More women to get cancer jab

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More women to get cancer jab

A massive immunisation programme against cervical cancer is to be extended

By Brady, Whitehall Editor

Sunday, 24 August 2008

All women aged up to 24 could be offered a vaccine against one of the most

common causes of cervical cancer in an extension to a multimillion-pound

immunisation programme.

Experts from the Department of Health are considering the case for offering

women the latest protection against the human papilloma virus (HPV) as part

of a concerted assault on a cancer that affects 2,700 people every year. The

threat cervical cancer poses was brought home last week when Big Brother

star Jade Goody was informed that she had tested positive for the disease.

Health chiefs are set to begin vaccinating schoolgirls against HPV in one of

the biggest public health campaigns in British history. After a long

investigation into the programme, the Government will offer routine

vaccinations to girls aged 12 to 13 from next month, in a move that some

parents complained would " sexualise " their children at an early age. The

Government claims that the action against HPV, which is mainly spread

through sexual contact, will save up to 400 lives every year.

The Health minister, Dawn Primarolo, said last month that the campaign will

be extended to 300,000 girls between the age of 17 and 18 who, under

original plans for a catch-up programme beginning next year, would have

missed out on the treatment.

Now The Independent on Sunday has established that the Government is

planning to offer the vaccine to more than a million women who are at risk.

The proposal to extend the immunisation programme to women aged between 19

and 24 flatly contradicts the recommendations of the Government's advisers,

who said the move would not be " cost effective " . But ministers have chosen

the cheaper Cervarix vaccine over its rival Gardasil.

" The hum-an papilloma virus vacc-ination programme will offer the HPV

vaccine to girls and young women aged 12 to 18 years of age, " Ms Primarolo

revealed in a written parliamentary answer slipped out before MPs went on

their long summer holiday.

" We are currently considering the issues around offering the vaccine to

those over 18 years of age, including the cost-effectiveness of such an

intervention. "

The concession provoked astonishment among pressure groups and experts who

had been campaigning for the vaccination programme to cover a wider swathe

of the population.

But details of the plan received a mixed reception. One expert said the

extension was a logical move to increase protection for the female

population – but another warned that it could contribute to a decline in the

number of women going for smear tests.

Professor Margaret Stanley, an adviser to the HPV subgroup of the Joint

Committee for Vaccination and Immunisation (JCVI), which guides government

policy on the issue, said the admission was " a remarkable volte-face " .

She said: " Vaccinating older girls and women who have active sexual lives

will have an effect but it will be much less than immunising the virgins.

" There is the real anxiety that these older girls and women may think that

they have had a magic bullet, are protected, don't go for their smears and

the cancers aren't picked up at an early stage. "

Anne Szarewski, a senior consultant at the Wolfson Institute of Preventive

Medicine, said: " This seems a logical approach to the issue and it is in

line with the approach other countries have taken. I think if we are serious

about tackling this cancer we must immunise everyone we can.

" I am glad that the Government is looking at older women. But if they really

want herd immunity, they should be looking at vaccinating boys as well,

because they will transmit this virus to girls in the future. "