Improving HPV Vaccination Coverage:

Recent ActivitiesShannon Stokley

National Center for Immunization and Respiratory Diseases

February 18, 2014

National Center for Immunization and Respiratory DiseasesImmunization Services Division

Outline President’s Cancer Panel Report CDC activities

http://deainfo.nci.nih.gov/ADVISORY/pcp/annualReports/HPV/index.htm

PCP 2012-2013 Series Workshops HPV Vaccination as a Model for Cancer

Prevention

Achieving Widespread HPV Vaccine Uptake

Creating an Integrated HPV Vaccination and Screening Program

Global HPV Vaccination: Opportunities and Challenges

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Accelerating HPV Vaccine Uptake in the United States - Goals

Reduce missed clinical opportunities to recommend and administer HPV vaccines

Increase parents’, caregivers’, and adolescents’ acceptance of HPV vaccines

Maximize access to HPV vaccination services

Goal 1: Reduce missed clinical opportunities to recommend and

administer HPV vaccines Objective 1.1: CDC should develop,

test, disseminate, and evaluate the impact of integrated, comprehensive communication strategies for physicians and other relevant health professionals.

Goal 1: Reduce missed clinical opportunities to recommend and

administer HPV vaccines Objective 1.2: Providers should strongly

encourage HPV vaccination of age-eligible males and females whenever other vaccines are administered.

Objective 1.3: Healthcare organizations and practices should use electronic office systems, including electronic health records (EHRs) and immunization information systems (IIS), to avoid missed opportunities for HPV vaccination.

Goal 1: Reduce missed clinical opportunities to recommend and

administer HPV vaccines Objective 1.4: Healthcare payers should

reimburse providers adequately for HPV vaccines and for vaccine administration services.

Objective 1.5: The current HEDIS quality measure for HPV vaccination of adolescent females should be expanded to include males.

Objective 1.6: Create a Healthy People 2020 HPV vaccination goal for males.

Goal 2: Increase Parents’, Caregivers’, and Adolescents’ Acceptance of HPV

Vaccines Objective 2.1: CDC should develop, test, and

collaborate with partner organizations to deploy integrated, comprehensive communication strategies directed at parents and other caregivers, and also at adolescents.

Goal 3: Maximize Access to HPV Vaccination Services

Objective 3.1: Promote and facilitate HPV vaccination in venues outside the medical home.

Objective 3.2: States should enact laws and implement policies that allow pharmacists to administer vaccines to adolescents, including younger adolescents.

Objective 3.3: Overcome remaining barriers to paying for HPV vaccines, including payment for vaccines provided outside the medical home and by out-of-network or nonphysician providers.

Goal 4: Promote Global HPV Vaccine Uptake

Objective 4.1: The United States should continue its collaboration with and support of GAVI Alliance to facilitate HPV vaccine introduction and uptake in low-income countries.

Objective 4.2: The United States should continue to support global efforts to develop comprehensive cancer control plans and cancer registries in low- and middle-income countries.

High-Priority Research to Advance Prevention of HPV-Associated Cancers

Investigate more convenient dosing schedules for current vaccines (e.g., extended dosing schedules, fewer doses)

Develop next-generation vaccines that provide broader protection and/or are easier to store and administer

Explain the natural history of oropharyngeal HPV infections

Develop more effective ways to communicate about HPV-associated diseases and HPV vaccines

Determine how best to integrate HPV vaccination with cervical cancer screening

Upcoming Activities

CDC Focus Areas for Improving HPV Vaccine Coverage

Mobilize partners and stakeholders Strengthen providers’ commitment and

recommendation Increase public awareness of HPV vaccine

as cancer prevention Address vaccine safety concerns at every

opportunity Use systems approaches to improve vaccine

coverage

CDC Activities to Rapidly Increase HPV Vaccine Coverage

Communication and media campaign to public

AAP funded activity to focus on provider outreach

PPHF awards to 11 State/local awardees to increase HPV vaccination

State and local health department Call to Action with follow-up with health departments to discuss developing a plan

Partnership building activities between immunization and cancer prevention programs and coalitions

CDC Communication Activities Developed TIPS sheet for clinicians (http://

www.cdc.gov/vaccines/who/teens/for-hcp-tipsheet-hpv.html)

Created speakers bureau of HPV-related cancer specialists to present to pediatricians and family physicians on the importance of HPV vaccination

Media outreach through professional and parent channels

HPV Vaccination Resources for HCPs

www.cdc.gov/vaccines/YouAreTheKey

Thank you

For more information please contact Centers for Disease Control and Prevention

1600 Clifton Road NE, Atlanta, GA 30333Telephone: 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348E-mail: cdcinfo@cdc.gov Web: http://www.cdc.gov

The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

National Center for Immunization and Respiratory DiseasesImmunization Services Division