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	<front>
		<journal-meta>
			<journal-id journal-id-type="publisher-id">rfmun</journal-id>
			<journal-title-group>
				<journal-title>Revista de la Facultad de Medicina</journal-title>
				<abbrev-journal-title abbrev-type="publisher">rev.fac.med.</abbrev-journal-title>
			</journal-title-group>
			<issn pub-type="ppub">0120-0011</issn>
			<publisher>
				<publisher-name>Universidad Nacional de Colombia</publisher-name>
			</publisher>
		</journal-meta>
		<article-meta>
			<article-id pub-id-type="doi">10.15446/revfacmed.v65n3.63104</article-id>
			<article-categories>
				<subj-group subj-group-type="heading">
					<subject>Letters to the editor</subject>
				</subj-group>
			</article-categories>
			<title-group>
				<article-title>Vaccination against HPV in Brazil: What is New in the Year 2017?</article-title>
				<trans-title-group xml:lang="pt">
					 <trans-title><italic>Vacinação contra o Papilomavírus Humano no Brasil: o que há de novo em 2017?</italic></trans-title>  
				</trans-title-group>
			</title-group>
			<contrib-group>
				<contrib contrib-type="author">
					<name>
						<surname>Tovani-Palone</surname>
						<given-names>Marcos Roberto</given-names>
					</name>
					<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
				</contrib>
				<contrib contrib-type="author">
					<name>
						<surname>Tovani-Sanches</surname>
						<given-names>Taís</given-names>
					</name>
					<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
					<xref ref-type="corresp" rid="c1"><sup>*</sup></xref>
				</contrib>
			</contrib-group>
			<aff id="aff1">
				<label>1</label>
				<institution content-type="original"> University of São Paulo - Faculty of Medicine of Ribeirão Preto - Ribeirão Preto - São Paulo - Brazil.</institution>
				<institution content-type="orgname">University of São Paulo</institution>
				<institution content-type="orgdiv1">Faculty of Medicine of Ribeirão Preto</institution>
				<addr-line>
					<named-content content-type="city">São Paulo</named-content>
				</addr-line>
				<country country="BR">Brazil</country>
			</aff>
			<aff id="aff2">
				<label>2</label>
				<institution content-type="original"> Cesumar University Center - Course of Medicine of the Cesumar University Center - Maringá - Paraná - Brazil.</institution>
				<institution content-type="orgname">Cesumar University Center</institution>
				<addr-line>
					<named-content content-type="city">Maringá</named-content>
					<named-content content-type="state">Paraná</named-content>
				</addr-line>
				<country country="BR">Brazil</country>
			</aff>
			<author-notes>
				<corresp id="c1">
					<label>*</label>Corresponding author: Taís Tovani-Sanches. Cesumar University Center. Av. Guedner, 1610, Zona 8, CEP 87050-900. Phone number: +55 44 30276360. Maringá. Brazil. Email: tais.sanches1@gmail.com.</corresp>
				<fn fn-type="conflict" id="fn3">
					<label>Conflicts of interest</label>
					<p> None declared by the authors.</p>
				</fn>
			</author-notes>
			<pub-date pub-type="epub-ppub">
				<season>Jul-Sep</season>
				<year>2017</year>
			</pub-date>
			<volume>65</volume>
			<issue>3</issue>
			<fpage>539</fpage>
			<lpage>539</lpage>
			<history>
				<date date-type="received">
					<day>05</day>
					<month>03</month>
					<year>2017</year>
				</date>
				<date date-type="accepted">
					<day>22</day>
					<month>03</month>
					<year>2017</year>
				</date>
			</history>
			<permissions>
				<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0/" xml:lang="en">
					<license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License</license-p>
				</license>
			</permissions>
			<counts>
				<fig-count count="0"/>
				<table-count count="0"/>
				<equation-count count="0"/>
				<ref-count count="3"/>
				<page-count count="1"/>
			</counts>
		</article-meta>
	</front>
	<body>
		<p><bold>Dear editor,</bold></p>
		<p>We would like to discuss briefly new information regarding the article &quot;Evolução do sistema público de saúde no Brasil frente ao estágio atual da prevenção do câncer de colo uterino em mulheres jovens e adolescentes&quot; <xref ref-type="bibr" rid="B1"><sup>1</sup></xref>.</p>
		<p>In 2017, the Ministry of Health of Brazil started to implement the quadrivalent vaccination against human papillomavirus (HPV) for boys aged 12 to 13 years, thus making Brazil the first South American country that offers this vaccine for boys in the National Immunization Calendar through mass vaccination <xref ref-type="bibr" rid="B2"><sup>2</sup></xref><sup>,</sup><xref ref-type="bibr" rid="B3"><sup>3</sup></xref>. In addition, the age group for vaccination of children and adolescent girls against HPV was extended from 9 to 14 years <xref ref-type="bibr" rid="B2"><sup>2</sup></xref>.</p>
		<p>It is worth mentioning that in 2020, the vaccination of boys will be done beginning at age 9 <xref ref-type="bibr" rid="B2"><sup>2</sup></xref><sup>,</sup><xref ref-type="bibr" rid="B3"><sup>3</sup></xref>. Today, vaccination against HPV is still provided to girls aged 9 to 26 years infected with human immunodeficiency virus (HIV), and vaccination to boys with the same condition was initiated in 2017 <xref ref-type="bibr" rid="B2"><sup>2</sup></xref>.</p>
		<p>All these changes intend to decrease the number of HPV infection cases, as well as related deaths <xref ref-type="bibr" rid="B3"><sup>3</sup></xref>. However, according to Sanches <italic>et al.</italic> (2017), several barriers have been found that hinder the effective implementation of the vaccination against HPV in children and adolescents <xref ref-type="bibr" rid="B1"><sup>1</sup></xref>.</p>
		<p>In consequence, we believe that improvements are necessary, especially regarding health education in schools and specific professional training to attend to the needs of this age group. Only when these requirements are met, it can be possible to provide adequate assistance to these individuals, with a significant increase in vaccination rates.</p>
	</body>
	<back>
		<ack>
			<title>Acknowledgements</title>
			<p>None declared by the authors.</p>
		</ack>
		<ref-list>
			<title>References</title>
			<ref id="B1">
				<label>1</label>
				<mixed-citation>1. Sanches TT, Siqueira-Oliveira T, Papp-Moretti C, Tovani-Palone MR, Hishinuma G. Evolução do sistema público de saúde no Brasil frente ao estágio atual da prevenção do câncer de colo uterino em mulheres jovens e adolescentes. <italic>Rev. Fac. Med</italic>. 2017;65(1):115-20. <ext-link ext-link-type="uri" xlink:href="http://doi.org/cd86">http://doi.org/cd86</ext-link>.</mixed-citation>
				<element-citation publication-type="journal">
					<person-group person-group-type="author">
						<name>
							<surname>Sanches</surname>
							<given-names>TT</given-names>
						</name>
						<name>
							<surname>Siqueira-Oliveira</surname>
							<given-names>T</given-names>
						</name>
						<name>
							<surname>Papp-Moretti</surname>
							<given-names>C</given-names>
						</name>
						<name>
							<surname>Tovani-Palone</surname>
							<given-names>MR</given-names>
						</name>
						<name>
							<surname>Hishinuma</surname>
							<given-names>G</given-names>
						</name>
					</person-group>
					<article-title>Evolução do sistema público de saúde no Brasil frente ao estágio atual da prevenção do câncer de colo uterino em mulheres jovens e adolescentes</article-title>
					<source>Rev. Fac. Med</source>
					<year>2017</year>
					<volume>65</volume>
					<issue>1</issue>
					<fpage>115</fpage>
					<lpage>120</lpage>
					<ext-link ext-link-type="uri" xlink:href="http://doi.org/cd86">http://doi.org/cd86</ext-link>
				</element-citation>
			</ref>
			<ref id="B2">
				<label>2</label>
				<mixed-citation>2. Brasil. Ministério da Saúde. Nota Informativa No. 311, de 2016/CGPNI/ DEVIT/SVS/MS. Mudanças no Calendário Nacional de Vacinação para o ano de 2017. Brasília: Secretaria de Vigilância em Saúde; 2016 [cited 2017 Mar 04]. Available from: <comment>Available from: <ext-link ext-link-type="uri" xlink:href="https://goo.gl/mEHNyv">https://goo.gl/mEHNyv</ext-link>
					</comment>.</mixed-citation>
				<element-citation publication-type="book">
					<person-group person-group-type="author">
						<collab>Brasil. Ministério da Saúde</collab>
					</person-group>
					<source>Nota Informativa No. 311, de 2016/CGPNI/ DEVIT/SVS/MS. Mudanças no Calendário Nacional de Vacinação para o ano de 2017</source>
					<publisher-loc>Brasília</publisher-loc>
					<publisher-name>Secretaria de Vigilância em Saúde</publisher-name>
					<year>2016</year>
					<date-in-citation content-type="access-date" iso-8601-date="2017-00-00">2017 Mar 04</date-in-citation>
					<comment>Available from: <ext-link ext-link-type="uri" xlink:href="https://goo.gl/mEHNyv">https://goo.gl/mEHNyv</ext-link>
					</comment>
				</element-citation>
			</ref>
			<ref id="B3">
				<label>3</label>
				<mixed-citation>3. Portal Brasil. Tire dúvidas sobre a vacinação contra o HPV para meninos. Governo do Brasil; 2017 [cited 2017 Mar 04]. Available from: <comment>Available from: <ext-link ext-link-type="uri" xlink:href="https://goo.gl/WbRnWg">https://goo.gl/WbRnWg</ext-link>
					</comment>.</mixed-citation>
				<element-citation publication-type="journal">
					<person-group person-group-type="author">
						<collab>Portal Brasil</collab>
					</person-group>
					<article-title>Tire dúvidas sobre a vacinação contra o HPV para meninos</article-title>
					<source>Governo do Brasil</source>
					<year>2017</year>
					<date-in-citation content-type="access-date" iso-8601-date="2017-00-00">2017 Mar 04</date-in-citation>
					<comment>Available from: <ext-link ext-link-type="uri" xlink:href="https://goo.gl/WbRnWg">https://goo.gl/WbRnWg</ext-link>
					</comment>
				</element-citation>
			</ref>
		</ref-list>
		<fn-group>
			<fn fn-type="other" id="fn1">
				<label>1</label>
				<p><bold>Tovani-Palone MR, Tovani-Sanches T.</bold> Vaccination against HPV in Brazil: What is New in the Year 2017? Rev. Fac. Med. 2017;65(3):539. English. doi: <ext-link ext-link-type="uri" xlink:href="http://dx.doi.org/10.15446/revfacmed.v65n3.63104">http://dx.doi.org/10.15446/revfacmed.v65n3.63104</ext-link>.</p>
			</fn>
		</fn-group>
		<fn-group>
			<fn fn-type="other" id="fn2">
				<label>2</label>
				<p><bold>Tovani-Palone MR, Tovani-Sanches T.</bold> [Vacinação contra o Papilomavírus Humano no Brasil: o que há de novo em 2017?]. Rev. Fac. Med. 2017;65(3):539. English. doi: <ext-link ext-link-type="uri" xlink:href="http://dx.doi.org/10.15446/revfacmed.v65n3.63104">http://dx.doi.org/10.15446/revfacmed.v65n3.63104</ext-link>.</p>
			</fn>
		</fn-group>
		<fn-group>
			<fn fn-type="other" id="fn4">
				<label>Funding</label>
				<p> None declared by the authors.</p>
			</fn>
		</fn-group>
	</back>
</article>