Saturday, February 10, 2007

"What kind of people supply schoolgirls to a pharmaceutical company...?"

Readers object to a NYT editorial supporting vaccinating girls against the virus (HPV) that causes cervical cancer. The letters worry about as-yet unknown side effects, loss of individual autonomy, the power of lobbying by the vaccine manufacturer (Merck), the burden on girls and not boys, and the misallocation of health care funding.

The editorial was more focused on the way socially conservative parents might stand in the way of girls getting an effective treatment:
Many parents are appalled at the notion of vaccinating such young girls against a sexually transmitted disease. But the medical reality is that the vaccine will generally not work after a woman has been infected, so it is best for girls to be vaccinated well before they become sexually active.
Before they become sexually active. The assumption is they will have multiple male sex partners, but many will not. Should they all have the vaccine? Of course, I can see why you can't expect parents to have an accurate idea of whether their daughters will expose themselves to sexually transmitted diseases -- or to spend their money protecting them from a danger they want them to avoid altogether.
None of these objections seem strong enough to forgo the protection against a devastating disease. The United States records some 10,000 new cases of cervical cancer each year, and 3,700 cervical cancer deaths. Gov. Rick Perry of Texas, a conservative Republican, has taken an “opt out” approach, in which vaccination is required but parents can seek an exemption for reasons of conscience or religious beliefs.
So the fact conservative Republican is doing it bolsters the argument? What happened to the usual suspicion that such characters are out to benefit big corporations?

ADDED: I should acknowledge that a woman who only has one male sexual partner could get the virus from him if he has at least one other partner. And I should have been clear that I don't think all (or even most) parents want their daughters to have only one male sexual partner and for that man to have had no other sexual partner in his life. And I'm not a medical expert, so I don't know what the odds of exposure are for persons with very few sexual contacts. I do think there are women who never have sex with anyone or never have sex with males and that it would be good for our culture to notice their existence when we think about what good policy is.

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