The European Union Focuses on HPV Vaccination in Cervical Cancer Awareness Month

The European Union Focuses on HPV Vaccination in Cervical Cancer Awareness Month

Cervical Cancer Awareness Month

In the heart of Europe, a pivotal spotlight shines on an urgent healthcare concern during Cervical Cancer Awareness Month. Cervical cancer, the second most prevalent cancer impacting women aged 15 - 44 in the European Union, casts a daunting shadow, with approximately 33,000 diagnoses and 15,000 tragic losses each year. At the core of this health crisis lies a pervasive culprit - persistent infection by specific strains of the human papillomavirus (HPV).

As the EU struggles with these staggering statistics, the focus intensifies on combating this formidable foe. The linchpin in this battle? HPV vaccination. This simple yet potent preventive measure emerges as a beacon of hope, offering a shield against HPV infections and consequently, a formidable defense against cervical cancer.

The Vision of Europe's Beating Cancer Plan

Europe's Beating Cancer Action Plan

At the core of the European Union's healthcare agenda lies a pivotal commitment - ‘Europe's Beating Cancer Plan’. This comprehensive initiative, unveiled in February 2021, epitomizes the EU's resolute response to the evolving challenges in cancer control. It stands as a testament, a political vow, to leave no stone unturned in the battle against cancer.

Outlined around ten flagship initiatives and complemented by numerous supporting actions, this plan is integral to the Commission's blueprint for a robust European Health Union. Its primary aim? To fortify Europe's resilience, ensuring enhanced preparedness and a more secure health landscape.

Central to Europe's Beating Cancer Plan is its steadfast support for Member States, bolstering their efforts in cancer prevention and advocating for an elevated quality of life for patients, survivors, their families and caregivers. The plan's framework revolves around key domains where the EU's impact holds the most significance:

  • Prevention
  • Early Detection
  • Diagnosis and Treatment
  • Enhancing the Quality of Life for Cancer Patients and Survivors

This concerted effort strives not just to combat cancer but to cultivate a more supportive, comprehensive and resilient environment for those impacted by this formidable disease.

Plan of Action: Eliminating Cervical Cancer’s Cause -  Human papillomavirus

Europe's Beating Cancer Plan strives to eradicate cervical cancer, stemming from the Human papillomavirus (HPV), which not only causes cervical cancer but also has links to head, neck, and anal cancers. The plan's objective is to vaccinate at least 90% of girls within the EU's targeted population and significantly enhance vaccination rates among boys.

To confront cancer risks associated with HPV infection and other diseases, the Commission is advocating a Council recommendation on preventing vaccine-related cancers.

Multiple collaborative efforts and EU-funded projects are championing HPV vaccination. Initiatives like JA PERCH aim to bolster Member States' endeavors in expanding routine HPV vaccination over the next decade. Additionally, projects funded under the EU4Health Programme are actively working to enhance accessibility to HPV vaccination.

Cervical cancer, notably preventable and treatable, stands as a significant health concern, ranking as the second most prevalent cancer among women aged 15–44 in the EU. However, it's essential to underscore that HPV can trigger cancer in both women and men. Annually, the EU witnesses around 33,000 cases of cervical cancer, resulting in 15,000 fatalities.

In May 2018, the WHO established a goal of achieving 90% HPV vaccination coverage in girls by 2030 as part of the Global strategy to hasten the eradication of cervical cancer as a public health issue. While HPV vaccination has gradually integrated into national immunization programs across the EU since 2007, variations in policies and vaccination rates persist among countries.

Vaccines That Do Wonders 

HPV Vaccination

The European Medicines Agency's scientific committee conducted rigorous assessments, ultimately granting authorization to market three crucial HPV vaccines within the European Union. 

Those three vaccines are as follows:

  1. Gardasil: This injection suspension comprises purified proteins targeting four variants of the human papillomavirus: types 6, 11, 16, and 18. It's accessible in vials or pre-filled syringes for administration.
  2. Gardasil9: This vaccine safeguards both males and females starting from nine years of age, shielding against various conditions provoked by nine specific types of the human papillomavirus (HPV): types 6, 11, 16, 18, 31, 33, 45, 52, and 58.
  3. Cervarix: This is available in injection suspension form, containing purified proteins targeting two variants of the human papillomavirus: types 16 and 18. It's accessible in vials or pre-filled syringes for administration.

Strategic Approaches for Enhanced HPV Vaccination Impact

Enhanced efficacy of HPV vaccination is seen in preadolescents due to higher immune response. Despite potential lower efficacy, those at higher risk, like individuals with HIV or men who have sex with men, can still benefit.

Universal gender-neutral vaccination demands more resources but ensures robust herd protection, even with lower uptake, benefiting all risk groups equitably. However, a female-only vaccination strategy, while cost-effective, leaves men who have sex with men less protected, revealing issues of equity and resilience. 

Targeted efforts to bolster vaccine uptake among specific underserved groups can bolster effectiveness and ensure fair access. Ongoing studies aim to bridge research gaps and refine vaccination strategies for broader public health impact.

Conclusion - There’s Hope in the Horizon!

Experts across 18 nations have united to amplify HPV vaccination's impact in combating cervical cancer! As an integral component of the Europe Beating Cancer Plan, the EU's fresh Joint Action on HPV vaccination is poised to propel the mission of immunizing 90% of adolescent girls and bolstering vaccination rates among boys.

Termed PERCH (PartnERship to Contrast HPV), this collaborative initiative, extending until 2025, is spearheaded by Italy's National Institute of Health, the Instituto Superiore di Sanità (ISS). Its potential extends beyond aiding Europe in meeting WHO's targets for cervical cancer elimination, potentially curbing cases of genital warts as well.

Wishing for a significant decline in Cervical Cancer rates in the European Union. Strength to the nation and its citizens!


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