why should boys also be vaccinated?

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According to a recent report from the National Academy of Medicine, vaccinating boys as well as girls against papillomarvirus (HPV) is a must to eliminate cancers of the cervix, throat and anus .

The vaccination boys between 11 and 14, in addition to girls, "is a necessity" to eliminate cervical cancer and avoid those of the throat and theanus, insistsNational Academy of Medicine in a report released Monday. Vaccination against sexually transmitted infections at papillomavirus (HPV / HPV) is recommended and reimbursed for all girls aged 11 to 14 and between 15 and 19 years old in case of catch-up. It is also recommended until age 26 in men who have sex with men and in immunocompromised patients.

Some countries, such as the United States, already recommend vaccination of all teens whatever their sex. The health costs of HPV infections in France represent more than 500 million euros per year, notes the Academy, which regrets that the vaccination of girls – "less than 20%", is "the lowest in Europe".

The Academy of Medicine calls for vaccination including boys

The academy has already expressed itself in favor of vaccination including the boys on 20 March alongside about 50 learned societies and medical unions, but insists in his report on "additional aspects".

It shows a clear increase since the 1970s, throat cancers – oropharyngeal cancers – despite a decrease in poisoning related toalcohol and tobacco. These viral cancers affect younger subjects (35-45 years) than those related to alcohol and tobacco.

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The Academy calls for an information campaign in schools

" Theimpact (new cases) of anal canal cancer has increased by 56% since 1990 and 93% of these are attributable to HPV »And« the incidence is greater for women (65%) Adds the academy. The extension of vaccination to boys presents a favorable "cost-effectiveness" ratio, all the more favorable as the vaccination of girls is low, she notes according to Belgian works. " The information (on vaccination, ed) must relate directly to children and not be limited to parents ", Says the academy. She therefore claims a real information campaign in schools about these infections and their prevention And the mobilization of doctors of various specialties.

The papillomavirus is mainly a men's affair

Destination Health article, published on 1st February 2012

While vaccination against papillomavirus (HPV) is advocated in young girls, a study has just shown that the virus is found mainly in the male population. Disturbing results when we know the responsibility of HPV in the development of certain cancers of the throat.

Will boys have to, as is recommended today to young girls, to get vaccinated against human papillomavirus (HPV)? The question arises from a study published on January 26 in the Journal of the American Medical Association (Jama). According to its American authors, the prevalence oral HPV infection, which causes oropharyngeal cancers, is higher in men than in women.

Maura Gillison and her teamOhio State University Comprehensive Cancer Center in Columbus (USA) investigated the prevalence of oral HPV infection among their fellow citizens. In total, 5,600 men and women aged 14 to 69 participated in this work. All were subjected to oral cell mouthwashes and gargles.

As a result, an oral HPV infection could be diagnosed in 7% of participants. Men would be more concerned: 10% of positivity against 3.1% for women. The highest prevalences were observed in adults aged 30 to 35 and 60 to 64 years old.

" Oral HPV infection is a major cause of Cancer of the oropharynx, says Maria Gillison. In general, the virus of type 16 is involved in 9 out of 10 cases of HPV-positive ENT cancers. They are transmitted most often, " sexually In the context of orogenital reports.

Vaccinate men against the papillomavirus?

Like girls in whom vaccination is recommended in prevention of cervical cancer, will men have to to get vaccinated ? The question is in theair in the United States for several months. Last October, a committee of experts even recommended the vaccination of boys aged 11-12 by a vaccine quadrivalent. Centers for Disease Control and Prevention (CDC) of Atlanta must decide in the coming weeks.

Maria Gillison, for her part, remains cautious. " We still know little about the effectiveness of the vaccine in preventing oral HPV infections ". At this stage, " vaccination can not be recommended on a large scale for primary prevention She writes.

In France, Philippe Descamps, head of department gynecology at CHU d'Angers, is not so categorical. " IIt has now been found that the HPV virus can colonize other sites than the cervix. This is how we can find it on the mucous oral and still within the anal canal. Should vaccination be recommended to young people? " Why not ?he replies. But beyond the health aspect and studies that we have, the public authorities will also look at the economic question. "

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(tagsToTranslate) medicine (t) human papillomavirus (t) cancer (t) human papilloma virus (t) vaccination (t) HPV (t) papillomavirus (t) virus (t) HPV prevalence in men (t) cancer throat (t) oropharyngeal cancer (t) cervical cancer

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