Exploratory Essay: Human Papillomavirus (HPV) vaccine Prior to June of 2006, Human Pappilomarius (HPV) was almost unheard of to the general public. But after FDA approval of Gardasil manufactured by Merck& Co., HPV vaccine became the headline of many articles and breaking news of many TV channels. Why? Let’s us explore it. According to World Health Organization (WHO), HPV worldwide is the most common sexual transmitted Disease (STD). There are more than 100 strains of HPV and in those 13 strains are known for causing cancer in human. HPV infection goes undetected majority of the time. HPV-infected victims mostly have no signs or symptoms or are there any tests available to detect it. The body immunity usually gets rid of the viruses on its own. However, with persistent infection, it may lead to genital warts and worrisome oro-genital cancers. With normal immunity, it takes about 15-20 years for cervical cancer to develop. Worldwide, cervical cancer is the second most frequent cancer. It is estimated more than 270,000 deaths from cervical cancer annually (1-6). In 2007, to prevent the devastation result of HPV-associated cancer, the National Advisory Committee on Immunization practices (ACIP) recommended Gardasil as a routine vaccination for girl’s ages 11 to 12 with a catch-up vaccination for those aged 13 to 26. Across the country, thereafter, state legislature attempt to make HPV vaccine mandated. As the result, controversy was generated. In this paper, we
In June 2006, Gardasil, a Human Papillomavirus vaccine made by Merck & Co., was licensed for use and brought to the market (“HPV Vaccine”). Gardasil, which is given into a series of three injections, targets the main types of HPV. The types targeted are HPV 6, HPV 11, HPV 16 and HPV 18, which cause ninety percent of the genital warts and are the leading causes of cervical cancer (“Cervical Cancer Symptoms, Causes, Treatments”). Brought to the attention by researchers “combined, those strains affect an estimated 3 million women in the U.S” (“HPV Vaccine”). Since HPV is so common in the United States, the makers of Gardasil are trying to get a law approved that will make the shots mandatory. In 2006,
The human papillomavirus (HPV) is a sexually transmitted disease (STD) that is very common throughout the United States and worldwide (World Health Organization (WHO), 2016). There are over 100 different forms of the virus with 13 of these types being capable of causing cancer (WHO, 2016). HPV can lead to the development of serious health problems. Theses health problems are especially an issue for adolescent women due to the highly increasing STD rates among this age group (Kostas-Polston, Johnson-Mallard & Berman, 2012). There is a vaccine for many of the common types of HPV, however, many parents are refusing to vaccinate their daughters for various reasons. With the rising cases of STDs, less birth
HPV is by far the most common sexually transmitted infection in the United States. Per the Centers for Disease Control and Prevention (CDC), 50 percent of all sexually active men and women will get it at some point in their lives, and 20 million already have it. A vaccine is available that prevents 70% of cervical cancers that arise from sexual intercourse. The human papillomavirus is unknowingly common and is diagnosed in 10,000 women a year, causing 4,000 deaths per year (“HPV Question and Answers”). If we take the responsibility to vaccinate young girls and boys, to be safe, we can eliminate many unnecessary deaths. This vaccine is a great discovery that should be put to good use, the HPV vaccine should be mandated in young teens everywhere.
“Human papillomavirus (HPV) is a sexually transmitted infection (STI)…it is the most prevalent STI in the United States, with strains causally linked to oropharyngeal and other cancers”. (Osazuwa-Peters p.1) It is understandable why people want to prevent such a virus. Since the FDA approval of HPV vaccines, in 2006, there have been many positive unobtrusive ways that states have adopted to prevent or control HPV, such as public education about the disease, legislation on funding, HPVcervical cancer screening. However, some states have attempted to mandate children to take the vaccine
Prophylactic vaccination against high risk human papilloma virus 16 and 18 represents an exciting means of protection against HPV related malignancy. However, this strategy alone, even if there is a level of cross protection against other oncogenic viruses, cannot completely prevent cervical cancer. In some countries cervical screening programs have reduced the incidence of invasive cervical cancer by up to 80 percent although this decline has now reached a plateau with current cancers occurring in patients who have failed to attend for screening or where the sensitivity of the tests have proved inadequate. Cervical screening is inevitably associated with significant anxiety for the many women who require investigation and treatment following abnormal cervical cytology. However, it is vitally important to stress the need for continued cervical screening to complement vaccination in order to optimize prevention in vaccines and prevent cervical cancer in older women where the value of vaccination is currently unclear. It is likely that vaccination will ultimately change the natural history of HPV disease by reducing the influence of the highly oncogenic types HPV 16 and 18. In the long term this is likely to lead to an increase in recommended screening intervals. HPV vaccination may also reduce
Many parents would take interest in a vaccine that promises protection against the second most common form of cancer found in women each year. Especially when 11,000 women will become diagnosed with cervical cancer each year, and 3,700 of those women will die as a result. Gardasil is a vaccine given in a series of three shots to girls ranging from nine to 26 years of age. Those three shots offer protection against four different strains of the human papilloma virus, which causes cervical cancer. (“GARDASIL® [Human Papillomavirus Quadrivalent (Types 6, 11, 16, and 18) Vaccine, Recombinant].”) Without a doubt, most parents would not hesitate to have their daughters vaccinated. Unfortunately, many parents do not consider the consequences
I have chosen this paper since one of my goals during the Integrated Practicum was to gain knowledge about cancer prevention and management in the community settings. I believe that this article might increase my understanding about the usage of HPV Vaccines in prevention of various types of cancer.
Gardasil has been tested in thousands of women and found to be nearly 100% effective in protecting against diseases caused by the four HPV types. Side effects are very uncommon and the occurrence is about 1%. Not only are HPV vaccinations safe, and effective but in today’s society it seems that they have become necessary. “An estimated 493,000 cervical cancer cases occur each year with 274,000 deaths. More than 80% of cervical cancer deaths worldwide occur in developing countries. Cervical cancer is the second most common cancer in women”. If there is a cure of this kind of epidemic, it is evident that it is necessary.
Not a very strong case could be made for requiring that schoolgirls ages twelve and upward be required to be vaccinated against HPV. The vaccine only protects against two cancer-causing strains of HPV, so those who are vaccinated must still be regularly tested for precancerous changes in cervical cells, with a regular pap smear exam. Because of this many parents may object to exposing their children to the risks of side effects that come along with the vaccine. The HPV virus is spread by sexual contact, not airborne or casual interaction, so schools shouldn’t be able to mandate that the vaccine be a requirement for school girls.
HPV vaccination is the most common used method for preventing cervical cancer in young girls ranging from age nine to eleven years old. The overall perception of the vaccine is positive by the public because of its wide use and support by state laws, school systems and medical associations. According to the American Pediatric Association the vaccine has an excellent safety record. (Nirvi,1) A reasonable amount of parents still feel skeptical about mandatory HPV vaccination on their kids and lack great knowledge regarding the vaccine’s effectiveness.
The HPV vaccine has always been controversial. When the vaccine first debut in 2006, many parents felt that the vaccine was only for sexually active teens, and their children did not fit that mold. Others felt that the vaccine was dangerous and refused to be vaccinated. Unfortunately, the stigma around the HPV vaccine still stands.
Utilizing the Health Belief Model, research has found many different factors that influence beliefs and compliance behavior with the HPV vaccine and some interventions that might increase compliance. In a study done by Kelly Rhea MacArthur evaluating the role of trust in HPV vaccine decision making among college students, it was found that perceived severity and perceived efficacy are two barriers that can be addressed by forming a trusting relationship with a health care provider (MacArthur, 2017). Trust in the health care system can be complicated and involves widely spread distrust in pharmaceuticals in the media and social influences of friends and family. One study done evaluated the effect that media and specifically YouTube videos
Cervical cancer is a type of abnormal and malignant cell growth on the cervix (birth canal), which causes the common death for American Women. Infected by Human Papillomavirus (HPV) through sexual contact is the main contributor to cervical cancer. According to American Cancer Society’s (ACS) (2017) estimation, around 12,820 people will newly have cervical cancer and about 4,210 people will die from that in 2017. Therefore, it is urgent to decrease the rate of cervical cancer at women. A three-shot Gardasil series vaccine approved by the FDA for girls started to prevent cervical cancer in 2006. There are more than forty types of HPVs and the majority
Today, more and more parents are making the decision not to vaccinate their children because they believe that vaccinations are unimportant or ineffective. In just the past five years, two year olds’ up-to-date rates in Oregon have dropped up to 5% for some vaccines. In Multnomah County, only 72% of female adolescents have received at least one human papillomavirus (HPV) vaccination, and only 54% among males. Unlike the HPV vaccine, the tetanus/diphtheria/pertussis (Tdap) vaccine is required for attendance at school above 7th grade in Oregon. However there are ways to be exempted from such requirements, and many parents are doing so (Oregon Health Authority). Diseases or disease-causing bacteria are still found in the United States and
The Human papillomavirus (HPV) is the virus responsible for cervical cancer. It is one the most common viral sexually transmitted infections. A vaccine was approved in 2006 that is effective in preventing the types of HPV responsible for 70% of cervical cancers and 90% of genital warts. Proposals for routine and mandatory HPV vaccination of girls have become sources of controversy for parents of school-aged youth, legislators, members of the medical community, and the public at large (Cooper et al. 2010).