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Texas governor orders STD vaccine for all girls

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  • Texas governor orders STD vaccine for all girls

    I don't know how I feel about this. With the governor's Merck connection, it sounds shady. However, I think making it mandatory makes it less of an obvious condoning of pre-marital sex because if kids just get it along with their normal vaccines they probably won't even realize what it's for. If you have to specifically ask for it, it makes it like they're being singled out. I don't know if that makes any sense and I don't know if I'd feel differently if I had a daughter.

    http://www.msnbc.msn.com/id/16948093/
    AUSTIN, Texas - Bypassing the Legislature altogether, Republican Gov. Rick Perry issued an order Friday making Texas the first state to require that schoolgirls get vaccinated against the sexually transmitted virus that causes cervical cancer.

    By employing an executive order, Perry sidestepped opposition in the Legislature from conservatives and parents’ rights groups who fear such a requirement would condone premarital sex and interfere with the way Texans raise their children.

    Beginning in September 2008, girls entering the sixth grade — meaning, generally, girls ages 11 and 12 — will have to receive Gardasil, Merck & Co.’s new vaccine against strains of the human papillomavirus, or HPV.

    Perry also directed state health authorities to make the vaccine available free to girls 9 to 18 who are uninsured or whose insurance does not cover vaccines. In addition, he ordered that Medicaid offer Gardasil to women ages 19 to 21.

    Perry, a conservative Christian who opposes abortion and stem-cell research using embryonic cells, counts on the religious right for his political base. But he has said the cervical cancer vaccine is no different from the one that protects children against polio.

    “The HPV vaccine provides us with an incredible opportunity to effectively target and prevent cervical cancer,” Perry said.

    Merck is bankrolling efforts to pass state laws across the country mandating Gardasil for girls as young as 11 or 12. It doubled its lobbying budget in Texas and has funneled money through Women in Government, an advocacy group made up of female state legislators around the country.

    Perry tied to Merck
    Perry has ties to Merck and Women in Government. One of the drug company’s three lobbyists in Texas is Mike Toomey, Perry’s former chief of staff. His current chief of staff’s mother-in-law, Texas Republican state Rep. Dianne White Delisi, is a state director for Women in Government.

    The governor also received $6,000 from Merck’s political action committee during his re-election campaign.

    The order is effective until Perry or a successor changes it, and the Legislature has no authority to repeal it, said Perry spokeswoman Krista Moody. Moody said the Texas Constitution permits the governor, as head of the executive branch, to order other members of the executive branch to adopt rules like this one.

    Legislative aides said they are looking for ways around the order for parents who oppose it.

    “He’s circumventing the will of the people,” said Dawn Richardson, president of Parents Requesting Open Vaccine Education, a citizens group that fought for the right to opt out of other vaccine requirements. “There are bills filed. There’s no emergency except in the boardrooms of Merck, where this is failing to gain the support that they had expected.”

    Opt-out option for parents
    Texas allows parents to opt out of inoculations by filing an affidavit objecting to the vaccine on religious or philosophical reasons. Even with such provisions, however, conservative groups say such requirements interfere with parents’ rights to make medical decisions for their children.

    The federal government approved Gardasil in June, and a government advisory panel has recommended that all girls get the shots at 11 and 12, before they are likely to be sexually active.

    The New Jersey-based drug company could generate billions in sales if Gardasil — at $360 for the three-shot regimen — were made mandatory across the country. Most insurance companies now cover the vaccine, which has been shown to have no serious side effects.

    Merck spokeswoman Janet Skidmore would not say how much the company is spending on lobbyists or how much it has donated to Women in Government. Susan Crosby, the group’s president, also declined to specify how much the drug company gave.

    A top official from Merck’s vaccine division sits on Women in Government’s business council, and many of the bills around the country have been introduced by members of Women in Government.

  • #2
    You don't just get STD's (such as the one that can contribute to cervical cancer - HPV) from having sex prior to marriage, having multiple partners, or for cheating on your spouse.

    You can get them if you are raped.

    You can get them if your spouse cheats on you and brings you home this "gift".

    Cervical cancer is a heavy price to pay for being the victim (either of rape or an unfaithful spouse).

    Every two and a half minutes, somewhere in America, someone is sexually assaulted.

    One in six American women are victims of sexual assault, and one in 33 men.

    In 2004-2005, there were an average annual 200,780 victims of rape, attempted rape or sexual assault.

    About 44% of rape victims are under age 18, and 80% are under age 30.
    22 percent of married men have strayed at least once during their married lives.

    14 percent of married women have had affairs at least once during their married lives.

    Younger people are more likely candidates; in fact, younger women are as likely as younger men to be unfaithful.

    70 percent of married women and 54 percent of married men did not know of their spouses' extramarital activity.

    5 percent of married men and 3 percent of married women reported having sex with someone other than their spouse in the 1997.

    22 percent of men and 14 percent of women admitted to having sexual relations outside their marriage sometime in their past.

    Source: Associated Press
    Who uses a machete to cut through red tape
    With fingernails that shine like justice
    And a voice that is dark like tinted glass

    Comment


    • #3
      Assuming that they don't find some horrible side effects from this vaccine, all 3 of my daughters will get it. I have heard there are some cost and reimbursement issues with this vaccine; it will be interesting to see if adding the HPV vaccine to the list of mandatory vaccines changes that. I can't remember the exact number but at least 10 other state legislatures are considering a similar law (I'm sure Merck is doing its part to push those as well).

      Hep B is part of the regular vaccine series and that disease is primarily transmitted through sexual activity and drug use. I don't think there is much concern about that vaccine encouraging careless sex or illicit drug use.

      Comment


      • #4
        I felt weird about this news, too - and DH is a huge vaccine proponent. The vaccine is good, but I think he was pushing it as a good way to combat cervical cancer in Africa and undeveloped areas. In those places, cervical cancer is still a very big killer. Here, it isn't as common. The problem is that it's preventable.....since it's STD related. Of course, DH also thinks the vaccine should be given to boys and girls since the boys still spread the virus (even though it's the girls that get the cancer).

        In the end, I think his concern about the vaccine is that as rates of cervical cancer drop here to virtually non-existant, women will stop getting Paps and that will chang women's heath care a lot. Yearly pap smears are a primary draw for women to see the doctor. He also went in to some complicated epidemiology thingie......and frankly he lost me. The upshot was that the benefit in this country would be small because the rates of cervical cancer are also small....and the costs that could come because of less interest/care could make the whole thing a wash.

        *sigh*

        Mostly I was interested in the fact that TX had the second highest rate of cervical cancer in the nation. I thought that state was conservative! :> What are they doing with such a high STD caused cancer rate?
        Angie
        Gyn-Onc fellowship survivor - 10 years out of the training years; reluctant suburbanite
        Mom to DS (18) and DD (15) (and many many pets)

        "Where are we going - and what am I doing in this handbasket?"

        Comment


        • #5
          Angie, I think there are disparities in cervical cancers by race and ethnicity. Perhaps that has something to do with the higher rates in Texas (big state and hispanic population?).

          Comment


          • #6
            I'm all for it. As someone who is familiar with the disease, I can't imagine why anyone would be against it. I think it is rediculous to think that it is promoting sexual activity. There are still a million other things out there that can happen as a result of sex. If there was a breast cancer vaccination, would anyone waver on that?

            Comment


            • #7
              Originally posted by Sheherezade
              IMostly I was interested in the fact that TX had the second highest rate of cervical cancer in the nation. I thought that state was conservative! :> What are they doing with such a high STD caused cancer rate?
              HPV is only *one* of the reasons you can develop cervical cancer.

              Tobacco use. Women who smoke are about twice as likely to develop cervical cancer as women who do not. The more a woman smokes - and the longer she has been smoking - the greater the risk.

              Eating habits. A diet that doesn't include ample amounts of fruits and vegetables can increase a woman's risk of developing cervical cancer.

              Weakened immune system. A woman whose immune system is weakened has a higher-than-average risk of developing cervical lesions that can become cancerous. This includes women who are HIV-positive (infected with the virus that causes AIDS). It also includes women who have received organ transplants and must take drugs to suppress the immune system so that the body won't reject the new organ.

              Hormonal medications. Some experts suggest that hormones in oral contraceptives (birth control pills) can make women more susceptible to Human papillomavirus (HPV). At least one study has indicated that taking birth control pills significantly increases a woman's risk of developing HPV-related genital warts. Other research suggests that using oral contraceptives for five years or longer slightly elevates a woman's risk of developing cervical cancer, especially if she began taking the Pill before the age of 25.

              Diethylstilberstrol (DES). A rare type of cervical cancer has been diagnosed in a small number of women whose mothers took diethylstilbestrol (DES), a medicine that was once used to prevent miscarriage.

              Douching. Because douching may destroy natural antiviral agents normally present in the vagina, women who douche every week are more apt to develop cervical cancer than women who do not.

              Chemical exposure. Women who work on farms or in the manufacturing industry may be exposed to chemicals that can increase their risk of cervical cancer.
              http://www.ehealthmd.com/library/cervic ... auses.html
              Who uses a machete to cut through red tape
              With fingernails that shine like justice
              And a voice that is dark like tinted glass

              Comment


              • #8
                Does anyone know if this prevents all types of cervical cancer? Excuse my ignorance, but a friend who had it said her doctor told her that her type of cervical cancer would not have been prevented by the vaccine.

                ETA: nevermind I should read posts before I post.

                Comment


                • #9
                  From what I quoted above the following really caught my eye:

                  Hormonal medications. Some experts suggest that hormones in oral contraceptives (birth control pills) can make women more susceptible to Human papillomavirus (HPV). At least one study has indicated that taking birth control pills significantly increases a woman's risk of developing HPV-related genital warts. Other research suggests that using oral contraceptives for five years or longer slightly elevates a woman's risk of developing cervical cancer, especially if she began taking the Pill before the age of 25.


                  So, there is a possibility that oral contraceptives can increase susceptibility to HPV!

                  The cynical side of me wonders if this is the pharm industry's way of covering their butts (in case there is shown to be a conclusive link between increased HPV and the pill - they can say "take the vax"!)....
                  Who uses a machete to cut through red tape
                  With fingernails that shine like justice
                  And a voice that is dark like tinted glass

                  Comment


                  • #10
                    More information on cervical cancer:

                    Girls under age 15 rarely develop the disease, but the risk of cervical cancer does rise between the late teen years and the early 30's.

                    In both white and black women, cervical carcinoma in situ (a benign tumor) is most common between the ages of 25 and 30.

                    Some individuals are more likely to develop cervical cancer:

                    City-dwellers and women who are members of racial or cultural minorities develop cervical cancer more often than other women do.

                    Vietnamese women have the highest cervical cancer rate in the United States.

                    Hispanics, Native Americans, and African Americans develop cervical cancer more often than white women do.


                    These statistics may reflect that:

                    Many recent immigrants and other minority groups wrongly believe that a woman who isn't sexually promiscuous doesn't need to have a Pap test.

                    African American women tend to have Pap tests less often than white women.
                    Vietnamese women have the highest rates of cervical cancer in the US!!!!
                    Who uses a machete to cut through red tape
                    With fingernails that shine like justice
                    And a voice that is dark like tinted glass

                    Comment


                    • #11
                      Originally posted by Sheherezade
                      Mostly I was interested in the fact that TX had the second highest rate of cervical cancer in the nation. I thought that state was conservative! :> What are they doing with such a high STD caused cancer rate?
                      Texas has a minority majority population of Latinos. Premarital sex is looked down upon in that culture and in conservative TX in general, so girls rarely are taught about safe sex. Couple that with the machismo that exists in Latin American cultures, where men don't want to wear condoms because it is not "manly", and you have an STI nightmare situation.

                      Comment


                      • #12
                        Originally posted by Miss November
                        I'm all for it. As someone who is familiar with the disease, I can't imagine why anyone would be against it. I think it is rediculous to think that it is promoting sexual activity. There are still a million other things out there that can happen as a result of sex. If there was a breast cancer vaccination, would anyone waver on that?
                        I'm with you on this one. If it prevents my child from eventually having cervical cancer or an STD, I'm on board.

                        Like most parents, I'd like to believe that my daughters will live the life I'd want them to. However, that's not usually the case. I can teach them the morals and ethics that I want them to live by, but at some point they're going to do their own thing once they're out of my home. I hope it includes those morals and ethics, but that doesn't mean it will.

                        If, at some point their behavior includes sexual promiscuity, I'd rather they be protected from this possibility than run the risk of infection simply because I didn't think they'd ever behave "that way". We can't always foresee what will occur and I'd hate to see my own narrowmindedness as a contributing factor in my child having a preventable condition.

                        Comment


                        • #13
                          Texas, I'm sorry for maligning your good character. It's probably just big state = big numbers, after all.

                          We are friends with the vaccine crew at Hopkins and it is a good thing for public health. It's just interesting to consider how it will play out -- and whether it is "worth it" to make it a mandatory vaccine. It's a similar debate to the debate over the chicken pox vaccine when it went mandatory. Costs/benefits.....and all that jazz.
                          Angie
                          Gyn-Onc fellowship survivor - 10 years out of the training years; reluctant suburbanite
                          Mom to DS (18) and DD (15) (and many many pets)

                          "Where are we going - and what am I doing in this handbasket?"

                          Comment


                          • #14
                            Texas has a higher rate of smoking AND a higher rate of obesity (both causes of cervical cancer).

                            Recent studies have show Latinos (especially Latinas) from Mexico have astronomical rates of obesity.

                            Texas is heavily populated with Mexican immigrants.

                            Add to that the fact that many Latina immigrant women (such as my MIL) do not get regular pap smears (to catch precancerous cells - caused by HPV along with many other contributing factors) and, thus, you see a higher rate of cervical cancer in the state of Texas.

                            It bears repeating: HPV is not the only way you can get cervical cancer. (See the list I posted above).
                            Who uses a machete to cut through red tape
                            With fingernails that shine like justice
                            And a voice that is dark like tinted glass

                            Comment


                            • #15
                              Originally posted by Tabula Rasa

                              It bears repeating: HPV is not the only way you can get cervical cancer. (See the list I posted above).
                              Excellent. I think that point definitely needs emphasis. Thank you.

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