Detailed contribution information
| Contribution title | 3191 - A development of support center for Human Papillomavirus (HPV) vaccination adverse reaction and the role in child psychiatrists in Japan. |
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| Contribution code | PS03-72 (P) |
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| Form of presentation | Poster |
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| Abstract |
In Japan, the national immunization program included a vaccine against Human Papillomavirus (HPV) from 2013, which could prevent the cervical cancer which has caused almost 3,000 deaths. Soon after the start of HPV vaccination (HPVV), adverse effects of HPVV such as joint pain, muscle pain, seizures, tiredness, weakness which were considered rare side effects were reported by media multiple times and became a major public concern. Even most of time these adverse effects were not able to be explained medically, the government declared keeping the vaccine in the program but suspending proactive recommendations. This brought the vaccination rate falling down from over 70 to several percent. In response to these circumstances, the government ordered to establish support center for HPVV adverse effects and our center was established in our hospital October 2014. Before the center began, the patients were evaluated based on their chief complains and most of their symptoms were not explained even by the detailed examination and eventually the patients were referred to child psychiatrists and child psychiatrist took the role informing the final evaluation results to them. This caused dissatisfaction among them and they felt their symptoms and suffering were considered baseless and they were rejected by medical system. Because of dissatisfaction by the patients and the families, the departments involved for the evaluation including pediatrics, gynecology, neurology, orthopedics, anesthesiology, rehabilitation and child psychiatry created a taskforce and reorganized the center. The taskforce decided to implement a new program to gather and share the medical information about the patient. In this program all the patients are evaluated by child psychiatrists as a routine evaluation. After all evaluation is completed the members of center discuss each case and the result is informed to the patient and the families as a team decision. Of the reported adverse effect by the patients a majority of them has no medically based cause but the patients continue to report the symptoms. They are followed by child psychiatrists as possible somatic symptom disorder and if child psychiatrists think a patient needs additional evaluation child psychiatrists refer to other specialists. Since the program was implemented satisfaction of the patients and families seem improved. In this paper we present importance of team approach for this issue and the role in child psychiatrists. |