posted June 28, 2006 09:13 PM
Panel to recommend age for HPV shots By MIKE STOBBE, Associated Press Writer
1 hour, 4 minutes ago
ATLANTA - Should a new vaccination against a sexually transmitted disease be given to girls as young as 9 years old? That question will be taken up Thursday by a panel that helps set government recommendations on what shots U.S. citizens should get — and at what age.
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At issue is Gardasil, the first vaccine specifically designed to prevent cancer. The vaccine comes as a $360 series of three shots, and in tests has been highly effective against HPV, a virus that causes both cervical cancer and genital warts.
Proponents say it could whittle down the nearly 4,000 cervical cancer deaths that occur each year in the United States.
This month, the U.S. Food and Drug Administration licensed the shot for use in females ages 9 to 26. On Thursday, the Advisory Committee on Immunization Practices is expected to recommend to doctors what age group should get the shots.
The committee's advice is usually accepted by federal health officials, and influences insurance coverage for vaccinations.
The vote is potentially controversial, because the panel is expected to consider recommending that all girls 11 to 12 years old get a shot that guards against a sexually transmitted disease.
Health officials have been girding themselves for the argument that children who think they are immune to such threats might be more likely to have sex.
However, earlier this year, the Family Research Council, a conservative advocacy group that promotes family values, did not speak out against giving the HPV shot to young girls. The organization mainly opposes making it one of the required vaccines for school enrollment, said the group's policy analyst, Moira Gaul.
Even so, many doctors may be reluctant to discuss the shots with families of girls that young, and as many as a quarter of parents may oppose the vaccine for girls who are 15 or younger, some recent surveys suggest.
Scientists say the vaccine is most effective when given to girls before they become sexually active, and some girls become active before their teens.
About 7 percent of children have had sexual intercourse before age 13, and about a quarter of boys and girls have had sex by age 15, according to federal youth behavior surveys.
Youth survey data suggest that the shots will have little bearing on children's future sexual behavior, said Nicole Liddon of the U.S. Centers for Disease Control and Prevention.
In a recent survey of virgins ages 15 to 19, only 10 percent of boys and 7 percent of girls cited fear of disease as a reason not to have sex, said Liddon, a CDC behavioral scientist.
The committee is not planning to recommend the vaccine be required by schools, but other groups advocate such a step.
"That would be what we would like to see at the state level," said Dr. Jeff Waldman, senior director of clinical services for the Planned Parenthood Federation of America.
Policy makers in some states have begun to discuss the matter. Others, meanwhile, are focused on the cost of the vaccine and whether that will discourage its acceptance.
Most insurers are expected to cover the shot — a spokeswoman for Aetna Inc. said this week the insurer may even cover the shot for a broader age range than the committee recommends.
The panel is considering 11- to 12-year-olds in part because children that age already get two other shots, said Dr. Lance Rodewald of the CDC's National Center for Immunization and Respiratory Diseases.
The committee also is expected to discuss whether to make a "catch-up" recommendation for older, teenage girls as well, Rodewald said.
http://news.yahoo.com/s/ap/20060629/ap_on_he_me/hpv_vaccine
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What the heck? I'm pretty dumbfounded.
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"To learn is to live, to study is to grow, and growth is the measurement of life. The mind must be taught to think, the heart to feel, and the hands to labor. When these have been educated to their highest point, then is the time to offer them to the service of their fellowman, not before." - Manly P. Hall