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RECOMMENDATION – To vaccinate boys against human papillomaviruses, which are responsible for thousands of cancers every year in France, this is what the Ligue contre le cancer proposes in its white paper. Several countries, including Switzerland and Australia, have already implemented this vaccination, with very positive results.
– Charlotte Anglade
On the occasion of its first general meeting of cancer prevention, the League Against Cancer published Wednesday, November 21 a white paper containing eleven recommendations. The citizens, researchers and experts who were consulted to formulate them thus evoke, among other things, the need to vaccinate boys with human papillomaviruses in addition to girls. Also known as HPV, these viruses are badually transmitted and responsible each year for 4,200 new bad-bad cancers (cervix, bad, vulva, anus) and 1,450 cancers ENT (throat, mouth).
We asked Emmanuel Ricard, prevention delegate of the League against cancer and Véronique Charbernaud, oncologist and consultant in health, what was the usefulness of such a recommendation.
United for the same cause
"The idea of vaccinating girls at the beginning, explains Véronique Charbernaud, it is to protect them from cervical cancer". It affects, each year, nearly 3,000 women and causes about 1,100 deaths in France. "But if we stick to the vaccine hypothesis and its effectiveness, there is no reason not to vaccinate boys since HPV is transmitted through badual intercourse, so both bades are concerned." In 2015, out of the 6,300 cancers attributed to HPV, almost a third were men with 1,060 oropharyngeal cancers, 360 bad cancers and more than 300 oral cavity cancers. larynx and penis. In its leaflet, Gardasil 9 protects 90% of strains responsible for abnormal and precancerous lesions of the anus, bad cancer and bad warts.
Currently, the High Council of Public Health recommends immunization only for men who have bad with men up to the age of 26 years. Prerogatives, which, according to Emmanuel Ricard, make the recommendations "difficult to apply". "It's pretty rare for young boys to self-identify as homobaduals at a young age, and they do not always tell their doctors about it." So in the latest survey of the context of
baduality in France, conducted in 2006, 3.4% of respondents under the age of 25 reported having had a badual experience with a man during their lifetime, but 1.2% identified themselves as homobaduals.
For him, the vaccination of all boys at the same age as that recommended for girls, between 11 and 14 years, would not only reduce the number of cancers that affect men, but also strengthen the protection of women. "One would have a maximization of the effects of the vaccination since the probability of meeting the virus will be diminished", he explains.
Already conclusive results
In Australia, boys have been vaccinated since 2013 as part of a vaccination campaign. Girls, since 2007. With a vaccine coverage rate of nearly 80% among Australians and 75% among Australians 15 years, the country is now on the way to become one of the first to have eradicated cancer from cervix. Austria, Switzerland, the United States and Canada are also offering vaccination to boys.
In France, barely 20% of women are vaccinated. And despite public campaigns since the launch of the vaccine, the Gardasil in 2006. Although free, it is largely the distrust of the general public about possible side effects.
The vaccination of boys, like the other proposals, was forwarded to the Minister of Health, Agnès Buzyn. The League against cancer hopes, if this measure is accepted, to see it coming into effect in 2019.
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