"We're dropping the ball," said Dr. Thomas Frieden, head of the Centers for Disease Control and Prevention. "This is a huge disappointment."
About 54 percent of teenage girls have received at least one of the three HPV shots. Only a third was fully immunized with all three doses.
Last year's rates were essentially unchanged from 2011, and up only slightly from 2010. Rates for other vaccines aimed at adolescents have risen much faster.
A big part of the problem: Family doctors aren't prodding patients to get HPV shots as forcefully as they recommend other vaccines, health officials said.
The vaccine, introduced in 2006, protects against human papillomavirus, or HPV. The sexually transmitted bug can cause cervical cancer and genital warts. The vaccine was first recommended for girls ages 11 and 12 because it works best if given before a teen starts to have sex. In 2011, it was also recommended for boys that age to help prevent the virus's spread.
More than 20 states have considered adding HPV to the vaccines required for school attendance but only Virginia and the District of Columbia did so. Most states abandoned it after political fights triggered by funding woes, concerns about the vaccine's safety and worries that the shots would promote promiscuity.
CDC studies have shown no significant side effects, and that girls who got the shots did not start having sex earlier than girls who didn't. Still, some parents, teens and their doctors have been hesitant.
Dr. Anne Schuchat, who oversees the CDC's immunization programs, said school requirements aren't necessarily needed because the girls are already coming in for shots against bacterial meningitis and for whooping cough that are required in some states. Those shots have been recommended for teens roughly about as long as HPV but vaccinations rates are much higher - 70 percent in 2011.
The new CDC report shows that 84 percent of the teen girls who hadn't gotten an HPV shot had been to a clinic or doctor for another vaccine. If they had gotten an HPV shot at the same time, the rate for at least one dose could be nearly 93 percent instead of 54 percent, CDC officials estimated.
Price has been an issue in the past - three doses of HPV vaccine sell for more than $400, more than other vaccines. But today, health insurers cover that cost and uninsured kids get the shots paid for through government health programs.
"We can do a better job," said Dr. Thomas McInerny, president of the American Academy of Pediatrics. He joined Frieden on a call with reporters and said his association would push its members to get more teens vaccinated.
The CDC rates are derived from national telephone surveys and checks of medical records for girls ages 13 to 17. Vaccination rates for boys aren't available yet.
HPV is so common that nearly all sexually active men and women will get at least one type of HPV at some point in their lives, health officials say. Most show no obvious symptoms and eventually clear the virus.
ST. LOUIS (AP) -- Lance Lynn allowed one run over seven innings and the St. Louis Cardinals scored three times in the third in a 3-1 win over the Philadelphia Phillies on Thursday.
Matt Carpenter, Jon Jay and Matt Adams drove in runs for the Cardinals, who have won seven of nine.
Philadelphia has lost five in a row, tying a season high. The Phillies also dropped five straight from June 7-12.
St. Louis has the most wins in the majors at 62 and is a season-high 25 games over .500.
Lynn (12-5) had dropped four of his previous five decisions and was 3-4 with a 6.32 ERA in his past eight starts.
He returned to his early season form on Thursday.
Lynn, who was 8-1 with a 2.76 ERA in his first 12 starts, gave up just five hits against the slumping Phillies, who have scored just nine runs during the five-game skid. He struck out six and walked four.
Lynn, whose last win came on July 7, retired eight batters in a row from the fourth through seventh innings. He set the side down in order in the fifth and sixth on a combined 23 pitches.
Closer Edward Mujica picked up his 30th save in 32 opportunities. He struck out two and is tied with Pittsburgh's Jason Grilli for the most saves in the NL. Trevor Rosenthal pitched a scoreless eighth for the Cardinals.
St. Louis scored three times on four hits off Philadelphia starter Kyle Kendrick (9-7) in the third.
Carpenter drove in Pete Kozma with a one-out single. Jay followed with an RBI triple and Adams added a run-scoring single.
Erik Kratz drove in the Phillies' run with a single in the fourth.
Philadelphia outfielder Steve Susdorf grounded into a double play in the seventh in his major league debut. He was recalled earlier in the day to replace Domonic Brown, who was placed on the seven-day concussion disabled list.
Notes: St. Louis OF Matt Holliday is expected to come off the disabled list on Saturday. Holliday's wife Leslee gave birth to a son, Reid Joshua, on Wednesday night. Holliday was placed on the 15-day disabled list on July 12 with a right hamstring strain. ... The Cardinals open an 11-game road trip on Friday in Atlanta. Adam Wainwright (13-5, 2.44) will face Mike Minor (9-5, 2.88) in the opener of a three-game series. Philadelphia begins a three-game series in Detroit on Friday. Cole Hamels (4-12, 4.16) takes on Doug Fister (8-5, 3.90) in the series opener.
The vote was 217-205 on an issue that created unusual political coalitions in Washington, with libertarian-leaning conservatives and liberal Democrats pressing for the change against the Obama administration, the Republican establishment and Congress' national security experts.
The showdown vote marked the first chance for lawmakers to take a stand on the secret surveillance program since former NSA systems analyst Edward Snowden leaked classified documents last month that spelled out the monumental scope of the government's activities.
Backing the NSA program were 134 Republicans and 83 Democrats, including House Speaker John Boehner, R-Ohio, who typically does not vote, and Democratic leader Nancy Pelosi. Rejecting the administration's last-minute pleas to spare the surveillance operation were 94 Republicans and 111 Democrats.
It is unlikely to be the final word on government intrusion to defend the nation and Americans' civil liberties.
"Have 12 years gone by and our memories faded so badly that we forgot what happened on Sept. 11?" Rep. Mike Rogers, R-Mich., chairman of the Intelligence Committee, said in pleading with his colleagues to back the program during House debate.
Republican Rep. Justin Amash of Michigan, chief sponsor of the repeal effort, said his aim was to end the indiscriminate collection of Americans' phone records.
His measure, offered as an addition to a $598.3 billion defense spending bill for 2014, would have canceled the statutory authority for the NSA program, ending the agency's ability to collect phone records and metadata under the USA Patriot Act unless it identified an individual under investigation.
The House later voted to pass the overall defense bill, 315-109.
Amash told the House that his effort was to defend the Constitution and "defend the privacy of every American."
"Opponents of this amendment will use the same tactic that every government throughout history has used to justify its violation of rights: Fear," he said. "They'll tell you that the government must violate the rights of the American people to protect us against those who hate our freedom."
The unlikely political coalitions were on full display during a spirited but brief House debate.
"Let us not deal in false narratives. Let's deal in facts that will keep Americans safe," said Rep. Michele Bachmann, R-Minn., a member of the Intelligence committee who implored her colleagues to back a program that she argued was vital in combatting terrorism.
But Rep. Jim Sensenbrenner, R-Wis., a senior member of the Judiciary Committee who helped write the Patriot Act, insisted "the time has come" to stop the collection of phone records that goes far beyond what he envisioned.
Several Republicans acknowledged the difficulty in balancing civil liberties against national security, but expressed suspicion about the Obama administration's implementation of the NSA programs — and anger at Director of National Intelligence James Clapper.
"Right now the balancing is being done by people we do not know. People who lied to this body," said Rep. Mick Mulvaney, R-S.C.
He was referring to Clapper who admitted he gave misleading statements to Congress on how much the U.S. spies on Americans. Clapper apologized to lawmakers earlier this month after saying in March that the U.S. does not gather data on citizens — something that Snowden revealed as false by releasing documents showing the NSA collects millions of phone records.
With a flurry of letters, statements and tweets, both sides lobbied furiously in the hours prior to the vote in the Republican-controlled House. In a last-minute statement, Clapper warned against dismantling a critical intelligence tool.
Since the Sept. 11, 2001, attacks, Congress has authorized — and a Republican and a Democratic president have signed — extensions of the powers to search records and conduct roving wiretaps in pursuit of terrorists.
Two years ago, in a strong bipartisan statement, the Senate voted 72-23 to renew the Patriot Act and the House backed the extension 250-153.
Since the disclosures this year, however, lawmakers have said they were shocked by the scope of the two programs — one to collect records of hundreds of millions of calls and the other allowing the NSA to sweep up Internet usage data from around the world that goes through nine major U.S.-based providers.
Although Republican leaders agreed to a vote on the Amash amendment, one of 100 to the defense spending bill, time for debate was limited to 15 minutes out of the two days the House dedicated to the overall legislation.
The White House and the director of the NSA, Army Gen. Keith Alexander, made last-minute appeals to lawmakers, urging them to oppose the amendment. Rogers and Rep. C.A. Dutch Ruppersberger, D-Md., leaders of the House Intelligence Committee, implored their colleagues to back the NSA program.
Eight former attorneys general, CIA directors and national security experts wrote in a letter to lawmakers that the two programs are fully authorized by law and "conducted in a manner that appropriately respects the privacy and civil liberties interests of Americans."
White House press secretary Jay Carney issued an unusual, nighttime statement on the eve of Wednesday's vote, arguing that the change would "hastily dismantle one of our intelligence community's counterterrorism tools."
Proponents of the NSA programs argue that the surveillance operations have been successful in thwarting at least 50 terror plots across 20 countries, including 10 to 12 directed at the United States. Among them was a 2009 plot to strike at the New York Stock Exchange.
Rogers joined six GOP chairmen in a letter urging lawmakers to reject the Amash amendment.
"While many members have legitimate questions about the NSA metadata program, including whether there are sufficient protections for Americans' civil liberties," the chairman wrote, "eliminating this program altogether without careful deliberation would not reflect our duty, under Article I of the Constitution, to provide for the common defense."
The overall defense spending bill would provide the Pentagon with $512.5 billion for weapons, personnel, aircraft and ships plus $85.8 billion for the war in Afghanistan for the next budget year.
The total, which is $5.1 billion below current spending, has drawn a veto threat from the White House, which argues that it would force the administration to cut education, health research and other domestic programs in order to boost spending for the Pentagon.
In a leap of faith, the bill assumes that Congress and the administration will resolve the automatic, across-the-board spending cuts that have led the Pentagon to furlough workers and cut back on training. The bill projects spending in the next fiscal year at $28.1 billion above the so-called sequester level.
By voice vote, the House backed an amendment that would require the president to seek congressional approval before sending U.S. military forces into the 2-year-old civil war in Syria.
Rep. Trey Radel, R-Fla., sponsor of the measure, said Obama has a "cloudy foreign policy" and noted the nation's war weariness after more than 10 years of conflict in Iraq and Afghanistan.
The administration is moving ahead with sending weapons to vetted rebels, but Obama and members of Congress have rejected the notion of U.S. ground forces.
The House also adopted, by voice vote, an amendment barring funds for military or paramilitary operations in Egypt. Several lawmakers, including Rep. Kay Granger, R-Texas, who heads the panel overseeing foreign aid, expressed concerns about the measure jeopardizing the United States' longstanding relationship with the Egyptian military.
The sponsor of the measure, Rep. Thomas Massie, R-Ky., insisted that his amendment would not affect that relationship.
The overall bill must be reconciled with whatever measure the Democratic-controlled Senate produces.