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Comprehensive
   paper
   Devy Emperador
      11/10/11
       PH264
Idea:
     Policy/Position Paper
HPV vaccination requirement
        for school entrance
Policy Paper Outline

   Introduction

   Describing the problem
     Context/History/Overview
     Sides of the debate
     Presentation of problem
   Government approaches
     Past/Present
     Current Laws/Policies
   Proposed solution
     How the solution addresses the problem
   Conclusion
WHY?
My emotional plea of why HPV
     vaccination is important.
5
 HPV and Cervical Cancer
               Important Facts

HPV is…

Highly prevalent among women in the United States.


                                    Low risk: genital warts
                                    High risk: cervical cancer




                                                          Source: CDC
6
 HPV and Cervical Cancer
              Important Facts

Cervical cancer is…
The second most common cause of cancer worldwide. In the US,
11,000 women are diagnosed each year and approximately 4,000
will die from the disease.




                                                     Source: CDC
7
 HPV and Cervical Cancer
              Important Facts

Cervical cancer is…




The 12th most common cancer diagnosed among women (all
races) in California…

                                         Source: CMA Foundation
8
  HPV and Cervical Cancer
               Important Facts

If we break it down by ethnic groups:

 7th most common cause of cancer in the Latina and
  Vietnamese populations

 9th most common cause of cancer in the Filipino population

 10th most common cause of cancer in the Japanese
  population

 Mortality rates from cervical cancer are highest among the
  Hispanic and African American population



                                              Source: CMA Foundation
9
 HPV and Cervical Cancer
           Important Facts


Cervical cancer…


…is PREVENTABLE!


                                          How?
               Annual pap smears and vaccination.


                                  Source: CMA Foundation
Why HPV vaccination requirement for
school entry could work in CA:

1.   Already a precedence with Tdap immunization
     requirement for entering school.

2.   Quadrivalent HPV vaccine is recommended for
     boys and girls.

3.   Populations at high risk for HPV infection/cervical
     cancer would get the vaccine.

4.   There are programs that can help with the cost of
     the vaccine.
What I still need to
        work on…
             EVERYTHING!
What I still need to work on…
   Opposing side of the argument

   Precedence of HPV vaccination requirements in the
    US (possibly abroad)

   Resources for funding HPV vaccination



If I can find it…

   Cost-benefit analysis of vaccination versus current
    preventative measures (or a mixture of both)

   Efficacy of 1 dose, 2 doses versus all 3 doses
Thanks!
Any feedback is greatly appreciated.

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Comprehensive paper

  • 1. Comprehensive paper Devy Emperador 11/10/11 PH264
  • 2. Idea: Policy/Position Paper HPV vaccination requirement for school entrance
  • 3. Policy Paper Outline  Introduction  Describing the problem  Context/History/Overview  Sides of the debate  Presentation of problem  Government approaches  Past/Present  Current Laws/Policies  Proposed solution  How the solution addresses the problem  Conclusion
  • 4. WHY? My emotional plea of why HPV vaccination is important.
  • 5. 5 HPV and Cervical Cancer Important Facts HPV is… Highly prevalent among women in the United States. Low risk: genital warts High risk: cervical cancer Source: CDC
  • 6. 6 HPV and Cervical Cancer Important Facts Cervical cancer is… The second most common cause of cancer worldwide. In the US, 11,000 women are diagnosed each year and approximately 4,000 will die from the disease. Source: CDC
  • 7. 7 HPV and Cervical Cancer Important Facts Cervical cancer is… The 12th most common cancer diagnosed among women (all races) in California… Source: CMA Foundation
  • 8. 8 HPV and Cervical Cancer Important Facts If we break it down by ethnic groups:  7th most common cause of cancer in the Latina and Vietnamese populations  9th most common cause of cancer in the Filipino population  10th most common cause of cancer in the Japanese population  Mortality rates from cervical cancer are highest among the Hispanic and African American population Source: CMA Foundation
  • 9. 9 HPV and Cervical Cancer Important Facts Cervical cancer… …is PREVENTABLE! How? Annual pap smears and vaccination. Source: CMA Foundation
  • 10. Why HPV vaccination requirement for school entry could work in CA: 1. Already a precedence with Tdap immunization requirement for entering school. 2. Quadrivalent HPV vaccine is recommended for boys and girls. 3. Populations at high risk for HPV infection/cervical cancer would get the vaccine. 4. There are programs that can help with the cost of the vaccine.
  • 11. What I still need to work on… EVERYTHING!
  • 12. What I still need to work on…  Opposing side of the argument  Precedence of HPV vaccination requirements in the US (possibly abroad)  Resources for funding HPV vaccination If I can find it…  Cost-benefit analysis of vaccination versus current preventative measures (or a mixture of both)  Efficacy of 1 dose, 2 doses versus all 3 doses
  • 13. Thanks! Any feedback is greatly appreciated.

Editor's Notes

  1. Graph: prevalence of low and high risk HPV types among women of different ages in the United States. 2004 data. Highest prevalence among younger population.
  2. Socioeconomic factors – lack of access to care; cultural/behavioral factors
  3. 1. 2. 3. Could start a dialogue about HPV in their community.4. Vaccines for Children for those who qualify will help offset the cost.