WORLD

WHO Recommends Routine HPV Jabs for Girls As Young as 4

WHO vaccine advisory panel SAGE recommended Tuesday that countries consider routine HPV vaccination for girls as young as four if it improves lagging uptake, as global coverage sits at 33 percent against a 90 percent target. Experts affirmed a single-dose regimen for girls aged 9 to 14 while endorsing expanded catch-up doses to combat cervical cancer globally.

WHO Recommends Routine HPV Jabs for Girls As Young as 4
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The World Health Organisation's vaccine experts recommended Tuesday that countries consider routine vaccination against HPV in girls as young as four, provided it helps improve lagging vaccine coverage. The advisory from the Strategic Advisory Group of Experts on Immunisation (SAGE) aims to broaden preventative access against human papillomavirus and stem cervical cancer rates worldwide.

Some 165 countries have introduced the human papillomavirus vaccine, said Anthony Scott, who chairs the WHO's Strategic Advisory Group of Experts on Immunisation (SAGE). "However, the global HPV vaccine coverage, at 33 percent, is far short of the global target we're looking for, which is 90 percent," he told reporters. HPV vaccination is a priority for all girls aged nine to 14, according to the WHO. Cervical Cancer Prevention: India To Launch Free HPV Vaccine Drive for 14–15 Years Girls, Says Report.

Shift Toward Flexible Scheduling and Younger Cohorts

Back in 2022, SAGE recommended a one- or two-dose schedule for girls aged nine to 14; the same for young women aged 15 to 20; and two doses with a six-month interval for women over 21.

After reviewing updated evidence, SAGE decided the single-dose vaccine schedule for girls aged nine to 14 was the most efficient way to reach the global target.

"Countries may also consider routine vaccination (for) girls aged four to eight years if this is likely to result in increased vaccination uptake and coverage," said Scott.

Global Cervical Cancer Burden and Vaccination Milestones

Caused by persistent infection with HPV, cervical cancer is the fifth most commonly diagnosed cancer in women globally, with some 604,000 new cases and around 280,000 deaths in 2024, according to the WHO.

By the end of 2025, more than 95 million girls had received HPV vaccines, said Kate O'Brien, head of the WHO's vaccines department. As of 2025, there were eight licensed HPV vaccines.

Cervical cancer is the leading cause of cancer death in women in 26 countries, primarily in sub-Saharan Africa and parts of South and Central America, Melanesia, and southeast Asia, the WHO says.

Prioritised Expansion to Catch-Up and Male Target Groups

To maximize the impact of single-dose immunisation programmes, health authorities have also outlined subsequent delivery tiers.

SAGE recommended that HPV vaccination with a single dose may be expanded to additional target groups in order of priority: catch-up vaccination of women aged up to 25; then of women aged up to 30 years; routine vaccination in boys aged nine to 14; then catch-up vaccination of males up to 20.

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