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Re: A Vaccine to Save Women?s LivesFrom: Barbara Nicol (blnicol@ix.netcom.com)Tue Feb 6 12:04:18 2007
<HEAD> <META content="MSHTML 6.00.2800.1528" name=GENERATOR></HEAD> <BODY> <DIV>I don't think it's the only reason, no, but it surely is a good reason. I'm mostly disputing the contention that behavior is 100% protective (I think Kim used the 100% number) or that it offers the "same protection" (Jamie's phrase). I agree that behavior is highly protective; I'm just being nitpicky about what seems to be a certain over-certainty about behavior. It would be nice, if one were raped, to be vaccinated against every possible disease, and rather devastating to acquire a vaccine-preventable disease that way. </DIV> <DIV> </DIV> <DIV> More importantly, there is a subtext here that is one of the most devastating subtexts around for rape victims - that they had control over their rape. (If behavior offers the same protection as the vaccine, then women have control over rape, right?) So I'm not that impressed by "behavior-prevention" as equal to vaccine prevention. It's different, and valuable in its own way, but not a replacement. In general, I believe that providers should avoid discussing behavior as though it were 100% protective against STDs, in consideration to rape victims everywhere. I believe Jamie and Kim probably know this, and email is a tricky medium that way, since messages are short and subtext is long - and resides in the eye of the reader!</DIV> <DIV> </DIV> <DIV>I'm not as amazed with the vaccine as the NYT appears to be, but I'm not impressed that there are a lot of risks to it either. I do think it's a bit early to be mandating it. Likely there will be a more-valent vaccine in the future and then we'll be revaccinating loads of people. </DIV> <DIV> </DIV> <DIV>- Barb Nicol, M.D.<BR><BR><BR></DIV> <BLOCKQUOTE style="PADDING-LEFT: 5px; MARGIN-LEFT: 0px; BORDER-LEFT: #0000ff 2px solid">-----Original Message----- <BR>From: DoctorJoe@aol.com <BR>Sent: Feb 6, 2007 10:03 AM <BR>To: Multiple recipients of list OB-GYN-L <OB-GYN-L@DNS.OBGYN.NET><BR>Subject: Re: A Vaccine to Save Women?s Lives <BR><BR><ZZZHTML><ZZZHEAD><ZZZMETA content="text/html; charset=US-ASCII" http-equiv="Content-Type"><ZZZMETA name="GENERATOR" content="MSHTML 6.00.5730.11"></ZZZHEAD><ZZZBODY id=role_body style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: Arial" rightMargin="7" topMargin="7" leftMargin="7" bottomMargin="7"><FONT id=role_document face=Arial color=#000000 size=2> <DIV> <DIV>In a message dated 2/6/2007 11:55:31 A.M. Central Standard Time, blnicol@ix.netcom.com writes:</DIV> <BLOCKQUOTE style="PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: blue 2px solid"><FONT style="BACKGROUND-COLOR: transparent" face=Arial color=#000000 size=2>No amount of good behavior, no zip code, and no upbringing will protect our daughters against rape. So it's not exactly the same protection, is it?<BR><BR>Not thrilled with the decision either, by the way, but I reject the argument that behavior change is protective.</FONT></BLOCKQUOTE></DIV> <DIV></DIV> <DIV>I wasn't aware that rape was the bottom line for why we vaccinate our girl children. Have we talked about this before?</DIV> <DIV> </DIV> <DIV>Joe P.</DIV> <DIV> </DIV> <DIV>The pen is mightier than the sword, but only if the pen is held by Chuck Norris."</DIV> <DIV> </DIV> <DIV> </DIV></FONT></ZZZBODY></ZZZHTML></BLOCKQUOTE></BODY>
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