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Thursday, January 11, 2007

Hold back knee-jerk reactions on HPV vaccine

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Everyone needs to take a deep breath, calm down and take a closer look at the "cutting edge" proposal to vaccinate young girls in the District against the sexually transmitted virus that can lead to cervical cancer.

Unfortunately, critics and conspiracy theorists already are waving the black nationalist flag or raising the conservative mantra of morality. But these knee-jerk reactions fail to look at this potentially lifesaving initiative for what it really is -- a public-health issue, not a sexual or racial issue.

Earlier this week, D.C. Council member David A. Catania introduced legislation that would require girls younger than 13 to be vaccinated against the human papillomavirus (HPV). The preteens would need proof of inoculation or a parental waiver before being allowed to enter the sixth grade in public schools.

What? Force young girls to be vaccinated against a virus they can contract only through sexual contact? What? A white council member suggesting that inner city girls, mostly black and brown, be subjected to a sinister plot reminiscent of forced sterilization or mandatory birth control? Heaven forbid, shades of the infamous Tuskegee experiment on unsuspecting black men and syphilis abound.

Hold up, wait a minute, let's put some facts in it.

First, this is a proposal, not a done deal. Mr. Catania, at-large independent, plans to hold hearings in the council's committee on health, which hopefully will generate informative debate.

Second, these shots are not part of a medical experiment in its trial stages aimed at one set of females. This locally discovered vaccine, tested on 11,000 women worldwide and in use in other countries for several years, is the first of its kind known to prevent any form of cancer. It has been approved by the Food and Drug Administration and the Centers for Disease Control and Prevention and recommended by the American Academy of Pediatricians.

Geared for girls entering puberty, advertisements for the HPV vaccine -- which is effective against one of the deadliest strains of the HPV virus, which causes 70 percent of cervical cancers -- can be seen on television and in teen and women's magazines, and is available now through private physicians.

Health care professionals and researchers agree that administering the vaccine around 10 and 11 years of age -- which Mr. Catania said coincides with the sixth grade -- would be most beneficial because it is assumed that girls of that age are not sexually active and have not yet been exposed to HPV.

Third, parents can "opt out" of having their daughters vaccinated. What parents do need, however, is more information about the preventative health care of their children, and maybe even of their own bodies, which is the added benefit of this public-health initiative.

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