Shenzhen CPPCC members suggest: the first day girls free vaccination HPV vaccine

深圳政协委员建议:初一女生免费接种HPV疫苗

The 4th meeting of the 6th Shenzhen Municipal CPPCC officially opened on January 15th. The Shenzhen Municipal CPPCC National Committee and the Deputy Director of the Shenzhen Public Hospital Management Center, Lin Hancheng, submitted the “Proposal on Free Vaccination of HPV Vaccine for Junior Girls in the City”. It is recommended that Shenzhen promote the vaccination of HPV vaccine to girls in the city.

In July 2016, the bivalent HPV vaccine was approved for marketing in China and was officially launched in August 2017 for women aged 9-25. "The age of HPV vaccination should be earlier than the age of first sexual activity. The earlier the vaccination age, the better the protection of the vaccine." Lin Hancheng said.

It is understood that cervical cancer is the second most common malignant tumor among women in the world. In recent years, the incidence of cervical cancer in Shenzhen has shown an upward trend. The crude incidence rate has increased from 8.03/100,000 in 2005 to 14 in 2014. .97/100,000 has been the second high-risk tumor for female residents in Shenzhen for more than ten years. Group prevention using the HPV vaccine for the cause is a fundamental approach to the prevention and treatment of HPV-related cancers such as cervical cancer. The key to vaccination of HPV vaccine is sexual life history, and HPV vaccine is the best for women with asexual life history. For women who are not yet infected with HPV, currently marketed vaccines show long-term high efficacy (>95%) in preventing cervical cancer, precancerous lesions, and other genital diseases.

Taking into account the characteristics of women's puberty and the operability of vaccination, Lin Hancheng proposed to carry out HPV vaccination program for girls in Shenzhen and high school: full voluntary free vaccination for first-year girls who meet the vaccination conditions, all expenses are financed; The conditions of the second to third grade girls are voluntarily vaccinated, the cost is 30% of the financial expenditure, the medical insurance pays the remaining 40%, pays 30% at their own expense; no medical insurance pays 70%.

According to estimates, the average age of first-year girls in Shenzhen is about 12 years old, about 25,000. If the first-year girls in Shenzhen are given three free doses of HPV vaccine, the cost is 1740 yuan / person × 25,000 = 43.5 million yuan. In addition, the age of the second to third year girls in Shenzhen is 13-17 years old. It is estimated that this part of the population is about 186,000. The cost of inoculation of three-needle HPV vaccine is 1,740 yuan/person × 186,000 = 32.364 million. Yuan, 30% of which is financed, then the financial payment is 97.092 million yuan (the above fees are estimated by the corresponding population of the corresponding age).

Lin Hancheng also suggested that further research on the HPV vaccination population cohort based on the HPV vaccination program for junior and senior high school students in Shenzhen will provide reliable evidence for the long-term safety and efficacy of HPV vaccine in Chinese female population. .

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