious journals such as The Lancet.1The LancetShould HPV vaccines be mandatory for all adolescents?.Lancet. 2006; 368: 1212Scopus (7) Google Scholar Rushed policymaking will have disastrous consequences; we must use these vaccines wisely. I am Public Health Lead for cervical screening for a population of a million in and around Bristol, UK, and work as a consultant to the UK National Screening Programmes." @default.
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• W2012971301 date "2007-02-01" @default.
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• W2012971301 title "Human papillomavirus vaccine policy" @default.
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• W2012971301 doi "https://doi.org/10.1016/s0140-6736(07)60185-8" @default.
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