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Re: HPV VaccineFrom: ainsron (ainsron@sbcglobal.net)Fri Jun 9 11:17:42 2006
I agree with Laurie, everyone should seriously consider vaccination of their kids with HPV at the appropriate time. Teaching them safe sex or abstinence is not the issue. HPV vaccination no more encourages teens to go out and be sexually active than making condoms available. The major benefit of vaccination programs is primary prevention from a public health standpoint, to decrease the pool of available individuals who are susceptible to infection by the "herd" effect. I am always frustrated by patients who refuse vaccination of their children - often children of chiropractors or other holistic individuals. Of course, the risk that their child will get rubella or rubeolla is low. However, they are increasing the risk to your children and mine that these diseases will continue to infect them. The risks of vaccination are certainly real, but minor, nothing compared to the diseases themselves. My children are past the age of getting the HPV vaccine. If they ask me if their children should get the vaccine, my answer would be a resound yes. Am I going to call them up today and tell them to get their kids scheduled for HPV vaccine as soon as they turn 11, probably not. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of LCLEMOS@aol.com Sent: Friday, June 09, 2006 7:33 AM To: Multiple recipients of list OB-GYN-L Subject: Re: HPV Vaccine In a message dated 6/9/2006 10:12:13 A.M. Eastern Standard Time, ajfields@pine-net.com writes: I'm undecided but leaning against, although my kids will be informed about it's existence. My oldest is nearly 11, and I'd like to think the same. I've been told, though, that 4th and 5th graders in our town are having oral sex because "it's not real sex and you can't get pregnant" Doesn't bode well for 15. Homeschooling is looking better and better, though I'd also like to think I've taught my kids better than some. I find our attitudes interesting. (not just yours really, this just started it!). Do we assume that our children will get Hepatitis B from infected needles or sex or IV drug use or what (clinical practice!)? Or do we know it is just good public health to get them vaccinated before these are issues? Why is the HPV vaccine different? Because it might indicate we think our children might eventually have sex? Gee, I hope mine do, the alternative is sad. (hen again, lately I suspect I may not have to worry as they are both in college and with 'long term' relationships. But I don't know that their partners are...so vaccine for my kids now sounds good to me, if it means fewer concerns about cervical cancer in themselves or their partners in a few years or decades. I do hope the FDA was thorough in their approval and the maker thorough in the development/testing. My only concern for delay in encouraging the vaccine is that something may prove not to be as safe as we hope, not that it might indicate my children will eventually be sexually active..... The vaccine requires three injections over time (like Hep B), and is preferable in the pre sexually active population as a public health action. Thus the recommendation for 11 year olds to start, just like we vaccinated my kids for Hep B in 5th grade (gee, they didn't thank me for those three shots!) but now we give to most newborns ...we are RELATIVELY sure 11 years aren't pregnant, thus we can do widespread vaccination without pregnancy testing etc...I'm sure this hasn't been tested/approved for use during pregnancy, so little is... Laurie
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