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Vaccination Programme

Dáil Éireann Debate, Thursday - 8 March 2018

Thursday, 8 March 2018

Ceisteanna (392)

Clare Daly

Ceist:

392. Deputy Clare Daly asked the Minister for Health the assessments conducted by his Department of the reasons girls did not complete the two-dose HPV vaccination course in 2016 and 2017; and his plans to adopt an approach of listening to testimony of girls in cases in which problems have occurred (details supplied); and if he will make a statement on the matter. [11687/18]

Amharc ar fhreagra

Freagraí scríofa

Cervical cancer is the fourth most common cancer in women worldwide. Each year in Ireland around 300 women are diagnosed with cervical cancer and 90 die from the disease. All cervical cancers are linked to high risk Human Papillomavirus (HPV) types. In 2009 the National Immunisation Advisory Committee (NIAC) recommended HPV vaccination for all 12 year old girls to reduce their risk of cervical cancer and in September 2010 the HPV vaccination programme was introduced for all girls in first year of second level schools.

There are claims of an association between HPV vaccination and a number of conditions experienced by a group of young women. An illness that occurs around the time a vaccine is given and is already known to be common in adolescence does not imply the vaccine caused the problem. It appears that some girls first suffered symptoms around the time they received the HPV vaccine, and understandably some parents have connected the vaccine to their daughter’s condition. However, these claims have led to a significant drop in uptake rates of the HPV vaccine from 87% in 2014/15 to 72% in 2015/16 and 51% in 2016/17. Provisional figures from the HSE indicate that HPV vaccine uptake rates increased in September/October 2017 to 62% due to a comprehensive communications campaign for parents with support from a large number of key stakeholders e.g. the HPV alliance which currently has 37 organisations working together such as the Irish Cancer Society and the Marie Keating Foundation.

While no medicine (including vaccines) is entirely without risk, the safety profile of Gardasil has been continuously monitored since it was first authorised in September 2006 both nationally and at EU level. The Health Products Regulatory Authority (HPRA) is responsible for monitoring the safety and quality of all medicines including vaccines that are licensed in Ireland. The HPRA operates a national adverse reaction reporting system, which members of the public and healthcare professionals are encouraged to submit any suspected adverse reactions through this system. All Reports received by the HPRA are routinely transmitted to the European Medicines Agency's adverse reaction database for inclusion in global signal detection and monitoring activities. Gardasil is one of the most closely studied and monitored medicinal products. The vast majority of reports received by the HPRA have been consistent with the expected pattern of short term adverse side effects for the vaccine, as described in the product information.

Anyone who is suffering ill health is eligible to seek medical attention, and to access appropriate health and social care services, irrespective of the cause of their symptoms. The diverse nature of these symptoms, which can have both physical and psychological causes, are shared by many conditions which has implications for both diagnostic and treatment services. The individual nature of the needs of some children may require access to specialist services and the HSE are currently working to put in place clinical care pathways appropriate to the differing medical needs of this group. As there is no scientific evidence that the vaccine causes long term illnesses, the HPV vaccine cannot be held responsible for these illnesses.

It is important that people receive accurate information from reliable sources in relation to the safety of vaccines, and to increase the uptake rates of all vaccines in the State’s immunisation programmes. The scientific evidence is clear and misinformation is causing real harm to those unvaccinated children and adults who develop vaccine preventable diseases, and to people who seek inappropriate treatments for real conditions that are not caused by vaccines.

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