title: Protecting a new generation against HPV: are we willing to be bold?
abstract: Despite the advent of a novel human papillomavirus (HPV) vaccine to prevent associated cancers, HPV vaccination rates in the United States (US) remain well below national goals. Two recent reports by the Centers for Disease Control and Prevention (CDC) and the President's Cancer Panel (PCP) have identified missed clinical opportunities as an intervention point for increasing HPV vaccination rates, including the provision of immunization in alternative venues by varying healthcare providers. In this paper, we specifically comment on the idea of offering HPV vaccination in emergency departments (ED) by emergency medicine (EM) physicians as posited by Hill and Okugo (2014), identifying both strengths and limitations to this strategy. We also offer ideas for additional research, suggest provider and healthcare systems changes, and discuss needed policy changes to improve HPV vaccination rates in the US.
authors.affiliation: a Department of Health Behavior ; University of Kentucky College of Public Health ; Lexington , KY USA.
authors.forename: Robin C
authors.initials: RC
authors.lastname: Vanderpool
authors.forename: Richard A
authors.initials: RA
authors.lastname: Crosby
authors.forename: Lindsay R
authors.initials: LR
authors.lastname: Stradtman
mesh_terms: D001291:Attitude of Health Personnel; D003695:Delivery of Health Care / Q000379:methods*; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D053918:Papillomavirus Vaccines / Q000008:administration & dosage*; D010820:Physicians; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control*; D014611:Vaccination / Q000706:statistics & numerical data*
chemical_list: D053918:Papillomavirus Vaccines
keywords: ACIP, Advisory Committee for Immunization Practices; CDC, Centers for Disease Control and Prevention; ED, emergency department; EM, emergency medicine; HPV vaccination; HPV, human papillomavirus; PCP, President's Cancer Panel; US, United States; alternative settings; emergency departments; missed clinical appointments; physicians; policy