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New cervical cancer vaccine to be added to national immunisation schedules from Jan 1, 2027

Singaporean and permanent resident females aged 9 to 26 will have access to broader protection against cervical cancer from Jan 1, 2027, when a new vaccine is added to the national immunisation schedules.In a joint statement on Friday (Oct 2), the Ministry of Health (MOH), Communicable Diseases Agency and Health Promotion Board said the HPV9 vaccine, also known as Gardasil...

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New cervical cancer vaccine to be added to national immunisation schedules from Jan 1, 2027
New cervical cancer vaccine to be added to national immunisation schedules from Jan 1, 2027

Singaporean and permanent resident females aged 9 to 26 will have access to broader protection against cervical cancer from Jan 1, 2027, when a new vaccine is added to the national immunisation schedules.

In a joint statement on Friday (Oct 2), the Ministry of Health (MOH), Communicable Diseases Agency and Health Promotion Board said the HPV9 vaccine, also known as Gardasil 9, will be included in the National Childhood Immunisation Schedule (NCIS) and National Adult Immunisation Schedule (NAIS).

Currently, the HPV2 vaccine, also known as Cervarix, is included in both schedules and will remain available as an alternative option when HPV9 is added.

Both vaccines protect against HPV strains that cause about 70 per cent of cervical cancers.

However, the agencies noted that the HPV9 vaccine provides broader protection by also covering additional HPV types that account for a further 20 per cent of cervical cancers, bringing its total coverage to about 90 per cent.

Updated vaccination recommendations

Under updated recommendations by the Expert Committee on Immunisation, unvaccinated females can start or complete their vaccination series with either HPV2 or HPV9.

Those receiving their first dose between the ages of 9 and 14 will require two doses, while those starting vaccination between the ages of 15 and 26 will require three doses.

If vaccination has been started but not completed by age 26, the remaining doses can be taken after age 26, as early as possible and up to age 45.

Females who have started but not completed their vaccination series with previous vaccines may complete it with HPV9, while those who have already completed their recommended schedule are not advised to receive additional HPV9 doses.

HPV9 will also replace HPV2 for female students who have yet to start or complete their vaccination series from Jan 1 next year.

Female students who received HPV2 as their first dose in 2026, including those from the 2026 Secondary 1 cohort, will complete their series in schools in 2027 with HPV9 as their second dose.

HPV vaccinations are currently provided at no charge to Secondary 1 and 2 female students.

Those who have already completed their recommended vaccination series will not be eligible for additional HPV9 doses.

From Jan 1, 2027, eligible Singaporean children will receive full subsidies for the HPV9 vaccine at CHAS GP clinics and polyclinics.

Eligible Singaporean adults will receive means-tested subsidies of up to 75 per cent, while eligible permanent residents will receive subsidies at polyclinics.

MediSave use for HPV9 vaccination will also be extended to those in the recommended groups under the NCIS and NAIS, subject to the MediSave Chronic and Preventive Care limits of $700 or $1,000.

Vaccination subsidies and MediSave use will not apply to additional HPV9 doses for individuals who have already completed their recommended vaccination schedule.

Eligible individuals can book HPV vaccination appointments at participating CHAS GP clinics through the national vaccination booking portal or make an appointment at a polyclinic.

xingying.koh@asiaone.com

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