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High street pharmacy offers cervical cancer vaccine for £405

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High street pharmacy offers cervical cancer vaccine for £405

The Cervarix vaccine which protects against the two strains of humanpapilloma virus responsible for the majority of cases of cervical cancer is available to girls aged between 12 and 18 on the NHS as part of a national vaccination programme.

However older women have been requesting the vaccine from their GPs only to be turned down in most cases. Cervarix and its rival Gardasil are available privately.

Government scientists advised that young girls be offered the vaccine as the virus is transmitted through intimate contact and sex and is less effective in women who have already been exposed to the virus.

Fears have also been raised that women may be given a false sense of security through having had the vaccine and not attend for cervical smear tests in future.

Boots the chemist is offering the service to women aged between 18 and 54 in 134 of its stores in England and Wales following successful pilots in ten stores in London which began in November last year.

Lloydspharmacy also offers the vaccine in almost 300 of its stores.

Women will not be tested to establish if they have already been infected with the HPV strains 16 and 18 which are included in the vaccine and so cannot be sure whether it will offer them substantial benefit.

Evidence considered by the Government advisers on the Joint Committee on Vaccination and Immunisation showed that one in ten women aged between 20 and 29 were already infected with HPV strain 16.

In recommending that girls aged 12 be routinely vaccinated with a catchup campaign offering it to all girls aged up to 18, a statement from the JCVI said: “Vaccination of girls above this age was not cost-effective given the assumed cost of vaccine and administration, and the increase in prevalence of previous infection in this age group.”

Sarah Woolnough, Cancer Research UK’s head of policy, said: “The best way that older women can protect themselves against cervical cancer is through the free NHS cervical screening programme, which has saved 100,000 lives since its introduction in 1988.

“We strongly advise all women to attend cervical screening when invited, even if they have had the HPV vaccination.

“We don’t yet know how effective the vaccine is in women who have already come into contact with HPV.”

However Dr Anne Szarewski, clinical consultant at Cancer Research UK’s centre for epidemiology at the Wolfson Institute of Preventive Medicine, is backing the Boots programme.

She said the chances of having contracted both strain 16 and 18 were just five per cent.

Dr Szarewski said: “And, even if you do catch HPV then a lot of people – around 50 per cent – will clear it from their bodies and not be immune.

“Even if you have an antibody response, this does not mean you are protected in the future.

“There is no reason why an individual woman should not have this vaccine.”

Dr Graham Marshall, Boots Medical Director, said: “As this vaccination is only available on the NHS through the schools’ vaccination programme, most women above the age of 18 will not be aware that they could benefit from the vaccination. Pharmacists are well placed to offer this service with convenient high street locations and a welcoming, familiar atmosphere.

“Boots pharmacists have undergone comprehensive training – written and agreed by an independent panel of experts – to provide this innovative, patient-led service. The consultation includes advice on sexual health and the importance of regular cervical screening.”

A Department of Health spokesman said: “The NHS runs a free HPV vaccination programme for girls from 12-18 years of age which will save the lives of up to 400 women each year.

“We strongly encourage all women over 25 to be regularly screened to help protect them from cervical cancer.

“Careful consideration was given to vaccinating older women. However, the national HPV vaccine programme aims to protect girls and young women before they are exposed to the human papillomavirus, where research shows that vaccination is most effective. The programme has been a great success with over three quarters of girls aged 12-13 years already having received all three doses of the vaccine.”

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Pneumonia bugs kill 1.2 million children: study

THE DEVIL WEARS PRADA

Pneumonia bugs kill 1.2 million children: study

More than a million children die every year from two pneumonia-causing diseases easily prevented with vaccines, researchers reported on Thursday.

Each year 1.2 million children under age 5 die from Streptococcus pneumoniae and Haemophilus influenzae B or Hib, they found.

Their study, published in the Lancet medical journal, found an estimated 14.5 million cases of pneumococcal disease such as pneumonia and meningitis worldwide, most caused by S. pneumoniae, with 826,000 deaths among children under 5.

Safe and effective vaccines exist for both, but use of Hib vaccine has only recently expanded to low-income countries and pneumococcal vaccine is not included in national immunization programs in the developing world yet, the researchers said.

“Our findings underscore the urgent need for prevention efforts throughout the developing world,” said Kate O’Brien, of Johns Hopkins University in Baltimore, who led the study.

“The need for vaccination and improved treatment is particularly urgent in Africa and Asia, which together account for 95 percent of all pneumococcal deaths.”

Another study by the United Nation’s children’s fund UNICEF showed that better prevention methods for malaria and action to reduce mother-to-child AIDS virus transmission had reduced childhood deaths from other causes.

It found 8.8 million children under five died in 2008 compared with 12.5 million in 1990. But 99 percent of the children who died lived in poor countries.

Wyeth’s Prevnar, which protects against seven strains of S. pneumonia, is part of the routine childhood vaccination package in the United States and other developed countries.

Several companies including Merck and Co. and GlaxoSmithKline make Hib vaccines. They prevent meningitis caused by H. influenzae, pneumonia and a severe throat infection called epiglottitis.

The non-profit Global Alliance for Vaccines and Immunization or GAVI provides Hib vaccine to 35 African nations.

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Eggs for making H1N1 vaccine meet world standards

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Eggs for making H1N1 vaccine meet world standards

An egg is a round or oval body laid by the female of any number of different species, consisting of an ovum surrounded by layers of membranes and an outer casing, which acts to nourish and protect a developing embryo and its nutrient reserves. Most edible eggs, including bird eggs and turtle eggs, consist of a protective, oval eggshell, the albumen (egg white), the vitellus (egg yolk), and various thin membranes. Every part is edible, although the eggshell is generally discarded. Eggs are considered a good source of protein and choline. Because of this, the egg falls in the Meats category under the Food Guide Pyramid.

Roe and caviar are edible eggs produced by fish.

The eggs provided by two local companies to be used in the manufacture of H1N1 vaccine by Adimmune Corp. meet both world and local standards, the Central Epidemic Command Center under the Cabinet-level Department of Health (DOH) said Wednesday.”The eggs being used by Adimmune to produce HINI vaccine scrupulously meet the international standards set forth by the World Health Organization (WHO) and by Good Manufacturing Practice (GMP) criteria imposed by the DOH for high-quality food, ” the center said in response to a report by Next Magazine that questioned the safety of the eggs used by Taiwan’s sole human vaccine manufacturer.

Chen Hui-fang, director-general of the Bureau of Pharmaceutical Affairs under the DOH, said that in line with WHO guidelines, embryo eggs used to make vaccine must come from healthy chickens of adequate maturity and that such eggs supplied by two local providers fully meet the WHO regulations.

Eggs produced by chickens in the two enclosed farms are being raised in a fully automated and safe environment with round-the-clock monitoring, Chen said.

According to Chen, the bureau dispatched officials to inspect the production operations for the embryo eggs late last month, and no bacteria or residue from antibiotics or hormones were detected.

A day earlier, an Adimmune executive said the company’s vaccine production had entered the “filling stage,” which means that the dose of the vaccine has largely been established.

The executive added that the company is expected to launch human clinical trials in two weeks, to be conducted at the National Taiwan University (NTU) Hospital, the Tri-Service General Hospital and the Taipei Medical University-Wan Fang Hospital.

The company is recruiting 250 adults and 150 children to take part in the trials, he noted.

Immunizations are expected to begin in late October, with healthcare workers, pregnant women and children between 6 months and 6 years selected as priority recipients.

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