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HEALTH

France to begin school vaccination drives for cancer-causing HPV infection

France will roll out vaccination campaigns in schools in an attempt to eradicate the cancer-causing human papillomavirus (HPV) infection, President Emmanuel Macron has announced.

France to begin school vaccination drives for cancer-causing HPV infection
President Emmanuel Macron during a prevention session on HPV infection at a school in western France. (Photo by STEPHANE MAHE / POOL / AFP)

The vaccine is currently recommended but not compulsory in France for children aged between 11 and 14. It is also offered to anyone up to the age of 19 as a “catch-up” vaccine, and for men who have sex with men up to the age of 26.

But from September schools will start organising vaccination drives for pupils in cinquième (12 and 13 year-olds) in an attempt to boost take-up, although the vaccine will not be compulsory.

A pilot project of school vaccination campaigns in the Grand Est region showed a boost in take-up, said the Elysée.

From September nurses, pharmacists and midwives will also be able to give the injection, to avoid teenagers having to visit a doctor. 

Santé publique France has said that HPV causes more than 6,000 new cancer cases in France each year. The campaign is intended to raise awareness of the vaccine, the risks of HPV, and cut the number of new cancer cases linked to the virus.

France currently lags behind other European nations on HPV vaccine coverage among teenagers – which was at 50 percent in 20 European countries in 2020. In Denmark, coverage is 85 percent.

In France, a year later, less than 46 percent of girls and just seven percent of boys had been vaccinated against HPV by the age of 15.

The good news is that 80 to 90 percent of the general population have been in contact with the virus at some point in their lives, but their natural immunity fights it off. The vaccine, however, is considered to be highly effective. In countries where take-up rates are high, cases of HPV-linked cancers are falling.

The Haute autorité de santé (HAS) has welcomed Macron’s announcement, having first campaigned for the vaccine to be rolled out among boys aged 11 to 14 in 2019.

“The school environment is a favourable environment for vaccination,” Professor Elisabeth Bouvet, president of the Technical Commission for Vaccinations at the HAS told franceinfo.

“The majority of HPV-related cancers are cervical cancers, but there are also rectal cancers among men, especially those who have sex with men. Many tonsil and throat cancers are HPV-related and occur more frequently in men than women,” Prof Bouvet explained.

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HEALTH

French health authorities warn of risk of ‘epidemic’ from mosquito-borne disease

French health authorities have sounded the alarm about the 'fairly high risk' of an epidemic of mosquito-borne illnesses in the next five years in France.

French health authorities warn of risk of 'epidemic' from mosquito-borne disease

ANSES (Agence nationale de sécurité sanitaire de l’alimentation, de l’environnement et du travail), the French body for environment and health safety – published a report on Friday finding that France is at a ‘fairly high risk’ of epidemics linked to tiger mosquitoes.

Tiger mosquitoes (Aedes albopictus) are known for their ability to carry dangerous diseases such as dengue, chikungunya and Zika virus. These diseases can be dangerous, but deaths are rare in countries where people have access to good healthcare.

So far, the insect has been detected in 78 of France’s 95 mainland départements – gradually spreading north as global temperatures warm.

READ MORE: MAP: Tiger mosquitoes reach northern France

ANSES wrote in their report that “in the next five years, an epidemic of mosquito-borne illnesses has a probability between 6 and 7, on a scale of 0 to 9.”

In terms of when the ‘epidemic’ level is reached, one of the two coordinators of the study, Émeline Barrès, explained in the report: “We talk about an epidemic when it is not possible to link all the infected people to one single outbreak.

“This means that the transmissions are beyond the control system.”

ANSES also added that “the emergence of an epidemic depends on a number of factors.

“These include the presence of tiger mosquitoes in the country, climatic conditions favourable to their reproduction (in particular the accumulation of hot days over a given period and rainfall), the arrival of infections in people from areas where viruses are circulating, and the effectiveness of measures to combat tiger mosquitoes and the transmission of viruses.”

What would happen if there was an epidemic?

Experts expressed concerns in a number of areas.

“In the event of an epidemic, the current means to prevent and monitor mosquito-borne illnesses would become overwhelmed”, the researchers wrote.

They also referenced fears about the health system being under strain if a large number of cases were to occur over a wide area, as well as impacts on the tourism industry.

Anses also recommended that local authorities be vigilant in ensuring that under-served populations have access to information, prevention resources and care, out of concern that an epidemic could exacerbate social inequality in France.

What is the current risk?

In recent years, cases of dengue and chikungunya have increased in mainland France.

From May 1st to September 10th, France reported 1,372 imported cases (meaning they were contracted outside of mainland France) of dengue fever.

READ MORE: How serious is the threat from dengue fever in France?

Health authorities also reported 13 imported cases of chikungunya and three of (imported) Zika virus.

Imported mosquito-borne illnesses in France tend to involve people who recently visited the Caribbean islands of Martinique and Guadeloupe – where the such diseases are endemic.

These islands are for administrative purposes part of France – so often show up in French health data – but they are roughly 7,000km away from Paris.

As for cases contracted in mainland France, local transmission remains rare.

In 2024, there have so far been 46 reported cases of locally transmitted (indigenous) dengue fever, according to Santé Publique France. There has been one case of ‘indigenous’ chikungunya so far in 2024.

In terms of location, the majority of these local infections have occurred in southern France.

Screenshot from Santé Publique France of a map of indigenous outbreaks of mosquito-borne illnesses in France.

In 2023, there were nine separate outbreaks of indigenous dengue transmission were identified, one of which occurred in the Paris region. These led to 45 cases of local transmission (in mainland France).

Until recently, researchers had been unable to identify contaminated mosquitoes, despite the presence of local transmission, but in 2023, researchers managed to trap tiger mosquitoes in the Drôme département who were carrying the virus. 

What steps can people take to stop the spread of tiger mosquitoes?

Anses noted that in addition to collective action and a response from health authorities, individuals can also take steps.

These include;

  • Regularly emptying outdoor bowls or receptacles filled with water in order to prevent them from becoming mosquito breeding areas
  • Covering rainwater collectors with mosquito netting
  • Protecting yourself by wearing long, loose-fitting, light-coloured clothing and by using insect repellent.

READ MORE: How to prevent the spread of tiger mosquitoes in France

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