HPV Vaccination for Cancer Prevention Pamela C. Hull, Ph.D. Rural - - PowerPoint PPT Presentation

hpv vaccination for cancer prevention
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HPV Vaccination for Cancer Prevention Pamela C. Hull, Ph.D. Rural - - PowerPoint PPT Presentation

HPV Vaccination for Cancer Prevention Pamela C. Hull, Ph.D. Rural Healthcare Providers Symposium February 27, 2020 Collaborators and Partners Meharry-Vanderbilt-TSU Cancer Partnership Vanderbilt University Medical Center Meharry Medical


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HPV Vaccination for Cancer Prevention

February 27, 2020

Pamela C. Hull, Ph.D.

Rural Healthcare Providers Symposium

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Collaborators and Partners

Vanderbilt University Medical Center Debra Friedman, MD Stephen Deppen, PhD Tatsuki Koyama, PhD Liping Du, PhD Caree McAfee, MA, CHES Jaimie Shing, MA Jessica Jones, MS Kelsey Minix, MPH Alyssa Rentuza Juan Canedo, DHSc Vanderbilt University Shelagh Mulvaney, PhD

Meharry-Vanderbilt-TSU Cancer Partnership

Meharry Medical College Maureen Sanderson, PhD Tennessee State University Elizabeth Williams, PhD Cumberland Pediatric Foundation Lora Harnack, MSN Janet Cates Christine Stroebel, MPH Community Partners MVTCP Community Advisory Board HPV Cancer Free Tennessee Coalition TN Department of Health Progreso Community Center

Supported by NIH grant numbers: R01CA207401, U54CA163072, U54CA163066, U54CA163069, 3P30CA068485-18S3, UL1 RR024975, UL1 TR000445, and VU Trans-Institutional Programs

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Infections cause some cancers

Hepatitis C virus Hepatitis B virus Helicobacter pylori HPV (human papillomavirus)

Courtesy of Krystle Kuhs, PhD

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Data from Viens et al. MMWR 2016. https://www.cdc.gov/cancer/hpv/statistics

70% 91% 91% 69% 63% 75%

HPV causes a large burden of cancers, pre-cancers, and genital warts

% Attributed to HPV

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Epidemic of HPV Oropharyngeal Cancer

Oropharynx (Overall) HPV-positive Oropharynx HPV-negative Oropharynx

10 1 Rates per 100,000 Calendar Years HPV Tobacco & Alcohol

225% Increase

Chaturvedi et al, J Clin Onc, 2011

Courtesy of Krystle Kuhs, PhD

Oropharynx

Gillison Vaccine 2012; headandneckcancerguide.org

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1 new case of HPV-related cancer every 20 minutes

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Screening is only available for cervical cancer

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6-12 months after 1st dose 2 & 6 months after 1st dose

Routine HPV vaccination recommended for both males and females at ages 11 – 12 years

*Late: 13-26 years

MMWR 2016;65(49) 1405-1408 http://dx.doi.org/10.15585/mmwr.mm6549a5

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Human Papilloma Virus (HPV) Vaccination

70% 48% 59% 45% 45% 31%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 1+ Dose All Doses Urban Suburban Rural/Town

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Healthy People 2020 Goal: 80% Series Completion

* *

* Significantly lower than Urban at p<0.05

Source: 2018 NIS-Teen Data

Tennessee, 2018

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HPV Vaccination: Challenges

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17% increase in HPV vaccination during well visits 2.5-fold increase in providers using evidence-based “announcement” communication Baseline Follow Up

Results

30% Increase in Bundling HPV Vaccine with Other Adolescent Vaccines

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Available Materials: Co-brand with your logo

Magnet Front & Back of Clinic Flyer (space for logo)

SPANISH

Billboard

Request: get3shots.org

TN Dept of Health: Video Print ads Social media Bus wraps

Request: TIP.Quality@tn.gov

https://www.youtube.com/watch?v=PfgS31AfGvs

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www.hpvcancerfree.org Rochelle.Roberts@tn.gov https://tinyurl.com/smbhbo5 Kristina.G.Bradford@tn.gov immunizetn@gmail.com

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Supplemental Slide for Q&A

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