Rick Perry makes the right call on HPV vaccine

I’m certainly not in the habit of praising Texas Gov. Rick Perry (R), but he clearly made the right call on an HPV vaccine. Less than a year after the FDA approved the vaccine that builds an immunity against the sexually transmitted human papillomavirus, Texas has become the first state to require all 11- and 12-year-old girls entering the sixth grade to get the shot.

Averting a potentially divisive debate in the Legislature, Gov. Rick Perry, a Republican, signed an executive order mandating shots of the Merck vaccine Gardasil as protection against the human papillomavirus, or HPV, starting in September 2008.

Mr. Perry’s action, praised by health advocates, caught many by surprise in a largely conservative state where sexual politics is often a battleground. “I had no idea; I was absolutely caught off guard,” said Representative Jessica Farrar, Democrat of Houston, who sponsored a bill to require the vaccinations starting this September. “Normally, the governor does not take things like this upon himself, although I’m glad he did.” […]

“Requiring young girls to get vaccinated before they come into contact with HPV is responsible health and fiscal policy that has the potential to significantly reduce cases of cervical cancer and mitigate future medical costs,” said Mr. Perry, who was re-elected to his second full term last November.

That’s a surprisingly progressive, public-health-centered policy from Perry, who deserves all the praise he’s receiving. He apparently considered waiting for the legislature, but realized the state GOP would delay any policy breakthroughs, so he crafted the policy through executive order.

To help demonstrate why this was such a good move, consider how livid James Dobson’s Focus on the Family is.

The group sent this to its membership yesterday:

The plan takes away the right of parents to decide whether their daughters will receive the vaccine…. Parents are the decision makers for their minor children for medical care. If state legislation mandates a vaccine be given, it takes away parental authority.

Additionally, in a normal classroom setting, no child will contract or transmit HPV. It can be prevented, for the most part, by abstinence until marriage.

That’s the standard far-right line. The Family Research Council has explained, “Giving the HPV vaccine to young women could be potentially harmful because they may see it as a license to engage in premarital sex.”

Let’s be clear: this HPV vaccine offers the promise of preventing cervical cancer and saving thousands of lives. For some conservatives, however, it comes down to a fairly straightforward position: The vaccine could possibly lead to more pre-marital sex, which ultimately trumps everything else, including the prevention of a painful death.

The position seems to be, “They sinned, now let them suffer for it.”

Kudos to Perry for having the sense to put public health interests over the unreasonable demands of his party’s base.

I’m not wholeheartedly glad about this move. For me there is an issue of partental control over medical issues. I wonder if there is an opt out issue. The other problem is a matter of trust. Will we find out in 20 years that two or three generations of kids were given a vaccine with terrible unexpected side effects because Merck was sitting on a pile of data that would have warned us? I’d recommend at least a parental opt out option.

  • Was this a triumph of reason and human interest or was this a battle between Big Pharma and the God Squad? It gets confusing when a Republican makes te decision.

    Agreed with Dale. Parents may have concerns about the vaccine being given to their minor for reasons other than keeping their daughters terrified virgins.

  • I live in Texas. Rick Perry is a dishonest, craven, sorry, hypocritical piece of shit. But even people like that can do the right thing once in awhile, so props so Rick.

  • The Christers have always thought that women should suffer for the “sin” of any sex that didn’t keep them barefoot and pregnant and worn out by age 30.

    Perry went further than merely an executive order:

    Perry also directed state health authorities to make the vaccine available free to girls 9 to 18 who are uninsured or whose insurance does not cover vaccines. In addition, he ordered that Medicaid offer Gardasil to women ages 19 to 21.

    Perry, a conservative Christian who opposes abortion and stem-cell research using embryonic cells, counts on the religious right for his political base. But he has said the cervical cancer vaccine is “no different from the one that protects children against polio.”

    It’s not all good news though. Texas allows parents to opt out of inoculations by filing an affidavit objecting to the vaccine on religious or philosophical reasons.

    But this is definitely something to congratulate a guy I normally hate for really doing “the right thing.”

  • As far as the business about parents being afraid of vaccine, it happens to have come out recently that the “studies” linking vaccinations that use mercury to things like autism are so seriously flawed that the “results” are actually meaningless, and that the doctor who did the original studies may have been in the pay of the law firm that was suing the drug companies and that the people the doctor “studied” were patients sent by the law firm.
    So much for one bit of “progressive science.”

    People who want to subject their children to having measles, polio, and all the other things these simple vaccinations block need to have their parental rights removed for willful ignorance. This “anti-vaccination” movement is fueled by chiropractors who believe all that Palmer bullshit that “chiropractic” is real medicine (I have nothing against the use of physical manipulation and am seeing a chiropractor – who doesn’t believe that crap – now). This is just another version of 19th Century “anti-science”, and for “progressives” to join the snake-handlers on this is just stupid.

    Oh,and by the way – Rick Perry got $6,000 in his re-election campaign, his former chief of staff is a lobbyist for merck, and the mother-in-law of his current chief of staff is state director for Women In Government, the group leading the campaign for mandatory vaccinations. Rather than think this is some dark Republican plot, I rather think this means that people who had the facts and knew the truth had a door to the governor’s office and had enough believability with him that they were able to get this done. Good for them.

  • Texas parents just want their girls not to get painful, fatal cervical cancer without having to be “the parents who took their daughter to the doctor to get her the cervical cancer vaccine.” Perry is protecting these people even if his motives are not 100% alright (which we don’t know). No opt out is a good thing. Opt out should only be available by making a showing of necessity before a judge or maybe some other responsible official (so people can’t force their daughters out of it just because they want to put their daughters at a greater risk for a crazy reason).

  • Merck claims the vaccine was safely tested on young children. How do you safely test a new drug on children? Who are these children? Where are they? Did they know they were part of a test? Did their parents? How much time has elapsed since the tests were conducted? What were the test protocols? What kind of follow-up has occurred? What is Merck’s definition of safe? Where can one find their test data? How much money has Merck spent on lobbying for a bill to make this vaccine mandatory? Who, besides Merck, stands to profit from this vaccine?

    Beyond that, who in his right mind trusts anything the federal government says these days?

  • Yes, there is an opt-out policy for the vaccine, so Dobson or anyone else claiming that this is being forced on their children is an idiot or lying or both.

    Texas allows parents to opt out of inoculations by filing an affidavit objecting to the vaccine on religious or philosophical reasons. Even with such provisions, however, conservative groups say such requirements interfere with parents’ rights to make medical decisions for their children.

  • Re comment 8

    I think it’s completely irresponsible and ridiculous to allow an “opt out” for anything but a medical reason (contraindications, allergy, etc.).

    It sets up a “religious subculture of death” where young girls under orders from their parents continue to pass on HPV to men (carriers) who can then pass on HPV to other non-vaccinated for religious reason girls under parental supervision.

    The health epidemic would continue. I would hope the “lawsuit epidemic” that would spring up around this would plug this so-called religious loophole.

    Sweet Jesus, I hate religious crackpots!

  • Will we find out in 20 years that two or three generations of kids were given a vaccine with terrible unexpected side effects because Merck was sitting on a pile of data that would have warned us?

    Exactly. I’m not sure why this is a God Squad v. Reason Issue. Fine, the GS’s objections are bullshit. What else is new? But would anyone be touting this as a triumph if Planned Parenthood or a group of pediatricians had made the biggest outcry against mandatory HPV vaccinations? [Crickets chirp]. Will there be quite so much glee if it turns out there are harmful side effects? No, there will be wailing and gnashing of teeth because the evil corporate greed heads and their pet FDA fucked up again!

    Perhaps things have changed since I studied this issue but drug research for women has generally been…how shall I say this? I’ll use the term fucked up because that’s easier to say than criminally negligent. If I had a daughter of that age I would object not on religious or philosphical grounds but on what you might call financial grounds. I know the FDA is involved in an on-going fuckfest with the Pharm Cos. I know that if a bunch of women (or other people that aren’t SWM) drop dead or have serious health issues these guys won’t give a flaming damn. Remember the IUD? Or speaking of kids, remember Prozac? Oops, it makes the little tykes kill themselves. It seems there’s also a heart medication out there that might or might not kill you because the maker was too eager to get it on the market. Oops again.

    Anyway, I’m not going to forget all of the other times “FDA approved treatments” have killed or hurt people just because Fuckus on the Family says has its collective pants in a knot. They’re wrong, Perry is wrong. Let’s just keep our fingers crossed the kids are all right.

  • I’m wondering how many teenage girls foreswore pre-marital sex because they were afraid of developing the HPV virus. And now the floodgates are open….

  • re: comment 7

    Even if your quote is right, maybe there’s some way to test it safely, like taking a tissue sample and adding the innoculating matter to the sample instead of introducing it into the test subject’s body. Then the test subject is really the tissue sample and not the person, I guess, but I don’t know whose language may be imprecise here, Merck’s rep or the writer of an abstract of a study, or your own.

  • When water was first flouridated, there was an outcry about it poisoning children. Now the only children who get cavities are those who only drink bottled water or private well water.

  • The governor is protecting his core constituency, the religious right. They’re the ones who are afraid of science, and won’t bring their kids to get their shots. This rule will allow parents additional breathing room at church. They’ll just look the other way when their kid gets her free shot at school. Healthy girls and young women without birth control will result in more children of the religious right because they won’t abort. The beat goes on. The population of the religious right grows. The governor gets it.

  • It seems I read the cost of the vaccine runs $200 plus for the needed shots. The story the Houston Chronicle reported was that getting reimbursed by insurance was problematic and doctors were not wanting to be responsible for the cost incurred with stocking the vaccine.
    Add the costs, the trouble with getting insurance to cover and the number of Texas households without insurance to the coziness of the Governors friends and staff with the company producing the vaccine and I find myself having trouble feeling real comfortable with any of this mandated “science”.
    As a Texas father of girls, I am not yet convinced of the merits of Merck’s case. Looks to me like another case of a pharmaceutical company finding another cash cow. What’s the profit line on this drug and is it covered by patents and for how long? Just call me a skeptic whenever big money and politics get together and make it mandatory for a captive population to pay the piper.

  • The Facts About Gardacil

    1) GARDASIL is a vaccine for 4 strains of the human papillomavirus (HPV), two strains that are strongly associated (and probably cause) genital warts and two strains that are typically associated (and may cause) cervical cancer. About 90% of people with genital warts show exposure to one of the two HPV strains strongly suspected to cause genital warts. About 70% of women with cervical cancer show exposure to one of the other two HPV strains that the vaccine is designed to confer resistance to.

    2) HPV is a sexually communicable (not an infectious) virus. When you consider all strains of HPV, over 70% of sexually active males and females have been exposed. A condom helps a lot (70% less likely to get it), but has not been shown to stop transmission in all cases (only one study of 82 college girls who self-reported about condom use has been done). For the vast majority of women, exposure to HPV strains (even the four “bad ones” protected for in GARDASIL) results in no known health complications of any kind.

    3) Cervical cancer is not a deadly nor prevalent cancer in the US or any other first world nation. Cervical cancer rates have declined sharply over the last 30 years and are still declining. Cervical cancer accounts for less than 1% of of all female cancer cases and deaths in the US. Cervical cancer is typically very treatable and the prognosis for a healthy outcome is good. The typical exceptions to this case are old women, women who are already unhealthy and women who don’t get pap smears until after the cancer has existed for many years.

    4) Merck’s clinical studies for GARDASIL were problematic in several ways. Only 20,541 women were used (half got the “placebo”) and their health was followed up for only four years at maximum and typically 1-3 years only. More critically, only 1,121 of these subjects were less than 16. The younger subjects were only followed up for a maximum of 18 months. Furthermore, less than 10% of these subjects received true placebo injections. The others were given injections containing an aluminum salt adjuvant (vaccine enhancer) that is also a component of GARDASIL. This is scientifically preposterous, especially when you consider that similar alum adjuvants are suspected to be responsible for Gulf War disease and other possible vaccination related complications.

    5) Both the “placebo” groups and the vaccination groups reported a myriad of short term and medium term health problems over the course of their evaluations. The majority of both groups reported minor health complications near the injection site or near the time of the injection. Among the vaccination group, reports of such complications were slightly higher. The small sample that was given a real placebo reported far fewer complications — as in less than half. Furthermore, most if not all longer term complications were written off as not being potentially vaccine caused for all subjects.

    6) Because the pool of test subjects was so small and the rates of cervical cancer are so low, NOT A SINGLE CONTROL SUBJECT ACTUALLY CONTRACTED CERVICAL CANCER IN ANY WAY, SHAPE OR FORM — MUCH LESS DIED OF IT. Instead, this vaccine’s supposed efficacy is based on the fact that the vaccinated group ended up with far fewer cases (5 vs. about 200) of genital warts and “precancerous lesions” (dysplasias) than the alum injected “control” subjects.

    7) Because the tests included just four years of follow up at most, the long term effects and efficacy of this vaccine are completely unknown for anyone. All but the shortest term effects are completely unknown for little girls. Considering the tiny size of youngster study, the data about the shortest terms side effects for girls are also dubious.

    8) GARDASIL is the most expensive vaccine ever marketed. It requires three vaccinations at $120 a pop for a total price tag of $360. It is expected to be Merck’s biggest cash cow of this and the next decade.

    These are simply the facts of the situation as presented by Merck and the FDA.

  • Amazing how many “progressives” and “liberals” on this site fall for what is a corporatist (Fascist) scheme. Follow the Money and Look at the Connections: the mother in law of his chief of staff heads up the organization pushing for it (WIG), the former chief of staff is a Merck lobbyist and Merck money to Perry’s 38 % victory campaign last fall and they weren’t the only ones. And the benefits are in question but not the expense as seen in #16 above. This is one of the main reasons why health insurance (government or private) keeps getting more expensive. Then the corporaists and their lackies in government can claim that government health care is too expensive and inefficient and must be cut. This is a government financed cash cow for “free enterprise” Merck. And this was done by Executive Order, Not Legislative action.If you keep transfering wealth to them eventually they will force anything on you by executive fiat and no exemptions allowed.

  • stickdog @ 16: excellent info. got any citations i can look at while we’re trying to decide about my daughter’s future? links please!

    a couple of paragraphs are a good start, but i’d like to read a lot more.

  • There are two sides to every discussion, of course. This vaccine does appear to confer some benefits. If I were a sexually active woman who disliked condoms and liked to have multiple sex partners who had not yet been exposed to any of the four strains of HPV that this vaccine protects against, I just might sign myself up.

    But that’s not the same thing as making this vaccine MANDATORY for a preteen population it was not rigorously tested on a scant 8 months after its initial rush job FDA approval.

    Aside from all the known risks of all vaccines, the unknown risks of this three shot regimen for preteens along with their other vaccine load, and the unknown long term risks of this vaccine for all populations, we have to look at cost vs. benefit.

    7861 of the placebo subjects contracted 83 cases of HPV 6-, 11-, 16-, 18-related dysplasias during the testing period compared compared to 4 cases among the 7858 subjects who were given GARDASIL. That’s after counting out every subject with any prior exposure to these strains. This includes 42 of the less serious HPV 6-, 11- related low grade dysplasias.

    Merck has published no data for how many non-HPV 6-, 11-, 16-, 18-related dysplasias were contracted by these subjects over these periods, but some practitioners have commented that they expect the vaccine to protect against 40%-50% of all dysplasias.

    In terms of every possible kind of dysplasia for which this vaccine confers protection, Merck’s own clinical evidence suggests that this vaccine saved about 10 patients out of each 1000 injected from the painful process of having these dysplasias treated (over the entire course of follow ups which ranged from 18 months to 4 years). Note that the populations for these studies were not preteens but women at the height of their sexual activity. Further note that since the vaccine uses virus-like particles (a new vaccine technology) and is only about five years in testing now, there is no guarantee that it has any long term efficacy.

    Of course, the pre-teen population is so less sexually active (and when active, so much less likely to be active with a previously contaminated partner) that I think it would be conservative to estimate that preteens are 5 times less likely to contract HPV dysplasias than the 16 to 26 year olds who were tested by Merck. So instead of saving 10 women per 1000 from painful treatments for HPV dysplasias, this vaccine would save perhaps 2 girls per 1000 from these procedures among the much younger population that Merck and Merck’s politicians are targeting for mandatory vaccination.

    Do we really want to pursue a public policy that costs $360,000 to vaccinate every 1000 girls while exposing each and every one of these thousand girls to the known adverse short term and largely unknown long terms side effects of three injections of a new vaccine just to save two of the more sexually active of these kids from having to have their dysplasias treated conventionally? What kind of a risk and cost vs. benefit trade off is that?

    Note that nowhere are we discussing actual incidences of cervical cancer because there is no clinical evidence whatsoever that GARDASIL reduces cervical cancer rates, and even if we place our hope in the the fact that it might, cervical cancer is simply not a meaningful health risk for any girl in the target vaccination population who is getting an annual pap smear.

    My main source is Merck and the FDA:

    http://www.fda.gov/cber/label/hpvmer060806LB.htm

    Also see:

    http://query.nytimes.com/gst/fullpage.html?sec=health&res=9E06E7DF163FF93BA25754C0A9609C8B63

    and

    http://www.straight.com/article/vaccines-show-sinister-side
    http://journals.humanapress.com/index.php?option=com_opbookdetails&task=articledetails&category=humanajournals&article_code=NMM:9:1:83

  • Re: 9,20 and like-minded others

    Don’t be a single-minded pissant. Get off the antireligious high-horse for a minute and start distrusting your government for the glaringly obvious evidence. Thank you stickdog for contributing a useful starting point for those of us trying to raise babies in a world where so few seem to give a shit about anything but their own precious conjecture. “Religious subculture of death” (#9)??? What an ass.

  • #16 “These are simply the facts of the situation as presented by Merck and the FDA.” Facts? lol

    That’s about as comforting as “I’m from the government and I’m here to help.”

    Where have you been, man? Everyone knows that Merck and FDA are the same thing, kind of like a conjoined twin.

    Let’s see; Real ID, talk of inserting RFID chips in people, premises registration and the rest that goes with National Animal Identification System (NAIS),…I have to ask what exactly is in the vaccine? Is there an added RFID chip inside? They aren’t any bigger than a grain of rice.

    Anyone notice that these mandates are starting to come on fast and furious?

  • Re: 20

    I’m incredulous about this response. In my experience, people who respond like this on an issue of this importance rarely think too deeply about it. The Governor tells them this is good for women (they say…”Oh, that’s good”) and the media reports that conservative groups are against it (….Oh, those bastards). That’s as much as they care to look into it. Their duty from this point on is to decry any opponents, usually from an anti-religious standpoint.

    Do you suppose Merck is spending so much money to get this mandatory vaccine policy in place because they are concerned about our well-being? I’d like to know who comes first, us or their bottom-line.

    Also, who wants to bet that “cure” is the most vile four-letter word that could be uttered and a Big Pharma company?

  • Our leaders often act like latent pedophiles, treating the citizenry like children, then looking for any excuse to put their hands all over them, even inside them, to ensure they aren’t doing something “harmful to themselves”.

    If Governor Perry really gives a damn about protecting children, then maybe he should start by taking his hands off the little girls, and rounding up some of the approximately 5000 registered molesters who have absonded from databases in Texas.

  • My mother and father are making me move from a school that i’ve been to since kindergarten because of this vaccine…im in my sohpomore year of high school and that is a very hard time to be moving schools. this vaccine being mandatory is ridiculous! If i have to move schools or to a different state or EVEN have to be homeschooled because my parents don’t want me to get the vaccine, i will have to leave the neighborhood, the neighbors, the school, the friends, and my boyfriend/best friend! If you were a sixteen year old girl and you thought you had everything you could possibly want, then because of a mandatory vaccine you had to take in order to enroll in texas schools, all of that was taken away…. How would you feel????

  • Regardless of one’s view about the vaccine, the issue is one of Rick Perry stepping outside his Constitutional boundary. Perry claimed in his statement explaining his “One Man System of Governmental Power Statement” (which he chose to style as “Executive Order RP65) that he “had the Constitutional Authority” to do this, and when it comes to women, he “always chooses life.” His explanation stated emphatically, that parents could “opt out” of this. However, it might be good to actually read the order.

    All his order actually states is that a parent may “request a form” to fill in, from the State Health Commissioner (which he appoints) to request “conscientious objector” status. But the problem lies in the fact that since this is not by Legislation, but rather by “Executive Order” if the Health Department is bound by the State Law “allowing” a parent to opt out or not.

    After all, this was not done by Legislation addressed in the Health Code, or Education Code, and the order simply says the Health Commission will allows a parent to “request a form” to ask to opted out. It doesn’t actually say within this order, that a parent may opt out.

    Additionally, it applies to all females entering the sixth grade. The order does not specify only public schools. It simply addresses females who shall be admitted to the “sixth grade.”

    Even Private and Home Schooled girls are “admitted to sixth grade” so we might want to take a step back from sending Perry all these flowers for “caring about the children” and consider some other matters involved with allowing a Governor to rule by dictate.

    For example, no matter what one believes regarding abortion, if Perry had a scintilla of sincerity in the statement he issued on the Monday following the announcement of RP 65 that he “believed he had this power granted by the State Constitution” and “when it comes to young women he always chooses life”, then why has he not ordered that any State Licensed Doctor in Texas is banned by Executive Order from performing an abortion upon any mother whose fetus could possibly be a female?

    He wouldn’t be banning abortion. He would simply be directing each State Licensed Doctor not to perform them. If he “always chooses life” and “has the authority” to issue Executive Orders bypassing the legislature and ruling by Executive Fiat, then why not?

    After all, abortion kills more young girls in Texas in a week, than this virus does in Texas in ten years.

    The reason he has not done so, is due to the fact he knows he does not have the authority constitutionally to do that any more so than he does to direct every female child in Texas to receive a $ 360.00 series of injections, via an Executive Order, or it may just be, that he isn’t all that concerned with “always choosing life” when it comes to young girls.

    Could it be, El Whoppo, that maybe it is the influence?

    I doubt many folks will be praising him when he decides, (for the children naturally) that he will issue an executive order barring any school which receives tax dollars from the State, from teaching evolution?

    Please don’t tell me about how the Supreme Court would halt him. Because if he disregards the Legislative branch of government, why in hell should he concern himself with the judicial branch?

    And, he’d be doing it “for the children.” And he sure hasn’t seemed to pay much attention to any Federal Constitutional restrictions barring States from entering into agreements with foreign entities, if you consider how he is handling this “Trans Texas Corridor/ Spanish owned “Cintra” Toll Road ownership contract that TXDOT is cooking up against the will of almost 99 % of all Texans.

    So I doubt he’d worry much about nine lawyers employed up in Washington had to say.

  • Hello. I also have hpv. a friend sent me a link of the above website, that sells treatment for genital warts. what i saw there is genital warts picture and treatment by Waldon Research labs. can you please check this site and tell me if this can heel hpv? thank you very much 🙂

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