To vaccinate or to screen – Is that the question?

Hann, Alison and Peckham, Stephen (2008) To vaccinate or to screen – Is that the question? International Journal of Health Planning and Management, 23 (1). pp. 69-78. ISSN 0749-6753. (The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided)

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The recent recommendation by the Joint Committee on Vaccination and Immunisation (JCVI) that the human papillomavirus (HPV) vaccine should be routinely given to girls aged 12–13 raises important questions about prevention programmes to combat cervical cancer in the UK. The proposal of a mass immunization programme against HPV also presents some important ethical dilemmas. This paper discusses these questions within the current context of cervical cancer prevention programmes considering issues of efficacy and the impact of immunization on women and the implications for the current cervical screening programme. We argue that despite the JCVI recommendation to implement a national vaccination programme in the UK, which will undoubtedly save lives, further consideration needs to be given to key concerns about the efficacy of the delivery programme and potential risks associated with this, the additional costs of delivery of such a programme, the challenge of ensuring continued vaccination coverage among the highest risk population, the goals of the vaccination programme and the need to continue cervical cancer screening despite a vaccination programme.

Item Type: Article
Uncontrolled keywords: vaccination; HPV; policy; cervical cancer; ethics; public health
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RA Public aspects of medicine > RA638 Immunity and immunization in relation to public health
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Centre for Health Services Studies
Depositing User: Tony Rees
Date Deposited: 04 Jul 2012 08:22
Last Modified: 17 Oct 2014 10:08
Resource URI: (The current URI for this page, for reference purposes)
ORCiD (Peckham, Stephen):
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