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Technically Speaking
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October 2019
Technically Speaking
Monthly Column by Deborah Wexler, MD
Deborah Wexler MD
IAC Executive Director Dr. Deborah Wexler writes Technically Speaking, a column featured in each issue of Vaccine Update for Healthcare Professionals, the monthly e-newsletter from the Vaccine Education Center (VEC) at the Children's Hospital of Philadelphia. Technically Speaking columns cover practical topics in immunization delivery such as vaccine administration techniques, storage and handling, contraindications and precautions, and scheduling.
Subscribe to VEC's Vaccine Update for Healthcare Professionals to stay up to date on vaccine-related issues, including reviews of recently published journal articles, media recaps, and announcements about new resources and webinars. To subscribe, visit the Vaccine Update Newsletter Sign-up Form
The archive of past Technically Speaking columns is also available through links on the right side of this web page.
TECHNICALLY SPEAKING
CDC Updates Recommendations on the Use of HPV Vaccine
Published October 2019
On August 16, CDC published updated guidance on the use of HPV vaccine, Human Papillomavirus Vaccination for Adults: Updated Recommendations of the Advisory Committee on Immunization.

The recommendations now include the following updated information:

  • For children and adults age 9 through 26 years: The vaccine is routinely recommended at age 11 or 12 years, but vaccination can be given starting at age 9 years. Vaccination is now recommended for all persons (both males and females) through age 26 years.
     
  • For males through age 26 years: As noted above, ACIP now recommends routine HPV vaccination for all persons in this age group. Previously, ACIP recommended routine vaccination for males only through age 21; for males age 22—26, vaccine was recommended only for those with risk factors or for those who wanted to be protected from the disease. ACIP has routinely recommended HPV vaccination for females through age 26 since 2007.
     
  • For adults age 27 through 45 years who have not been vaccinated: For this age group, ACIP recommends shared (between the provider and the patient) clinical decision making to determine whether or not a patient would benefit from receiving HPV vaccine. Some additional considerations were delineated in the ACIP guidance with respect to this age group, including the following points:
     
    • Although new HPV infections are most commonly acquired in adolescence and young adulthood, some adults are at risk for acquiring new HPV infections.
    • At any age, having a new sex partner is a risk factor for acquiring a new HPV infection.
    • Persons who are in a long-term, mutually monogamous sexual partnership are not likely to acquire a new HPV infection.
    • Most sexually active adults have been exposed to some, although not necessarily all, of the HPV types targeted by vaccination.
    • HPV vaccine efficacy is high among persons who have not been exposed to vaccine-type HPV before vaccination.

The recommendations regarding the number of doses needed for completing the HPV vaccine series have not changed. Specifically, the number of recommended doses is based on the patient’s age at administration of the first dose and their immune status.

  • Those who begin the HPV series before their 15th birthday should receive 2 doses, separated by 6–12 months. The minimum interval between doses is 5 calendar months.
     
  • People who start the series on or after the 15th birthday and those with certain immunocompromising conditions (such as cancer, HIV infection, or taking immunosuppressive drugs) should receive a 3-dose series. The second dose should be given 1 to 2 months after the first dose, and the third dose should be given 6 months after the first dose.

References and Resources

The archive of past Technically Speaking columns is also available through links on the right side of this web page.
 
This page was updated on October 23, 2019.
This page was reviewed on October 23, 2019.
2019 ISSUES >> view all issues
DECEMBER 2019
ACIP Updates Its Pneumococcal Vaccine Recommendations for Adults Age 65 Years and Older
NOVEMBER 2019
ACIP Votes to Approve That Tdap and Td Vaccines May Now Be Used Interchangeably
OCTOBER 2019
CDC Updates Recommendations on the Use of HPV Vaccine
SEPTEMBER 2019
"Dear Colleague" Call-to-Action Letter from AAFP, AAP, ACHA, ACOG, APhA, SAHM, and IAC Stresses Importance of Implementing Immunization Visit at 16 Years of Age
AUGUST 2019
Newly Designed and Easy to Navigate—Visit Give2MenACWY.org to Enhance Your Efforts to Increase Rates for MenACWY Booster Doses and Other Adolescent Vaccinations
JULY 2019
ACIP Updates Its Guidance on the Use of HPV, PCV13, HepA, HPV, and MenB Vaccines at June 26–27 Meeting
JUNE 2019
Looking for New Tools and Resources to Help Increase Your Clinic's HPV Vaccination Rates? Here Are Some Great Ones!
MAY 2019
How to Protect Children, Adults, and Healthcare Personnel from Measles
APRIL 2019
Refresher! Use of Pneumococcal Vaccines in Infants and Children, as well as in Children with Health Conditions
MARCH 2019
With Measles "Breaking Out" All over the United States, Here Are Some Good Educational Resources
FEBRUARY 2019
Questions about Proper Vaccine Storage and Handling? CDC's Redesigned Toolkit Has Answers!
JANUARY 2019
Want to Avoid Vaccination Errors? These Print Materials and Slide Sets Will Help You!
    >> view all issues
 
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