pampam ([info]pamagain) wrote in [info]booju_mooju,
@ 2006-05-18 22:22:00
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This was on the news tonight.
A Vaccine That Prevents Cancer, But Will Parents Accept It?



Parents May Not Understand the Link Between HPV and Cancer

May 18, 2006 — For Dr. Kevin Ault, a father of two daughters, there's no question that he'll let his children be immunized against human papillomavirus, or HPV, if the Food and Drug Administration approves the vaccine, known as Gardasil.

"From the perspective of wanting to protect my children from future harm," he said, "what I'd really like to happen is Will you get it for your daughterfor it to be recommended as part of the routine adolescent vaccination schedule," which also includes vaccines for whooping cough and meningitis.

Many doctors say that if Gardasil is approved and given to millions of young women, the vaccine could not only virtually eradicate cervical cancer, it could also mean women no longer need frequent Pap smears to detect the cancer and could save billions of dollars spent treating the disease.

But before that can happen, doctors also say it's parents who ultimately decide whether or not the vaccine is a true medical success. Why? It's not doctors and health officials but parents who must allow it to be given to their young daughters. (The vaccine works in women of all ages, but it does the best job of preventing the disease if given to women before they become sexually active.)

Ault, a gynecology professor at Emory University School of Medicine in Atlanta, admits he's a bit biased — he helped conduct some of the research on Gardasil, which is currently awaiting approval from the FDA.

On Thursday, the FDA's vaccine advisory group voted unanimously in suport of the vaccine, and Merck, the manufacturer, expects the FDA to decide on June 8, although the administration doesn't comment on voting timeframes.

When administered properly, Gardasil protects 90 percent of women against certain types of HPV, a group of viruses that can cause a variety of problems, from genital warts to abnormal cervical changes to full-blown cervical cancer.

So far, small surveys of parents indicate that most would allow the vaccine to be given to their daughters, because they don't want them to get cervical cancer. However, that's after parents have been educated as to what HPV is and how it causes genital warts and cervical cancer.

As it stands right now, many parents simply don't understand the connection. When they were teens themselves, no one had made the medical discovery that genital warts and cervical cancer were linked by a very common virus (more than 50 percent of sexually active people have been exposed to it).

So, a bit of a generation gap persists that could cause parents to balk at the suggestion that their daughters be immunized against a sexually transmitted infection, said Dr. Cynthia Rand, an assistant professor of pediatrics at the University of Rochester Medical Center in Rochester, N.Y.

"Almost everybody seems to be familiar with HIV, and some with chlamydia or gonorrhea, but HPV is still pretty obscure," Rand said.

'A Major Breakthrough'

Pediatricians and family doctors must make sure they convey this to parents, so they make an informed decision for their daughters, Rand said.

Just how this will work remains to be decided, but Dr. Stephanie Blank is eager to see the vaccine approved and used on adolescents.

"I think this is a major breakthrough in the whole attitude in cervical cancer prevention," said Blank, of the New York University Cancer Institute.

In her line of work — gynecological oncology — she sees the consequences of HPV: cervical cancer. While Pap smears can help detect HPV, a vaccine could virtually eliminate it.

"Cervical cancer can be a very difficult disease if it's very [advanced]," said Blank, also the director of gynecologic oncology at Bellevue Hospital. "You need chemotherapy and radiation, it's quite intense and quite difficult."




So what do you think:
Should this vaccine be added in with other routine vaccinations? Do you think it will encourage unsafe sex? Will you allow your daughter to be vaccinated?



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[info]joybeans
2006-05-19 03:40 am UTC (link)
I think Dr's should just stand on street corners and jab people as they walk by. End of problem!

(Reply to this) (Thread)


[info]joybeans
2006-05-19 03:42 am UTC (link)
ok, but seriously. My best friend has been fighting cervical cancer for the last 4 years. She's had so much of her cervix removed her Dr. isn't even sure if she could carry a pregnancy to term or not. I've been through so much with her, cried with her, held her and think anyone who would prevent this vaccine is an idiot asshole and I hope they get cancer in their butt.

(Reply to this) (Parent)(Thread)

(no subject) - [info]ladyartemisa, 2006-05-19 02:15 pm UTC
(no subject) - [info]joybeans, 2006-05-19 02:22 pm UTC
(no subject) - [info]amyura, 2006-05-20 10:49 pm UTC

[info]myanswerismu
2006-05-19 03:46 am UTC (link)
The "encourages unsafe sex" implies a causality where none exists. If a vaccine affects behavior in an unsafe manner, it is only in ignornace, intentional or otherwise, or opposition to the information that necessarily accompanies the vaccine.

I'm seriously tired of this 'encourages unsafe sex' routine. This argument denies responsibility to the people it pretends to empower. It's a load of crap.

(Reply to this) (Thread)


[info]pamagain
2006-05-19 03:57 am UTC (link)
Oh I agree, the actual news report has someone saying that she felt the vaccine would encourage girls to be promiscuous and unsafe(I'm paraphrasing and going by memory, but that was basically her point). It also mentioned giving the vaccine as early as 9, which she also didn't seem to agree with.

My only concern about the vaccine is that it's so new, I would be worried about the things we don't know about it yet. I don't know if I would be the first in line with my kids, but maybe in a few years.

(Reply to this) (Parent)(Thread)

(no subject) - [info]sly_soprano, 2006-05-19 11:28 am UTC
(no subject) - [info]ham_bone, 2006-05-19 01:31 pm UTC

[info]ataventure
2006-05-19 03:47 am UTC (link)
I don't think it will encourage unsafe sex, and, if and when it is approved by the FDA, I will definitely consider giving it to my daughters. My partner's mother and aunts have all had cancer or cancer scares. It is NOT something I want to have to worry about for any girls I may have.

(Reply to this) (Thread)


[info]niki090909
2006-05-19 03:57 am UTC (link)
I would be weary, but we don't have any major cancer in our family. If we did I'd probably be more likely to give the vaccine as soon as possible.

(Reply to this) (Parent)


[info]niki090909
2006-05-19 03:56 am UTC (link)
I dunno. Any new vaccine scares me. It hasn't been around long enough to see what it's possible side effects are.

(Reply to this) (Thread)


[info]pamagain
2006-05-19 04:00 am UTC (link)
Yeah, that would be my concern too.

(Reply to this) (Parent)(Thread)

(no subject) - [info]aliyna, 2006-05-19 08:45 pm UTC

[info]perseph
2006-05-19 03:57 am UTC (link)
Seriously, who thinks "I better not have sex because I might get HPV?" People seem to say "ooh, nasty" when it's brought up in sex ed, then they forget about it altogether.

It's pregnancy and HIV that people worry about, if they worry about anything.

This protects against a virus that many people get and that can have deadly consequences for some but no one seems to think about it. I do think it should be part of the routine immunizations, and I will want my daughter to get it.

(Reply to this) (Thread)


[info]pamagain
2006-05-19 04:00 am UTC (link)
"People seem to say "ooh, nasty" when it's brought up in sex ed, then they forget about it altogether."

I'm pretty sure that's what I did!

(Reply to this) (Parent)

(no subject) - [info]misshapen_fro, 2006-05-19 12:46 pm UTC
(no subject) - [info]jillica, 2006-05-19 04:03 pm UTC

[info]arabwel
2006-05-19 03:57 am UTC (link)
Yes, i think it should be added. No, I do not thinkl it encourages unsafe sex. yes, i will allow my daughter(s) to be vaccinated - in fact, I would INSIST on it.

(Reply to this)


[info]ilovenirvana
2006-05-19 04:12 am UTC (link)
I am about fucking sick of the damned christian conservatives blabbing that everything encourages sex.
Preventing something that may kill people DOES NOT ENCOURAGE THEM TO HAVE SEX. Teaching them out to keep from making unwanted babies (and thus avoiding abortions which most of these SAME DAMNED PEOPLE ARE WORRIED ABOUT MORE THAN ANYTHING IN THE WORLD) does not encourage them to have sex. Teaching them practices that may help them getting a disease that will kill them does not encourage them to have sex.
You know what encourages people to have sex? ME! GO HAVE SEX! ALL OF YOU! ESPECIALLY YOU UNMARRIED GAY PEOPLE! HAVE LOTS OF SEX!!!
You know what? PEOPLE ARE GOING TO FUCK. YOUR PARENTS FUCKED OR YOU WOULDN'T BE HERE!
SHUT UP AND EAT ME!
*hrumph*
Sorry. My roommate broke one of my new chairs tonight. I am pissed off.

(Reply to this) (Thread)


[info]ilovenirvana
2006-05-19 04:13 am UTC (link)
good god. "AVOID getting a disease" and "teaching them how"

(Reply to this) (Parent)

(no subject) - [info]unconformed, 2006-05-19 04:20 am UTC
(no subject) - [info]ilovenirvana, 2006-05-19 04:20 am UTC
(no subject) - [info]jessy1019, 2006-05-19 06:33 am UTC
(no subject) - [info]amadteaparty, 2006-05-19 12:40 pm UTC
(no subject) - [info]shortie86112, 2006-05-19 11:12 pm UTC

[info]peebs1701
2006-05-19 04:27 am UTC (link)
I'm curious why only the women will be vaccinated against this. If it is a sexual transmitted virus, who do you think the majority of these women will be getting it from? Vaccinate the men too and change that 90% effective rate to 95% or higher.

And yeah, after a long enough period of time that I could be reasonably sure the vaccine was safe, I would definitely get it for my daughter.

(Reply to this) (Thread)


[info]arasay
2006-05-19 04:55 am UTC (link)
This is my thought exactly. Once again women bear the burden of being sexually active, despite the fact that men are intimately involved in spreading this disease.

Assuming the vax has been around for a while, my kids will get it. I'm pleased to do my part for herd immunity.

(Reply to this) (Parent)

(no subject) - [info]herooftenfailed, 2006-05-19 05:32 am UTC
(no subject) - [info]peebs1701, 2006-05-19 04:45 pm UTC
(no subject) - [info]nothingmuch, 2006-05-19 05:40 pm UTC
(no subject) - [info]muliebrity, 2006-05-19 06:27 pm UTC
(no subject) - [info]peebs1701, 2006-05-19 06:49 pm UTC

[info]pieces_of_nine
2006-05-19 06:29 am UTC (link)
It should be in the schedule well before kids can possibly think about having sex - and it should be for boys and girls without a doubt. Girls generally get it from boys, so immunise both genders and save a hell of a lot of women and their families from misery.

Everyone gets MMR, don't they? Even though it's only (pregnant) women who are at risk? It's no different as far as I am concerned.

(Reply to this) (Thread)


[info]arasay
2006-05-19 07:14 am UTC (link)
Measles (one of the Ms in MMR) can and does kill. Here in the UK, we've just had our first measles death in 14 years; the boy was 13. Of course, he had an underlying lung condition, but still, it is a serious disease, especially for folks who are weakened by some other condition (not just pregnancy, where it can cause myriad problems).

But yeah, I totally agree with you.

(Reply to this) (Parent)(Thread)

(no subject) - [info]pieces_of_nine, 2006-05-19 07:30 am UTC

[info]jessy1019
2006-05-19 06:30 am UTC (link)
I think this is one of the few really important vaxxes, considering how prevalent HPV is. I would definitely give it to my daughter. I wouldn't advise her to stop having paps, though, because nothing is 100%.

I fail to see how it could encourage unsafe sex -- there are many STIs out there, not just HPV. When I think about the other diseases a girl could contract, HPV is probably the least awful one.

(Reply to this)


[info]maylea_moon
2006-05-19 06:41 am UTC (link)
i wouldn't give it to them as a baby, but when they became sexually active, they could get it if they wanted to.

my sister and her husband both have HPV and from what i hear, the chance of actually getting cancer from it is pretty rare isn't it? my sister was diagnosed when she was pregnant 3 years ago and has never had any sort of warts or anything.

(Reply to this) (Thread)


[info]fkgirl
2006-05-19 07:12 am UTC (link)
it all depends on which strain of HPV she contracted...there are LOTS like 60 strains that cause cervical cancer alone.

(Reply to this) (Parent)

(no subject) - [info]ladyartemisa, 2006-05-19 02:13 pm UTC
(no subject) - [info]sblmnldrknss, 2006-05-19 03:19 pm UTC

[info]mybabythomas
2006-05-19 12:40 pm UTC (link)
Yes, I think this vaccine is a great idea, who wouldn't want to protect their children from cancer? I don't see how it could encourage unsafe sex, seeing as it doesn't protect against unwanted pregnancies or HIV. I would of course want to know about the potential side effects before allowing my hypothetical daughter to be vaccinated, but the same applies to any vaccine, I would want to make an informed decision.

(Reply to this)


[info]dolcedaze
2006-05-19 01:32 pm UTC (link)
The risk of this vaccine could be worth the benefit, but I think in this case, like so many other things, it's not my body. When my kids reach adolesence, I'll let them decide.

I don't see a reason to do it before then, and I'm wary that it will become one more unneeded thing to stick infants with, like the hepatitis shots given to most babies in NY state minutes after birth using the "captive audience theory", and that bothers me.

For me personally, it would not have been worth the risk of the vaccine, since I have only had sex with my husband. (I know, I lose all sorts of LJ scene points for this.) To have the vaccine forced on me by my parents or by the law would have been unnecessary.

(Reply to this) (Thread)


[info]barefootmomma
2006-05-19 02:37 pm UTC (link)
I agree with this completly. When my daughter is older she can decide for herself if she wants to get it.

(Reply to this) (Parent)

(no subject) - [info]peebs1701, 2006-05-19 04:48 pm UTC
(no subject) - [info]dolcedaze, 2006-05-19 05:19 pm UTC

[info]ladyartemisa
2006-05-19 02:12 pm UTC (link)
I am so glad about this, anyone who doesnt want people to be able to get it is an idiot.

(Reply to this)


[info]xx_kathy
2006-05-19 02:25 pm UTC (link)
My daughter(s) will definitely get the vaccine. I mean something like 75% of people get HPV (I'm not sure how many get the high risk strains that cause cervical cancer).

And those stupid religious conservatives. Teens are programed to procreate (hello...biology!), so it's better to just be safe by getting the vaccine, and using condoms (and maybe birth control too, but those twits are against it too). Let's see how they feel about the vaccine when they see one of their young waste away from cervical cancer that was caused by a strain of HPV.

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[info]kandi_bomber
2006-05-19 02:49 pm UTC (link)
As everyone else said, I would like to see it our there for a while to make sure there are no unwanted side effects.
but assuming that the vax is SAFE, then absolutly hell yes I would do everything in my power to make my girls are protected from one more harmful thing out there.

(Reply to this)


[info]bodylotion
2006-05-19 03:02 pm UTC (link)
The first vaccine for cancer and people are up in arms about whether it would promote unsafe sex?!? I'd be more concerned for possible side affects. Sex wouldn't be a concern at all. As if HPV is on top of a teens mind when they consider having sex.

(Reply to this) (Thread)


[info]amyura
2006-05-20 10:56 pm UTC (link)
Amen!!!

(Although I think a lot of the conservatives who are against it for the unsafe sex reason are just plain against sex, safe or otherwise. I think some of them think anything that lessens a "consequence" of sex is bad because "those people deserve it" or similar crap.)

(Reply to this) (Parent)


[info]sblmnldrknss
2006-05-19 03:20 pm UTC (link)
Asssuming it's safe, yes, it should become routine. No, it wouldn't encourage unsafe sex(unless someone's an imbecile). And yes, I'd want my daughter vaccinated early.

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[info]raving_liberal
2006-05-19 03:43 pm UTC (link)
While I don't think it will encourage unsafe sex, I don't think that I would ever rely on a vaccine for myself or my children as the way to avoid cervical cancer. I would not choose to have my children vaccinated for this, though when they are older and might become sexually active, it's certainly something we will discuss as an option for additional safety -- the safer the better. I still think a barrier method is important and should be the 'safe sex' option most stressed. If this vaccine should prove safe in the long term, it would be a wonderful breakthrough, but it's too soon for me to just go and have my kid vaccinated with it.

(Reply to this) (Thread)


[info]muliebrity
2006-05-19 06:19 pm UTC (link)
hen they are older and might become sexually active, it's certainly something we will discuss as an option for additional safety
I'm pretty sure that the vax has to be given earlier in life to be effective, from what I've read previously (I only skimmed the article above). If that's the case, by the time they are sexually active it might be too late to matter.

(Reply to this) (Parent)(Thread)

(no subject) - [info]raving_liberal, 2006-05-19 07:32 pm UTC

[info]sjorcha
2006-05-19 03:54 pm UTC (link)
First of all, I don't like the wording of this article, because it implies that if you have HPV, you have warts. There are many different strains, and not all cause warts, and not all cause cancer.

That being said, I found out I have HPV when I was pregnant with my first son. I have gone through so many biopsies and coloscopies, just waiting to find out I have cancer.

If this baby is a girl, I am definitely getting her this vaccine. I do not want my daughter living the way I do.

(Reply to this) (Thread)


[info]kinkiness
2006-05-19 08:08 pm UTC (link)
It gets on my nerves too that people think everyone with HPV has warts. People are so silly. Half of them probably have it themselves and don't even know it, considering that like 75% of people have it.

I have to get paps every 6 months. I've had coloscopy done on me too, not fun. At least they didn't biopsy me. Ouch.

(Reply to this) (Parent)(Thread)

(no subject) - [info]sjorcha, 2006-05-19 11:57 pm UTC

[info]takethemback
2006-05-19 04:07 pm UTC (link)
I had HPV. The doctor said I had "preinvasinve cervical cancer". I had to have the cryo. It was a year and a half before I gave birth. I was in labor for 28 hours and I dialated to 2 (with cervadil), and the doctor told me it was because of the cryo surgery. He said something along the lines of 'it scarred your cervix, and now it won't dialte'. I don't know if this is true.

If the approve the vax my daughter will be getting it, because if you've ever had a cryo, you know... it's not pleasant, and it hurts.

(Reply to this) (Thread)


[info]takethemback
2006-05-19 04:07 pm UTC (link)
invasive*

(Reply to this) (Parent)


[info]muliebrity
2006-05-19 06:18 pm UTC (link)
Yes
No
Yes

(Reply to this)


[info]bicrim
2006-05-19 07:00 pm UTC (link)
I wish I would have had the vaccine before I got HPV. I just had a laser procedure done for my pre-cancerous cells. I would encourage my kids to get this done around 10 or so, the same age I'll get them Hep C and varicella for boys (if they haven't had the chicken pox).

(Reply to this) (Thread)


[info]kinkiness
2006-05-19 08:09 pm UTC (link)
When I saw it on the news they made it out like it was a vaccine for cervical cancer. I was bummed that it's just for HPV. I already have that. :\

(Reply to this) (Parent)

(no subject) - [info]rebbyribs, 2006-05-19 10:49 pm UTC

[info]rdhdsnippet
2006-05-19 07:17 pm UTC (link)
I think it's insane to think they are requiring a vaccine for chicken pox but not this.

Which is not to say I agree with the chicken pox vaccine.

(Reply to this)


[info]rebbyribs
2006-05-19 10:55 pm UTC (link)
I think the vaccination should be recommended for girls at around middle-school aged, but should not be required for anyone.

No, I don't think it will encourage unsafe sex - HIV is much, much scarier. I'd want to be sure to explain to my kids that the vaccine won't necessarily prevent cervical cancer or genital warts - it only works agains 4 out of dozens of strains of HPV (although it is effective against the nastiest two strains, so that's great).

Yes, absolutely. Ultimately, it will be my kids' choices on how best to protect themselves from infections and unwanted pregnancies, and I absolutely do not want to stand in the way of that. On the other hand, I probably wouldn't allow the vaccination very early on in childhood, and would want to delay.

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