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The HPV vaccine impact monitoring project (HPV-IMPACT): assessing early evidence of vaccination impact on HPV-associated cervical cancer precursor lesions

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Abstract

The following paper describes a collaboration between the Centers for Disease Control and Prevention and five Emerging Infections Program sites to develop a comprehensive population-based approach to monitoring human papillomavirus (HPV) vaccine impact on cervical cancer precursors and associated HPV genotypes. The process of establishing this novel monitoring system is described, and development details such as enumeration of sources for reporting cervical intraepithelial neoplasia 2/3 and adenocarcinoma in situ, approaches to case ascertainment, electronic reporting, and HPV typing are outlined. Implementation of a feasible and sustainable surveillance system for HPV-associated cervical precancers will enable evaluation of the direct impact of HPV vaccination.

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Acknowledgments

We would like to thank the following other members of the HPV-IMPACT Working Group/Emerging Infections Network collaborators: Arthur Reingold and Gretchen Rothrock (California Emerging Infections Program); and William Schaffner, MD (Vanderbilt University—Tennessee Emerging Infections Program). We also gratefully acknowledge Stuart Berman (National Center for HIV, viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention), Eileen Dunne (Division of STD Prevention, Centers for Disease Control and Prevention), and Mona Saraiya (Division of Cancer Prevention and Control, Centers for Disease Control and Prevention) for their expert contribution in the planning and design of the project.

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Correspondence to Susan Hariri.

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The HPV-IMPACT Working Group members: Ina Park, MD, MS Erin Whitney, MPH, and Sharon Jotblad, MPH (California Department of Public Health, STD Control Branch); James Hadler, MD, Robert Heimer, PhD, Pamela Julian, MPH, James Meek, MPH (Yale University School of Medicine, Connecticut Emerging Infections Program), and Lynn Sosa, MD (Connecticut Department of Public Health); Ghinwa Dumyati, MD, Mary Scahill and Denisse Licon, MPH (University of Rochester—New York Emerging Infections Program); Nasreen Abdullah MD, MPH, Rob Laing, MPH (Oregon Department of Human Services); Diane Levine, BS, RN, MPH, Manideepthi Pemmaraju, MBBS, MPH, Chasiety Turner, MPH (Vanderbilt University—Tennessee Emerging Infections Program).

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Hariri, S., Unger, E.R., Powell, S.E. et al. The HPV vaccine impact monitoring project (HPV-IMPACT): assessing early evidence of vaccination impact on HPV-associated cervical cancer precursor lesions. Cancer Causes Control 23, 281–288 (2012). https://doi.org/10.1007/s10552-011-9877-6

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