1. HPV Vaccine Programmatic Activities Andrew Kroger M.D., M.P.H. National Center for Immunization and Respiratory Diseases, CDC Current Issues in Immunization NetConference July 7, 2006

2. Vaccines for Children Program Federally funded program Provides vaccines for eligible children younger than nineteen years Criteria Medicaid eligible Uninsured Underinsured (health insurance doesnt pay for vaccines) and receives care in Federally Qualified Health Clinic (FQHC) or Rural Health Clinic RHC American Indian/Alaska Native

3. Provisional HPV coverage: Vaccines for Children Program HPV vaccine covered for eligible children nine years old to the nineteenth birthday VFC recommendations Recommended Age 11-12 years Eligible females as young as 9 years can be vaccinated Three dose series time 0, 2 months, 6 months Catch up recommended Contraindication: immediate hypersensitivity Precaution: moderate or acute illness

4. Vaccines for Children Program State specific VFC guidance is provided at www.cdc.gov/nip/vfc/contacts_vfc_coord.htm Interested health care providers can find enrollment Information at www.cdc.gov/nip/vfc/provider/provider_faqs.htm

5. Vaccine Assistance Program Funded by Merck Program available to physicians in private practice who provide Merck vaccines to patients who meet the criteria for the program Will be available beginning sometime in 3 rd quarter of 2006 For details see: www.merck.com/newsroom/press_releases/ product/2006_0629.html

6. Vaccine Information Statements A federal requirement Information about specific information www.cdc.gov/nip/publi cations/VIS/vis- facts.htm Examples of VIS documents www.cdc.gov/nip/publi cations/VIS/

7. HPV: Storage and Handling A subunit vaccine Information about storage and handling www.cdc.gov/nip/publications/vac_mgt_book.pdf www2a.cdc.gov/nip/isd/shtoolkit/splash.html

8. Vaccine Adverse Event Reporting A tool for generating hypotheses about vaccines and adverse reactions Cannot uniquely document an adverse reaction Vaccine Adverse Event Reporting System (VAERS) Joint FDA CDC program 10,000 reports a year To report: http://vaers.hhs.gov

9. Vaccine Injury Compensation Program If a patient is injured by a covered vaccine Specific adverse reactions listed in injury table Vaccine is covered when: Vaccine recommended Congress passes an excise tax (8 year retroactive coverage) Information at http://www.hrsa.gov/vaccinecompensation/