WEDNESDAY, Feb. 1 (HealthDay News) -- The American Academy of
Pediatrics is recommending that all boys between the ages of 11 and
12 receive the three-dose vaccine for the human papillomavirus
(HPV).
That's the most significant change in the latest immunization
schedules, released Wednesday by the pediatrics group. The HPV
vaccine has been available and recommended for girls and young
women since 2006, because it was believed that the vaccine would be
most effective at preventing cervical cancer. Since then, other
cancers thought to be caused by HPV have been on the increase,
including anal cancer and some head and neck cancers.
"Initially, when HPV vaccines were being evaluated, there was an assumption that they would be for preventing cervical cancer and genital warts. Subsequent to that, some things have occurred that show us that providing the vaccine to both genders would be beneficial," said Dr. Michael T. Brady, chairman of the AAP's Committee on Infectious Diseases and chairman of the department of pediatrics at Nationwide Children's Hospital in Columbus, Ohio.
"Currently, our approach isn't effective from a public health perspective since males are also participants in the transmission of HPV," he said. "If we include both girls and boys, we could have a potential impact on HPV transmission."
The new guidelines mirror a recommendation released last October
by the U.S. Centers for Disease Control and Prevention's Advisory
Committee on Immunization Practices (ACIP).
The HPV virus can cause cervical, anal and some head and neck
cancers, as well as genital warts, according to the CDC. The virus
is transmitted though genital or oral sex, and many people who have
the virus don't know they have it. To be effective, the vaccine for
the virus must be given before someone is ever infected. That's why
health experts recommend that the vaccine be given in the pre-teen
years of 11 or 12.
"I understand most parents aren't interested in hearing about their children being sexually active, but this is a cancer vaccine that's given for a number of different reasons that has to be given prior to the onset of sexual activity," Brady said, adding that another reason to give the vaccine at a younger age is that studies have shown the immune system responds more strongly to the vaccine at this age. "Children between 9 and 12 get the best response to this vaccine," he explained.
He also cautioned that this vaccine doesn't protect against
all sexually transmitted diseases. Whether vaccinated against
HPV or not, practicing safe sex is still crucial for preventing
potentially life-threatening infections.
"Plus, if you give HPV vaccine only to females, you won't have any impact for men who have sex with men. By expanding the vaccine to both genders, we would reduce the overall transmission of HPV. And, we would make sure all of the complications of HPV would be prevented in both genders," said Brady.
Brady noted that this vaccine is quite safe, with the most
significant side effect being transient soreness in the vaccinated
arm. "This vaccine has very minimal risk," he said. However, he
said any time you give children in this age group a vaccination or
take blood from them, it's likely that they will faint more often
than people in other age groups. For this reason, your child will
be asked to sit for 15 minutes or so after getting the vaccine to
make sure that doesn't happen.
One expert agreed with the new guideline.
"What the AAP is doing is being consistent with the ACIP recommendations. There will be a benefit to women from immunizing men, as well as the prevention of warts in males, and possibly cancer associated with HPV," said Dr. Kenneth Bromberg, director of the Vaccine Research Center at the Brooklyn Hospital Center in New York City.
Both experts thought that by providing the vaccine to both girls
and boys, the vaccine might become less controversial. And, because
the ACIP recommended it, both said that insurance coverage likely
wouldn't be an issue.
The other noteworthy changes to the AAP schedule included adding
a meningococcal booster shot (against meningitis) at age 16. Brady
said the initial vaccine is given around 11 or 12 years, and it was
initially thought that it would last 10 years. Now, scientists know
that immunity begins to wane after five years. Teens and young
adults are most at risk for infectious meningitis when they're
living in communal situations, such as college dormitories.
The AAP is also recommending that children between the ages of 6
months and 8 years who didn't receive a flu vaccine for the 2010-11
season should receive two doses of flu vaccine this year.
The new AAP recommendations are published in the February issue
of
Pediatrics.
More information
Learn more about HPV vaccine from the
U.S.
Centers for Disease Control and Prevention.