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Merck To Halt Lobbying For Vaccine

theodp writes "Reacting to a furor from some parents, advocacy groups, and public health experts, Merck said yesterday that it would stop lobbying state legislatures to require the use of its new cervical cancer vaccine Gardasil, which acts against strains of the sexually-transmitted human papilloma virus. The $400, 3-shot regimen was approved by the FDA in June. Later that month, a federal advisory panel recommended that females 11-26 years old be vaccinated. The governor of Texas has already signed an executive order making its use mandatory for schoolgirls."

41 of 544 comments (clear)

  1. A little perspective first by WebHostingGuy · · Score: 5, Interesting

    To put it in perspective Rick Perry had $24 million in contributions the same year Merck gave him $6,000. If you really think he was motivated by such a small donation you haven't seen what it takes to get things done in government.

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    1. Re:A little perspective first by Jhon · · Score: 4, Insightful

      Just wondering? How could it possibly be 100% effecting in preventing cervical cancer when only 3 or 4 strains of HPV are targeted by the vaccine? And around 20% of cervical cancers are unrelated to HPV exposure?

      Do they sprinkle the vaccine with magic faerie dust?

    2. Re:A little perspective first by Jhon · · Score: 3, Informative

      Ok... I got it. You don't know what you are talking about.

      A little background for your benefit:

      There are about 100 types of HPV. About a dozen-twenty are linked to about 80% of cervical cancers. The vaccine in question (Gardasil) offers resistance to 4 of them which account for the (around 90%) of HPV linked cancers. That still leaves a HUGE number of HPV strains for which there is no vaccine that have been linked to cervical cancer. That also leaves non-hpv linked cervical cancer.

      You're statement that "only those few types of HPV cause cervical cancer" is untrue. There are many. It would, however, be true to say that most hpv-linked cancers are casued by 4 different strains of HPV.

    3. Re:A little perspective first by shellbeach · · Score: 3, Insightful

      You're statement that "only those few types of HPV cause cervical cancer" is untrue. There are many. It would, however, be true to say that most hpv-linked cancers are casued by 4 different strains of HPV. I'm not the OP, but does it matter that much? 90% of 80% still implies that 72% of total cervical cancers will be prevented by this vaccine. Surely that can only be a good thing?
    4. Re:A little perspective first by king-manic · · Score: 5, Insightful

      I don't like this because it forces young girls to get vaccinated against a disease that they can prevent by simply not having sex. It's not like measles, which can be transmitted innocently and anonymously. You have to actually have sex to get the virus. Along with this, it will cost taxpayers $400 per junior high school girl. That's gotta be millions of dollars in taxes in each state. You do realize that the vast majority of teen girls lose their virginity by 16 don't you? The current average age is 14 (which is close to the traditional pre 1900 average age). You can make an arguement that we shouldn't fund any vaccinations at all because simply not enrolling your children into school can prevent half of the diseases like measels ect. Sex is normal part of "growing up". And since we put of getting married 15 years longer then we used to (late 20's vs early teens in the past), it's not realistic to expect anyone to wait. No matter what your morals tell you, sex is not some crazied monster out to kill your children. Despite your best efforts your daughter will have sex, and perhaps this little vaccine will lessen the likelyhood that she will suffer from cancer 50 years down the road. I don't know enough about the vaccine to say but your statement is stunningly ignorant.
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    5. Re:A little perspective first by PopeRatzo · · Score: 4, Insightful

      I don't like this because it forces young girls to get vaccinated against a disease that they can prevent by simply not having sex. It's not like measles, which can be transmitted innocently and anonymously.

      I'm curious about your use of the word "innocent". Are you trying to suggest that girls who have sex are somehow "guilty"? Or that because they had sex they somehow deserveto get cervical cancer?

      You have to actually have sex to get the virus.

      You do understand that most people in the world "actually have sex". I don't think we really want to condemn them to getting cancer for doing something that we were all designed to do.
      --
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  2. What do they think? by Nasarius · · Score: 5, Insightful

    Seriously, what goes through the minds of these people? That the risk of getting HPV and cervical cancer is currently stopping teenage girls from having sex? How stupidly selfish do you have to be to not want more women to be vaccinated against HPV?

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    1. Re:What do they think? by JimMcc · · Score: 5, Insightful

      Yes... but...

      Do we really know for sure that the vaccine is safe? Yes, they've tested it. But there have been medicines before that have been tested and found "safe", only to be pulled from the market after their release.

      At this early stage I think, and this is just my $0.02, that it should be readily available, and that the public should be educated about the benefits and risks, so that they can make up their own minds. After there is a proven track record, then consider making it mandatory.

      Can you imagine the social impact if the drug were required for all school age girls, then a few years later they find out that there is a devastating long term effect that hadn't been discovered, or worse, had been discovered but was suppressed in the name of profit?

      I think we should tread lightly when we consider forcing the public to take a newly released drug.

    2. Re:What do they think? by MysticOne · · Score: 4, Insightful

      Except it goes beyond pre-marital sex. Your daughter may be an angel and never do anything with anyone but her husband after she's married. But that doesn't mean her husband hasn't fucked around before marriage, cheated on her, or done some other thing that resulted in him becoming infected with HPV. He gets HPV, shows no symptoms, and then infects your daughter. She could've been protected against it, but no, you HAD to be "right".

    3. Re:What do they think? by Schraegstrichpunkt · · Score: 4, Insightful

      News flash: Not everyone who disagrees with you is a leftist moonbat.

    4. Re:What do they think? by Jhon · · Score: 5, Insightful

      How stupidly selfish do you have to be to not want more women to be vaccinated against HPV?
      I believe you are misrepresenting the argument against mandatory vaccination.

      I don't think ANY reasonable person is against vaccination -- just against MANDATORY vaccination.

      You may want to look at this.

      Perhaps after more studies there'll be a more compelling reason, say after results of the phase II or phase III studies, but I can still see huge arguments against based on economic reasons. It's a hell of a lot cheaper to make paps available to under served women than it is to vaccinate every woman aged 11-26 -- then every 11 year old every year...
    5. Re:What do they think? by shellbeach · · Score: 4, Insightful

      "Let me guess -- you *don't* have a 7 year old daughter, do you? I do, and in just two years, under the law proposed in my state, she would be required to get the vaccination in order to attend public school. Because of drug company lobbying. And because of drug company lobbying, she'll have less of a chance of getting cervical cancer, assuming that she has unprotected sex at some point in her lifetime. I'm a bit lost as to what your problem is here: are you concerned about the cost of the program, or the risk of the vaccination process, the fact that your daughter will have sex, or that you're simply being forced to do something, regardless of the advantages or disadvantages to your family?

      The thing about drug companies is that they're a necessary evil: yes, they're in it for profit, but the products that they make a profit on save lives.
    6. Re:What do they think? by shellbeach · · Score: 3, Insightful

      If someone doesn't get the vaccine, it affects no one else but them. Well, actually, it does affect others - because just like any other STD, if they do become infected because they refused the vaccine, they can then transmit HPV to others in the population.
    7. Re:What do they think? by fredmosby · · Score: 4, Funny

      I know that if I had a daughter I'd rather see her get cancer than risk giving her the impression that sex is OK.

    8. Re:What do they think? by Dr.+Manhattan · · Score: 3, Interesting

      It's a hell of a lot cheaper to make paps available to under served women than it is to vaccinate every woman aged 11-26 -- then every 11 year old every year...

      Volume might reduce prices, and affect the economics, of course. I didn't see anything in that article (I admit I skimmed it) that discussed the expense of treating cervical cancer. It's rare, yes, but that's still a few thousand women every year (and many of them die), and I never heard that treating cancer was cheap.

      But imagine someone came up with a vaccine for tooth decay, and we'll assume it was expensive, too. Would you argue that it's cheaper to provide (assumed less effective) dentistry to 'underserved' kids and adults? (Oh, and you didn't advance the 'moral' argument, but this analogy makes plain how stupid it is. How many people would argue seriously against a 'dental caries' vaccine because you can avoid tooth decay by good behavior, and it might encourage kids to eat more sweets leading to more obesity?)

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  3. Gimme a break by gasmonso · · Score: 3, Insightful

    These companies shouldn't even be allowed to contribute $1. As a matter of fact, government figures shouldn't be allowed to receive any money from any businesses. The sole reason that a business would contribute money to a politician is to get some favors. That is the bottom line. This story stinks and stinks real bad.

    gasmonso http://religousfreaks.com/
    1. Re:Gimme a break by kaan · · Score: 4, Insightful

      Yeah, the whole story stinks quite bad.

      I live in Austin, Texas, and basically people have been going apeshit for a week or two. Without any law, concerned parents already have the means to give this shot to their daughters (just ask your doctor). So why make it a legal issue?

      This has been in the local news quite a bit recently, and I recall hearing various bits on the radio, such as: Rick Perry's brother works for Merck, Perry had large sums of money transferred into his account by Merck within days of announcing this law, and Perry usually doesn't take a stand for anything at all so it's extremely odd that he's pushing something as wide-sweeping as requiring all girls 11+ years old to get a shot. In the press, Perry keeps saying things like, "I want to do whatever I can to protect life", etc.

    2. Re:Gimme a break by Ibanez · · Score: 3, Insightful

      To provide another perspective, I live in Austin as well, and no one I know is "going apeshit." They think it's a great idea.

      But I completely see your logic...why make it a legal issue? Why should we require kids to get ANY vaccinations? We should just make them all optional. What kind of dumb person would want to eradicate something that causes cancer? It makes absolutely no sense to me. Fuck vaccines, yay diseases!

    3. Re:Gimme a break by TubeSteak · · Score: 4, Informative

      Without any law, concerned parents already have the means to give this shot to their daughters (just ask your doctor). So why make it a legal issue?
      Merck (and the various Federal Agencies that deal with health issues) hve done studies which conclude that if you don't require it by law, you won't get high enough vaccination rates. That conclusion is old news in public health circles and applies to all the *mandatory vaccinnes

      You can't really eradicate a disease through a program of voluntary vaccination.

      *As an aside, you may have heard that this vaccine will be voluntary, blah blah blah. That's because the Federal Law has an exemption such that your child does not have to be vaccinated against anything to attend school, as long as you claim it goes against your religious (defined as moral or ethical) beliefs. Legally, you don't have to go into any further details to get an exemption. Just put it in writing & send it to the school.
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  4. Wrong Info on Blog by WebHostingGuy · · Score: 5, Informative

    And the information on the 10 things you might know is wrong.

    1. The blog states the vaccine only decreases the chance--that's wrong. If you have not been previously infected with HPV then there is a 100% effective rate.

    2. In 2007 the incidence of cervical cancer went up.

    3. Yep, it is the most expensive, however it is the ONLY vaccine which prevent cancer and DEATH. (And yeah it made $70 million, chump change for a company which made $22 billion in 2006).

    4. Wrong. Gardasil is already a part of this program. Having a mandate will not change liability at all.

    5. There is 5 year data now with another 3 1/2 year data prior to the launch of the drug; that's 8 1/2 years of data now.

    6. This is true, however, in the current data there has been no wane in the immunity; and vaccines typically never need booster shots due to the way vaccines work.

    7. Yes, neither was any other drug on the market.

    8. Pure speculation. There has been no proof that aluminum is harmful. Gardasil was tested with Hepatitis B because it has the same aluminum compound and has been on the market for 19 years.

    9. There are currently studies going on with boys and safety data is already available for boys in the label. Also, the EU and Australia are already using on boys.

    10. It's ironic that the blog ends with making an uninformed decision when all the facts are wrong on the site.

    Yeah, this seems like a shrill for Gardasil but I have personal knowledge of this drug and sometimes setting the facts straight on a drug which is saving lives need some truth out there among the free range blogs which aren't providing accurate information.

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  5. Let me get this straight.. by Anonymous Coward · · Score: 5, Insightful

    Merck produces a vaccine. Merck tells the Government that this is a patented drug that other companies should not be allowed to produce because they thought of it first. Furthermore, they demand that every single female should be forced to buy and use their product at whatever price they set.

    Which brings me to my point: FUCK OFF MERCK.

    You jackasses think that you should have the exclusive right to manufacture a product and force it on everyone via bribed government officials? That is sick,immoral, and anti-capitalistic.

  6. Re:That's great news by Schraegstrichpunkt · · Score: 4, Insightful

    The last thing this country needs is a bunch of whore teenagers fucking with no fear for the consequences.

    ... because HPV vaccination prevents AIDS and pregnancy.

  7. Re:Good idea - bad implementation by Schraegstrichpunkt · · Score: 4, Insightful

    I suspect the vaccine is a good idea (it's still pretty new and we've seen new drugs withdrawn), but the government has no business mandating it's use.

    Why not? Choosing to remain unvaccinated hurts others.

  8. Rationality expired a while ago. by Kadin2048 · · Score: 4, Insightful

    It's interesting that this perfectly reasonable objection seems to only be used as a rationalization for other, borderline-bizarre, "moral" objections. I could almost get behind this one, but most of the people questioning the safety of the drug really aren't interested in its safety per se, and wouldn't ever be satisfied by any amount of evidence as to its efficacy, because they're just using it as a sham argument.

    I'm not saying you are, but as I've been following the progress of this issue, it's seemed to progress something like this:

    1) Religious-right insists that anything which might make sex 'safer' is a tool of Satan, and has no purpose besides corrupting their little darlings.
    2) Basically everyone else raises eyebrows, questions their sanity.
    3) Religious-right folks have a powwow, try to think up rational justification for #1. Failing that, they find a totally different, seemingly rational justification for their position, but which has nothing to do with their actual motives.
    4) Everyone else spends a whole lot of time and effort responding to the seemingly rational objection from #3, but are just wasting their time, because the real objection is not rational or practical. It's entirely religious (and somewhat Freudian).

    So, in short, you have a good point, but it's going to be an uphill battle to get anyone to take it seriously.

    --
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    1. Re:Rationality expired a while ago. by misanthrope101 · · Score: 3, Insightful
      I'm content just pointing out that they're lying as to the reasons for the objections. Same goes for prostitution, condoms, sex ed, birth control pills/patches, and so on. The religious right is motivated solely by not wanting to "encourage sin," and they don't care that communities/states that follow their ideology have a higher teen pregnancy and STD rate. Fine, that's their priority, and I can't criticize someone for thinking that sin is a more dire concern than cancer. Everyone's entitled to an opinion, even one that I consider to be medieval, vicious, irresponsible, immoral, ignorant, and stupid.

      But I can fault them for lying and pretending that they're motivated by a concern for health, instead of just coming out and moralizing to me like they want to. It works for me to point out that they're lying about their motivation and lying about health information, yet expecting me to trust them, admitted, proven liars, on moral issues. That usually shuts them up, and that's good enough. I realize they just go peddle their vicious lies to someone else, but sometimes being away from the loony is the best I can hope for. In a perfect world they'd realize "hey, my ideology has turned me into a shameless liar, and since integrity is important, maybe I should rethink this," but I don't think that happens very often.

    2. Re:Rationality expired a while ago. by AaronW · · Score: 3, Insightful

      It is not just a childhood inconvenience. I didn't catch it as a young child despite my parents making sure to expose me to the neighbor kids when they had t, but later when I was in high school. I still have many scars to prove it. Not every child catches it, and for adults, chicken pox can be far more serious. Also, it can come back later in life in the form of shingles. If a pregnant woman gets it the baby could get birth defects, including brain damage, damage to the eye, neurological disorders among other things. Also, the older you are, the more severe it is. Even for kids, it's no fun and I wouldn't wish it on anyone. Since I was older when I got it, I got hit very hard by it.

      Just saying that you'll keep your kid inside when they get it doesn't help, since they're contagious two days before any symptoms show.

      Here is some more information on that "inconvenience". My grandfather suffers from shingles caused by chickenpox and it's no fun.
      Besides, if your kid gets it, is it fair for your kid to pass it on to everyone else who hasn't had it? How about an adult who never got it?

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    3. Re:Rationality expired a while ago. by boingo82 · · Score: 3, Insightful
      Uh, I'm a member of the anti-religious left, pro-premarital sex, pro-gay, etc.

      And I STILL think it's a terrible idea to make such a new vaccine mandatory.
      Call me nuts, but I cannot trust something so new, where side effects are unknown, and I can't trust Merpk to have my or my children's best interests at heart.

      I think it's GREAT that this vaccine is available, but it should NOT be mandatory.

      --
      As a republican I feel it my responsibity to manufacture criminals. People need punished!
  9. $400? Not bad. by Combuchan · · Score: 3, Insightful

    There are issues aside from Merck doing this and that--it's all the usual influence peddling which would be expected in the insipidly broken system that is US health care. Merck is not the target here. One target is the FDA that is utterly incompetent and immorally charged to make life or death decisions with approvals and expensive bureaucracies. Once the FDA required proof for efficacy (instead of just safety as they had been doing for 60 years prior) is probably the single most important milestone on the downward spiral.

    Given the cost of drug development, I'm surprised it's only $400. Vaccines are a one-time profit for Merck until their patent runs out. Given the alternative costs of therapies (guaranteed revenue), there's a good chance Merck just might not be as evil as they are made to be. $400 doesn't get you much in the medical world these days--not even an hour with a specialist at my doctor's office. Again, this is symptomatic of a broken system where someone else always ends up paying the cost of medical treatment or you never knowing until the bill bites you. We should be so lucky that the established price is at the forefront of the discussion.

    Besides, it works against a virus, a communicable disease that can be conceivably arrested and perhaps eradicated, for far less than the cost of the effective treatment for the cancer it causes. Treat it forever or squash it now. Shouldn't something this simple be prioritized? How is this different from everything else we get shots for if people who don't have health insurance can get it, and those that don't want it won't have it forced down their throat?

    --
    "[T]he single essential element on which all discoveries will be dependent is human freedom." -- Barry Goldwater
  10. Re:Not the government's responsibility by Fwonkas · · Score: 4, Informative

    More to the point, I'm not sure people realize just how easy it is to contract HPV. Not only that, but there really aren't any tests for males. It usually shows no symptoms, though I think that certain types result in genital warts.

    Sex isn't even necessary to contract it. A large chunk of the adult population has it and doesn't know it. I could have it, for all I know. But it causes cervical cancer.

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  11. Okay, here is your break by WebHostingGuy · · Score: 4, Insightful

    By mandating in Texas it allows low-income families to get the vaccine without insurance. And by mandating the vaccine it forces insurance companies to pay for it so your out of pocket cost is now lower.

    And if someone doesn't want to get vaccinated they can opt out.

    p.s. The large sum of money was $6,000 out of the $24 "million" of his campaign contributions. And there is bills in 20 other states which are going to require girls to get the vaccine. And if his brother worked for Merck why isn't is printed in all the news articles? That would be great at selling more papers.

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  12. I'm Encouraged by beadfulthings · · Score: 4, Interesting

    I'm encouraged by the tone of this discussion. There seem to be a lot of people here who will see that their daughters are vaccinated if/when they have daughters. It hasn't been that long ago that the PAP test itself wasn't covered by most insurance plans because cervical cancer was limited to only one sex. Yes, that was the reason commonly given. Public outcry and the obvious benefits of the test caused insurance companies to re-think that one.

    The problem here is that the religious right is being its usual shrill self and is drowning out any potentially legitimate reasons there might be for parents not to get the immunization for their daughters. One such reason might be a desire to wait and be certain the vaccine is actually safe and effective. We've seen a lot of drugs taken off the market recently because of unforeseen dangers and side effects. (Anti-arthritic drugs come to mind.) However there are enough lunatics around who equate the HPV vaccine with enabling their teenage daughters to have sex without fear. I can imagine that conversation: Don't have sex, you can get cancer from it. It's to be hoped that these idiots don't drown out the voices of reason. It's interesting that they either (a) haven't succeeded in convincing their daughters of their message, or (b) want to control the morals of other peoples' daughters.

    At this point, mandatory immunizations for school seem to cover what used to be thought of as infectious "childhood diseases" such as measles, mumps, diphtheria, polio, and all the others. Those caused massive epidemics in the past. The difference here is that cervical cancer won't run through the schools like wildfire endangering everyone who breathes the common air.

    On balance, I suppose I'd rather see the vaccine made mandatory than to see it become a privilege of those who can afford it.

    --
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  13. Re:Yes Let's do it !!! by Anonymous Coward · · Score: 3, Insightful

    Lets vaccinate everybody...and then once its done, we will vaccinate them again, against the diseases that come forth from the previous vaccination (which of course wouldn't have happened otherwise).

    You really seem to misunderstand vaccination, along with the people who modded you insightful. Vaccination works by introducing a biological compound (usually a dead virus) that is similar to a real virus. By exposing the immune system to this agent, the immune system is stimulated so that when you encounter a real virus, your immune system reacts very strongly and prevents the virus from causing disease. Vaccines work very, very well for many, many diseases that are otherwise difficult or impossible to treat (there is a reason smallpox has been eradicated from the face of the earth).

    Vaccination only works when you want to stimulate the immune system to fight off a foreign invader (viral or bacterial). It doesn't work against anything else.

    I mean the long-term effects. It is well known that any so-called cure of something like cancer or such a disease (or for that reason any unnatural medicine) has side-effects.

    Many medications have side effects, true. But the benefits usually outweigh the side effects. Go talk to someone who survived smallpox without a vaccine. There aren't many of them. Ask them if they would rather have had a vaccine.

    Unnatural medicine? WTF? Is there some magic "natural medicine" that doesn't have side effects? If you go into your common hippy, granola, organic remedy store, there are all sorts of natural products that have side effects. Some can even kill you in large doses. Just like prescription drugs.

    For example, radiation to cure cancer actually increases the probability of some other cancers, introduces problems in progenies (or the possibility thereof).

    You are correct, the radiation used to treat rapidly growing cancers, can increase the likelyhood of other cancers. But if your untreated rapidly growing cancer will likely kill you in 12 months, would you trade that risk for in increased likelyhood of other cancers in 20 years?

    Incidentally, do you know what is the best way to survive cancer? Don't get cancer in the first place. So eat lots of fruits & vegetables, exercise, and don't smoke. And get this new vaccine if you're female.

  14. The requirement is for the unopinionated. by Kadin2048 · · Score: 4, Insightful

    The whole "force" thing is a red herring; the government isn't really forcing anyone to do anything. You can opt out of any of the vaccines, including the HPV one. So people who are hell-bent on not getting their kids vaccinated can still do so.

    Really, the purpose of making the vaccine required, rather than optional, is to require the huge 'silent majority' of people who don't have a strong opinion either way, and will just do whatever is easiest and requires the least amount of effort from them, to get their kids vaccinated. Without a requirement to do so, they won't bother, regardless of the long-term benefits. They just want to get the kid off to school; they'll schedule a doctor's appointment and cough up the cash if that's what it takes, but otherwise they never will.

    Basically, the purpose of the requirement is to make sure girls whose parents are too stupid, ignorant, or lazy to have an opinion either way, don't get punished later on. Parents with a strong opinion in favor of vaccination aren't really affected, because their daughters would have gotten it anyway, and parents who are strongly opposed can always opt out along with the Christian Scientists.

    This isn't really a policy that's aimed at the extreme ends of the spectrum, it's aimed at the middle, but as usual it's really being argued on by people who really have the least at stake.

    --
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  15. Re:Vaccination based on assumption by shawb · · Score: 3, Informative

    This isn't assuming that people will have sex as teenagers. This is assuming that the majority of people will eventually have sex. Getting vaccinated early catches those who do have sex early. And you don't even have to assume that teenagers will have sex... studies have shown that the majority of people have lost their virginity by the time they are 18. It's a statistic, not an assumption.

    --
    I'll never make that mistake again, reading the experts' opinions. - Feynman
  16. Do you even know what cervical caner is? by Anonymous Coward · · Score: 5, Insightful

    Ok, I am a pathologist, which means I ACTUALLY SEE CERVICAL CANCERS and unlike you armchair epidemiologists know what we are dealing with here. Cervical cancer is rare these days, but the more pertinent issue is that THIS IS THE FIRST VACCINE AVAILABLE THAT CAN ACTUALLY PREVENT CANCER! Do you understand that, no? well argue your stupid little points about safety and how many it will protect. Do you want to actually improve the health of people? If yes, then you need to favor this vaccine, no matter what your primitive superstitions say. Or your evidence-lacking vaccine fears are.

    I guess if you have never seen a pelvic exenteration specimen you may not feel as strongly as I might. Hell, I am putting people in my line of work OUT OF WORK, but it isn't about job security, it is about people's lives. Also, it is about the reduced cost to society in pap smears, colposcopy, and everything else involved in cervical cancer surveillance. I don't think any of you, especially the males understand the enormity of impact this vaccine could have. We are talking billions of dollars and hundreds of lives each year.

    Get out of your armchair and learn something before proclaiming.

    1. Re:Do you even know what cervical caner is? by Jhon · · Score: 5, Interesting

      Cervical cancer is rare these days
      And getting rarer at the constant rate of 4% per year -- without the vaccine.

      As a pathologist, you are well aware of treatment options and how frequently (or infrequently, I should say) actual cancer shows up, say CIS -- or even HSIL.

      Do you really think it's wise to spend tens of billions in the US alone -- and close to a billion a year for every year after that on a solution just out of phase I testing? Don't get me wrong -- I like the vaccine and am hopeful phase II and III studies will show a much greater lenth of protection -- and perhaps prevent abnormal changes in pre-exposed women who get vaccinated. I'm not ready to make that leap. I'm honestly not sure I'd ever be ready for that leap. Thats a HUGE expense and the money has to come from somewhere.

      Disclaimer: I've provided aid in a number of studies following HPV, CIN I, II, III, etc... and have been listed as a contributer in a few research papers. I've also been asked to help facilitate data collection for a number of post-vaccination studies.
    2. Re:Do you even know what cervical caner is? by Grym · · Score: 3, Insightful

      Also, it is about the reduced cost to society in pap smears, colposcopy, and everything else involved in cervical cancer surveillance.

      From what I've read, there is no intention on the part of obstetricians to discontinue regular pap smears. In fact, it'd be irresponsible for them to stop, because doing so would be a virtual death sentence (in the form of a late diagnosis) to those affected by all the cervical cancer unabated by this vaccine.

      Do you want to actually improve the health of people? If yes, then you need to favor this vaccine, no matter what your primitive superstitions say. Or your evidence-lacking vaccine fears are.

      Of course everyone wants a healthier, cancer-free populace. That's not really an issue. Medicine is about balance. Balancing risks and benefits to different treatments. Otherwise, we'd all have our appendices removed and be injected with every vaccine available from birth.

      "First do no harm" in the world of evidence-based medicine is tricky business. For one must not only demonstrate that a particular treatment works but also that it doesn't cause more harm (both in an individual patient and in aggregate) than good. And this includes all the risks and benefits be assessed. For instance, a vaccine, even if it does save, 100 lives, effectively does no good if it causes fatal allergic reactions in 1:10,000 and is administered to a population of 1,000,000 people.

      Unfortunately, risk-management pieces don't sell newspapers. Once it's mentioned that the vaccine in question prevents cancer the discussion is over. And that's unfortunate because we'd do well to practice caution with any newly developed drug intended to be administered to an entire populace if only for the lack of longitudinal studies.

      -Grym

  17. also prevents 90% of genital warts cases by rsalvo1975 · · Score: 3, Informative
    I haven't seen it mentioned yet in this thread, but I think it's important to note that in addition to giving near 100% protection against 2 strains of HPV responsible for ~75% of all cervical cancers, this vaccine also gives near 100% protection for 2 additional strains of HPV responsible for approximately 90% of all cases of genital warts. So there's a reason for guys to get vaccinated too, although if you're a guy in the US, good luck finding someplace willing to vaccinate you.

    A few more interesting tidbits:

    -- At least 80% of women will have been infected by at least one strain of genital HPV by the time they reach 50 years of age.

    -- Condoms are only about 70% effective at preventing HPV transmission

    -- In 2007, approximately 11,150 cases of invasive cervical cancer will be diagnosed in the United States, and about 3,670 women will die from the disease. For comparison, seatbelts saved 13,274 lives in 2001 in the US.

    -- Somewhere near 10% of people have had visible genital warts. These people may still be able to transmit the virus after the warts are gone.

    -- HPV can be transmitted from a mother to baby during birth, so it is even possible to get HPV from a virgin.

    -- The HPV vaccine does not contain thimerosal/mercury.

  18. Re:Anecdote by evilviper · · Score: 3, Insightful

    This siutation is similiar, the religious get their panties all in a knot over nothing and will often be hippocrites and fools about a subject. They simply borrow the opinion of those who evangelize to them. Often without knowing it makes appear foolish and act like hippocrites.

    This vaccine has nothing at all to do with attending public school. It's not an airborne disease, and so isn't something you could possible contract at school. The idea that states are requiring it for students is overstepping their authority, and corruption, in the most blatant terms.

    This is totalitarianism, pure and simple. The state now tells you what medicines you must take, and you have no choice in the matter. Worried about side-effects? Worried about taking unnecessary medication? Too bad. It's the law.
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    Slashdot gets worse every day... Pipedot: News for nerds, without the corporate slant
  19. Vaccinate the men too! by nietsch · · Score: 3, Insightful

    If you only vaccinate half of the population, you are sure to never wipe out the virus. So there will always be demand for this $400 shot until the patent expires and Merck patents a vaccine that covers those 4 virusses and 4 new ones.
    I wonder if this is what Merck intended when they were lobbying for it. It wouold be much more cost effective if a) the vaccine was sold at the true marginal cost and b) the gouvernment would vaccinate everybody under 40. The coverage woould be so much wider that those few percent religio-fanatics that object to it would not matter too much.

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    This space is intentionally staring blankly at you
  20. Re: Hypocracy in action by CrankyOldBastard · · Score: 3, Interesting

    One of the tenets of Christianity is that after one has become Born Again, his or her past is gone and forgotten. What if the young man alluded to above was a gay slut before he converted, but has ever since been celibate? Is he likely to be "revealing" his sordid past to the Pastor's daughter he's about to marry? Or are we to expect that by simply donating a few Dollars to Creflo A Dollar he'll be disinfected and "made whole, restored to his intended pre-fall perfection"?

    And what about my son? He claims to be intent to remain celibate till marriage (he's 14, let's see if he still has this attitude in 5 years time...). Isn't he at risk if the girl he falls for has anything other than a "perfect" past?

    It seems to me that not only is there loud shouts of "only celibacy really works" (and yes. celibacy DOES work, but it's totally realistic to expect everyone to do that, or more precisely not do it...), but this whole argument from the religious right and from the "Women's movement" smacks of "all evil is born of woman". Seriously, immunising little girls against a STD will turn them into little 2-bob tunnel-cunted gutter sluts that will screw anyone that moves?

    The fact is that such am immunisation will probably not drive a kid towards sexual activity in any way. The real drivers are surely that effectiveness of parents and teachers in giving these kids self-respect and in them gaining a real appreciation for the real issues of STDs and the emotional costs of sexual behaviour.

    I find this whole debate rather ridiculous, except for the implications for human and women's rights. Why do you Americans let the wacko right dictate so much rubbish?

    DISCLAIMER:

    I am a practising Christian. I am a Socialist and active supporter of our Political Left. I am not an American.