To the Editor A very recent survey in Italy1 showed that the main hurdles to human papillomavirus vaccination among adolescent Italian girls are fear of adverse events, scant confidence in new vaccines, and a general lack of information.
In contrast to the interesting review on the barriers to the vaccine in the United States,2 the high cost of the vaccine was not considered a hurdle in Italy. This probably reflects the Italian experience of the price of human papillomavirus vaccines since the start of the public campaign in 2008.
Garattini L, van de Vooren K. Are High Prices a Barrier to Human Papillomavirus Vaccination in the United States? Not in Italy. JAMA Pediatr. 2014;168(6):584. doi:10.1001/jamapediatrics.2014.49