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Re: A Vaccine to Save Women's LivesFrom: Joanne Bulley, MD (islesannie@gmail.com)Wed Feb 7 20:08:49 2007
But anal carcinoma is an HPV disease. Laryngeal carcnoma (in non-smokers) is an HPV disease. The fact that the vaccine protects from 90% of the genital HPV (types 6 & 11) cuts the COSTS, Office appointments as well as the pain-in-the-particular-anatomy treatments has a major ipact on total health care costs. Along with the "herd immunity" -- reducing transmission to those at greater risks (the female cervix). All of the above makes it reasonable to vaccinate males. When it gets approved for males it will be for those reasons - not for the cervical cancer part. As far as many of the arguments so far presented. When we vaccinate for HepB: doesn't that meet the same arguments: that you can CHOOSE to not participate in at-risk behavior. You can choose to not use dirty IV drug needles. You can choose to have lower risk sexual behavior. You can choose to not do things that land you in jail where there is higher risk. The chance is that well over 90% of the human beings now existing will have sex and will have more than one partner over the full life span. This is greater than the chance of all the risky behavior that leads to Hep B. If we vaccinate for Hep B and Meningitis ... why NOT really really push for the HPV vaccine? The rate of HPV disease and number of office visits and treatments that can be reduced by the vaccine is much higher than the number of meningitis cases in college. It is just that dying of the menigitis is higher than thedying of HPV disease. Dean and others phrase all this stuff better than I do -- so I should just sign off. Joanne
At Thu, 8 Feb 2007, Raymond Stephen wrote:
>
-- Joanne Bulley, MD, FACOG Solo gyn Keene, NH USA
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