I ka hāʻule o 2007, ua hōʻike ke Kōmike Immunization o Quebec (CIQ) i ke Kuhina Couillard me kahi hiʻohiʻona no ka hoʻokō ʻana i ka papahana. Hāʻawi kēia i ka hoʻohana ʻana iā Gardasil, ʻo ia wale nō ka lāʻau lapaʻau HPV i ʻae ʻia e Health Canada no kēia manawa.

Ma ka lā 11 o ʻApelila, 2008, ua hoʻolaha ka MSSS i nā ʻōlelo o ka noi ʻana o ka papahana hoʻopalekana HPV. No laila, mai Sepatemaba 2008, ʻo ka poʻe e loaʻa i ka lāʻau lapaʻau me ka uku ʻole ʻia:

• kaikamahine o 4^e makahiki o ke kula haʻahaʻa (9 mau makahiki a me 10 makahiki), ma ke ʻano he ʻāpana o ka papahana o ke kula ʻana i ka maʻi hepa B;
• kaikamahine o 3^e lua (14 makahiki a me 15 makahiki), ma ke ʻano he ʻāpana o ka lāʻau lapaʻau kūʻē i ka diphtheria, tetanus a me ka pertussis;
• kaikamahine o 4^e a me 5^e lua;
• ʻO nā kaikamahine 9 makahiki a me 10 mau makahiki i haʻalele i ke kula (ma o nā kikowaena lāʻau lapaʻau i koho ʻia);
• ʻO nā kaikamāhine mai ka 11 a hiki i ka 13 i manaʻo ʻia he pilikia;
• nā kaikamāhine mai ka 9 a hiki i ka 18 e noho ana ma nā kaiāulu ʻōiwi, kahi i nui aʻe ai ka maʻi maʻi ʻāʻī.

Pono e hoʻomaopopo ʻia nā kaikamahine mai 11 a 13 (5^e a me 6^e makahiki) e hoʻopaʻa ʻia i ka wā 3^e lua. Ma ke ala, nā kaikamahine ʻōpio mai 4^e a me 5^e pono e hele pono'ī i nā keʻena lawelawe kūpono e loaʻa ai ke kano me ka uku ʻole. ʻO ka mea hope loa, hiki ke hoʻopaʻa ʻia ka poʻe ʻaʻole i manaʻo ʻia e ka papahana, ma ke kumu kūʻai ma kahi o CA $ 400.

ʻO kekahi o ka maopopo ʻole e pili ana i ka papahana hoʻopaʻapaʻa HPV e pili ana i ka papa hana o ka lāʻau lapaʻau.

ʻOiaʻiʻo, hāʻawi ka MSSS i kahi papa manawa e pili ana i nā makahiki 5, no nā kaikamahine 9 a me 10: 6 mau mahina ma waena o nā kau mua ʻelua a - inā pono - e lawelawe ʻia ka hopena hope ma 3^e lua, ʻo ia hoʻi he 5 mau makahiki ma hope o ke kau mua.

Eia nō naʻe, ʻo ka papa kuhikuhi i kuhikuhi ʻia e ka mea hana ʻo Gardasil e hāʻawi i 2 mau mahina ma waena o nā 2 mua a me 4 mau mahina ma waena o ka lua a me ke kolu. No laila, ma hope o 6 mau mahina ua pau ka lāʻau lapaʻau.

He pilikia paha ke hoʻololi i ka papa hana o ka lāʻau lapaʻau ma kēia ʻano? ʻAʻole, e like me D^r ʻO Marc Steben mai ka National Institute of Public Health (INSPQ), nāna i komo i ka hoʻokumu ʻana i nā ʻōlelo aʻoaʻo a CIQ.

"ʻO kā mākou mau loiloi e ʻae iā mākou e manaʻoʻiʻo ʻo 2 doses, i loko o 6 mau mahina, e hāʻawi i kahi pane kūlohelohe e like me ka nui o 3 doses i 6 mau mahina, no ka mea, ʻoi aku ka maikaʻi o kēia pane i ka muli loa", hōʻike ʻo ia.

Ke hahai pono nei ka INSPQ i kahi noiʻi e alakaʻi ʻia nei e ke Kulanui o British Columbia, e nānā ana i ka pane ʻana o ka immune i hāʻawi ʻia e 2 dosis o Gardasil i nā kaikamahine ma lalo o 12 mau makahiki.

ʻO ka hoʻolaha ʻana o kahi papahana hoʻopaʻapaʻa HPV āpau i hāpai i ka hoʻopaʻapaʻa ma Quebec, e like me Kanada ma nā wahi ʻē aʻe.

Ke nīnau nei kekahi mau hui i ka pili ʻana o ka papahana ma muli o ka nele o ka ʻikepili pololei, no ka laʻana ka lōʻihi o ka pale ʻana i ke kano a i ʻole ka helu o nā mea hoʻoikaika e koi ʻia.

Ua hōʻole ka Quebec Federation for Planned Parenthood i ka mea mua i hāʻawi ʻia i ka lāʻau lapaʻau a me nā hoʻolaha no ka loaʻa maikaʻi ʻana i ka hoʻāʻo.². ʻO ia ke kumu e noi nei ʻo ia i ka moratorium no ka hoʻokō ʻana i ka papahana.

D^r ʻAe ʻo Luc Bessette. "Ma ka nānā ʻana i ka nānā ʻana, hiki iā mākou ke mālama i ke kanesa maoli," wahi āna. He 10 a 20 paha makahiki e ʻike ai i ka pono o ka lāʻau lapaʻau. I kēia manawa, ʻaʻole mākou e kamaʻilio i ka pilikia o nā wahine me ka maʻi maʻi ʻāʻī ʻaʻole i kiʻi ʻia a make i kēia makahiki, makahiki aʻe, a i ʻole 3 a i ʻole 4 mau makahiki. “

Akā naʻe, ʻaʻole ʻo ia i manaʻoʻiʻo ʻo ka maʻi HPV he pilikia olakino.

ʻO kekahi o nā pōmaikaʻi nui o ka papahana lapaʻau ʻo ia ka mea "e uhaʻi i ka pono ʻole o ka haʻalele ʻana i ke kula," wahi a Kauka Marc Steben. ʻO ka haʻalele ʻana i ke kula kekahi o nā kumu pilikia nui o ka maʻi HPV i ʻike ʻia e ka INSPQ¹.

“No ka mea, ʻoi aku ka maikaʻi o ka pane ʻana o ka ʻōnaehana pale i ka lāʻau lapaʻau i nā kaikamahine 9 makahiki, ʻo ka pale ʻana i ke kula haʻahaʻa ke ala maikaʻi loa e hiki ai i nā kaikamahine he nui ma mua o ka pilikia o ka haʻalele ʻana i ke kula. “

ʻO ka ʻoiaʻiʻo, ʻoi aku ma mua o 97% o nā ʻōpio mai 7 a i 14 e hele i ke kula ma Kanada³.

Eia ka papaʻaina e hōʻuluʻulu ana i kekahi mau manaʻo hoʻopaʻapaʻa no a kūʻē i kahi papahana hoʻopaʻa maʻi HPV. Lawe ʻia kēia papa mai kahi ʻatikala ʻepekema i paʻi ʻia ma ka nūpepa Pelekane ʻO ka Lancet, i Kepakemapa 2007⁴.