HPV vaccination: a current view Despoina Gkentzi and Shamez Ladhani pp 1-4 Human papillomaviruses (HPVs) are DNA  viruses that infect epithelial cells of the  skin and mucous membranes. Most  known HPV types do not cause any  symptoms in humans. Some types,  however, can cause a variety of  conditions, particularly warts, which are  usually self-limiting, with more than 90%  of the warts clearing within two years. In a small proportion, however, HPV  infection can lead to cancer, particularly  of the cervix, but also of the vulva, penis,  anus, and the mouth and throat.
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                      Comment: Don't lose faith Peter M English pp 3-3 Pertussis vaccine works. Within days of  receiving their first dose of vaccine, babies  are protected. Prior to its introduction, there were  whooping cough epidemics every three to five years,  causing about 300 deaths a year. Recently, there have  been about four deaths a year. It is essential that  parents continue to trust the vaccine, and get their
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                      Uptake of seasonal flu vaccine: North East Lincolnshire Isobel Duckworth, Kay Crawford and Philip Huntley pp 4-5 Previously, articles in Vaccines in practice  have discussed immunisation of  healthcare workers (HCWs)to increase  seasonal flu vaccine (SFV) uptake. In  addition, the Chief Medical Officer’s letter outlined the employer’s  responsibility regarding the seasonal flu  immunisation programme for health and  social care workers. In the summer of  2011, she indicated a requirement to  increase SFV uptake in HCWs to levels of  40%, which had been achieved in  2009–10, the flu pandemic year. Her  rationale was that if it can be achieved in  one year, it can be achieved again. The  following year, 2010–11, saw national  levels of 34%.
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                      Delivering the immunisation promise in India – a snapshot Saurabh Sharma and Karan Singh Sagar pp 6-8 The Universal Immunization Programme  (UIP) in India is one of the largest public  health programmes worldwide in terms  of logistics, geography and beneficiaries  reached, as well as immunisation  sessions conducted. The success of the  UIP is crucial for a global reduction in the  number of unimmunised children. It is  believed that a strong immunisation  programme provides a solid foundation  for the expansion of maternal and child  health and other public health  interventions. In the last few years, UIP  has seen an overall qualitative and  quantitative improvement as a result of  various interventions implemented by  the government of India and states  under the umbrella of the National Rural  Health Mission.
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                      Immunisation in Bexley Anjali Pai Nayak, Elizabeth Marchant and Khushbu Lalwani pp 9-11 The Department of Health has been  conducting the Parents’ Childhood  Immunisation Tracking Survey twice a  year since 1991, then annually since  2005. These surveys have obtained  information on knowledge and  awareness of vaccinations, reasons for  uptakes, refusals and delays of  vaccinations, attitudes towards the  current immunisation programme, and  common sources of information, by  interviewing parents who have children  aged 0–4 years. Results of such a survey  can contribute to increasing the  immunisation coverage by ascertaining  problem areas within the existing service  provision, as well as identifying  approaches that work. 
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