HPV a GPs Perspective

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HPV- a GPs Perspective

• A Hot Topic for discussion
• Day Release 22nd Sept 2008
• Katie MacLaren

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29 year old girl presents to GP She has had
first 2 Cervarix vaccines at great expense in
Australia Requesting the third dose.. What
do you do?
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Key Facts

• HPV infection is very common usually clears in
  1-2 years
• 95 of Cervical Cancers result from Human
  Papilloma Virus
• Invasive cancer usually diagnosed 2 decades after
  initial infection
• 2 vaccines currently licensed Gardasil (HPV
  6,11,16 and 18), Cervarix (HPV 18 and 18)
• Cervical cancer screening programme across the
  U.K.

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U.K. Immunisation Programme

• Cervarix vaccine (HPV 16 and 18)
• Vaccinating 12-13 year old school girls
• Aim for 80 uptake
• 2 year catch up campaign for girls under 18 (3
  years in Scotland)
• Course of 3 vaccines (80 each)

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29 year old girl presents to GP She has had
first 2 Cervarix vaccines at great expense in
Australia Requesting the third dose.. What
do you do?
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• Joint Committee in Vaccines and Immunisations
  recommends
• that GPs do not prescribe or administer HPV
  immunisation outside of the national immunisation
  programme.

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• Current guidance from SGPC.
• Private Prescription?
• How do you explain this to your patients?
• What can they do to further their own case?

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And what about.

• Gillick competent girl whose parents have
  refused participation in school vaccine
  programme.
• Boys
• Over 18s

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• Watch this space ????