BlogHer - Blood Pressure, Insurance Co-pays, and the HPV Vaccine. - Comments

All Good Points and True

abswyg — Sun, 09 Sep 2007 16:06:31 -0500

There's no question that Pap tests are still critical and I hear ya -- that's my beef with Merck's marketing campaign too. And there's no question that there's unequal access to Pap tests both in this country and abroad. Sadly, unequal access is a universal truth for all cancer screening tests. And, while, yes, HPV is very common and does most of us no harm, it's still a significant risk factor for cervical cancer and the vaccine has the potential to cure 70% of cervical cancer cases (and, as Dr. Len points out in his blog, there's some evidence to suggest that the vaccine may be beneficial for a couple of other types of cancer that Pap tests do not detect).

This shouldn't be an either/or situation. When it comes to cancer, we should take advantage of all of the tools we have in the arsenal (those that have been scientifically proven and are recommended by credible health organizations). I also agree that we should look past the hype and make informed decisions -- that's where unbiased sources of information like the American Cancer Society can be real handy.

Amy S.
Up With Moms (http://upwithmoms.blogspot.com/)

Some more facts about HPV and Cervical Cancer.

Catherine Morgan — Sat, 08 Sep 2007 12:07:11 -0500

Hi Amy, thanks for your comment.

You make a lot of great points. But, my problem with the HPV vaccine has nothing to do with "special interest groups". It's just personal observation, and an understanding of the facts surrounding deaths from cervical cancer.

I believe the HPV vaccine is very important, especially for third world countries where the incidence of death from cervical cancer is much higher than it is here. This is what the American Cancer Society says...

In many developing countries, cervical cancer is the major cause of cancer deaths in women. This is largely because they do not have access to Pap tests.

And in our own country...

Socioeconomic and Ethnic Factors

Although the rate of cervical cancer has declined in both Caucasian and African American women over the past decades, it remains much more prevalent in African Americans and their death rates are twice as high as Caucasian women. Hispanic American women have more than twice the risk of invasive cervical cancer as Caucasian women also due to a lower rate of screening.

These differences, however, are almost certainly due to social and economic differences. Numerous studies report that high poverty levels are linked with low screening rates. In addition, lack of health insurance, limited transportation, and language difficulties hinder poor womens access to screening services. Researchers are investigating programs that provide screening and treatment for women with abnormal Pap smears in a single visit. A 2001 study of women in the military found no differences in mortality rates when there is equal access to the same treatments.

In the United States, the only deaths caused by cervical cancer are in women who never had a pap test (and those are often of low-income). Unlike many other forms of cancer, cervical cancer is almost always caught early enough for successful treatment. Even though HPV virus is prevalent here, the majority of HPV viruses will clear totally on their own or with treatment. It is only very, very, very few that will ever develop into cancer.

From the HPV Forum...

While HPV infection is the leading cause of cervical cancer, in reality it is very rare for HPV infection to progress to cancer with proper treatment. 60 to 80 % of CIN 1 dysplasias resolve on their own, and only about 1% of cases progress to invasive cervical cancer.

That's why the "one less" campaign really gets under my skin...the only way to guarantee that you will be "one less", is by getting pap tests (with or without this vaccine, it is possible to be "one less", GET A PAP TEST).

But there are ways to help all women in this country get the testing they need. A program called the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) provides testing to women without health insurance for free or at very little cost. Each state’s Department of Health will have information on how to find out about this program.

So what I am saying is...This vaccine has it's benefits, and is a great breakthrough in medical and pharmaceutical research. But, the United States should weight greatly the need for this vaccine to be made mandatory. Parents should be given the "facts" not just the "fears", and make educated decisions about whether they get this vaccine for their child.

Contributing Editor Catherine Morgan
also at Women 4 Hope and Informed Voters

Ha!

Virginia DeBolt — Sat, 08 Sep 2007 10:07:44 -0500

Glad I could help you organize your health beat info. :)

http://www.webteacher.ws/
http://first50.wordpress.com/

Don't Let Special Interests Sway You on HPV

abswyg — Sat, 08 Sep 2007 08:02:41 -0500

It's very easy to be suspicious of government mandates, especially when there is the appearance that they may have been influenced by special interests (i.e., drug company lobbyists). It's also easy to dismiss drug company marketing as clearly their goal is to profit from this vaccine. And its very easy to get lost in the hype both for and against the vaccine.

However, it's very hard to ignore the recommendation of credible, unbiased organizations like the American Cancer Society whose only interest is curing cancer. The Society sees clear benefits to the HPV vaccine in the fight against cancer and has issued guidelines to help the public in its decision making. The Society's guidelines are always science-based and developed, thoroughly vetted and approved by Society staff and volunteers who are our country's preeminent cancer experts.

See this article about the Society's HPV Guidelines. Or, better yet, see this post on Dr. Len's Cancer Blog. Also note the compelling comment left by one young woman who describes her struggle with HPV. Dr. Len is the American Cancer Society's Deputy Chief Medical Officer and resident blogger. He gives great insight into the major cancer issues of the day and his posts are always timely, thoughtful and written with heart. I'd encourage everyone to consult with Dr. Len whenever they want the real scoop on major cancer issues.

It would be such a shame for people to reject this promising advance in the fight against cancer because of mistrust of special interests.

Amy S.
Up With Moms (http://upwithmoms.blogspot.com/)

Blood Pressure, Insurance Co-pays, and the HPV Vaccine.

Catherine Morgan — Sat, 08 Sep 2007 00:38:04 -0500

Thanks to Virginia, BlogHer's resident technology editor, I recently learned how to use a "feed reader", also know as RSS. Don't laugh, I know I'm a bit behind the times. I like having so much information in one place, but it can be a little overwhelming as well.

This week I noticed there was a lot of women's health issues in the news. So I thought I would use this post to touch on a few of them.

Since September is "Healthy Aging Month", let's start with the growing problem many of our seniors are facing, in trying to afford their prescription medications. It seems seniors are having to make financial decisions to not buy medications, especially when they have higher co-pays. Here is an excerpt from High Co-Pays Cause Seniors to go Without Meds.

The data highlights a tough decision for older Americans: Spend more or skip some of their medicines, including those for chronic diseases such as diabetes and high blood pressure.

"Consumers are sensitive to price. When they have to pay more, they tend to consume less," senior researcher Boyd Gilman said in a prepared statement.

This isn't a new problem, but it is a problem that is becoming worse with the rise in prescription co-pays. And, it's not just a problem for seniors anymore, many people (especially single mothers) are facing the dilemma of whether to buy groceries for their family, or their medications...A decision none of us should ever have to make, but many of us will have to.

With heart disease a leading cause of death in women, non-compliance with blood pressure medications can have deadly results. Even when people can afford their blood pressure medications, many stop taking them because they feel better and believe they are "cured".

A major problem for controlling blood pressure is that people will often stop their medication once their blood pressure levels are healthy, according to a new report. Blood pressure is not cured and people with hypertension need to constantly track their readings.

Find information about monitoring your blood pressure here.

Then, there is still controversy surrounding the HPV Vaccine. I've written about this a few times before at "Gardasil - The Three Faces of the HPV Vaccine". My voice of opposition has been barely noticeable, especially in comparison to the multi-million dollar advertising "bullhorn" of the Merck pharmaceutical company. So, it was nice to come across this article, written by someone who actually shares my thoughts on the subject.

A little more than a year ago, the nation's first vaccine against some human papillomavirus (HPV) infections was released. This medical progress against cervical cancer got swept up by fear-based marketing that helped to generate premature calls for government mandates.

"You could become one less life affected by cervical cancer" is the mantra in most of Merck's ads for its vaccine, called Gardasil. The ubiquitous marketing campaign may leave viewers thinking that cervical cancer is more prevalent than it really is.

The U.S. Centers for Disease Control and Prevention predict a 22 percent to 60 percent reduction in cervical cancer attributable to this vaccine. However, for these reductions to be realized, a high proportion of young women will have to be vaccinated. Even then, reductions in invasive cervical cancer won’t be measurable for several decades.

If there’s one thing the discussions make clear, it’s that we need to try harder on Pap tests. Cervical cancer used to be a leading cause of cancer deaths among U.S. women. But since the introduction of the Pap smear in the 1940s, those deaths have dropped about 75 percent, even as the population has grown. -- read full article

Well, that's all I have for today. If you have an opinion about one of these topics, I hope you'll leave me a comment.

Contributing Editor Catherine Morgan
also at Women 4 Hope and Informed Voters