Thaum lub caij nplooj zeeg xyoo 2007, Pawg Neeg Saib Xyuas Kev Tiv Thaiv Kab Mob Quebec (CIQ) tau nthuav tawm Minister Couillard nrog rau qhov xwm txheej rau kev siv txoj haujlwm. Qhov no muab rau kev siv Gardasil, tib yam tshuaj tiv thaiv HPV pom zoo los ntawm Health Canada rau lub sijhawm no.

Thaum lub Plaub Hlis 11, 2008, MSSS tau tshaj tawm cov ntsiab lus ntawm daim ntawv thov kev pab cuam txhaj tshuaj tiv thaiv HPV. Yog li, txij lub Cuaj Hlis 2008, cov uas yuav tau txais cov tshuaj tiv thaiv dawb yog:

• cov ntxhais ntawm 4^e xyoo kawm ntawv theem pib (9 xyoo thiab 10 xyoo), uas yog ib feem ntawm lub tsev kawm ntawv qhov kev pab cuam txhaj tshuaj tiv thaiv kab mob siab B;
• cov ntxhais ntawm 3^e theem nrab (14 xyoo thiab 15 xyoos), ua ib feem ntawm kev txhaj tshuaj tiv thaiv kab mob diphtheria, tetanus thiab pertussis;
• cov ntxhais ntawm 4^e thiab 5^e theem nrab;
• Cov menyuam ntxhais hnub nyoog 9 xyoo thiab 10 xyoo uas tau tawm hauv tsev kawm ntawv (los ntawm cov chaw txhaj tshuaj tiv thaiv);
• Cov ntxhais hnub nyoog 11 txog 13 xyoos suav tias muaj kev pheej hmoo;
• cov ntxhais hnub nyoog 9 txog 18 xyoo nyob hauv cov zej zog hauv paus txawm, qhov twg muaj mob qog noj ntshav ntau dua.

Nws yuav tsum raug sau tseg tias cov ntxhais hnub nyoog 11 txog 13 xyoos (5^e thiab 6^e xyoo) yuav txhaj tshuaj tiv thaiv thaum lawv muaj 3 xyoos^e theem nrab. Los ntawm txoj kev, cov ntxhais hluas los ntawm 4^e thiab 5^e yuav tau mus rau lawv tus kheej mus rau cov chaw pabcuam tsim nyog kom tau txais cov tshuaj tiv thaiv dawb. Thaum kawg, cov tib neeg tsis yog hom phiaj los ntawm qhov kev pab cuam tuaj yeem txhaj tshuaj tiv thaiv, ntawm tus nqi kwv yees li CA $ 400.

Ib qho ntawm qhov tsis paub meej txog qhov kev txhaj tshuaj tiv thaiv HPV cuam tshuam nrog lub sijhawm txhaj tshuaj.

Tseeb tiag, MSSS muab rau lub sijhawm uas ncua 5 xyoos, rau cov menyuam ntxhais hnub nyoog 9 thiab 10: 6 lub hlis ntawm thawj ob koob tshuaj thiab - yog tias tsim nyog - koob tshuaj zaum kawg yuav muab rau hauv 3.^e theem nrab, piv txwv li 5 xyoos tom qab thawj koob tshuaj.

Txawm li cas los xij, lub sijhawm teem los ntawm cov chaw tsim khoom ntawm Gardasil muab rau 2 lub hlis ntawm thawj 2 koob tshuaj thiab 4 lub hlis ntawm koob thib ob thiab thib peb. Yog li ntawd tom qab 6 lub hlis txhaj tshuaj tiv thaiv lawm.

Puas yog nws pheej hmoo hloov lub sijhawm txhaj tshuaj tiv thaiv li no? Tsis yog, raws li D^r Marc Steben los ntawm National Institute of Public Health (INSPQ), uas tau koom nrog tsim CIQ cov lus pom zoo.

"Peb qhov kev ntsuam xyuas tso cai rau peb ntseeg tias 2 koob tshuaj, hauv 6 lub hlis, yuav muab cov tshuaj tiv thaiv kab mob zoo li 3 koob tshuaj hauv 6 lub hlis, vim tias cov lus teb no zoo rau cov menyuam yaus tshaj plaws," nws hais.

INSPQ kuj tseem ua raws li kev tshawb fawb tam sim no los ntawm University of British Columbia, uas tshuaj xyuas cov tshuaj tiv thaiv kab mob uas tau muab los ntawm 2 koob tshuaj Gardasil hauv cov ntxhais hnub nyoog qis dua 12 xyoos.

Kev tshaj tawm txog kev txhaj tshuaj tiv thaiv kab mob HPV thoob ntiaj teb tau tsa kev sib cav hauv Quebec, ib yam li hauv Canada lwm qhov.

Qee lub koom haum nug txog qhov cuam tshuam ntawm qhov kev zov me nyuam vim tsis muaj cov ntaub ntawv meej, piv txwv li lub sijhawm tiv thaiv tshuaj tiv thaiv lossis tus naj npawb ntawm cov koob tshuaj uas yuav xav tau.

Quebec Federation for Planned Parenthood Rejects Priority Gifted to Vaccination and Campaign for Better Access to Test². Tias yog vim li cas nws thiaj thov kom ncua kev ua haujlwm ntawm qhov program.

Tus D^r Luc Bessette pom zoo. "Los ntawm kev tsom mus rau kev tshuaj ntsuam, peb tuaj yeem kho mob qog noj ntshav tiag tiag," nws hais. Nws yuav siv sijhawm 10 lossis 20 xyoo kom paub qhov ua tau zoo ntawm kev txhaj tshuaj. Lub caij no, peb tsis tau hais txog qhov teeb meem ntawm cov poj niam uas mob qog noj ntshav uas tsis tau kuaj thiab leej twg yuav tuag rau xyoo no, xyoo tom ntej, lossis hauv 3 lossis 4 xyoo. “

Txawm li cas los xij, nws tsis ntseeg tias cov tshuaj tiv thaiv HPV ua rau muaj kev phom sij rau kev noj qab haus huv.

Ib qho txiaj ntsig tseem ceeb ntawm txoj kev txhaj tshuaj tiv thaiv kab mob yog tias nws yuav "ua txhaum qhov tsis ncaj ncees ntawm kev tawm hauv tsev kawm ntawv," said Dr Marc Steben. Kev tso tawm ntawm tsev kawm ntawv yog ib qho tseem ceeb ntawm kev pheej hmoo kis mob HPV txheeb xyuas los ntawm INSPQ¹.

“Vim tias lub cev tiv thaiv kab mob cov lus teb rau cov tshuaj tiv thaiv yog qhov zoo tshaj plaws rau cov menyuam ntxhais hnub nyoog 9 xyoos, kev txhaj tshuaj tiv thaiv hauv tsev kawm theem qis yog txoj hauv kev zoo tshaj plaws kom ncav cuag cov ntxhais ntau li ntau tau ua ntej muaj kev pheej hmoo ntawm kev tawm hauv tsev kawm ntawv. “

Qhov tseeb, ntau dua 97% ntawm cov tub ntxhais hluas hnub nyoog 7 txog 14 mus kawm ntawv hauv Canada³.

Ntawm no yog ib lub rooj hais txog qee qhov kev sib cav rau thiab tawm tsam qhov kev pab cuam txhaj tshuaj tiv thaiv HPV. Cov lus no yog muab los ntawm ib tsab xov xwm tshawb fawb luam tawm hauv cov ntawv xov xwm Askiv Lub Lancet, nyob rau lub Cuaj Hli 2007⁴.