中国女性约98%的宫颈癌由高危型HPV导致，接种HPV疫苗是预防HPV感染及相关疾病的重要措施。记 者了解到，珠海近期推出了"打一免一"HPV疫苗预防接种惠民活动，形成独特的"国家免费基础保障+地 方惠民升级选择"双轨并行模式。符合条件的市民于活动期间接种首针，可享受第二剂或第三剂费用减 免优惠。 "昨天社区通知了我，今天我就带着女儿过来接种了，也是希望孩子能够得到保护。"12月21日上午，在 珠海市香洲区梅华社区健康服务中心，前来带孩子接种HPV疫苗的居民黄女士如是说道。 对此，基层机构变"被动等"为"主动送"。据悉，梅华社区健康服务中心开设周末接种专场，提供从咨 询、登记到接种、留观的一站式服务；主动与学校和社区联动，通过专用预约链接或二维码简化预约流 程，并开设专属咨询热线答疑解惑。 "双轨模式"赋予家庭选择权与主动权 9-14周岁女性可享受第2剂免费 12月21日上午9时许，梅华社区健康服务中心接种门诊大厅内人头攒动，已有不少居民前来登记、接种 疫苗。记者在现场看到，大厅出入口与前台均摆放了介绍疫苗接种惠民活动的宣传资料，居民们在等候 区有序等候接种。 据介绍，国家疾控局、国家卫生健康委、教育部等七部 ...

Core Viewpoint - The article discusses the extension of the graded referral model from disease treatment to disease prevention, emphasizing the role of clinical doctors in improving vaccine coverage among vulnerable populations and rebuilding trust in immunization [3]. Group 1: Vaccine Prescription and Assessment Clinics - The National Center for Disease Control and Prevention has recently supported the concept of "vaccine prescriptions," marking the first time this has been included in a policy document [3]. - Various regions, including Beijing, Shanghai, Guangdong, and Jiangsu, have initiated special assessment clinics for vulnerable populations to integrate clinical diagnosis with disease prevention [6][7]. - These assessment clinics primarily target children with special health conditions, providing medical vaccination advice and appropriate vaccine arrangements [6][7]. Group 2: Challenges in Vaccine Administration - There are significant challenges in the vaccine administration process, including the need for patients to undergo multiple consultations and tests before receiving vaccinations, which can deter them from proceeding [6][11]. - The lack of clinical guidelines for many diseases leads to hesitance among doctors to recommend vaccinations, as they fear potential legal repercussions from adverse reactions [10][11]. - The "first kilometer" and "last mile" issues highlight the logistical difficulties in the vaccine administration process, including the time and cost burdens on patients and the potential lack of recognition of assessment reports by community hospitals [11][12]. Group 3: Special Health Populations - Special health populations, such as children with cancer or organ transplant recipients, are at higher risk for severe outcomes from diseases like influenza, necessitating prioritized vaccination [9]. - The article notes that while some diseases are not listed as contraindications for vaccination, they also lack clear clinical treatment guidelines, complicating the decision-making process for healthcare providers [10]. - The need for multidisciplinary consultation platforms is emphasized to ensure comprehensive evaluations for patients with multiple health issues [11].

Group 1 - The core viewpoint of the article is that Beijing has launched a free HPV vaccination program for female students entering the first year of junior high school in 2025 [1] - The program is available to over 440 vaccination clinics across the city, providing services to eligible students [1] - Eligible students must be Chinese nationals, entering junior high school in September 2025, and must not have any contraindications for vaccination [1] Group 2 - The vaccination is based on the principles of informed consent and voluntary participation [1] - Schools will organize students who wish to get vaccinated to visit designated clinics accompanied by parents or guardians [1] - The vaccine provided is a domestically produced bivalent HPV vaccine, procured through a unified bidding process by the city [1]

Group 1 - The core initiative of Hainan Province is to provide free hepatitis B vaccinations to individuals aged 20 to 50 who have not been vaccinated or lack protective antibodies, aiming to immunize 100,000 people this year to reduce new hepatitis B cases [1][3][6] - Hainan is the first province in China to launch an action to eliminate the hazards of hepatitis, with a pilot program initiated in 2021 under the guidance of the China Hepatitis Prevention Foundation [2][3] - The vaccination program has expanded this year to include individuals aged 40 to 50, targeting high-risk groups, particularly those aged 30 to 45, who have a higher infection rate of hepatitis B surface antigens [3][6] Group 2 - Clinical data indicates that approximately 80% of liver cancer patients have a history of hepatitis B infection, highlighting the importance of preventing hepatitis to reduce liver cancer cases [2] - The vaccination program is part of a broader health service package implemented in 2023, which includes screening for hepatitis B and providing treatment and health management services for identified patients [2][3] - The vaccination campaign has shown significant progress, with over 100,000 first doses administered and a second dose coverage rate of 92.15%, with plans for the third dose to begin on October 10 [6]

Group 1 - The core initiative is the implementation of a subsidized HPV vaccination program in Shaanxi Province, aimed at increasing vaccine accessibility and uptake among women aged 9 to 45 [1][2] - The program will run from May 20, 2025, to April 30, 2026, and is designed to promote cervical cancer prevention through HPV vaccination [1] - Eligible individuals who receive their first or second dose of the HPV vaccine during the program will benefit from reduced vaccination costs, only paying for the service fee [1][2] Group 2 - The program includes three types of HPV vaccines: bivalent, quadrivalent, and nonavalent, with a total of five vaccine options available [1] - A specific timeline is established where individuals must receive their first dose by September 30, 2025, to qualify for the subsidy [2] - An online registration system via the "Healthy Shaanxi Public Service" WeChat mini-program will be available from May 20, 2025, to facilitate appointment scheduling for vaccinations [2]