The Boston Globe

Millions of girls will miss HPV shots after production problem

Drugmaker says it cannot deliver promised vaccine

- By Stephanie Nolen

Nearly 1.5 million teenage girls in some of the world’s poorest countries will miss the chance to be protected from cervical cancer because drugmaker Merck has said it will not be able to deliver millions of promised doses of the human papillomav­irus vaccine this year.

Merck has notified Gavi, the internatio­nal organizati­on that helps low- and middle-income countries deliver lifesaving immunizati­ons, and UNICEF, which procures the vaccines, that it will deliver only 18.8 million of the 29.6 million doses it was contracted to deliver in 2024, Gavi said.

That means that more than 10 million girls will not receive their expected HPV shots this year — and 1.5 million of them most likely will never get them because they will be too old to qualify for the vaccine in subsequent years.

Patrick Ryan, a spokespers­on for Merck, said the company “experience­d a manufactur­ing disruption” that required it to hold and reinspect many doses by hand.

He declined to give further details about the cause of the delay.

“We are acting with urgency and rigor to deploy additional personnel and resources to resolve this matter as soon as possible,” he said.

Ryan said that Merck would deliver the delayed doses in 2025.

He also said the company would ship 30 million doses of the vaccine to Gavi-supported countries this year. However, about a third of these are doses that were supposed to have been sent in 2023, leaving Gavi with the 10.7 million-dose shortfall.

The delay is a big setback for countries that had already waited years to begin vaccinatin­g girls against HPV, the human papillomav­irus, which causes an estimated 90% of cervical cancers.

About 350,000 women die from cervical cancer annually, according the World Health Organizati­on.

Ninety percent of them are living in low-income countries, where routine screening for the disease is rare. The vaccine offers near-total protection against HPV infection, making it the lone vaccine against cancer.

“HPV is the highest impact vaccine Gavi has: If you vaccinate 1,000 girls, you prevent 17.4 future deaths,” said Dr. Aurélia Nguyen, Gavi’s chief program officer.

“If there is one vaccine that you want to get out and do well on, this is it,” she said.

 ?? ELODIE LE MAOU/AFP VIA GETTY IMAGES ?? Aurelia Nguyen, chief officer of the Gavi Vaccine Alliance, called the HPV vaccine its highest impact vaccine.
ELODIE LE MAOU/AFP VIA GETTY IMAGES Aurelia Nguyen, chief officer of the Gavi Vaccine Alliance, called the HPV vaccine its highest impact vaccine.

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