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Comment & Response
June 2014

Are High Prices a Barrier to Human Papillomavirus Vaccination in the United States? Not in Italy

Author Affiliations
  • 1Centre for Health Economics, CESAV, IRCCS Mario Negri Institute for Pharmacological Research, Bergamo, Italy
JAMA Pediatr. 2014;168(6):584. doi:10.1001/jamapediatrics.2014.49

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.

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