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Healthcare Ethics - Gardasil
HEALTHCARE ETHICS: GARDASIL
Recommendations about widespread public inoculating against the two strains of human papilloma virus (HPV) responsible for 70% of cervical cancers every year in the U.S. is probably a good idea. In principle, it is not any different than other mandatory inoculations administered to school-age children, such as for polio and measles at 5 or 6. Like those deadly childhood diseases, HPV is also deadly, accounting for the deaths of more than one third of the 10,000 (mostly) women diagnosed with cervical cancer; also like polio, HPV is a childhood disease with severe consequences. The only real difference is that HPV remains (in effect) "dormant" until adulthood.
On the other hand, there are several potential issues for relevant inquiry before implementing Merck's suggestions for wide inoculations using its new vaccine Gardasil: (1) the drug was rushed through the Federal Drug Administration (FDA) approval process; (2) critics point out that longer clinical trials would be more appropriate before making the decision; (3) two members of the FDA advisory committee are former Merck employees and Merck lobbied very heavily via political campaign contributions in Texas where the idea of mandatory vaccinations first arose; (4) even if they drug proved effective and saved the 1,200 lives annually as projected by proponents, the approximate cost would be $650,000 per life saved, making it less cost effective than other ways of saving lives; and (5) 80% of the annual global incidence of HPV occurs in less developed countries where few women have access to Pap tests to diagnose cervical cancer.
Assuming all those issues are addressed, mandatory HPV vaccination may be a good idea for all children and the option should be made available to adults and funded, at least in part, by government funds and profit limitations on vaccine sales. REFERENCES
Allen, Terry, J. Merck's Murky Dealings: HPV Vaccine Lobby Backfires; Corpwatch (March 7, 2008). Retrieved March 26, 2008, from Corpwatch: Holding Corporations Accountable website, at http://www.corpwatch.org/article.php?id=14401
Pharmaceutical News (March 5, 2008) Safety of Merck's HPV Vaccine Gardasil 'Lost' in Debate. Retrieved March 26, 2008, from News-Medical.net website, at http://www.news-medical.net/?id=22415.
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