Jim O'Callaghan (Dublin Bay South, Fianna Fail)
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220. To ask the Minister for Health the plans that exist to enable the State to purchase Covid-19 vaccines in autumn 2021 in order to respond to any variants that may materialise; and if he will make a statement on the matter. [13696/21]

Stephen Donnelly (Wicklow, Fianna Fail)
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Ireland is participating in a Procurement Exercise being operated by the European Commission on behalf of Member States to procure suitable, safe and effective vaccines, in sufficient quantities, to combat COVID-19. Six Advance Purchase Agreements (APA) have been negotiated by the Commission under this process to date. Ireland has opted-in to five APAs to secure vaccine supplies: BioNTech/Pfizer, Moderna, AstraZeneca, Janssen/J&J and CureVac. Government approval has been obtained to opt-into the sixth APA (GSK/Sanofi Pasteur), subject to the outcome of future clinical trial results.

Ireland has opted-in to pro rata allocation of BioNTech/Pfizer and Moderna vaccines. Ireland has also secured additional doses of the BioNTech/Pfizer vaccine via options and top up contracts, which will bring the current total of BioNTech/Pfizer doses to approximately 6.5 million. Ireland has signalled interest in obtaining 1.64 million additional doses of the Moderna vaccine through a top-up contract.

Ireland has also indicated its intention to opt-in to additional APAs with Valneva and Novavax.

Overall, Ireland has signalled intent to opt-in to contracts for a total of 18.5m doses.

The new European bio-defence preparedness plan against COVID-19 variants called “HERA Incubator” will work with researchers, biotech companies, manufacturers and public authorities in the EU and globally to detect new variants, provide incentives to develop new and adapted vaccines, speed up the approval process for these vaccines, and ensure scaling up of manufacturing capacities.

Joe Flaherty (Longford-Westmeath, Fianna Fail)
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221. To ask the Minister for Health if there is an opportunity for students to avail of the HPV vaccine when the forthcoming school vaccination programme resumes given they are now in older years (details supplied). [13699/21]

Stephen Donnelly (Wicklow, Fianna Fail)
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The immunisation programme in Ireland is based on the advice of the National Immunisation Advisory Committee (NIAC). The committee's recommendations are based on the prevalence of the relevant disease in Ireland and international best practice in relation to immunisation. It makes recommendations on vaccination policy to my Department. The NIAC continues to revise recommendations to allow for the introduction of new vaccines in Ireland and to keep abreast of changes in the patterns of disease. Therefore, the immunisation schedule will continue to be amended over time.

In 2009, the NIAC recommended HPV (human papillomavirus) vaccination for all 12 to 13 year old girls to reduce their risk of developing cervical cancer when they are adults. In September 2010, the HPV vaccination programme was introduced for all girls in first year of secondary school.

The NIAC recommended that the HPV vaccine should also be given to boys. On foot of the NIAC’s recommendation, my Department asked the Health Information and Quality Authority (HIQA) to undertake a health technology assessment (HTA) to establish the clinical and cost-effectiveness of extending the current immunisation programme to include boys in the first year of secondary school.

The HIQA completed the HTA in December 2018, recommending that the HPV immunisation programme be extended to include boys. A policy decision was made to extend the HPV immunisation programme to include boys, starting in September 2019, with the introduction of a 9-valent HPV vaccine.

The ages at which vaccines are recommended in the immunisation schedule are chosen by the NIAC in order to give each child the best possible protection against vaccine preventable diseases. As the HPV vaccine is preventative it is intended to be administered, if possible, before a person becomes sexually active, that is, before a person is first exposed to HPV infection.

Therefore, the gender-neutral HPV vaccination programme targets all girls and boys in first year of secondary school to provide maximum coverage. All vaccines administered through the School Immunisation Programme are provided free of charge.

My Department will continue to be guided by NIAC's recommendations on any emerging evidence on this issue in the future.

Anyone not in 1st year of secondary school or age equivalent in special schools or home schooled during the 2020/2021 school year who wishes to get the HPV vaccine, must go to their GP or sexual health clinic and pay privately for the vaccine and its administration.