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William Schaffner, M.D.

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'Have We Politicized Our Public Health?'

Posted: 09/22/11 09:11 AM ET

Decades in public health have taught me just how hard it is to communicate sound scientific information to the public through the media. I believe that our work got a lot harder as politicians took to the airwaves to politicize the HPV vaccine. I can't help but wonder how many millions of Americans are questioning the safety of what I feel is a valuable public health vaccine, based on no proof and no science.

The HPV vaccine does not cause mental retardation or any of the host of other maladies to which I believe people wrongly connected the vaccine to. But the vaccine does prevent cancer! It doesn't just "reduce your risk" -- it actually prevents it. A woman who is immune to HPV types 16 and 18 cannot get HPV-16 and HPV-18 related cervical cancer. And right now those represent 70 percent of all cervical cancers.

A few decades ago, the polio vaccine was introduced and the public hailed it as miraculous -- which it was and still is. But now, I believe that our politicians are taking a miraculous vaccine that prevents cancer and using it for political gain. In my opinion, it is shameful to take a public health issue and hijack it for political reasons.

Besides cervical cancer, HPV causes many other types of cancer including throat cancers that are rising dramatically in young and middle-aged men. HPV might also increase your risk of developing skin cancer. And yes, it also causes other genitourinary cancers -- cancer of the penis, anus, vulva and vagina. But those are the locations that lead us back into the world of politics, I'm afraid.

Some in the public health community believe that the dramatic rise in throat cancer means that we are teetering on the precipice of a cancer pandemic. But instead of talking about out how we can use the HPV vaccine to save lives and health-care dollars, our politicians are using public health policy to batter each other in front of a rapt audience.

The benefits of the HPV vaccine are not speculation. We have proof that the HPV vaccine works. Australia was one of the first countries to introduce the HPV vaccination, and has achieved much higher vaccination rates than we have in the United States. As a result, Australia has seen a 50 percent decrease in the incidence of high-grade cervical abnormalities (that is, pre-cancerous changes in the cervix) in females age 17 and younger. Australia has given its young women a chance to avoid a deadly form of cancer that has an average age of onset of 50.

The people making political hay out of HPV vaccination in this country will not be around in 30 years to be held accountable by today's young women when they face cervical cancer diagnoses. I believe that we need to hold them accountable today. Those running for office may deliver innuendo instead of facts on other topics, but I believe that we cannot allow them to do that with the public's health.

William Schaffner, M.D., President of the National Foundation for Infectious Diseases

 
Decades in public health have taught me just how hard it is to communicate sound scientific information to the public through the media. I believe that our work got a lot harder as politicians took to...
Decades in public health have taught me just how hard it is to communicate sound scientific information to the public through the media. I believe that our work got a lot harder as politicians took to...
 
 
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HUFFPOST SUPER USER
marlaannchristenson
Well when you say it like that...
02:00 AM on 09/28/2011
Ironically, these are the same politicians who would deny cancer treatment, free or subsidized, to a woman who had cervical cancer. I consider their attempts to keep women from the HPV vaccine as no different than attempted murder. For a party that wants the government out of private lives, they are spending an increasing amount of time discussing private/personal matters.
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Jenni Gahr Schmidt
Mom, Army & Public Heath Nurse, Geek, Fiber Addict
06:49 PM on 09/23/2011
While I agree that BigPharma+Politics is not a great collusion, things like vaccines really need to be in a class of their own and not be politicized.

The problem that the HPV vaccine faces has more to do with the fear of sexual independence of women than politicization or pharma/govt collusion, but nobody will own up to that fact. I think Michele Bachmann's anecdotal phrasing is really tell, "little 12 year old girls"... inherent in that is a belief that 12 year olds haven't been exposed to the world, that they are perfectly innocent, etc.

There is a belief in a pre-1950s idyllic existence that never was: it was a world without abortion, teen pregnancy, depressed people, racism, hunger, disease, etc.

So really the politicizing of the HPV vaccine is a yearning for a simpler time by people who see the world in very black and white terms.
batguano
As Long As Grass Grow, Wind Blow & The Sky Is Blue
08:40 PM on 09/22/2011
How are we to expect the general public to believe in HPV vaccine, or that anything these profits-at-the-expense-of-people corporations sell are really safe and do not contribute to childhood deaths, diseases, or other abnormalities/infirmities, after the long list of actual catastrophes? The corruption and collusion between private “enterprise” and government has grown to such alarming and subversive proportions, it is difficult to believe anything we are told. When new “medicines” are routinely approved before full testing is accomplished, and testing agencies are funded by the same corporations seeking approval? When a nightmare scenario is recognized the victims are not given priority or compensation, but are forced to courts by greedy CEO’s. When ex-Def-Sec Rumsfeld controls Gilead Sciences, the corporation controlling the rights to Tamiflu, the bogus “cure” for the swine and avian flu hoaxes, and the US gov purchased billions in worthless crap. How are we expected to have any faith at all in “public health”?

http://www.therealessentials.com/bird-flu-hoax-rumsfeld.html
02:07 AM on 09/24/2011
I would consider any article that names Gilead Sciences as the maker of Tamiflu to be completely without merit. And if that weren't bad enough, giving any credibility to Dr. Mercola makes the whole thing worthless.
02:19 AM on 09/24/2011
Scratch that, apparently it was a Gilead invention, though they sold the rights to manufacture it to Roche. Rumsfeld never controlled the day to day at Gilead but was head of the board of directors.
batguano
As Long As Grass Grow, Wind Blow & The Sky Is Blue
08:40 PM on 09/22/2011
We began to allow the "politicization of public health" when we permitted the pharmaceutical industry to push/market their often worthless, dangerous junk nightly on TV, often targeting ill-informed, desperate people; remember "restless leg syndrome" and the unbelievably bizarre list of side-effects from some of big-pharma’s worthless expensive dangerous junk?

We relinquished the role of "public health" to for-profit greed-driven executives and out of the hands of health professionals untainted by the profit motive when we had taxpayer-funded research taken private to enrich a few when the many paid for the research break-through; now those profit motivated corporations do not focus on the mundane life-saving drugs or vaccines, but primarily on the expensive (at least to the consumer) big-money items, TV drug-pushing and selling fear.
06:58 PM on 09/22/2011
Glad to hear someone who's concern is about the health of the population, then the political part of it. I believe perry made this mandatory for good intentions and reasons, what was questioned was that it was forced upon the public, much like obama care
02:21 AM on 09/29/2011
Except that it wasn't. People always had the option of opting out. It was mandated so that state resources dedicated to health costs would be used to cover the expense. A very un-Republican move, but none-the-less not what people made it out to be.
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bg66astoria
Research Helps
05:29 PM on 09/22/2011
Yes, doctor our public health has been capitalized, politicized & compromised over the past 30 years.
The lack of up-to-date infrastructure like up-to-date computers, radars & other equipment jeopardize our civil aviation, for one example.

Medicare that doesn't cover dental & vision care jeopardize many disabled and seniors' health every day.

Raising Part D premiums, deductibles & co-pays when the Social Security COLA has a negative effect on the health of the disabled & seniors who have to pay those fees out of an average benefit of $12K/year. Currently the premiums for Parts B/D alone take out a minimum of $1345/year out of Social Security benefits.

The Congress decided the CPI measure that does not take into effect food, energy/utility rises or even the premium/deductible/co-pay rises that the private insurance companies in Part D have received over the past 3 years of SS benefit freeze. It will be worse next year in the 4th year of SS benefit freeze.

How else did that come about except by politicization??
HUFFPOST COMMUNITY MODERATOR
GeorgeBurnsWasRight
My micro-bio is running on empty.
04:47 PM on 09/22/2011
While waiting to see if my previous post (about how religious conservatives view this topic) makes it out of moderation, I'll talk about the non-religious aspect.

There is a significant percentage of the US population which believes that some or all of the following are usually or always lying: the FDA, drug companies, doctors, and any scientist doing medical research. These people turn for medical advice to new "authorities" including people with questionable or no credentials. Their lack of credentials even becomes an endorsement of their authority because the "established medical profession" must be trying to "suppress the truth". Lately, unconfirmed first-person reports on the web have become another kind of authority. For an example of this kind of thinking, Bachmann treats as an important fact to be shared with the public, a brief conversation with someone she doesn't know at all and has no idea as to the truthfulness of the story she is told.

This kind of thinking has led to increasing numbers of children not being vaccinated for various diseases because their parents believe the vaccines cause a huge number of physical ailments. The problem is that the majority of the public has no way to verify the validity of people who are making various factual claims, and for many, they will go with the person who seems the most confident of their claims. Since many scientists give nuanced answers instead of soundbites, they come off as less reliable.
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DocturT
The rich are too poor.
04:01 PM on 09/22/2011
Unfortunately Doctor there is a large subset of people who must disavow science because to admit its validity would be to admit that such things as global warming and evolution are well established facts and not merely conjecture.

There is a second and largely overlapping subset who blush like preschoolers whenever a discussion arises that involves our "naughty bits".

It is a perfect storm of an Evangelical mindset that cannot reconcile God with intelligence.

Why would God give us a brain and then forbid that we use it?
03:26 PM on 09/22/2011
'Have We Politicized Our Public Health?'

Doctor with due respects actually our capital system has Capitalized our Public Health System. Our present CE tried to hard for public health welfare for all Americans and all we heard from the Tea Partiers and the Elephanters that the CE has embarked on to Socialized Public Heath, There is so much money to make in Public Health Care that our Legalized fraternity want that Public Health should be opened to our benevolent justice system for malpractices --- the list goes on --- Politicized Healthcare -----Capitalized healthcare-- Socialized healthcare- legalized healthcare --- do you see how the public is left out from these labelized Our dear Public Health Care System --- no wonder they are of the opinion also that our Health Care system should be PRIVATIZED100% INDEED --- we are indeed guaranteed so many privileges and rights in the declaration I was trying to see if Healthcare was also included or not. Until it is all PUBLICIZED about the special interests groups and their Fiscal Health who lobby and influence legislation about Public Healthcare we would never be Polarized on the Public Health --- I can see that indeed that we have not " Politicized Our Public Health?' after all the legislative ramblings of the past 2 1/2 years what holds for future only God Knows.l
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jimtodd
Unrepentant child of '60s
12:50 PM on 09/22/2011
If we tell young people that older people engage in sexual relations, we might inadvertently cause one or two of them to try sex a week or two sooner than they otherwise would. Obviously, any delay in the onset of sex is worth any body count. The young must be made to fear any expression of their sexual being, and to remain ignorant of the emotional and physical implications of sexual activity. Everyone knows the best way to keep your daughters safe, is to keep them completely stupid until they go off to college.
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DoubleYellowLines
Left of the Right, and Right of the Left
12:47 PM on 09/22/2011
Doctor Schaffner, are you advocating a mandate for the HPV vaccine? And if so, who pays for it? I'm very accepting of the idea of putting it into the regular schedule of vaccinations, as long as I can opt out if I want to. There certainly are risks associated with vaccinations (though they are blown WAY out of proportion by some), and I want to personally judge the risks and not be forced to do so.
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kapalabhati
Lokah Samasta Sukhino Bhavantu
03:25 PM on 09/22/2011
Where do you see a "mandate" in this post? All the post does is call attention to the politicization of the HPV vaccine, because HPV happens to be transmitted sexually.

This is not about any other vaccine and the risks, real or imagined.
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DoubleYellowLines
Left of the Right, and Right of the Left
04:25 PM on 09/22/2011
"Some in the public health community believe that the dramatic rise in throat cancer means that we are teetering on the precipice of a cancer pandemic. But instead of talking about out how we can use the HPV vaccine to save lives and health-care dollars..."

"A few decades ago, the polio vaccine was introduced and the public hailed it as miraculous -- which it was and still is. But now, I believe that our politicians are taking a miraculous vaccine that prevents cancer and using it for political gain. In my opinion, it is shameful to take a public health issue and hijack it for political reasons."

There's an implication that we should have very widespread immunization. The next obvious question is 'are you supporting a mandate'?
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BBackSoon
Hello, I must be going.
12:20 PM on 09/22/2011
While I try to believe what you are saying, I keep coming back to so many of our drugs being pulled off the market after 15 or 20 years because they have hurt or even killed people.

The last real cure we had was for Polio I believe, since then it is all about treatment and generating Return Customers. I simply can not trust our Drug companies.

It really is that simple.
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kapalabhati
Lokah Samasta Sukhino Bhavantu
05:27 PM on 09/22/2011
Really? Because last time I checked no one in my family got Measels, Mumps, Rubella, Pertussus, Diptheria OR polio.

I suggest you read the report recently on All Things Considered.
http://www.npr.org/2011/09/13/140432995/doctors-counter-vaccine-fears-in-pacific-northwest

Vaccines are intended for not only the good of the individual, but the good of the community. See, when a rich, generally healthy, unvaccinated kid gets whooping cough, his parents can take care of him. When a poor, generally unhealthy, unvaccinated kid catches it from said rich, generally healthy kid, that poor kid can die. That poor kid can pass it on to other poor kids.

If my doctor tells me I need a booster every 10 years of so, so be it. Same goes for my kids, same goes for my community.
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thejazz
I'll burn that bridge when I come to it.
11:33 AM on 09/22/2011
ALL of the health care in the United States is politicized. If it wasn't, we would have an affordable, universal system. We don't, and it is because of politics. Not even idiology, because you would think a conservative would want the least expensive, cost effective, most efficient system, and we have just the opposite.

But the problem here is that you combine the words 12 year old, sex, and medical procedure, and it is just too hard for a conservative to resist using it for their advantage. And the voters are not intellectually curious enough to put in an effort to distinguish between a fact or lie.

It is an uphill battle for sure.
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kapalabhati
Lokah Samasta Sukhino Bhavantu
03:27 PM on 09/22/2011
Politics and money, which are one and the same, combined with low information voters, and you have the perfect storm for a political controversy.
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Joseph LeCompte
The USA isnt broke.It was robbed.
11:18 AM on 09/22/2011
Some people will use any excuse to regulate sex.or control women.
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thejazz
I'll burn that bridge when I come to it.
11:36 AM on 09/22/2011
Especially those of the religious persuasion, where a great deal of religion is designed to control the sexuality of women.
nothingchanges
too soon old, too late smart
09:13 AM on 09/22/2011
I personally don't think so much of it is "politicizing" as it is "profit-izing".

Very little happens in this country without SOMEONE making a profit from it. To understand a policy, it is necessary to follow the (mostly hidden) money trail and see where it leads.

Right now, there are efforts being made to roll back or eliminate the EPA, because it's an example of "job killing" government regulations.

3% of Americans die each year in the US from the effects of air pollution, (under current rules). http://www.medscape.com/viewarticle/412202

Why? Is it that we don't know HOW to reduce pollution? Nope.

It's not cost effective.

In other words, it cuts down on profits.

When push comes to shove, Government policy puts profits ahead of the lives of 10's of thousands of its own citizens.

Not a problem, as long as it's one of "those people", and nobody WE know personally? Like Campaign fund contributors?

Maybe before complaining about Health Care Reform creating "Death Panels", we should take a hard look at the ones that already exist...............in Congress.
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dennidus1680
05:26 PM on 09/22/2011
And yet they vote them in again and again.