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Politics, Pre-Teen Girls and the HPV Vaccine

We don't need bad politicking on this issue, says opinion columnist Heather Borden Herve.

Editor's note: This is a column that first ran on our nearby Fairfield County, Connecticut, sites on Sept. 21. Given all the attention the HPV vaccine has gotten recently, I thought it would be of interest to a wider pool of readers. Please let us know your thoughts in the comments or via Facebook and Twitter.

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You and I are just getting to know one another. While I’ve been writing a  for Wilton Patch for the last year, and readers there are more familiar with where I stand on many things, this “Patch In” column is only in its third week. I thought we’d take it slow.

Earlier this week someone sent me the link to an editorial in the Wall Street Journal. It was about GOP presidential candidate Michele Bachmann’s recent comments about the human papillomavirus (or HPV) vaccine that she made during the recent campaign debates. My friend thought it would make good fodder for a column, and knew I’d be interested in the subject.

I was a little hesitant to write about it in this forum. Heck, it’s still early in our relationship and you’re just getting to know bits and pieces about where I stand on certain issues and what my life philosophies are. And isn’t this issue really more of a national one, since it’s taking place on the presidential campaign stages rather than right here in Fairfield County?

But then I remembered: We have children here in Fairfield County too.

Because, truly, what’s at the heart of the brouhaha, and what’s getting forgotten in favor of presidential politics and soundbites, are children.

Backtracking a little to explain, Rep. Bachmann has gone on the attack against Texas Gov. Rick Perry for the 2007 move he made in his state issuing an executive order mandating sixth-grade girls receive a vaccine against HPV. Assuming her intent was to characterize Perry’s action as creating legislation without approval from the state’s legislative body, Bachmann fired off this soundbite during the debate:

“To have innocent little 12 year old girls be forced to have a government injection through an executive order is just flat-out wrong.”

After the debate was concluded, she also asserted that HPV vaccines cause “mental retardation.”

I think you and I are going to get to know one another much faster than I first thought.

Political affiliations aside, what’s most concerning to me is how science and health—specifically the health of female children—is now so politicized. Someone has taken a medical issue that’s backed by scientific research and fact, and hijacked it for the purpose of political attack, spin and polling points.

What are the medical facts? According to the Centers for Disease Control and Prevention (CDC), HPV causes virtually all cases of cervical cancer and genital warts, in addition to being linked to other kinds of cancers and diseases. While there are multiple strains of HPV, and not all of them directly cause cancer, cervical cancer is still the second leading cancer-killer of women worldwide.

HPV is also the most common sexually transmitted disease today.

A-ha! Is that what makes this issue hot and—pardon the media parlance pun—sexy? Because somehow when the topic of “innocent little 12 year old girls” gets mixed up with protecting them from a virus that gets transmitted through sexual contact, it suddenly gets to be co-opted by politicians on the basis of protecting moral values—and it gets them airtime.

In full disclosure, I grew up in a household that was comfortable talking about science, medicine and fact. My dad is an OBGYN, so we weren’t afraid of using correct anatomical terminology or talking about human sexuality. It’s formed the basis for the way I approach issues like this one.

The science shows that in order for this vaccine to work it needs to be administered before a person becomes sexually active. According to a statement released by the American Academy of Pediatrics following the media uproar after Bachmann’s comments, they “recommend that girls receive [the] HPV vaccine around age 11 or 12. That’s because this is the age at which the vaccine produces the best immune response in the body, and because it’s important to protect girls well before the onset of sexual activity.”

That recommendation was echoed by the CDC and American Academy of Family Physicians.

Please note, it was me who italicized the statement’s words “well before” to emphasize that science isn’t encouraging little girls to start being sexually active earlier. Knowing that’s been the objection for some opposed to this vaccine, I wanted to make the demarcation between science and morality even clearer.

Let's continue with the facts, especially with regard to Bachmann's baseless assertion about the effects of giving the vaccine, and add what the AAP had to say:

"The American Academy of Pediatrics would like to correct false statements made in the Republican presidential campaign that HPV vaccine is dangerous and can cause mental retardation. There is absolutely no scientific validity to this statement. Since the vaccine has been introduced, more than 35 million doses have been administered, and it has an excellent safety record."

Legislation concerning vaccines and immunizations is written at the state level. Currently there are no laws on Connecticut books about anything having to do with HPV—at all. Shortly after it was recommended at the federal level in 2006 that girls aged 11 and 12 receive routine vaccinations, several states—including Connecticut—began debate on it. Nothing has passed our legislatures, however, as of 2007, the last year anything on HPV was brought up for discussion. (The CT Department of Health does have a fact sheet on HPV.)

Health and vaccine policy does get set by government, especially when it protects the lives of the public against epidemics—think chicken pox, measles, and many others. There’s usually nothing compulsory and parents have the right to make an ultimate choice to opt out, as was the case in Texas (although Gov. Perry’s executive order was ultimately overturned by his legislature).

It doesn’t need to be an issue that gets divvied up based on political party. Just look at Virginia, where a state mandate for the HPV vaccine was passed with the support of politicians in both parties. Chris Stolle, a Republican state delegate there told the Huffington Post, "I'm a conservative Republican and I certainly do believe in limited government and limited interference of government into our lives. As we look at the function of government, I would put number one as being to protect its citizens. I think that a vaccination program for a disease that's epidemic falls very clearly within the realms of a small limited government."

What is unfortunately lost in this debate is the opportunity for the politicians to use science to enlighten and protect. The resulting costs from such a fatal disease—impacting families, hospitals, insurers, and society—is a potentially too high a price to pay.

Instead, code words and push-button fear messages get bandied about, furthering the campaign at the expense of some of our youngest citizens, playing political roulette with our daughters’ lives.

Heike Schulte September 25, 2011 at 07:29 PM
As a licensed and National Board certified acupuncturist and herbalist who specializes in women's and children's health, I am often confronted with patients asking me about Gardasil. I usually refer them to the National Vaccine Information Center website (www.nvic.org). I urge all parents to make an informed decision before any vaccination. In order to do so, parents should read published research articles. The NVIC website provides access to all published research articles as well as reported adverse reactions to the government...but also personal stories of girls and young women who suffered severe side effects from Gardasil. Ultimately a parent has to decide how much s/he trusts government and big pharma. Heike Schulte, L.Ac. MA, MS
KEVIN BARBER September 28, 2011 at 11:07 AM
this issue gets back to the issue of trusting people without educating yourself----the FDA has a bad track record and with its connections to big pharma and MONSANTO types they deserve no trust----they are a product of corporate corruption-----why do you think the US cant sell food products outside the country ? why do you think other countries ban GMO products ?
amadalong September 28, 2011 at 11:18 AM
“Over time, parents may be willing to reconsider previous vaccine refusals,” says the group’s policy statement. http://bit.ly/qKSjo1
WR September 30, 2011 at 02:07 AM
Vaccines are not some conspiratorial, biological marker or weird experiment foisted upon the citizenry by a black helicopter-flying government which has been made to look untrustworthy from primarily right-leaning efforts over the years . . . in trying to drown government in a bathtub, it's an attempt to tune people out of how gov't managed and administers our essential services, laws, etc. in a hopeful balance of needs across varied demographics. HPV is a scientifically determined cause of hardship and worse medical conditions in females, at the very least. If you can protect your child from future issues that this virus causes, you would do well to speak with your pediatrician as to when it would be appropriate to administer - perhaps ask *if* it would be appropriate, should there be a direct counterindication of underlying medical condition or conflicting medications to consider. Sure, biochemical companies make money off vaccines, but that's how healthcare in the USA works (poorly) today: profits tend to concentrate into the same pockets over time and within specific industries as a matter of how our system works - it's supposed to be a feature, but invites cronyism and poor legislation at times. Plus, it often makes even essential healthcare tough to afford for many people, especially within this inherited recession. Critical thinking is good, but conspiracies are plain silly. This is about a simple health advantage to be gained, not odd, anti-government emotions.
Curtis Flood September 30, 2011 at 02:46 AM
My brother in law worked at Eschelon during the Clinton administration, he retired three years ago. I asked him at that time the following question. Is there one piece of information that you feel would be the most useful in keeping myself and my family save. His answer. "Oh that's easy. Never get a flu shot." Step right up Wade, the government has your best interest at heart. http://www.huffingtonpost.com/david-kirby/government-concedes-vacci_b_88323.html http://www.lewrockwell.com/paul/paul66.html

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