The Surge in Human Papillomavirus Vaccine Rejection in Nigeria.

Oche Joseph Otorkpa, Adefunmilola Adebola Onifade, Chinenye Oche Otorkpa
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Abstract

In October 2023, Nigeria integrated the single-dose human papillomavirus (HPV) vaccine into its routine immunization program, aiming to protect 7.7 million girls aged 9 to 14 years. This milestone in the fight against HPV-related cancers, especially cervical cancer, faces significant challenges due to high vaccine rejection rates driven by misinformation and cultural barriers. Despite the vaccine's proven safety and efficacy, uptake remains low. This communication highlights the urgent need for a comprehensive public health education campaign to address these barriers. Proposed strategies include leveraging digital health technologies, integrating HPV education into school curricula, training community health workers, engaging religious and cultural leaders, and launching media campaigns featuring personal narratives. Implementing these evidence-based interventions is crucial for dispelling myths, misconceptions, and skepticism surrounding HPV vaccines. This will enhance acceptance and uptake, ultimately reducing cervical cancer mortality in Nigeria.

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尼日利亚人乳头瘤病毒疫苗拒种现象激增。
2023 年 10 月,尼日利亚将单剂量人类乳头瘤病毒 (HPV) 疫苗纳入其常规免疫计划,旨在保护 770 万名 9 至 14 岁的女童。由于错误信息和文化障碍导致的高疫苗排斥率,这一抗击人乳头瘤病毒相关癌症(尤其是宫颈癌)的里程碑面临着巨大挑战。尽管疫苗的安全性和有效性已得到证实,但接种率仍然很低。这篇通讯强调,迫切需要开展全面的公共卫生教育活动来消除这些障碍。建议的策略包括利用数字卫生技术、将 HPV 教育纳入学校课程、培训社区卫生工作者、吸引宗教和文化领袖参与,以及开展以个人叙述为特色的媒体宣传活动。实施这些循证干预措施对于消除围绕 HPV 疫苗的神话、误解和怀疑至关重要。这将提高接受度和使用率,最终降低尼日利亚的宫颈癌死亡率。
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