Public health advocates are flummoxed by the persistently low rate of teens who receive the medically-recommended HPV vaccine.

"We think the rates are dismally low and very alarming," Amy Pisani, the head of Every Child by Two, a nonprofit focused on increasing vaccinations, told the Pew Charitable Trusts. "We clamor and clamor for a vaccine to get rid of these terrible diseases and yet we aren't implementing them."

Although the national HPV vaccination rate for teen girls is bad — 40 percent in 2014 — it's dramatically lower in some states, according to data gathered by Pew. Only 20 percent of Tennessee girls age 13-17 received the recommended vaccination. Less than a quarter of girls in Mississippi, Arkansas, and Kansas received the vaccine.

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