HPV Vaccination Recommendations

The Advisory Committee on Immunization Practices (ACIP) Recommendations are as follows:

• Children and adults aged 9 through 26 years – HPV vaccination is routinely recommended at age 11 or 12 years; vaccination can be given starting at age 9 years. Catch-up HPV vaccination is recommended for all persons through age 26 years who are not adequately vaccinated.
• Adults aged >26 years – Catch-up HPV vaccination is not recommended for all adults aged >26 years. Instead, shared clinical decision-making regarding HPV vaccination is recommended for some adults aged 27 through 45 years who are not adequately vaccinated.
• Dosing – For persons initiating vaccination before their 15th birthday, the recommended immunization schedule is 2 doses of HPV vaccine (0, 6–12 month schedule). For persons initiating vaccination on or after their 15th birthday, or for persons with certain immunocompromising conditions, the recommended immunization schedule is 3 doses of HPV vaccine (0, 1–2, 6 month schedule).
• Special populations and medical conditions – These recommendations for children and adults aged 9 through 26 years and for adults aged >26 years apply to all persons, regardless of behavioral or medical risk factors for HPV infection or disease.

The Community Preventive Services Task Force (Community Guide) has published several findings around vaccination programs with recommendations that inform the interventions selected for inclusion on EBCCP:

• Client Reminder and Recall Systems
• Client or Family Incentive Rewards
• Community-Based Interventions Implemented in Combination
• Health Care System-Based Interventions Implemented in Combination
• Home Visits to Increase Vaccination Rates
• Immunization Information Systems
• Provider Assessment and Feedback
• Provider Reminders
• Reducing Client Out-of-Pocket Costs
• Requirements for Child Care, School, and College Attendance
• Schools and Organized Child Care Centers
• Standing Orders

The National Cancer Institute (NCI) has an HPV and Cancer fact sheet that helps answer common questions in plain language.

Additional evidence can be found in the following reports:

• Human Papillomavirus Vaccination for Adults: Updated Recommendations of the Advisory Committee on Immunization Practices
• Cancer Trends Progress Report: HPV Vaccination