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Genital human papillomavirus (HPV)

Cervical cancer & the Gardasil®
vaccine; reactions to the vaccine

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Sponsored link.

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Cervical cancer:

This form of cancer is the second most common cancer killer of women.

In the U.S.: According to the U.S. Department of Health & Human Services:

bullet13,000 women in the U.S. will be diagnosed with cervical cancer during 2006. 1
bulletDuring 2004, 3,500 women died from cervical cancer in the U.S. 1

In Canada:

bulletAbout 400,000 women have abnormal (precancerous) cervical cells. 2
bulletAbout 1,400 Canadian women are diagnosed with cervical cancer annually. 3
bulletAbout 390 women die from the disease each year. 4
bullet99.7% of all cervical cancers are caused by HPV. 2

Worldwide:

bullet"Cervical cancer is the second most common cancer among women and kills 250,000 women a year, the World Health Organization (WHO) said. About 500,000 cases of the disease are reported every year, 80 percent of them in developing countries, the Geneva-based agency said. The vaccines could have a 'major impact' on that toll, the WHO said." 5

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 The Gardasil® vaccine

Two new vaccines have been developed "... to prevent cervical cancer and other diseases in females caused by certain types of genital human papillomavirus (HPV)." It was:

"... developed over a ten-year period by Merck. Gardasil is shown in clinical trials to have 100% efficacy in fighting the dominant strains of the virus that causes [sic] cervical cancer. Creators of the Merck vaccine ... and a rival vaccine from GlaxoSmithKline say it will save lives as well as billions of dollars in healthcare costs every year." 6

The vaccine protects against four HPV types, which together cause 70% of cervical cancers and 90% of genital warts. 7 It is administered via three injections over a six-month period.

According to the Washington Post:

"Officials of both companies noted that research indicates the best age to vaccinate would be just before puberty to make sure children are protected before they become sexually active. The vaccine would probably be given primarily to girls but could also be used on boys to limit the spread of the virus. 8

Polls indicate that the most common age at which teens become sexually active is 16, while they are in high school.

MedPage Today reported that:

"The HPV vaccine Gardasil was approved in June 2006 for females ages nine to 26 for the prevention of cervical cancer, pre-cancerous genital lesions, and genital warts due to HPV types 6, 11, 16 and 18." 8

The American Academy of Pediatrics, American Academy of Family Physicians, and Centers for Disease Control and Prevention have jointly issued a vaccination schedule for children and adolescents. It recommends HPV vaccine for girls aged from 8 to 18. 8

During 2006-Fall, Michigan became the first state to require all girls entering the sixth grade during the 2007-2008 school year to have received the vaccine. The Washington Times reported in early 2007-JAN that several states, including Texas, are considering mandatory HPV vaccines for adolescent girls. 10,11

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Reactions to the vaccine by religious conservatives:

According to the New Republic magazine, when Gardasil's trials proved successful in 2005:

"... the Christian right seemed to view the vaccine as a license for promiscuity. The Chicago Tribune reported that 'conservative groups promoting abstinence say they will fight recommendations that children get shots,' while the Los Angeles Times warned of a 'clash between health advocates ... and social conservatives'." 12

However, opposition never materialized in the expected form. What did happen was a coordinated effort by religious conservatives to praise the vaccine, while supporting the right of individual parents to choose whether to protect their children or not. Three of the most prominent fundamentalist Christian groups responded:

bulletThe Family Research Council said it "support[s] the widespread distribution and use of vaccines against HPV."
bulletFocus on the Family announced that it "supports and encourages the development of safe, effective, and ethical vaccines against HPV and other viruses ... [and] supports the widespread (universal) availability of HPV vaccines."
bulletA spokesperson for the Christian Medical & Dental Associations told the New Republic magazine that her group "fully supports wide availability of the vaccine for those who want it." 12

Meanwhile, these same groups oppose any form of mandatory vaccination:

bulletThe Family Research Council said: "Because parents have an inherent right to be the primary educator and decision maker regarding their children's health, we would oppose any measures to legally require the vaccination or to coerce parents into authorizing it."
bulletFocus on the Family "opposes mandatory HPV vaccinations for entry into public school. The decision of whether to vaccinate a minor against this or other sexually transmitted infections should remain with the child's parent or guardian."
bulletThe Christian Medical & Dental Associations believe the vaccination should "absolutely remain a choice, not a requirement." 12

Alan Kaye, chairman of the National Cervical Cancer Coalition is hopeful that the vaccine will be universally used. He said: "I don't think anyone wants to stop a cancer vaccine." But some things are more important than saving lives. To some parents, promoting premarital chastity is one of these. Their reasoning is that if their daughters feel protected from one sexually transmitted disease (STD) out of the dozens of STDs that are in wide circulation, then there might be a slight increase in their level of sexual experimentation. It is a judgment call for the parents whether risking that increase among millions of teens is more important than saving about seven American women's lives a day.

The battle between conservative Christian groups and public health groups will still happen. However, it will probably be centered at the individual state level over attempts to require vaccination for all female students.

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Reactions to the availability of the vaccine from various groups:

bulletBefore the vaccine was approved for use, a 2005-OCT article in the Washington Post stated:
bullet"A new vaccine that protects against cervical cancer has set up a clash between health advocates who want to use the shots aggressively to prevent thousands of malignancies and social conservatives who say immunizing teenagers could encourage sexual activity. ... many conservatives oppose making it mandatory, citing fears that it could send a subtle message condoning sexual activity before marriage. ... 'If you really want to have cervical cancer rates fall as much as possible as quickly as possible, then you want as many people to get vaccinated as possible,' said Mark Feinberg, Merck's vice president of medical affairs and policy, noting that 'school mandates have been one of the most effective ways to increase immunization rates.' That is a view being pushed by cervical cancer experts and women's health advocates." 8
bulletAt an Advisory Committee on Immunization Practices (ACIP) in 2005, a survey of 294 pediatricians present found that most were concerned that parents of girls might refuse the vaccine. Eleven percent believed that vaccinating against a sexually transmitted disease "may encourage risky sexual behavior in my adolescent patients." 8
bulletReginald Finger, a member of ACIP and former medical analyst for the fundamentalist Christian group Focus on the Family commented:
"Some people have raised the issue of whether this vaccine may be sending an overall message to teenagers that, 'We expect you to be sexually active.' ... There are people who sense that it could cause people to feel like sexual behaviors are safer if they are vaccinated and may lead to more sexual behavior because they feel safe." 8
bulletGene Rudd, associate executive director of the conservative Christian Medical and Dental Associations would probably want his children immunized. He said: "I've talked to some who have said, 'This is going to sabotage our abstinence message'." However, most change their stance once they learn more about the vaccine. He believes that the vaccine should not be mandatory. He said:
"Parents should have the choice. There are those who would say, 'We can provide a better, healthier alternative than the vaccine, and that is to teach abstinence'."
bulletA Washington Post article in 2007-JAN commented that compulsory vaccination on adolescent girls is

"... a prospect that has some parents fearful that it will promote promiscuity for girls who feel protected from the disease." 11

bulletAccording to the Fortune Preview Guide, for 2005-OCT, the Family Research Council (FRC) opposed the vaccine because its use: "...  will undermine efforts to promote abstinence among young people." 13 This appears to be an incorrect statement of FRC policy -- one that has been widely circulated.

On 2006-FEB-21, the FRC sent a letter to the CDC saying, in part, that:

"Media reports suggesting that the Family Research Council opposes all development or distribution of such vaccines are false. ...

"Because parents have an inherent right to be the primary educator and decision maker regarding their children's health, we would oppose any measures to legally require vaccination or to coerce parents into authorizing it. Because the cancer-causing strains of HPV are not transmitted through casual contact, there is no justification for any vaccination mandate as a condition of public school attendance. However, we do support the widespread distribution and use of vaccines against HPV." 14
bulletThe FRC also noted that:
"Vaccination [of girls] at the beginning of adolescence may provide a unique opportunity for both health care providers and parents to discuss with young people the full range of issues related to sexual health."

However, the FRC "strongly encourages" providers to promote only sexual abstinence information to preadolescents. They advocate not sharing information that will reduce the chances of pregnancy and STD transmission through safer sex techniques in the event that  teens decides to become sexually active. 14

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References used:

The following information sources were used to prepare and update the above essay. The hyperlinks are not necessarily still active today.

  1. "Pap Test," U.S. Department of Health & Human Services, 2006-MAR, at: http://womenshealth.gov/faq/pap.htm
  2. Colleen Tully, "Preventing cervical cancer with the HPV vaccine. Perspectives from medical professionals," Canadian Living, 2006, at: http://www.canadianliving.com/
  3. "HPVinfo," The Society of Obstetricians and Gynecologists of Canada, at: http://www.hpvinfo.ca/
  4. "Cervical cancer vaccine approved in Canada," CBC News, 2006-JUL-18, at: http://www.cbc.ca/
  5. Andrea Gerlin, "Poor Women Should Get HPV Vaccine, Health Leaders Say (Update2)," Blomberg News, 2006-DEC-12, at: http://www.bloomberg.com
  6. "The coming storm over a cancer vaccine," The Fortune Preview Guide, 2005-OCT-31, at: http://www.fortuneeducation.com/
  7. "HPV Vaccine Questions and Answers," Centers for Disease Control and Prevention, 2006-AUG, at: http://www.cdc.gov/
  8. Rob Stein, "Cervical Cancer Vaccine Gets Injected With a Social Issue: Some Fear a Shot For Teens Could Encourage Sex," Washington Post, 2005-OCT-31, Page A03. Online at: http://www.washingtonpost.com/
  9. Sheryl Ubelacker, "Parents, teens in favour of HPV vaccine," Canadian Press, 2006-DEC-06, at: http://www.canada.com/
  10. "Call for Vaccine Takes Parting "Shot" at Parents," Family Research Council Washington Update, 2007-JAN-05.
  11. Joyce Howard Price, "Sex-disease shot urged for girls," Washington Times, 2007-JAN-05, at: http://washingtontimes.com/
  12. Steven Groopman, "Conservative Christians and HPV: Blind faith," The New Republic Online, 2006-MAR-10, at: http://www.tnr.com/
  13. Chris Smith, "Herpes Simplex Virus Fact File," Health matters library, at: http://www.abc.net.au/
  14. Moira Gaul, "Family Research Council Statement Regarding HPV Vaccines," Family Research Council, 2006-FEB-21, at: http://www.frc.org/

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Site navigation (partial list of entries):

 Home page > Morality > HPV > here

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Copyright © 2007 by Ontario Consultants on Religious Tolerance
Originally published: 2007-JAN-08
Last updated 2007-JAN-08

Author: Bruce A Robinson

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