Human papillomavirus vaccine coverage.

摘要

Peter Bach (March 20, p 963) draws attention to the maldistribution of human papillomavirus (HPV) vaccination in the USA, whereby coverage in the wealthiest states with the lowest cervical cancer rates is two to three times higher than in states where cervical cancer rates are double. In England, universal HPV vaccination started in September, 2008, and was delivered through schools to 12-year-old girls and, in the first year, through schools and general practices to 17-year-olds. Within a year, 69% had received more than one dose of HPV vaccine, substantially exceeding the 25% coverage within 1 year of 13-17-year-olds in the USA.