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  • Population-Level Herd Prote...
    Pillsbury, Alexis J.; Quinn, Helen E.; Evans, TaNisha D.; McIntyre, Peter B.; Brotherton, Julia M. L.

    Clinical infectious diseases, 09/2017, Letnik: 65, Številka: 5
    Journal Article

    Background. Australia instituted funded female human papillomavirus (HPV) immunization in 2007, followed by a targeted male vaccination program in 2013. To date, Australia is one of only several countries with a funded male HPV immunization program. In 2012–2013, we conducted a survey of HPV seroprevalence in males to assess whether or not a herd impact of female vaccination could be observed. Methods. We conducted a cross-sectional study of de-identified residual diagnostic test serum samples from males aged 15–39 years from laboratories in 3 Australian states and calculated the proportion seropositive to HPV types 6, 11, 16, and 18. We compared type-specific results by age group against those from a baseline 2005 Australian HPV serosurvey. Results. There were decreases in proportion seropositive for every HPV type across all age groups, many statistically significant. The largest decrease was observed for HPV-11, with decreases of 8- and 9-fold for ages 20–29 and 30–39 years, respectively. Despite substantial reductions in seroprevalence, at least 9% of males were seropositive for at least 1 of the 4 HPV types. Conclusions. This is the first serosurvey confirming broad population-level impact in males from female HPV vaccination. Our research may assist policy makers considering implementing HPV vaccination programs.