Challenge to improve Japan's deplorable HPV vaccination rate by local government actions

Aim In Japan, in 2013, following reports of several alleged adverse reactions in young girls following vaccination, the previously successful national human papillomavirus infection (HPV) vaccination program collapsed rapidly. In the 8 years since vaccination rates have hovered near zero. In October...

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Veröffentlicht in:The journal of obstetrics and gynaecology research 2022-05, Vol.48 (5), p.1233-1239
Hauptverfasser: Miyoshi, Ai, Ueda, Yutaka, Yagi, Asami, Kimura, Toshihiro, Kobayashi, Eiji, Tasaka, Keiichi, Todo, Aiko, Matsunami, Katsura, Matsuoka, Taro, Kimura, Tadashi
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container_issue 5
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container_title The journal of obstetrics and gynaecology research
container_volume 48
creator Miyoshi, Ai
Ueda, Yutaka
Yagi, Asami
Kimura, Toshihiro
Kobayashi, Eiji
Tasaka, Keiichi
Todo, Aiko
Matsunami, Katsura
Matsuoka, Taro
Kimura, Tadashi
description Aim In Japan, in 2013, following reports of several alleged adverse reactions in young girls following vaccination, the previously successful national human papillomavirus infection (HPV) vaccination program collapsed rapidly. In the 8 years since vaccination rates have hovered near zero. In October of 2020, in an attempt to mitigate this lingering disaster, the Japanese Ministry of Health, Labor, and Welfare (MHLW) agency finally revised its HPV vaccination informational leaflet that was designed to be distributed by local governments nationwide. Prior to this revision, Toyonaka City, in Japan's Osaka province, had already begun sending out their own unique leaflet to girls in the targeted 6th–10th grades. As a preview of how MHLW's revised leaflet might eventually succeed, we have studied the HPV vaccination results from Toyonaka City's experiment. Method This study was a population‐based analysis that compared the monthly rates of new vaccinations in girls of a targeted grade school age group. We looked at rates before and after the leaflets were sent by Toyonaka City's Division of Health Promotion and Senior Services. Results The vaccination rates between April 2020 and March 2021 were improved across all grades; 1.2% in 6th grade (p = 0.000185), 2.5% in 7th grade (p 
doi_str_mv 10.1111/jog.15202
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In the 8 years since vaccination rates have hovered near zero. In October of 2020, in an attempt to mitigate this lingering disaster, the Japanese Ministry of Health, Labor, and Welfare (MHLW) agency finally revised its HPV vaccination informational leaflet that was designed to be distributed by local governments nationwide. Prior to this revision, Toyonaka City, in Japan's Osaka province, had already begun sending out their own unique leaflet to girls in the targeted 6th–10th grades. As a preview of how MHLW's revised leaflet might eventually succeed, we have studied the HPV vaccination results from Toyonaka City's experiment. Method This study was a population‐based analysis that compared the monthly rates of new vaccinations in girls of a targeted grade school age group. We looked at rates before and after the leaflets were sent by Toyonaka City's Division of Health Promotion and Senior Services. Results The vaccination rates between April 2020 and March 2021 were improved across all grades; 1.2% in 6th grade (p = 0.000185), 2.5% in 7th grade (p &lt; 0.0001), 3.5% in 8th grade (p &lt; 0.0001), 6.8% in 9th grade (p &lt; 0.0001), and a remarkable 16.5% in 10th grade (p &lt; 0.0001). Conclusion When a local government sends an HPV informational leaflet targeted at young girls, it can significantly improve their HPV vaccination rates.</description><identifier>ISSN: 1341-8076</identifier><identifier>EISSN: 1447-0756</identifier><identifier>DOI: 10.1111/jog.15202</identifier><identifier>PMID: 35274421</identifier><language>eng</language><publisher>Kyoto, Japan: John Wiley &amp; Sons Australia, Ltd</publisher><subject>Cervical cancer ; cervical cancer screening ; educational intervention ; Female ; HPV vaccination ; Human papillomavirus ; Humans ; Immunization ; Immunization Programs ; Japan ; leaflet ; Local Government ; Papillomavirus Infections - prevention &amp; control ; Papillomavirus Vaccines - adverse effects ; Population studies ; Uterine Cervical Neoplasms - etiology ; Vaccination ; Vaccination - adverse effects</subject><ispartof>The journal of obstetrics and gynaecology research, 2022-05, Vol.48 (5), p.1233-1239</ispartof><rights>2022 Japan Society of Obstetrics and Gynecology.</rights><rights>2022 Japan Society of Obstetrics and Gynecology</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4432-46e4fc2ae640fb6ed475004c7fa48cf015e6727a87da8d8732ad520828ea8e3</citedby><cites>FETCH-LOGICAL-c4432-46e4fc2ae640fb6ed475004c7fa48cf015e6727a87da8d8732ad520828ea8e3</cites><orcidid>0000-0002-2314-5857 ; 0000-0003-0229-2513 ; 0000-0001-8760-6379 ; 0000-0002-3222-5963</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjog.15202$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjog.15202$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,778,782,1414,27907,27908,45557,45558</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35274421$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Miyoshi, Ai</creatorcontrib><creatorcontrib>Ueda, Yutaka</creatorcontrib><creatorcontrib>Yagi, Asami</creatorcontrib><creatorcontrib>Kimura, Toshihiro</creatorcontrib><creatorcontrib>Kobayashi, Eiji</creatorcontrib><creatorcontrib>Tasaka, Keiichi</creatorcontrib><creatorcontrib>Todo, Aiko</creatorcontrib><creatorcontrib>Matsunami, Katsura</creatorcontrib><creatorcontrib>Matsuoka, Taro</creatorcontrib><creatorcontrib>Kimura, Tadashi</creatorcontrib><title>Challenge to improve Japan's deplorable HPV vaccination rate by local government actions</title><title>The journal of obstetrics and gynaecology research</title><addtitle>J Obstet Gynaecol Res</addtitle><description>Aim In Japan, in 2013, following reports of several alleged adverse reactions in young girls following vaccination, the previously successful national human papillomavirus infection (HPV) vaccination program collapsed rapidly. In the 8 years since vaccination rates have hovered near zero. In October of 2020, in an attempt to mitigate this lingering disaster, the Japanese Ministry of Health, Labor, and Welfare (MHLW) agency finally revised its HPV vaccination informational leaflet that was designed to be distributed by local governments nationwide. Prior to this revision, Toyonaka City, in Japan's Osaka province, had already begun sending out their own unique leaflet to girls in the targeted 6th–10th grades. As a preview of how MHLW's revised leaflet might eventually succeed, we have studied the HPV vaccination results from Toyonaka City's experiment. Method This study was a population‐based analysis that compared the monthly rates of new vaccinations in girls of a targeted grade school age group. We looked at rates before and after the leaflets were sent by Toyonaka City's Division of Health Promotion and Senior Services. Results The vaccination rates between April 2020 and March 2021 were improved across all grades; 1.2% in 6th grade (p = 0.000185), 2.5% in 7th grade (p &lt; 0.0001), 3.5% in 8th grade (p &lt; 0.0001), 6.8% in 9th grade (p &lt; 0.0001), and a remarkable 16.5% in 10th grade (p &lt; 0.0001). 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In the 8 years since vaccination rates have hovered near zero. In October of 2020, in an attempt to mitigate this lingering disaster, the Japanese Ministry of Health, Labor, and Welfare (MHLW) agency finally revised its HPV vaccination informational leaflet that was designed to be distributed by local governments nationwide. Prior to this revision, Toyonaka City, in Japan's Osaka province, had already begun sending out their own unique leaflet to girls in the targeted 6th–10th grades. As a preview of how MHLW's revised leaflet might eventually succeed, we have studied the HPV vaccination results from Toyonaka City's experiment. Method This study was a population‐based analysis that compared the monthly rates of new vaccinations in girls of a targeted grade school age group. We looked at rates before and after the leaflets were sent by Toyonaka City's Division of Health Promotion and Senior Services. Results The vaccination rates between April 2020 and March 2021 were improved across all grades; 1.2% in 6th grade (p = 0.000185), 2.5% in 7th grade (p &lt; 0.0001), 3.5% in 8th grade (p &lt; 0.0001), 6.8% in 9th grade (p &lt; 0.0001), and a remarkable 16.5% in 10th grade (p &lt; 0.0001). Conclusion When a local government sends an HPV informational leaflet targeted at young girls, it can significantly improve their HPV vaccination rates.</abstract><cop>Kyoto, Japan</cop><pub>John Wiley &amp; Sons Australia, Ltd</pub><pmid>35274421</pmid><doi>10.1111/jog.15202</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-2314-5857</orcidid><orcidid>https://orcid.org/0000-0003-0229-2513</orcidid><orcidid>https://orcid.org/0000-0001-8760-6379</orcidid><orcidid>https://orcid.org/0000-0002-3222-5963</orcidid></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Cervical cancer
cervical cancer screening
educational intervention
Female
HPV vaccination
Human papillomavirus
Humans
Immunization
Immunization Programs
Japan
leaflet
Local Government
Papillomavirus Infections - prevention & control
Papillomavirus Vaccines - adverse effects
Population studies
Uterine Cervical Neoplasms - etiology
Vaccination
Vaccination - adverse effects
title Challenge to improve Japan's deplorable HPV vaccination rate by local government actions
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