Impact of Human Papillomavirus Vaccination, Rwanda and Bhutan

Baussano, Iacopo; Sayinzoga, Felix; Tshomo, Ugyen; Tenet, Vanessa; Vorsters, Alex; Heideman, Daniëlle A.M.; Gheit, Tarik; Tommasino, Massimo; Umulisa, Marie Chantal; Franceschi, Silvia; Clifford, Gary M.

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Impact of Human Papillomavirus Vaccination, Rwanda and Bhutan

Published Date:

Jan 2021

Source:

Emerg Infect Dis. 27(1):1-9

Language:

English

[PDF-786.61 KB]

Details:

Alternative Title:

Emerg Infect Dis

Personal Author:

Baussano, Iacopo ; Sayinzoga, Felix ; Tshomo, Ugyen ; Tenet, Vanessa ; Vorsters, Alex ; ... More ▼

Description:

Rwanda and Bhutan, 2 low- and middle-income countries, implemented primarily school-based national human papillomavirus (HPV) vaccination in 2011 (Rwanda) and 2010 (Bhutan). We estimated vaccination effectiveness through urine-based HPV prevalence surveys in schools in 2013-2014 and 2017. In Rwanda, 912 participants from baseline surveys and 1,087 from repeat surveys were included, and in Bhutan, 973 participants from baseline surveys and 909 from repeat surveys were included. The overall effectiveness against vaccine-targeted HPV types (i.e., HPV-6/11/16/18) was 78% (95% CI 51%-90%) in Rwanda, and 88% (6%-99%) in Bhutan and against other α-9 types was 58% (21-78) in Rwanda and 63% (27-82) in Bhutan. No effect against other HPV types was detectable. Prevalence of vaccine-targeted HPV types decreased significantly, as well as that of other α-9 types, suggesting cross-protection. These findings provide direct evidence from low- and middle-income countries of the marked effectiveness of high-coverage school-based, national HPV vaccination programs.

Subject:

[+]

Pubmed ID:

33350922

Pubmed Central ID:

PMC7774553

Document Type:

Journal Article

Collection(s):

Emerging Infectious Diseases

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Impact of Human Papillomavirus Vaccination, Rwanda and Bhutan

Impact of Human Papillomavirus Vaccination, Rwanda and Bhutan

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