HPV Down: Is This a Victory?

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Please note that this attached article raises important questions that need to be addressed in more detail. We clearly need to know about the patient population and from where (ie health departments, private gynecology offices, jails) the study obtained their patients. Did the authors in this study compare similar populations for both their pre and post- vaccine assessments?  How did they choose their study variables and parameters and how did they statistically evaluate comparisons? I will make it clear that there is NO surrogate for an HPV cancer associated DIAGNOSIS with this study and a well designed study to claim that HPV vaccines cause cervical cancer rate reduction is UNKNOWN at this time. On the other hand, we DO have scientific proof that successful cervical pap smear screening decreases the rates of cervical cancer. This article at best addressed HPV-specific viral strains and compared them pre and post vaccine introduction by some unknown “test”.  We need additional well designed studies proving “safety” of these vaccines in both the short and long term due to global concerns post-marketing from physicians who claim their patients have suffered neurological and autoimmune conditions from the HPV vaccine. In my opinion, the debate surrounding the safety and its low vaccination rates will NEVER be settled until we get more answers.  We must remain cautious until we obtain this necessary data in the interest of our children.Writings are my own and not advice. #HPVvaccines #HPV

Jeffrey A. Hirschfield, MD CPI

Note: The linked article’s editor below is Sanjay Gupta, MD, a highly esteemed and respected physician!

http://www.medpagetoday.com/Pediatrics/Vaccines/56317

 

HPV vaccines-Will bias trump discovery on safety questions?

HPV_Quick_FactsAs a board-certified pediatrician and scientist involved in data collection through controlled clinical studies proving safety and effectiveness of medications and vaccines, I cannot hold back my concerns about the large scale HPV vaccination programs throughout the world. It is ominously disturbing as disability claims and patient case reports mount from around the world alleging chronic medical illnesses after exposure to HPV vaccination. Never in my career have I have witnessed a vaccine program with so much controversy and ongoing debate.  Although it is common for the media to portray and promote many of the benefits from childhood vaccination and its greater impact on public health, we have to ask why has this promotion and government support been so dramatic in spite of disturbing symptoms and signs in so many individuals? Since 2006, upon FDA clearance of the first HPV vaccine, physician organizations and global healthcare agencies discuss the true benefits of HPV vaccination, but seldom do we hear about these case reports of real and convincing disability from these specific vaccines. Why doesn’t the media speak about mass education and yearly pap smears starting at age 18 years any longer? After all, it is still recommended by physician groups and is a very effective and proven strategy to decrease cervical cancer rates. My advice right now is to use restraint here rather than making a knee-jerk decision to indiscriminately administer HPV vaccines to patients as young as 9 years old. I took an oath to “do not harm” and I will faithfully execute this pledge as a physician. In my mind HPV vaccination programs have failed to answer many questions surrounding safety and effectiveness even after nearly 20 years and millions of doses administered.  With the answers on “safety” still debated and new case reports surfacing around the world we desperately need more HPV “independent” well designed and controlled studies with “unbiased” observers and analysts to once and for all answer the question. The answers on “effectiveness” will take another 20 years to determine whether or not HPV vaccines add to decreasing the risk of cervical cancer. Confounding all of these questions are the “over promotion” by marketing companies and extraordinary dependence on social media to attempt to overcome real parental and pediatrician resistance right now and that is ethically wrong and unprecedented. And for these reasons “I’m Out”!  These are my personal views and should not be taken as medical advice.

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https://vaers.hhs.gov/data/data