David Rose
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Girls as young as 12 could be vaccinated from next year against a virus that causes cervical cancer, the Government announced yesterday.
It is thought that a national vaccination programme could prevent 70 per cent of cervical cancer cases and save more than 1,000 lives each year.
All girls aged 12 and 13 could receive the vaccine in three doses over a six-month period at a cost of £300 per full course, the Department of Health said.
The Joint Committee on Vaccination and Immunisation recommended the use of the jabs to protect against the sexually transmitted infection human papillomavirus (HPV), which causes most cases of cervical cancer. The department said it had agreed “in principle” to accept the committee’s advice, subject to an independent review of the costs to the NHS.
But experts say that it could be 20 years before the first health benefits are seen. The vaccines are also expensive, costing more than all the immunisations each child currently receives put together. However, campaigners say that the vaccines represent value for money given how effective they are in combating HPV, which is common among sexually active young women.
Some campaigners and religious groups have expressed concerns that providing a jab to children to protect against the sexually transmitted infection may encourage promiscuity. But in a recent survey by Man-chester University, only a small minority of parents expressed concern about the sexual implications.
Caroline Flint, the Public Health Minister, said she was “delighted to announce that we intend, in principle, to introduce an HPV vaccine into the national immunisation programme”. But there were conditions, a statement added. The programme would have to undergo an “independent peer review of the cost-benefit analysis”, while funding would be “considered in the context of the Comprehensive Spending Review”. She said: “We are still working on the details and logistics, and will work closely with the NHS to ensure the vaccination can be delivered effectively. However, we are hoping that girls will start being vaccinated from as early as 2008.”
Smear-testing programmes would continue if vaccination were introduced, she said. This was because of the gap between the ages of vaccination and first screening, and because the jab did not protect against all HPV types that may cause the cancer.
Sarah Jarvis, of the Royal College of GPs, welcomed the decision. “The cervical screening programme will continue to be hugely important, but HPV immunisation offers a real step towards freedom of anxiety for this horrible condition.”
Anne Szarewski, of the Wolf-son Institute of Preventive Medicine at Queen Mary’s School of Medicine and Dentistry, added: “Cervical screening will need to continue for at least 20 years, particularly for those women who have the vaccine after the onset of sexual activity, as they may not derive as much benefit as those who are vaccinated before they start having sex.”
David Elliman, consultant in community child health at Great Ormond Street Hospital, said that giving the jab to boys should be considered.
Baroness Gould of Potternewton, chairman of the Independent Advisory Group on Sexual Health and HIV, said: “We have a tool to help protect young women against cervical cancer. We must use it.”
HPV immunisation programme
Routine vaccination of girls could start as soon as the autumn of next year
The jabs would not be compulsory but would be offered to girls throughout Britain
Parents will have the final say on whether their child receives any vaccine
Each year cervical cancer is diagnosed in about 2,800 British women and more than 1,000 die from the disease
About 200,000 women a year also have precancerous changes to their cervix picked up in smear tests
There are two potential vaccines that could be used: Gardasil, made by Merck and Sanofi Pasteur, has already been recommended for use in several countries; Cervarix is expected to be introduced in Europe this year
In a trial of more than 12,000 women, researchers found that Gardasil was almost 100 per cent effective against the two particular strains, known as HPV 16 and HPV 18, that together cause about 70 per cent of all cervical cancers
It is also effective against strains 6 and 11, which account for about 90 per cent of cases of genital warts
Sources: Department of Health, The New England Journal of Medicine, Times database
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A lead researcher, Professor Diane M. Harper, who spent 20 years developing the vaccine for humanpapilloma virus states that the HPV vaccine is not for younger girls.She says it's not been tested for effectiveness in younger girls, and administering the vaccine to girls as young as 9 may not even protect them at all And, in the worst-case scenario, instead of serving to reduce the numbers of cervical cancers within 25 years, such a vaccination crusade actually could cause the numbers to go up. She has said:
"Giving it to 11-year-olds is a great big public health experiment."
Professor Harper is the director of the Gynecologic Cancer Prevention Research Group at the Norris Cotton Cancer Center at Dartmouth Medical School in New Hampshire.
So you do have to wonder why there has not been even one balancing voice in the entire British media.
Colin Downes-Grainger, London, UK
In principle, I think this is a good idea. It may be expensive in the short term, however, it's a preventative measure with the potential to save the NHS millions. My only concern is that this has not been out there long enough to determine whether or not there are any adverse events. If it takes 20 years to see the benefits, how long before we know if there are any side affects? Of course I'd like to protect my daughter from any kind of cancer, but I'd also like to know what it is I'm allowing to be pumped into her system. As for the argument that this will give kids the "green light" to go and have sex, what a load of rubbish! The vaccine prevents against C.Cancer. That is what I will tell my daughter. What I won't be saying is, "This allows you to have care free, unprotected sex with no risks! Educating and advising our kids is all we can really do to protect them. We then have to pray that they will use their common sense, just as I had to when I was a teenager.
NLK, Munich,
I LOVE YOU, MUM!
"NO! I don't want to! You can't make me. I'm going to tell Daddy! You're trying to ruin my life! I HATE you!"
"Mandy, my DARLING! I'm trying to SAVE your life! The vaccine will PROTECT you! Do you want to get CANCER...down there?!"
"Why would I get cancer? What would cause cancer...down there?
"Oh, dear me! Well, I mean, you're only 13! You're too young.."
"Too young for what? To hear the truth?!"
"No! Oh dear! Well..what I'm trying to say is, I mean..when..
when a man and a woman..or a boy and a girl..but NOT you!
You are MUCH too young!..or even you...the woman - the girl - may catch something!"
"You mean like a sexually transmitted disease?"
"Yes! That's it! That's what I was about to say! The vaccine will prevent the woman - or the girl - from getting cancer that is caused by the HPV virus."
"They should practice safe sex! Oh, Mum! Isn't it wondeful! We can talk about ANYTHING! Mmm.. I LOVE you, Mum!"
Garth Rex, Glendale Heights, USA
They're not talking about SIDE EFFECTS in 20 years! They're talking about HEALTH BENEFITS in 20 years. Because it is a disease that tends to affect older women! So you won't see the results next year, since the girls are unlikely to get cervical cancer next year.
So calm down please, Charles. If you had read the article carefully, you'd have noticed the above, and the fact that it was tested on 12000 women.
"The vaccine has no side effects with the exception of soreness around the injection area " apparently.
And "Both men and women are carriers of HPV. To eradicate the disease, men will eventually need to be vaccinated. Studies are being conducted now to determine the efficacy of vaccinating boys with the current vaccine. "
So there you go.
starling, Lancaster,
Well why doesnt that surprise me?
Woman/Girls are nothing more than medical experiments, it always has been, and is now!
Why not the boys to get the jab? Suppose thats a stupid question! Oh yes the answer! We dont experiment on Boys!
And as for cervical cancer, it wont stop it! Because "Man made hormones for Woman" will see to that!
But dont worry its ok to still get HIV, because the jab wont stop that!
I really think there is a "sinister" view to this, and that is the "Drug Companies" will profit big style!!
Money now! Who cares a st**f about the side affects in 20years time?
After all its "Only Woman"
Charles Linskaii, Edinburgh, UK
Do the people inflicting this know the long term effects of the vacine?
Peggy Webb, Blyth, England
About time - why has the UK been so slow to introduce this vaccine - our US 'cousins' and European 'brothers & sisters' have had this available for some time now.
Fred Bloggs, Manchester,
In principle, I think this is a good idea. It may be expensive in the short term, however, it's a preventative measure with the potential to save the NHS millions. My only concern is that this has not been out there long enough to determine whether or not there are any adverse events. If it takes 20 years to see the benefits, how long before we know if there are any side affects? Of course I'd like to protect my daughter from any kind of cancer, but I'd also like to know what it is I'm allowing to be pumped into her system. As for the argument that this will give kids the "green light" to go and have sex, what a load of rubbish! The vaccine prevents against C.Cancer. That is what I will tell my daughter. What I won't be saying is, "This allows you to have care free, unprotected sex with no risks! Educating and advising our kids is all we can really do to protect them. We then have to pray that they will use their common sence, just as I had to when I was a teenager.
NLK, Munich,
I am very concerned that only girls are being targeted for the vaccine. Girls are going to be infected by this virus mostly from boys, so boys should be vaccinated, too, for both their benefits. Who wants to be a carrier of a disease?
I read recently that papilloma virus could be transmitted by oral sex, and it causes warts on the larynx in those cases, with possible future throat cancer. I also read that a large number of teenage girls are performing oral sex for their boyfriends. They think it's safe sex.
There's also a chance that since papilloma virus causes cervical cancer, maybe it causes prostate cancer, too.
J. Rhinehart, Spartanburg, usa