Experts have called for the HPV vaccine to be offered to gay men as a
way of curbing cancer rates.
The UK vaccination programme against the HPV infection began in 2008,
but only among girls, on the grounds that this would curb the spread of the
infection to boys as well.
But doctors at the Royal Liverpool University Hospital, Homerton
University Hospital, and Chelsea and Westminster Hospital, said gay men are
more than 15 times as likely to develop genital cancer as a result of becoming
infected with HPV.
While rates of anal cancers are higher among men who are also HIV positive
- despite antiretroviral treatment - they are also higher among gay men who
have not been infected with HIV, said the authors.
Australian research has shown that HPV vaccination of girls has had an
impact on the rates of genital warts in heterosexual men, but that there has
been no such change in prevalence among gay men
Recent research has shown that the HPV jab is effective in
men, including gay men. The vaccine covers HPV 16 and 18, the two strains of
the virus which cause most of the cancers associated with the infection.
HPV causes genital warts and is associated with a higher
risk of genital as well as head and neck cancers
The vaccine is most effective in those who are not already
infected with these strains of HPV, but evidence has shown that only a minority
of young gay men are, and that the strategy to vaccinate a group that includes
those who have already been exposed to these strains is cost effective.
Data from the UK's Health Protection Agency (now part of
Public Health England) has shown that fewer than one in 20 men under the age of
25 has been infected by any high risk HPV strain.
In 2010, 17,000 gay men between the ages of 16 and 26
visited sexual health clinics in England.
Experts said that HPV vaccination would help prioritise
initiatives to improve access to services for this group, who remain vulnerable
to HIV infection.
'In
the light of this evidence, and in the absence of universal vaccination of
boys, the argument for introducing targeted HPV vaccination for [men who have
sex with men] up to age 26 years is strong,' they concluded.
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