Report: Clinics Lack HPV Vaccine

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The New York Sun

None of the city’s public health clinics that specialize in vaccinations or in treating patients with sexually transmitted diseases offer a new vaccine against a virus linked to cervical cancer, a new report has found.

The report, released yesterday by Public Advocate Betsy Gotbaum, also found that of 67 city-run clinics offering health care for children and teenagers, 35 offer Gardasil, a vaccine against the human papillomavirus. Of the clinics that offer it, 18 charged patients for the vaccine, which costs $360 for a three-dose inoculation, administered via a shot in the arm. In one case, a clinic charged as much as $510, the report found.

“Given the number of women diagnosed with cervical cancer, it’s clear the city can’t ignore this health crisis,” Ms. Gotbaum said. In the report, the public advocate also criticized the city’s 311 system and the Department of Health and Mental Hygiene’s Web site, saying they provide insufficient information about the vaccine.

Gardasil, approved by the Food and Drug Administration last spring, protects women against four strains of the human papillomavirus, including two linked to 70% of cervical cancer cases. In June, the Centers for Disease Control recommended that 11- and 12-year-old girls receive the vaccine. Lawmakers in more than 20 states, including New York, have proposed legislation to mandate vaccination, despite objections from religious and conservative groups.

“In the minds of most OB-GYN doctors, I think it’s fair to say there is no doubt in our minds that this is a good vaccine,” a doctor at Mount Sinai Hospital’s Adolescent Health Center, Elizabeth Lorde-Rollins, said.

Yesterday, officials at the city’s Health and Hospitals Corporation said its hospitals and community-based health centers have stocked Gardasil since November, contradicting the public advocate’s findings. In light of the report, however, the corporation “will conduct additional training for clinical and non-clinical staff who may also be asked about the availability of the vaccine,” officials said.

Health Department officials, also responding to the findings, said significant financial obstacles have hindered the vaccine’s administration. In a statement, officials indicated that the department will make Gardasil available to adolescents through its immunization clinics in the coming months, when the department’s Web site and the 311 system also will be updated. Officials did not provide a time line for when the vaccine will be available, though they said that so far, they have distributed 50,000 doses of Gardasil to doctors in the city through the federally funded Vaccines for Children program.


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