日本性感染症学会誌 Journal of Japanese Society for Sexually Transmitted Infections

Online ISSN: 2434-2505 Print ISSN: 0917-0324
日本性感染症学会 Japanese Society for Sexually Transmitted Infections
〒162-0801東京都新宿区山吹町358-5アカデミーセンター Japanese Society for Sexually Transmitted Infections Academy Center, 358-5 Yamabuki-cho, Shinju-ku, Tokyo 162-0801, Japan
Japanese Journal of Sexually Transmitted Infections 31(1): 9-16 (2020)
doi:10.24775/jjsti.O-2020-0012

総説総説

HPVワクチン問題をどう打開するべきか—次の一手は?—How should we resume HPV vaccination in Japan?

日本大学医学部産婦人科学系産婦人科学分野Department of Obstetrics and Gynecology, Nihon University School of Medicine

発行日:2020年11月20日Published: November 20, 2020
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ヒトパピローマウイルス(HPV)感染は、ほぼ全ての成人女性が一度は感染する。子宮頸がんをはじめとするHPV関連がんを発症することがある。またHPV6, 11型は尖圭コンジローマの原因として性感染症の1つである。このHPV感染の唯一の感染対策はワクチンである。HPVワクチンは、HPV関連がんの原因となるタイプと尖圭コンジローマのタイプの感染を予防できる。世界100カ国近くでHPVワクチンは定期接種ワクチンとなっており、日本でも2013年から無料化された定期接種ワクチンとなった。しかし日本では、2013年6月厚労省からHPVワクチン接種の勧奨を控える通達が発信され、その後7年以上HPVワクチン接種は事実上ストップしている。本特集では、第32回日本性感染症学会学術大会での講演をもとに、日本のHPVワクチン問題をどう打開するべきかを考えてみたい。

Most adult men and women have been infected by human papillomavirus (HPV) in their life. High-risk HPVs can cause neoplastic lesions in any location infected by HPV infects, and low-risk HPV 6/11 causes condyloma acuminata. Cervical cancer is a cancer associated with HPV and has a high incidence worldwide. Condyloma acuminata is one of the major sexually transmitted diseases in Japan. The HPV vaccine was developed and implemented in 2007 in Japan. Since 2013, the HPV vaccine has been included in the National Immunization Program. However, after some adverse events were mentioned by the mass media, the Japanese government suspended proactive recommendation of the HPV vaccination in June 2013, and HPV vaccination has not yet resumed in Japan. In Japan, numerous academic societies have stated the safety and efficiency of the HPV vaccine not only to the government, but also to the citizens. Many studies have demonstrated the population-based impact of HPV vaccine in Japan and the safety of the vaccine. However, a negative anti-vaccination campaign by some citizens has influenced mass media and the citizens’ voice. This has resulted in an HPV vaccine crisis occurred in Japan. We plan to discuss what we should do to resume HPV vaccination in Japan. We, as an academic society, might change how the HPV vaccine is viewed by citizens based on accurate medical communication and explain the reasons for adverse event occurrence after HPV vaccination. However, the most important issue is how we can educate girls and their parents. In Japan, cancer education has not been well covered in schools. Herein, we describe the current situation regarding the HPV vaccination and cancer education in Japan.

Key words: Cancer education; Cervical cancer; Condyloma acuminate; Human papillomavirus; Human papillomavirus vaccine

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This page was last modified on 2020-11-17T09:18:10.000+09:00


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