Where is gardasil mandatory

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Vaccine Safety. MMR Vaccine. Mandates and Exemptions. Vaccine-Specific Requirements. Exemptions by State. Some people — for example older students and people with weakened immune systems — may get three injections over six months. You need all doses to get full protection.

To have a better experience, you need to: Go to your browser's settings Enable JavaScript. Home Health and wellness Vaccines and immunization. On this page Skip this page navigation. How you can get HPV HPV — which stands for Human Papillomavirus — is a sexually transmitted virus that you can catch from an infected person through: sexual activity, including oral sex intimate skin-to-skin contact with an infected person You don't have to have intercourse sex to get HPV.

Some types of HPV can cause: genital warts cervical , penile, head or neck cancer other cancers Best age to get the vaccine For maximum protection, people should get the vaccine before becoming sexually active and, ideally, around age 11 or 12 grade 7. Between higher seropositive rates and lack of widespread vaccination, HPV dysplasia and cancer result in lost work time, decreased force readiness, negative monetary implications, and even separation from service.

With more than half of the 1. Although multiple strategies for improving vaccination rates have been proposed, mandatory vaccination would be in line with current joint service policy that requires all ACIP-recommended vaccines. It is time to update the joint service guidelines and add HPV vaccine to the list of mandatory vaccines. Disease and non-battle injury have historically caused greater morbidity and mortality than battle trauma during military operations, and vaccinations are one of the many measures the military takes to assure readiness and health of the force.

The military requires compliance with vaccinations available for most vaccine-preventable diseases including tetanus, typhoid, measles, yellow fever, smallpox, and anthrax to name a few. What is notably missing from this list is HPV. It is time for the military to mandate the HPV vaccine. Currently, approximately 79 million Americans are infected with HPV. In addition to genitourinary malignancies, the same high-risk HPV strains are also linked to oropharyngeal cancers.

The quadrivalent vaccine protects against HPV strains 6, 11, 16, and Most recently in June , the FDA indication for the nonavalent vaccine was further extended to include the prevention of HPV-associated oropharyngeal and other head and neck cancers. The HPV vaccine is typically given in a two- or three-dose series depending upon patient age at initiation over a 6-month period. It is most effective to administer to patients before sexual activity and HPV exposure, but it still offers benefit regardless of current or previous HPV infection.

Vaccine-specific HPV infections in the USA have decreased by over half among vaccinated to year-old females and the resultant cervical dysplasia has shown a similar decrease. Although it is not recommended in pregnancy, a study of more than 90, pregnancies of active duty U.

The series costs between and dollars depending on the number of injections given and, while it has been covered by TRICARE since , is not one of the mandatory vaccinations required of service members.

The potential for benefit of HPV vaccination does not end with women and gynecologic disease. In the USA, HPV-related oropharyngeal cancer is one of only five cancers with an increasing incidence since and is now the most common site of HPV-related cancer, surpassing cervical cancer.

This is the first study showing a decrease in cervical cancer incidence—further driving home the point that earlier vaccination is better, but HPV vaccination at some point is better than none at all. Between and , cervical cancer was the fifth leading cause of cancer diagnosis among active duty service women, with the majority occurring in their 30s. There is not only significant cost associated with the treatment of HPV-induced diseases, but also time and resources involved with diagnosis and surveillance.

The U. The reported incidence rate was more than 20 times less than the most recent incidence rate reported by the CDC for the USA as a whole.

Given the immediate availability of this safe and effective vaccine with a young active duty population, as well as national recommendations for universal vaccination, the U.

Multiple strategies for implementation of mandatory HPV vaccination have been proposed, including policy changes, process guidelines, education strategies, and mandates.