Tag: gardasil

Will a NY Law Make the HPV Vaccine Mandatory for Daycare?

Why do some folks think that a proposed bill in New York will make the HPV vaccine mandatory for kids in daycare?

A NY law will not make the HPV vaccine mandatory for kids in daycare.
Kids in daycare will not need to get the HPV vaccine if S298 passes in New York.

Unfortunately, this time the misinformation isn’t just coming from the usual sources. Local news stations are getting in on the action too.

Will a NY Law Make the HPV Vaccine Mandatory for Daycare?

While Senate Bill S298A does “Provides for the immunization of all children born after January 1, 2008 against the human papillomavirus (HPV),” it doesn’t say anything about a mandate for kids in daycare.

“Section one amends the section heading and subdivisions 2; 3, 5, 6, 7, and 8 of section 2164 of the public health law, as amended by chapter 401 of the laws of 2015, by adding human papillomavirus (HPV) to the list of required immunizing agents, such as those against poliomyelitis, mumps and measles, to be administered to children in this state. Section one also adds the HPV vaccine to the list of vaccines for which a booster is required;”

Senate Bill S298A 2019-2020 Legislative Session

When would they get it?

“Every person in parental relation to a child in this state shall have administered to such child an adequate dose or doses of an immunizing agent against poliomyelitis, mumps, measles, diphtheria, rubella,varicella, HUMAN PAPILLOMAVIRUS (HPV), Haemophilus influenzae type b (Hib), pertussis, tetanus, pneumococcal disease, and hepatitis B, which meets the standards approved by the United States public health service for such biological products, and which is approved by the department under such conditions as may be specified by the public health council.”

Senate Bill S298A 2019-2020 Legislative Session

Like the other vaccines, they would almost certainly get it at the standard age, when they are 11 or 12 years old.

“Every person in parental relation to a child in this state born on or after January first, nineteen hundred ninety-four and entering sixth grade or a comparable age level special education program with an unassigned grade on or after September first, two thousand seven, shall have administered to such child a booster immunization containing diphtheria and tetanus toxoids, [and] an acellular pertussis vaccine, AND A HUMAN PAPILLOMAVIRUS (HPV) VACCINE, which meets the standards approved by the United States public health service for such biological products, and which is approved by the department under such conditions as may be specified by the public health council.”

Senate Bill S298A 2019-2020 Legislative Session

And they would get their second booster dose in the sixth grade.

So why do some folks think the bill includes a mandate for daycare?

“The term “school” means and includes any public, private or parochial child caring center, day nursery, day care agency, nursery school, kindergarten, elementary, intermediate or secondary school.”

Senate Bill S298A 2019-2020 Legislative Session

The term day care is used in the definitions list at the beginning of the bill…

“The term “child” shall mean and include any person between the ages of two months and eighteen years.”

Senate Bill S298A 2019-2020 Legislative Session

While that might be a little confusing, it really isn’t if you read the whole bill.

“This bill will leave to the department of health to determine the age at which children will be required to be vaccinated in light of ACIP recommendations.”

Senate Bill S298A 2019-2020 Legislative Session

After all, what are the ACIP recommendations?

“Routine vaccination at age 11 or 12 years has been recommended by the Advisory Committee on Immunization Practices (ACIP) since 2006 for females and since 2011 for males.”

Use of a 2-Dose Schedule for Human Papillomavirus Vaccination — Updated Recommendations of the Advisory Committee on Immunization Practices

Since there is nothing in the ACIP recommendations about kids in day care getting a dose of HPV vaccine, it should be very clear that S298A is not a mandate for day care, preschool, or kindergarten, etc.

It is a mandate for kids to get vaccinated and protected in middle school.

And New York, if this bill is enacted, would join Hawaii, Rhode Island, Virginia, and District of Columbia, which already have HPV vaccine school entry mandates.

More on HPV Vaccine School Entry Mandates

Has Gardasil Really Eliminated Cervical Cancer in Australia?

Why do some folks think that Gardasil hasn’t eliminated cervical cancer in Australia yet?

“New research from Cancer Council NSW, being presented this week at the International Papilloma Virus Conference (IPVC 2018) in Sydney and published in The Lancet Public Health, has shown that if vaccination and screening coverage are maintained at their current rates, cervical cancer is likely to be eliminated as a public health issue within 20 years.

The new research predicts that cervical cancer rates will drop to less than 6 in 100,000 by 2022 – meaning that it will soon be considered a rare cancer. Rates will continue to drop further, dropping below 4 in 100,000 by 2035. These findings indicate that Australia is on-track to be the first country in the world to eliminate cervical cancer by successfully implementing a combined approach to vaccination and screening.”

Australia set to eliminate cervical cancer by 2035

Maybe it is because Gardasil really hasn’t yet eliminated cervical cancer in Australia…

Has Gardasil Really Eliminated Cervical Cancer in Australia?

Wait, so why is anyone trying to say that something that hasn’t happened yet isn’t true?

Is Bobby Kennedy trying to get in the way of work to eliminate cervical cancer?
Who is Dr. Robert Reichert?

Perhaps “Dr. Reichert” just misspoke and did say that Australia had already eliminated cervical cancer instead of that they were on their way to eliminating cervical cancer

It is true, after all. Australia is really on their way to eliminating cervical cancer thanks to the HPV vaccine!

What about all of the slides and tables that Bobby Kennedy included with his post?

Does Slide 1 really show a terrifying increased risk of cervical cancer?

Anti-vax folks like to misrepresent the results of this study.
Anti-vax folks like to misrepresent the results of this study.

Of course not.

It actually shows how thoroughly vaccines are tested before they are approved!

In this case, they were evaluating “the potential of Gardasil to enhance cervical disease in subjects who had evidence of persistent infection with vaccine-relevant HPV types prior to vaccination.”

And although Bobby Kennedy is claiming that is what they found, the women in the Gardasil group (6.5%) were much more likely to have a Pap test with HSIL (high grade squamous intraepithelial lesion) as those in the placebo group (3.7%) at the start of the trial! That’s before they were vaccinated and that’s why they were more likely to have cervical cancer. Remember, the HPV vaccines prevent cervical cancer. They do not treat cervical cancer.

Bobby Kennedy left this out, but during these trials, when they looked at other subgroups, they “did not raise a concern about enhancement of cervical disease due to HPV.”

And Bobby Kennedy‘s other slides?

In Slide 2, just after telling you to look at the vaccine insert, he claims that “nearly half of all women have had prior exposure to HPV – with 38% being exposed before age 10.”

Is that in the vaccine insert?

Nope, it comes from a small study he found, Genital HPV in Children and Adolescents: Does Sexual Activity Make a Difference?, which says that “sexual activity was associated with increased risk for genital high-risk HPV infection.”

Most studies find that prepubertal girls are negative for HPV.
Most studies find that prepubertal girls are negative for HPV.

Surprisingly, the study did find that some girls somehow had exposure to HPV even though they were not sexually active and some, even while they were prepubertal.

“The finding of asymptomatic HPV DNA in children, and correlation with live virus, infectivity, or disease is unclear.”

Jayasinghe et al on Genital warts in children: what do they mean?

Again, Bobby Kennedy leaves out the fact that almost all other studies have found that prepubertal kids and those who are not sexually active are negative for HPV.

And Bobby Kennedy‘s other slides?

The UK doesn't have vaccine mandates and rates of stage II or worse cancers were lower than ever.
The UK doesn’t have vaccine mandates and rates of stage II or worse cancers were lower than ever.

Did rates of cervical cancer increase “in the vaccinated group (20-24)” just after the start of a school vaccination campaign?

“Screening from age 20 yrs, rather than from age 25 yrs, would not prevent any more cancers from spreading beyond the cervix (stage II or worse) by age 27 yrs. The substantial increase in stage I cervical cancers in 24 and 25 year old women, corresponds to changes whereby a high proportion of women are now screened for the first time between ages 24.5 and 25.5 yrs. Previously some of these early stage screen detected cancers would have been prevented by treatment of high-grade cervical intraepithelial neoplasia following earlier screening and a few would have been screen-detected later – at age 26 or 27 yrs. Others may be slow-growing cancers, some of which could be argued to be over-diagnosed.”

Castanon et al on Is the recent increase in cervical cancer in women aged 20–24 years in England a cause for concern?

It kind of did, but only in the lowest grades and because they changed the ages for when these women were screened!

“Reassuringly no increase in stage II or worse cancers was observed in women under age 27 yrs. In fact, numbers of stage II or worse cancers diagnosed at age 24.5–25.0 yrs in 2014 are lower than in any other year since 2007.”

Castanon et al on Is the recent increase in cervical cancer in women aged 20–24 years in England a cause for concern?

And that’s not all they found!

Wait, Bobby Kennedy doesn’t mention that rates of cervical cancer are getting lower since 2007…

“Amidst these changes HPV vaccination was introduced in 2008 for girls aged 12–13 with catch-up for those aged 14–18.”

Castanon et al on Is the recent increase in cervical cancer in women aged 20–24 years in England a cause for concern?

What else happened since 2007?

That’s right. That’s about when we started vaccinating girls with the HPV vaccine.

A vaccine that has been very well studied since to see it’s effects on cervical cancer, including a large meta-analysis of 65 studies in 14 countries.

“More than 10 years have elapsed since human papillomavirus (HPV) vaccination was implemented. We did a systematic review and meta-analysis of the population-level impact of vaccinating girls and women against human papillomavirus on HPV infections, anogenital wart diagnoses, and cervical intraepithelial neoplasia grade 2+ (CIN2+) to summarise the most recent evidence about the effectiveness of HPV vaccines in real-world settings and to quantify the impact of multiple age-cohort vaccination.”

Brisson et al on Population-level impact and herd effects following the introduction of human papillomavirus vaccination programmes: updated systematic review and meta-analysis.

What did they find?

They found “compelling evidence of the substantial impact of HPV vaccination programmes on HPV infections and CIN2+ among girls and women, and on anogenital warts diagnoses among girls, women, boys, and men.”

“In countries like the UK, Australia, and Canada there has been dramatic reduction in HPV related infections and diseases, while in countries with very low coverage there has been very little impact.”

Marc Brisson on HPV vaccine: high coverage could eradicate cervical cancer within decades, say researchers

HPV vaccines are safe and effective and they prevent cancer!

Why are some folks still trying to scare parents away from vaccinating and protecting their kids with these necessary vaccines?

More on Gardasil Eliminating Cervical Cancer in Australia

ACIP June 2019 Update

The Advisory Committee on Immunization Practices (ACIP) holds three meetings each year at the Centers for Disease Control and Prevention (CDC) in Atlanta, Georgia to review scientific data and vote on vaccine recommendations.

Topics at the ACIP June 2019 meeting, held on June 26 and 27, included:

  • 9vHPV Immunogenicity and Safety Trial in Mid-Adult Females
  • Overview of Health Economic Models for HPV Vaccination of Mid-Adults
  • HPV Vaccines Evidence to Recommendations (EtR) Framework
  • HPV Vaccines Work Group Considerations and Proposed Policy Options
  • Considerations for PCV13 use among adults 65 years or older and summary of the Evidence to Recommendations (EtR) Framework Proposed policy options
  • Combination Vaccines – Summary and Relevant Evidence to Recommendation Information
  • Update: Safety Monitoring and Surveillance for Recombinant Zoster Vaccine (RZV)
  • Herpes Zoster Work Group Summary
  • Pertussis Vaccines EtR Framework, Work Group Considerations and Proposed Policy Options
  • Rabies Vaccine
  • 2018-19 U.S. Influenza Activity
  • 2018-19 Influenza Vaccine Effectiveness
  • 2018-19 Influenza Vaccine Safety
  • Influenza Vaccine Proposed Recommendations for 2019-20
  • Proposed Recommendations for Use of Hepatitis A
  • Dengue Epidemiology in the U.S.
  • Dengvaxia Phase III Clinical Trials and Long Term Follow Up
  • Dengue Vaccine Work Group Considerations and Next Steps

If you haven’t been watching the meeting, the slides, videos, and minutes will be available later.

ACIP June 2019 Meeting Votes

And ACIP members voted on a number of issues, including:

Passed.
Passed.
This changes the 2014 ACIP recommendation to give PCV13 to all adults 65 years or older.
A series of votes on DTaP, Hib, IPV, and hepB got Vaxelis, the newly FDA approved hexavalent vaccine, added to the VFC program.

Coming up tomorrow will be votes on flu, hepatitis A, and meningococcal B vaccines.

More on the ACIP June 2019 Meeting

I’m Not Anti-Vaccine, I Just Don’t Believe in the HPV Vaccine

Believe it or not, there are some parents who get their kids each and every vaccine, but skip the one that protects them from cancer.

I’m Not Anti-Vaccine, I Just Don’t Believe in the HPV Vaccine

Why?

HPV Vaccine is Cancer Prevention.

That’s a good question.

And although they won’t have a good answer, some of their reasons include that:

  • the HPV vaccine is too new – even though Gardasil was first approved in 2006 and the first phase 1 and phase 2 trials began in 1997!
  • they don’t think it is necessary – even though about 4,200 women die of cervical cancer each year (that’s just in the United States), even in this age of routine pap tests
  • it might lead their kids to have early sex or unprotected sex – even though studies show it won’t
  • Michele Bachmann once said it caused mental retardation – even though she had no evidence to support her claim
  • the HPV vaccine is too controversial – any “controversy” about Gardasil and Cervarix is made up by anti-vaccine folks
  • HPV vaccines can cause POTS, ASIA, primary ovarian failure, venous blood clots, behavior problems, or multiple sclerosis, etc. – even though over and over, studies have found HPV vaccines to be safe and to not cause any of the other serious side effects or vaccine induced diseases you read about on the Internet that scare you away from vaccinating and protecting your kids
  • it is banned in Utah – even though that isn’t true
  • it doesn’t provide life-long protection – even though the protection has been found to be long-lasting, as long as we have been giving the vaccine so far
  • it is banned in Japan and France – even though HPV vaccines aren’t banned anywhere and are actually on the immunization schedule in at least 64 countries
  • Katie Couric once did a scary segment on HPV vaccines – well, she did but later apologized… after being called out for pushing anti-vaccine misinformation
  • an HPV vaccine researcher says it’s dangerous – no, the HPV vaccine researcher, Diane Harper, actually says it is a safe vaccine
  • HPV vaccines are just for girls – even though there are around 11,000 cases of HPV induced cancer in men each year, including anal cancer and cancers of the mouth/throat and penis
  • their kids are too young and can get it later, when they are older – even though protection is likely better when they get the vaccine when they are younger, and you don’t want to wait too long, when you increase the chance that they will have had sex and will already be exposed to HPV

So why aren’t you getting your kids vaccinated and protected… against cancer?

Need to do more research? Read the links below and then schedule your kids for their HPV vaccine.

More on HPV Vaccine Safety