Teens and Cervical Cancer

Why Gardasil Should Be Mandatory

Mar 4, 2007 Susan Carney

The new vaccine to prevent cervical cancer in young women is stirring up a lot of controversy.

What is it? Gardasil is a vaccine that can blocks infection from those strains of HPV (Human papilloma virus), that are the most common cause of cervical cancer. According to cnn.health, cervical cancer is the number 2 cancer in women, resulting in 470,000 new cases and 233,000 deaths worldwide each year. Gardasil is only effective prior to infection: as a result, the recommendation is for the vaccines to be given prior to the start of sexual activity. Many states are considering making this vaccine mandatory for middle school girls.

Why the controversy? Some fear that mass immunizations will confer a tacit approval of early sexual behavior. They worry that the protection the vaccine offers will remove one of the dangers of early sexual behavior, thus encouraging more girls to become sexually active.

Faulty Logic. It’s questionable that a fear of cervical cancer is keeping girls from engaging in sex to begin with. Plus, there are still other consequences, like AIDS, pregnancy, and other STD’s. The claim that adding more protections encourages dangerous behavior is just plain illogical. That’s like saying that we shouldn’t put seatbelts in cars because that will encourage people to drive recklessly. As responsible people, we want our kids to have all the protections they can get.

Double standard. Let’s face it, no matter how we try to pretend otherwise, we get more up in arms over the idea of our girls having sex than we would if the conversation was about boys. But here’s another way to look at it: What if we discovered that prostate cancer was caused by an STD, and we had a vaccine that could prevent it if it was given to boys before they became sexually active? Would there even be a debate? The fact that we are squeamish about our daughters having sex shouldn’t impact the comprehensiveness of their health care. Is cancer a fitting punishment for promiscuity?

Financial factors. One of the core reasons for making the vaccine mandatory is to increase availability. As it stands now, the three-dose regimen costs patients $360. The cost makes it prohibitive for many patients; it can also impact medical practitioners’ ability to keep an adequate supply of the vaccine on hand. Making Gardasil part of the compulsory vaccine panel ensures that all girls, not just those informed and affluent enough, have access.

By the way. Yesterday I took my two-year-old daughter to the pediatrician. Waiting in line, I saw a mother and her teenage daughter on their way out, and it was clear from what I overheard of their conversation with the nurse that the young girl had just received the Gardasil vaccine. After they left, I commented to the nurse that I was aware of the controversy around the vaccine, and asked if many girls had been brought in to get it. She told me that not only had many of the practice’s patients and their families made the decision to go ahead with this vaccine, but also that the doctors’ own daughters had been among the first to get immunized. That’s enough of a recommendation for me.

Also check out The Truth About Girl Power and New Cigarette Targets Girls.

The copyright of the article Teens and Cervical Cancer in Parenting Teens is owned by Susan Carney. Permission to republish Teens and Cervical Cancer in print or online must be granted by the author in writing.
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Feb 9, 2009 7:18 AM
Guest :
Ms Carney -
About 3,870 women will die from cervical cancer in the United States during 2008. Cervical cancer was once one of the most common causes of cancer death for American women. The cervical cancer death rate declined by 74% between 1955 and 1992. The main reason for this change is the increased use of the Pap test.

This screening procedure can find changes in the cervix before cancer develops. It can also find early cervical cancer in its most curable stage. The death rate from cervical cancer continues to decline by nearly 4% a year.”

So with the cervical cancer death rates nearing zero percent in the next decade why should we allow Merck to mandate a universal vaccination program for all little girls in America that shouldn’t even reduce cervical cancer rates for 10-20 more years?

My heart of course goes out to the friends, family, and patients I know that have suffered from cervical cancer. But we need to think about new public health mandates critically. Cervical cancer is not polio, and is not measles, it is a slow growing cancer that can be caught early through annual pap screening. The biggest risk here is that we don’t even know if the vaccine is going to be efficacious during the 10-20 year time frame that it is intended to prevent cancer.

Healthy little girls are being vaccinated at ages 9-13 and they aren’t even at risk until a few decades later.

Gardasil at best only provides <70% of protection from only 2 of the hundreds of viral strains that cause cancer. These two strains are the most common causes of cervical cancer, but they aren’t the only causes. The vaccine also is protective from two strains of HPV that cause genital warts. Genital warts are an inconvenience, not a national epidemic that requires a universal compulsory vaccine mandate.
Genital warts are not small pox.

Furthermore, why are we vaccinating 9-13 year old girls when the death rates are in much older women and we don’t even know how long the vaccine will remain efficacious? No long term studies have been conducted to date on Gardasil.

I believe any thinking parent would "think twice" before subjecting their young teen to this vaccine.

Feb 9, 2009 3:56 PM
Guest :
i don't believe in getting this vaccine.. does anyone remember the gardasil recall about 6 months ago?.. why subject your children to this?..
i think making your daughters get this is a slap in their face.. it's telling them that you do not trust them!.. be a good parent and explain the pro's and con's of having sex, regardless of whether you want to or not.. i would rather explain everything to my children rather than have them get this vaccine!.. who knows what damage it'll cause years down the road!
Apr 8, 2009 8:17 AM
Guest :
I wonder if this writer saw the recent special report about thousands of girls across the nation who have developed "mysterious diseases" after taking this vaccine. Mothers besides themselves with anguish. The original researcher has said he NEVER INTENDED THIS USE FOR HIS WORK AND THAT CHILDREN CANNOT BE TESTED ON SO THERE HAS BEEN NO TESTING FOR SAFETY AND LONG TERM USE. Recommending Guardasil as "mandatory" without inclusion of these facts seems irresponsible to me at best. Of course the manufacturers of Guardasil say the "mysterious illnesses" (which in many cases include seizures)have nothing to do with the vaccine, despite the fact that onset began in some cases almost immediately. Where my girl is concerned I'd rather error on the side of caution.
Dec 2, 2009 3:24 PM
Guest :
Great article! I fully support anything we can do to protect our daughters from getting HPV - thousands of vaccinations have been given and so far in Canada - no side effects. Don't forget, they test these before they hit the market!
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