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            "text": "Homerton University Hospital NHS Foundation Trust",
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            "text": "HANS advice sheet- HPV vaccination (Gardasil-9)",
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            "text": "HPV vaccination protects against acquisition of 9 strains of the wart virus that can lead to warts and pre-cancer/cancer. Currently in the UK vaccination is available free for children in Year 8 (boys and girls) and gay and bisexual men up to and including the age of 45."
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            "text": "It involves a single vaccine for those under the age of 25, and two vaccinations 6-12 months apart for those who are older. The exception to this is for those living with HIV or who are immune suppressed, who if vaccinated require three doses."
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                    "text": "Schools administer the Year 8 childhood vaccination but catch up is available via GP surgeries up to the age of 25 for all genders",
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                    "text": "Sexual health clinics are able to administer the vaccines for gay and bisexual men up to age 45 for free.",
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                    "text": "Gardasil 9 is commonly used for NHS free childhood and adult vaccinations",
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                    "text": "The vaccine is safe to have at any age without any known significant side effects"
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            "text": "As Homerton Anogenital Neoplasia Service manages pre-cancer related to the wart virus (HPV), we often get questions about the availability and value of vaccination for the patients we see."
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            "text": "We encourage anyone who is eligible for free HPV (Gardasil) vaccine to take advantage of that option. As it stands, there is no funding to vaccinate patients outside of the current recommendations. This includes most of the patients who are referred to us with anogenital pre-cancer due to wart virus infection."
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            "text": "This is based on the evidence currently available which does not show a clear benefit of vaccinating older age-groups or those who already have HPV infection."
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            "text": "Despite the lack of clear evidence of a benefit, many people would still like to be vaccinated against HPV outside of the Government funded schedule. This can be done privately."
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            "text": "Many pharmacies around the UK offer such a service and the price will be around £190 for a single dose, £370 for two doses, and £550 for three doses. Not all pharmacies will vaccinate over the age of 45."
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