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September - APNA

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NEWS<br />

Early success for HPV<br />

vaccination program<br />

Australia is the first country to rollout a human papillomavirus (HPV) immunisation program, and has achieved a high level of coverage<br />

across the catch-up cohorts of 12 to 26-year-olds. Two new studies suggest that the impact of the program is already being felt.<br />

When the national program commenced, the<br />

Federal Government funded a two-year<br />

catch-up program to cover 13 to 18-year-old girls,<br />

with vaccinations delivered through schools, as<br />

well as 18 to 26-year-old women, who received<br />

vaccinations through general practice and<br />

community-based programs.<br />

The Gardasil HPV vaccine works by preventing<br />

the transmission the four main cancer-causing<br />

strains of the HPV — two of which cause cervical<br />

cancer and two which cause genital warts. The<br />

vaccine is the most effective when it is given before<br />

sexual activity begins and exposure to HPV occurs.<br />

A recent study carried out by The University<br />

of New South Wales National Centre in HIV<br />

Epidemiology and Clinical Research showed<br />

that rates of new genital wart infections have<br />

significantly dropped by 60% in women under<br />

27 years of age since the program was launched<br />

in mid-2007.<br />

The data also showed a 30% reduction in new<br />

genital warts cases in heterosexual men, which<br />

researchers have attributed to reductions in<br />

transmission from their partners — herd immunity<br />

benefits. (Herd immunity theory suggests that, in<br />

diseases passed from person to person, it is more<br />

difficult to maintain a chain of infection when large<br />

numbers of a population are immune.)<br />

In another recent study, Victorian Cytology<br />

Services demonstrated the world’s first drop in<br />

precancerous lesions since the introduction of an<br />

HPV vaccination program. The study showed the<br />

number of cases of high grade cervical lesions has<br />

fallen in women aged less than 20 years, suggesting<br />

that the program is starting to reduce the<br />

burden of cervical cancer.<br />

Without the high level of coverage achieved in<br />

the catch-up program these reductions in warts<br />

and cervical abnormalities would not have been<br />

realised as early they have been.<br />

As a group we should all take great pride in our<br />

role in the success of the program. Practice nurses<br />

played a significant role targeting 18 to 26-yearold<br />

women to participate in the HPV vaccination<br />

program and getting them back for second and<br />

third doses. We are aware of many of the efforts<br />

in actively recalling and opportunistically<br />

vaccinating eligible women and many <strong>APNA</strong><br />

members have been awarded for initiatives they<br />

have put in place to support the HPV vaccination<br />

program. It is fantastic to see the impact of the<br />

program already being demonstrated.<br />

<strong>APNA</strong> Best Practice Nurse Awards now open<br />

The Australian Practice Nurses Association is<br />

proud to announce that nominations for the<br />

2010 <strong>APNA</strong> Best Practice Nurse Awards are<br />

now open! With five award categories, the<br />

<strong>APNA</strong> Best Practice Nurse Awards aim to<br />

recognise and reward outstanding nurses<br />

working in general practice.<br />

In 2010 five awards are on offer, with prizes of<br />

$5,000 for each winner to use in enhancing<br />

their continuing professional development.<br />

Previous recipients have used their monetary<br />

prize to undertake work experience and education<br />

in both local and international locations.<br />

When considering whether to nominate,<br />

remember that while what you do in your practice<br />

might seem normal to you, it may be novel or new<br />

to someone else. Please refer the 2009 Best<br />

Practice Nurse Awards page on the <strong>APNA</strong> website<br />

to read examples of what the past Best Practice<br />

Nurse Award winners had done in their practices.<br />

Nominations for the Best Practice Nurse Awards will close at 5.00 p.m. on Friday, 14 January 2011,<br />

so make sure you send your nomination in soon!<br />

Visit www.apna.asn.au then click through to ‘Best Practice Nurse Awards’ under the Events tab.<br />

The categories open for nomination are:<br />

Sponsor<br />

Award Category<br />

CSL Biotherapies Best Practice Nurse Award for Immunisation<br />

TENA Best Practice Nurse Award for Continence Care<br />

MSD Best Practice Nurse Award for Chronic Disease Management<br />

Royal Australian College of General Practitioners Quality Care<br />

Musculoskeletal Best Practice Nurse Award<br />

Pfizer Best Practice Nurse Award for Innovation<br />

AGPAL Best Practice Nurse Award for Quality Improvement<br />

8<br />

Primary Times <strong>September</strong> 2010

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