Question 20543 — diseases

Summary

Mrs. Agnès Firmin Le Bodo draws the attention of the Minister of Solidarity and Health to cancers due to papillomavirus infection. Since 2006, a first vaccine against four strains of the HPV virus has been available and a new vaccine containing a total of nine strains has been on the market since August 2018. However, the screening and vaccination figures are lower in France than in the rest of Europe. To date, more than 20 countries recommend vaccination for girls and boys from the age of 11 (before first sexual intercourse). Among these countries, in Europe: Germany, Great Britain, Denmark, Finland, Ireland, Austria, Switzerland, Italy, Croatia, Czech Republic, Norway, Belgium, and on other continents: United States, Canada, Argentina, Brazil, Australia, New Zealand, Israel etc. The example of Australia is the most telling: from 2007, campaigns public vaccinations for young girls and boys have been introduced from the age of 12. With vaccination coverage which now reaches 80% of Australian women and 75% of Australians aged 15, the circulation of the virus, and therefore any new risk of infection and cancer due to HPV, should cease according to epidemiological modeling. In France only 20% of girls are vaccinated and a tiny number of boys! However, 80% of women and men risk contracting HPV during the first sexual intercourse. Each year, these cancers affect more than 6,300 people (WHO 2017 sources): cervical cancer, 2,917; of the anus, 1,457; ENT, 1,681; of the vulva, vagina and penis, 277. A total of 2,900 people (all cancers due to HPV combined) die per year. France is starting to be very alone in Europe, especially since no date publication of the recommendation in France is not known (deadlines unknown). The HAS, at the request of the Minister, was informed of this problem at the beginning of the year, with no response currently. These vaccine cost figures must be balanced with the cost of illnesses. So, she asks him how much costs public health and therefore taxpayers just one year of treatment for cervical cancers, cancers ENT linked to HPV and how much the care, follow-ups, physical and moral repercussions of these pathologies cost.

Machine translation from French. The official text remains authoritative.

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