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Viral meningitis is the most common form of meningitis and is often referred to as aseptic meningitis to indicate the absence of bacterial involvement. It is generally milder than bacterial meningitis, with symptoms including fever, headache, stiff neck, drowsiness, nausea, photophobia, and vomiting. Rarely, more severe manifestations or death may occur. Common causative agents include enteroviruses, particularly coxsackie A and B viruses and echoviruses, all members of the Enterovirus genus...
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Related Experiment Video

Updated: Jul 3, 2026

Development of an IFN-&#947; ELISpot Assay to Assess Varicella-Zoster Virus-specific Cell-mediated Immunity Following Umbilical Cord Blood Transplantation
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Development of an IFN-γ ELISpot Assay to Assess Varicella-Zoster Virus-specific Cell-mediated Immunity Following Umbilical Cord Blood Transplantation

Published on: July 9, 2014

Is viral status needed before vaccination?

Thomas C Wright1, F Xavier Bosch

  • 1Department of Pathology, Columbia University, Room 16-404, P&S Building, 630 West 168th Street, New York, NY, United States. tcwl@columbia.edu

Vaccine
|July 22, 2008
PubMed
Summary
This summary is machine-generated.

Pre-vaccination Human Papillomavirus (HPV) testing is not advised. Screening is inefficient, finding few positive cases, and can lower vaccination coverage, which is crucial for program success.

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Area of Science:

  • Immunology
  • Public Health
  • Virology

Background:

  • Human Papillomavirus (HPV) infection is a significant cause of cervical cancer.
  • HPV vaccination is a key strategy for cervical cancer prevention.
  • Current vaccination programs aim for high coverage rates.

Purpose of the Study:

  • To evaluate the recommendation and efficacy of pre-vaccination Human Papillomavirus (HPV) testing.
  • To assess the impact of pre-vaccination testing on HPV vaccination program coverage.
  • To determine the frequency of HPV DNA positivity in the target vaccination population.

Main Methods:

  • Analysis of existing data on HPV prevalence and vaccine type exposure.
  • Modeling the impact of pre-vaccination testing on vaccination program logistics and cost.
  • Review of established cervical cancer screening protocols.

Main Results:

  • Pre-vaccination HPV DNA testing is inefficient, requiring screening of approximately one thousand women to identify a single case positive for HPV types 16 and 18.
  • Implementing pre-vaccination testing introduces logistical barriers and increases costs.
  • These barriers are likely to reduce overall HPV vaccination coverage.

Conclusions:

  • Routine pre-vaccination HPV testing is not recommended due to low yield and potential to decrease vaccination program success.
  • HPV testing should only be considered if it aligns with existing cervical cancer screening routines.
  • Prioritizing high vaccination coverage is essential for effective HPV prevention.