Alarmingly, in some of the wealthy countries, where both screening and treatment should be readily available, vaccine coverage now appears to be declining, raising a real danger that socioeconomically disadvantaged girls there will face a similar fate. If it turns out that girls at risk of not receiving all three doses of the HPV vaccine are also those with an elevated risk of being infected and missing cervical screenings as adults, they may be slipping through not one but two nets.
令人担忧的是，在筛查及治疗手段本应更为普及的富国，现在的疫苗接种率也似乎正在下降，从而导致社会经济地位相对弱势的女孩面临着同样的命运。如果事实证明没有条件接种全部三种HPV疫苗的女孩成年后恰恰感染几率更大且没有机会接受宫颈筛查，那么她们失去的可能不仅仅是一种保护。