From 1st July 2017, MSM aged up to, and including 45 years of age, who attend sexual health/HIV clinics will be eligible for the HPV vaccine as part of a national HPV vaccination programme. Prisoners who identify as MSM will also be able to access the HPV vaccine through prison health services.
The introduction of this programme is based on the advice of the Joint Committee on Vaccination and Immunisation (JCVI). The JCVI recognises that MSM is a group at high risk of HPV infection and associated disease who receive little indirect health benefit from the existing HPV vaccination programme for girls. Since the girls’ programme was introduced in 2008 evidence has emerged that HPV vaccination is likely to provide protection against a wider range of HPV related diseases such as penile, anal and a subset of orophyaryngeal (head and neck) cancers.
See the CMO letter (2017) for more info
In the context of an ongoing hepatitis A outbreak, primarily affecting men who have sex with men (MSM), as well as an ongoing global hepatitis A vaccine shortage, the UK’s Joint Committee for Vaccination and Immunisation (JCVI) endorsed, in June 2017, new pre-exposure vaccine recommendations. In England 262 cases of Hepatitis A among MSM have been diagnosed during the period 1st July 2016 and 30th April 2017. In Scotland since January 2017, 10 cases have been identified among males with one of two strains linked the MSM outbreak. The existing ‘Green Book’ recommendation states that all MSM reporting multiple sexual partners should be offered Hepatitis A vaccination. It is now recommended that all MSM attending HIV, GUM or Sexual Health clinics should be opportunistically offered vaccination against Hepatitis A.
Click on the link to see dose-sparing options for pre- and post-exposure vaccination schedules
Health Protection Scotland issues country specific hepatitis A recommendations for those travelling abroad, and has posted specific advice for MSM travellers attending World Pride events in Europe this summer. This can be accessed via the travel health websites TRAVAX and fitfortravel