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Wednesday
May 21

NACI mandates Gardasil shot

Giving a nationwide call, Canada’s National Advisory Committee on Immunization (NACI) on Tuesday released a recommendation urging all females between 9 and 26 to be routinely vaccinated against the human papillomavirus (HPV), a sexually transmitted disease that can cause genital warts and cervical cancer.

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Giving a nationwide call, Canada’s National Advisory Committee on Immunization (NACI) on Tuesday released a recommendation urging all females between 9 and 26 to be routinely vaccinated against the human papillomavirus (HPV), a sexually transmitted disease that can cause genital warts and cervical cancer.

Canada’s expert advisory panel on immunization said that they would like to see all Canadian girls aged 9 to 13 who have not yet become sexually active be immunized with Gardasil, vaccine developed by Merck and Co. to protect against the HPV infection.

The committee also emphasized that females aged 14 to 26 should also be vaccinated, even if they are already sexually active or have had previous pap smear abnormalities or a previous HPV infection.

However, girls under nine, pregnant women and males are not recommended a shot of the vaccine, the panel said.

HPV is a DNA-based virus that infects the skin and mucous membranes of humans.

Gardasil provides protection against about a group of 30 HPVs that are typically transmitted through sexual contact. An estimated 75 per cent of women will have at least one HPV infection in their lifetime, authority states.

While some types of HPV can cause genital warts, others types may lead to cancer.

Developed and marketed by Merck, Gardasil got its FDA approval in June 2006. The vaccine shows protection against infection with HPV types 16 and 18, which together cause 70 percent of cervical cancers. Moreover, it also provides protection from HPV types 6 and 11, which cause 90 percent of genital warts.

In its trails, the vaccine showed 100 percent efficacy against persistent infections, not just incident infections.

Meanwhile as the vaccine does not protect against some specific strains that cause 30 per cent of the malignancies, the panel advises women to continue regular screening for cervical cancer even after vaccination.

The vaccine is expected to cost about $135 per dose, with three doses over six months needed to confer full immunity.

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Anonymous's picture
Anyone who gives there daughter this vaccine is an idiot...

Pap smears have reduced cervical cancer deaths by 75% between 1955 and 1992. They have continued to decline every year.

This has nothing to do with one's child's sexual behavior. It has to do with common sense. The risks of this vaccine far outweigh the risks of getting cervical cancer. 80% of women will have been exposed to HPV in their lifetime. Yet, cervical cancer is a rare disease according to the Office of Rare Diseases at NIH.

HPV most often clears up on its own and no problems arise. In the tiny percentage of people who do develop cell changes, these changes occur very slowly over years and a Pap smear will find these changes and allow you to prevent cervical cancer from developing.

Unless you live in a 3rd world nation where there is no access to Pap smears and the prevalence of cervical cancer is higher, there is no reason to subject your healthy little girl to the risks associated with this particular vaccine.

HPV is not like measles or polio. You can't get it by being in proximity to someone. Most often, it does not even develop into a disease. Even when it does, it occurs so slowly that you can stop it from progressing to cancer. Use a little common sense here.

stickdog's picture
The Facts About GARDASIL

The Facts About GARDASIL

1) GARDASIL is a vaccine for 4 strains of the human papillomavirus (HPV), two strains that are strongly associated (and probably cause) genital warts and two strains that are typically associated (and may cause) cervical cancer. About 90% of people with genital warts show exposure to one of the two HPV strains strongly suspected to cause genital warts. About 70% of women with cervical cancer show exposure to one of the other two HPV strains that the vaccine is designed to confer resistance to.

2) HPV is a sexually communicable (not an infectious) virus. When you consider all strains of HPV, over 70% of sexually active males and females have been exposed. A condom helps a lot (70% less likely to get it), but has not been shown to stop transmission in all cases (only one study of 82 college girls who self-reported about condom use has been done). For the vast majority of women, exposure to HPV strains (even the four “bad ones” protected for in GARDASIL) results in no known health complications of any kind.

3) Cervical cancer is not a deadly nor prevalent cancer in the US or any other first world nation. Cervical cancer rates have declined sharply over the last 30 years and are still declining. Cervical cancer accounts for less than 1% of of all female cancer cases and deaths in the US. Cervical cancer is typically very treatable and the prognosis for a healthy outcome is good. The typical exceptions to this case are old women, women who are already unhealthy and women who don’t get pap smears until after the cancer has existed for many years.

4) Merck’s clinical studies for GARDASIL were problematic in several ways. Only 20,541 women were used (half got the “placebo”) and their health was followed up for only four years at maximum and typically 1-3 years only. More critically, only 1,121 of these subjects were less than 16. The younger subjects were only followed up for a maximum of 18 months. Furthermore, less than 10% of these subjects received true placebo injections. The others were given injections containing an aluminum salt adjuvant (vaccine enhancer) that is also a component of GARDASIL. This is scientifically preposterous, especially when you consider that similar alum adjuvants are suspected to be responsible for Gulf War disease and other possible vaccination related complications.

5) Both the “placebo” groups and the vaccination groups reported a myriad of short term and medium term health problems over the course of their evaluations. The majority of both groups reported minor health complications near the injection site or near the time of the injection. Among the vaccination group, reports of such complications were slightly higher. The small sample that was given a real placebo reported far fewer complications — as in less than half. Furthermore, most if not all longer term complications were written off as not being potentially vaccine caused for all subjects.

6) Because the pool of test subjects was so small and the rates of cervical cancer are so low, NOT A SINGLE CONTROL SUBJECT ACTUALLY CONTRACTED CERVICAL CANCER IN ANY WAY, SHAPE OR FORM — MUCH LESS DIED OF IT. Instead, this vaccine’s supposed efficacy is based on the fact that the vaccinated group ended up with far fewer cases (5 vs. about 200) of genital warts and “precancerous lesions” (dysplasias) than the alum injected “control” subjects.

7) Because the tests included just four years of follow up at most, the long term effects and efficacy of this vaccine are completely unknown for anyone. All but the shortest term effects are completely unknown for little girls. Considering the tiny size of youngster study, the data about the shortest terms side effects for girls are also dubious.

8) GARDASIL is the most expensive vaccine ever marketed. It requires three vaccinations at $120 a pop for a total price tag of $360. It is expected to be Merck’s biggest cash cow of this and the next decade.

These are simply the facts of the situation as presented by Merck and the FDA.

Derek's picture
Anyone objecting to this bill is an idiot

I can't understand how any caring parent could even consider not allowing their daughter to have this immunization.

Regardless of their child's future sexual behavior, she would be at risk for cervical cancer as her own abstinence does not guarantee the abstinence nor fidelity of her husband.

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