Re: HPV Vaccine

From: Meenan, Anna (annam@uic.edu)
Fri Jun 9 11:53:03 2006


I think it's more reasonable to hold off vaccinating a 5-year-old against HPV than to hold off on HepB vaccine. HepB is transmitted other ways than just sexually. 16,000 kids under the age of 10 acquire HepB every year in this country, and many of them have mothers who are HepB negative, so did not get it at birth. At the risk of drawing flames, I will point out that there are countries on this planet where the HepBcarrier state is endemic, and kids from those countries attend our day cares and schools. Requiring HepB vaccine for day care and school entry is sound practice. I'm not sure you can make a case at this point for requiring HPV vaccine for school entry (although did anyone see the Dateline episode on catching internet predators the other night? A SIXTH GRADE TEACHER!!!!!?????)

Anna Meenan, MD

>The reason I stated I would not vaccinate my 5 year old is because
>we used to vaccinate for Hep B in adolescence, now it is recommended
>at birth and required prior to school/day care entry). I can
>actually see this becoming another one of the "mandatory" vaccines
>kids need to get into school and until there is better long term
>data on it, I would not do it.
>
>Kim
>
>On Jun 9, 2006, at 11:27 AM, <mailto:RModugno@aol.com>RModugno@aol.com wrote:
>
>>In a message dated 6/9/2006 10:59:08 A.M. Eastern Standard Time,
>><mailto:goldman@calweb.com>goldman@calweb.com writes:
>>
>>It is for a disease that is 100% preventable though reasonably most
>>people choose not to stay celibate for their entire life.
>>I certainly would not consider vaccinating my 5 year old daughter
>>
>>1) How is it 100% preventable? It has been postulated that HPV is
>>a genitotrophic virus and that it can be passed on through the
>>maternal birth canal, not only to the upper respiratory tract.
>>
>>2) Why would you vaccinate a 5 year old?
>>
>>Maybe I'm influenced by the fact that I trained in South Africa,
>>where carcinoma of the cervix is the most common gynecological
>>cancer seen in the Black African female. Approximately 700 new
>>cases are seen yearly at the Dept of OB/GYN, King Edward VIII
>>Hospital in Durban. The majority when I was training presented in
>>Stage 3 and beyond.
>>
>>Robert Modugno MD MBA FACOG
>>Marietta, GA
>>
>>Robert Modugno MD MBA FACOG
>>Marietta, GA





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