February 2009

8-18 Media


Families with young girls are faced with Gardasil questions

If there were a vaccine available that could protect your daughter against a virus believed to cause cancer, would you give it to her? What if it hadn’t been around very long? This is a question families across America are pondering with the distribution of the relatively new Gardasil vaccine.
Gardasil is a vaccination consisting of three shots given over six months that prevent four strains of the Human Papilloma Virus (HPV), which is sexually transmitted. Two protect against seventy percent of cases of cervical cancer and two protect against ninety percent of cases of genital warts. The maker of the vaccine, Merck, has had it approved by the Federal Drug Administration for use in women and girls ages eleven to twenty-six.
According to the Center for Disease Control and Prevention (CDC), one in five American girls under the age of eighteen has received the vaccine, which is a rate not unlike other newly-developed voluntary vaccines throughout history.
Megan Maas, fifteen, of Marquette received the vaccine early on as a safeguard.
“I think that my mom wanted me to get the vaccine because she wanted me to be protected against cervical cancer and HPV in the future,” Maas said.
Katy Martin, also fifteen, of Marquette, received the vaccine as well, and feels her parents thought of it as a preventative step against cancer.
“I think they want to do everything they can to protect me from illnesses,” Martin said.
The majority of doctors believe the vaccine should be given before girls become sexually active. Dr. Randall Johnson, who retired within the past year after serving many years as the director of the Marquette County Health Department, is one. According to Johnson, there are about 10,000 women every year in this country who develop cervical cancer, and about 3,000 to 4,000 of them die every year.
“That’s largely preventable with this vaccine,” he said. “It’s not 100 percent, it’s about ninety percent effective in preventing getting infections with that virus, and it does reduce [the chance of contracting] about seventy percent of the cervical cancers.”
While Dr. Breanna Pond of OBGYN Associates in Marquette had concerns about the vaccine initially, she now feels at ease administering it.
“I didn’t want to give it right when it became available, a couple of years ago, but now that they have given millions of doses and a lot of follow-up on any potential side effects,” she said. “I’m real comfortable right now that it’s a safe vaccine.”
Pam Popper, PhD, director of the Health-Wellness Forum, a chain of health and wellness centers located throughout the United States, is against giving out the vaccine.
“Its benefits are dubious, its side effects—particularly in the long term—are not well understood,” Popper said. “It is expensive, and certainly should not be mandated for young girls. The 1,600 possible adverse reactions include dehydration, headaches, hyperventilation, muscle spasms, speech disorders, loss of consciousness, blurred vision, vomiting, central nervous system disorders, impaired tactile sensitivity, burning skin sensations, muscular weakness, and increased red blood cell sedimentation rate. These reports were characterized as ‘not serious,’ and I suppose, compared to death, they aren’t.
“But in my view, this vaccine’s usefulness is questionable at best. Why would anyone knowingly take these risks, let alone subject minor children to them?”
Johnson is in favor of the vaccine, but also feels families should do their own independent research if they have concerns.
“I would tell them to look at reputable sources of information, because there are lots of people that, for whatever reason, think this is the worst thing that’s ever happened,” he said. “I would recommend people look at the CDC recommendation when they make that decision and try to be as objective about it as possible.”
Popper not only questions the vaccine’s necessity, but also questions its continued effectiveness.
“Merck has no idea how long the vaccine lasts and whether or not a booster shot will be required,” she said. “The Food and Drug Administration concurs that it cannot vouch for how long the vaccine will remain effective.”
Pond agrees that follow-up research needs to continue on the vaccine’s long-term effectiveness and safety.
“The only issue is we don’t know a lot of the long-term outcome on it,” she said. “We don’t know if there’s anything unsafe about this vaccine. We don’t know if there will be any long-term side effects.”
One issue with the vaccine for some families is that their insurance may not pay for it; it costs between $400 and $600 total for the three vaccines.
Because of the cost, and accompanying profit, the manufacturer, Merck, is pulling out all the stops for marketing since it is one of the most expensive vaccinations ever, with sales expected to reach $4 billion by 2010.
Television and radio commercials have young girls singing the catchphrase “I’m going to be one less, one less!” That, of course, refers to the hope that they won’t contract the virus.
Johnson said despite the fact that it protects against sexually transmitted infections, parents need not say anything more about this vaccine than they do any other.
“I think it’s just like any other [vaccine], measles, mumps, rubella,” he said. “It’s just a vaccine designed to protect them against a viral infection that can be fatal and can cause cancer. You don’t have to get into any more detail, especially with young children, about why they’re giving it at eleven or twelve, hopefully before they’re sexually active.”
Another controversial aspect of Gardasil is whether it should be made mandatory. Under a 1996 immigration law, it is required for immigrants coming into this country because it is on the CDC’s recommended list. This has caused some backlash because of the cost and concerns connected to the vaccine. At last report, the requirement was under review.
The possibility of the vaccine being made mandatory has caused some concerns within the country as well. Texas, for example, once required it, but has since rescinded that requirement.
Maas said it should be a personal decision.
“I do not think that the vaccine should be made mandatory, because girls should have a choice about whether they want to get the vaccine or not,” she said. “I think that making the vaccine mandatory would be taking away women’s rights.”
Martin supports everyone getting the vaccine, but also doesn’t feel it should be mandatory.
“I think it would be good if everybody would get it, but I don’t think we should force people to get medication that maybe doesn’t fully protect them,” she said. “It might just keep them from doing things that they still should do.”
While the American Cancer Society has hailed this as the first vaccine targeted specifically for preventing cancer, the group cautions that if vaccinated women decide to skip regular screening for example, regular pap smears, in ten to twenty years, there could be an increase in cervical cancer.
If you would like more information about the prevention of cervical cancer and Gardasil, visit www.cdc.gov

—8-18 Media
Editor’s note: This story was written by Chelsea Parrish, 17, with contributions by Ben Harris, 13, and Erin Bozek-Jarvis, 15.

 

 

Ishpeming area kids stay safe on New Year's Eve

It's New Year's Eve, and the gymnasium at the Ishpeming High School is filled with local teenagers, along with some parents and volunteers.
The group of roughly 100 youth will ring in 2009 and will spend the entire night at the school as part of an All Nighter event sponsored by Good News Assembly of God Church in Ishpeming.
First, young people checked in to register and get their All-Nighter T-shirts. Then they headed upstairs to the gymnasium, where they played games, listened to music, and just hung out instead of going to outside parties where they might encounter alcohol or drugs.
Participant Michelle Weygandt, fourteen, of Ishpeming, thinks the All-Nighter was a good idea.
"I think it's a great way for teens to stay out of trouble on New Year's Eve,"she said.
Ben Marta, seventeen, of Negaunee, agreed that was the most important aspect of the event.
"I think it's a good idea because it gives a lot of the teenagers a place to go on New Year's Eve, and it keeps them out of trouble,"he said.
Good News Assembly of God has sponsored the event for the past three years, but it was hosted for several more years before by different organizations. According to Robby Gitzel, the youth pastor with the church, this is the first time it was held at Ishpeming High School. He said the change in location likely was the reason the crowd nearly doubled to more than 100.
"Kids have been encouraged to invite their friends, and they've brought a lot of friends,"Gitzel said.
The All-Nighter started at 11:00 p.m. and ended at 6:00 a.m. Because it was held at the high school, more games and activities were available to the kids who attended. They were able use onegym for hanging out and listening to music and the other gym for games such as dodgeball, blow-up Twister and Whopper-hopper. The kids also took advantage of the pool at 2:00 a.m. The participants were able to choose from a variety of activities, and even though the games were fun, they weren't the favorite part of the night for Stephen Weygandt, sixteen, of Ishpeming.
"My favorite part was just being able to hangout with my friends and stay up all night,"he said.
In general, parents were comfortable to leave their children at the All-Nighter because it was well organized and well supervised. Becky Kuliu of Ishpeming was helping out and had four children at the event.
"I think this event is a great idea, because a lot of kids don't have anywhere to hang out,"she said. "And they also need to get to know each other on different levels and play with each other and hang out."
According to Gitzel, Good News Assembly of God held a faith program for interested youth earlier in the evening at the church. At that gathering, there was Christian music and messages about faith; however, once they moved over to the high school, it was just about having a good time.
"We encouraged them to invite their friends to a nonthreatening place where they can just let them know that Christians can have a fun time, too,"he said.
Stephen Weygandt said his youth group at the church, Legacy Student Ministries, was happy to play a part in the event.
"I see it as an opportunity for my youth group to reach out to other kids,"he said.
Marta, meanwhile, pointed out that the portion of the event at the school was not specifically about faith, it was still a great chance to blend friendship and religion.
"It brings me closer to everybody, which naturally will bring me closer to my religion,"he said.
The event is scheduled to happen again next New Year's Eve.
--8-18 Media

Editor's note: This story was written by Tia Platteborze, 12; Lorrisa Juntti, 11; Sydney Dorow, 10; and Mariel Morton, 9, with contributions by T'nia Burse, 11 and Alyssa Usimaki, 9.


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