HPV - Page 3

Is Gardasil Mandated in Your State?

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Last week I reported on the controversy of the Gardasil Vaccine produced by Merck (it is important to note that GlaxoSmithKline also makes an HPV vaccine called Cervarix). Many women left comments which confirmed my statements and research with personal stories of their once healthy daughters who are now sick and disabled from this vaccine. This week I will look at which states are mandating that school children get the vaccine and one state that passed legislation for the vaccine to be given to children as young as 12 years old without parental consent.

As I stated in my op-ed piece on the Affordable Health Care Act, I am a libertarian. One of my main concerns about the government controlling our health care is mandated vaccines. To those who think that this could never happen, the simple fact is it’s already happening in our schools and in our military. While I’m a proud Marine, I’m ashamed of the fact that the government has been known to conduct ethically questionable experiments on our troops. In my opinion, vaccines are one of those experiments and rather than do they protect the patient, they ask will the people blindly take them?

While in the Marine Corps, I was vaccinated against every possible disease that there is a vaccine for not once, but twice, sometimes even three times (somehow my shot records never made it to my medical records, which I understand is common in the service). This includes the HPV vaccine, Gardasil. When I say it was mandated, I do in fact mean that I was forced to get these vaccines. Per the Uniform Code of Military Justice (UCMJ) my body was property of the US Government when I was in the service. You probably think I’m kidding; I’m not. During safety briefs before summer holiday weekends we were told to wear sunscreen (check out the dangers of sunscreen here) because if we got a sunburn while off-duty we could be charged with destruction to government property. Now, that was a little extreme and I don’t know anyone who was actually charged over a sunburn (although it wouldn’t surprise me), it was still true – we were government property. I tried to avoid the Smallpox vaccine and successfully did until we were at the airport terminal boarding the plane for Iraq, I was informed by our unit’s corpsman administering it, “If you don’t get this shot you can’t deploy.”

I sarcastically replied, “Okay,” only to turn around and see the Executive Officer (XO) standing behind me.

Not amused by my sarcasm, he said, “If you don’t get the shot I will charge you with disobeying orders Lieutenant.” He was dead serious.

Thankfully, I have not had any major complications (although the more research that I do, I think I have some ongoing side effects from the Gardasil vaccine).

State Mandates

According to the National Conference of State Legislatures (NCSL) school vaccine requirements are determined by individual states, a right which might be revoked now that states are mandated to enforce individuals to purchase insurance per the Federal government.

In 2006, the Michigan Senate was the first to introduce legislation (S.B.1416) requiring girls entering sixth grade to have the vaccine. The bill was not enacted. According to NCSL, “Since 2006, legislators in at least 41 states and D.C. have introduced legislation to require the vaccine, fund or educate the public about the HPV Vaccine and at least 21 states have enacted legislation, including Colorado, Indiana, Iowa, Louisiana, Maine, Maryland, Michigan, Minnesota, Missouri, Nevada, New Mexico, New York, North Carolina, North Dakota, Rhode Island, South Dakota, Texas, Utah, Virginia and Washington.”

In February 2007, Texas Governor bypassed state legislation and made an executive order that all females going into the sixth grade had to get vaccinated with Gardasil. In May 2007, state legislators introduced and passed the bill H.B. 1098 to override the executive order. 

The Virginia legislature also passed a school vaccine requirement for Gardasil in 2007. To see what legislation related to the HPV vaccines and information has been introduced to your state, see NCSL’s chart here.

No Parental Consent Necessary

Can it get worse than mandating parents to give their kids a vaccine that causes severe side effects and does nothing more than an annual pap can do to prevent cervical cancer? Of course it can. On January 1, 2012, California’s Governor Jerry Brown signed the bill AB 499 into law. It states:

“Existing law authorizes a minor who is 12 years of age or older to consent to medical care related to the diagnosis or treatment of an infectious, contagious, or communicable disease if it is related to a sexually transmitted disease. This bill would additionally authorize a minor who is 12 years of age or older to consent to medical care related to the prevention of a sexually transmitted disease.  Time-critical preventive services for sexually transmitted diseases include the hepatitis B vaccine, post-exposure prophylactic (PEP) HIV medication (which must be administered within 72 hours of exposure), and the human papillomavirus (HPV) vaccine, which, if given prior to exposure, may significantly reduce the risk of certain cancers.”

How did we get here?

This is the easy part. Look at who is benefiting the most -follow the money. In this case, the makers of the vaccines are obviously going to benefit if their product is mandated by use of all children the age of 12-26 years old. Similar to when Texas Governor Perry passed the law to mandate the HPV shot shortly after Merck contributed $6000 dollars to his campaign (amongst other ties to Merck); in California, Merck donated $39, 500 to legislators voting yea on AB 499 according to Cal Watch Dog.

The cost of one shot is $120 and the vaccine is a series of three given over the course of a year. That’s $360 for every girl and boy who gets the vaccine. In most states insurance is mandated to cover this vaccine and there are numerous state and federal programs for those who do not have insurance. With all the side effects and even deaths from this shot, why wouldn’t politicians put those tax dollars to use providing un/under-insured women access to pap smears, a screening test that can catch HPV before it develops into cancer far enough in advance that fairly simple steps can be taken to stop cancer before it even develops? Why, because Merck and GlaxoKlineSmith can’t profit from preventing cancer that way. And how much has Merck made from the Gardasil vaccine? According to CNN Money, Gardasil grossed over $1.1 billion in the first nine months on the market. Unfortunately for Merck, the initial sales momentum has flattened out and is declining. The American public are obviously not buying this vaccine, so Merck and others are going to legislators and to have it mandated instead.

What can you do?

As I always say, GET INVOLVED. Get educated. Complacency, apathy and ignorance are how we got to this point (and Citizens United).  Be wary of a bill that puts a private company’s profits above the safety and well-being of the individual, especially one that involves the health of your child. It is incumbent upon all of us to assess the safety and risks of any medication or vaccine before taking it.

Hormones MatterTM is conducting research on the side effects and adverse events associated with Gardasil and its counterpart Cervarix. If you or your daughter has had either HPV vaccine, please take this important survey. The Gardasil Cervarix HPV Vaccine Survey. 

Further Reading:
Gardasil: Miracle or Deadly Vaccine?
What about the Pap?

Gardasil: Miracle or Deadly Vaccine?

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I normally don’t speak for a larger population because we are all unique individuals; however, I think in this case I can speak for all women. Dread is the only emotion that is drudged up when you get the friendly reminder card in the mail that it’s time for your annual appointment. Stripping down and wearing a stiff hospital gown with your feet up in cold metal stirrups while a doctor sticks a cold, duck-lip looking contraption up your nether regions for a Papanicolaou (pap) test. I don’t think there is a single woman on earth who enjoys this necessary torture, but it is the primary way to detect diseases and/or conditions including cervical cancer.

That is until 2008, when Merck released a vaccine that is advertised to protect against the strands of the Human Papillomavirus (HPV) that cause cervical cancer and genital warts. The shot is being administered to young girls and boys (who can carry the disease, but do not suffer from any health conditions because of it). The shot is administered to girls ages 11-26 years-old and boys age 9-26 years old, but do the pros outweigh the cons? I’ve heard of doctors tell parents, I wouldn’t give this shot to my own child, how can I recommend it to my patients. And I’ve heard doctors say, it’s the greatest vaccine we have that actually protects against cancer.

Let’s look at whether or not prevention outweighs the serious side effects and risks.

HPV

Carolyn Vachani, RN, MSN, AOCN writes that, The Human Papilloma Virus (HPV) is one of the most common sexually transmitted infections (STI) in the world. It is estimated that 5.5 million people worldwide are infected annually. Sexually active individuals have an 80 to 85% chance of being infected at some time in their life.” It’s not just a sexually transmitted infection; the virus invades the epithelial cells (type of skin cell) on other parts of the body including the oral mucosa, esophagus, larynx, trachea, and conjunctiva of the eye. Further more Vachani writes, “Researchers have identified 100 different strains of HPV, 40 of which can infect the anal and genital areas.”

On Merck’s Gardasil website it boasts, “GARDASIL is the only human papillomavirus (HPV) vaccine that helps protect against 4 types of HPV.” So, what about the other 96 strands, 36 of which infect the anal and genital areas?

Like HIV, there is no cure for HPV; but unlike HIV, the body can fight HPV and win 80% of the time. For the 20% whose body cannot fight off HPV there is a risk that cervical cancer can develop. If it is a strand that causes genital warts there are various methods to treat and get rid of the warts until the body is able to fight off the infection on its own.

Cervical Cancer

In spite of the high odds the body can fight off an HPV infection, cervical cancer is the second most common cancer in women worldwide. Forty years ago, cervical cancer was the leading cause of death of women in the US, but thanks to the availability of the pap test that has decreased 75% over the past 50 years. With annual pap tests, precancerous cells can be detected and removed from the cervix rather simply. According to the CDC, in 2008:

  • 12,410      women in the United States were diagnosed with cervical cancer.
  • 4,008      women in the United States died from cervical cancer.

Those numbers are low compared to developing countries. Out of the approximately 500,000 new cases of cervical cancer annually, 83% are in developing countries. The annual death rate of cervical cancer worldwide is approximately 273,000, of which developing countries account for 75% of the deaths.

There are no symptoms of cervical cancer and no way to detect it except a pap test, which isn’t available in most developing countries explaining the higher mortality rates. A vaccine that protects against the most common strands of the virus is better than nothing, right? Well, let’s take a closer look and see what the controversy is all about.

Gardasil

FDA approved Gardasil on June 8, 2006. As Chandler Marrs reported in Why Few Women Trust the FDA, the FDA doesn’t always have the best record in women’s health, making it difficult to believe everything they pass is safe or effective. The vaccine is a series of three shots taken over the course of a year. On the FDA website it states, “Given the large number of doses distributed, it is expected that, by chance alone, serious adverse events and some deaths will be reported in this large population during the time period following vaccinations.”

How many deaths and serious side effects are acceptable for the FDA? Apparently quite few; Natural Society reports, “Between May 2009 and September 2010 alone, Gardasil was linked to 3,589 harmful reactions and 16 deaths. Of the 3,589 adverse reactions, many were debilitating. Permanent disability was the result of 213 cases; 25 resulted in the diagnosis of Guillain-Barre Syndrome; and there were 789 other “serious” reports according to FDA documents.”

What does the FDA have to say? “Concerns have been raised about reports of deaths occurring in individuals after receiving Gardasil. As of December 31, 2008, 32 deaths had been reported to VAERS [Vaccine Adverse Event Reporting System]. There was not a common pattern to the deaths that would suggest they were caused by the vaccine.”

On the website Classaction.org, where you can get legal advice on class action law suits against the makers of Gardasil if you or your child has suffered from side effects, they state, “As of Feb. 14, 2011, the CDC has reported that there have been 51 reports of deaths among females who received the HPV vaccine. A total of 32 of these death reports have been confirmed, meaning that a doctor has reviewed the report and any associated records. There have been two reports of deaths among males who were injected with Gardasil.”

That is just in America where cervical cancer can be detected early with annual pap tests. The vaccine against HPV is given worldwide to girls and boys to prevent spreading of HPV. It is now marketed as prevention against anal cancer even though only 10% of women with HPV will develop cancer and  cancer associated with HPV is only responsible for 1% of all cancer deaths.

Judicial Watch

In 2011, Judicial Watch, a conservative, non-partisan educational foundation that promotes transparency, accountability and integrity in government, politics and the law stepped in. They reported that they, “received new documents from the U.S. Food and Drug Administration (FDA) under the provisions of the Freedom of Information Act (FOIA), detailing reports of adverse reactions to the vaccination for human papillomavirus (HPV), Gardasil. The adverse reaction reports detail 26 new deaths reported between September 1, 2010 and September 15, 2011 as well as incidents of seizures, paralysis, blindness, pancreatitis, speech problems, short term memory loss and Guillain-Barré Syndrome. The documents come from the FDA’s Vaccine Adverse Event Reporting System (VAERS).”

The report also states, “Not only will Gardasil not cure pre-existing HPV, it can also make symptoms worse. Women who already have the virus without knowing it could suffer massive outbreaks of genital warts or abnormal precancerous lesions, both of which require extensive treatment.” The vaccine is suggested for women who test positive for HPV in order to prevent them from contracting the other strands. (The 25 page report can be viewed here.)

Conclusion

Merck’s website advertises “You/your son or daughter could be one less person affected by HPV disease.” It is important to research all the possible side effects and the rate of occurrence, as well as your/your daughter’s ability to have annual pap tests before making this decision. We are all exposed to numerous strands of the HPV virus. Of the 100 strands, 40 are contacted through sex or genital skin contact. Of those 40, Gardasil only protects against the 4 most common strands because adding more strands to the vaccine caused even more severe side effects. In 80% of the cases of genital HPV, the body fights off the infection. With pap tests, doctors can detect cervical cancer before it becomes deadly (as long as women are getting them done annually). As much as we all hate that annual appointment, it may be a better solution to stick our legs in the stirrups for an exam rather than risk the side effects of the Gardasil vaccine. You decide.

Next week, I will look at how Gardasil was approved by the FDA, how states are mandating it for school children, and how states are passing legislation to make it legal for health professionals to administer the shot to minors without parental consent.

Additional Resources

IARC Monographs on Human Papillomavirus Virus and Studies of Cancer in Humans

Is Gardasil mandated in your state? Read more here
How does a Pap Smear Test prevent cervical cancer? Read more here.

Participate in Research

Hormones MatterTM is conducting research on the side effects and adverse events associated with Gardasil and its counterpart Cervarix. If you or your daughter has had either HPV vaccine, please take this important survey. The Gardasil Cervarix HPV Vaccine Survey.