Rising GOP star Haley has own history with HPV vaccine fallout

CNN ^ | 16 Sep 2011 | Shawna Shepherd

[petitfour]

OK. I’ll continue to LOL.

What’s negative about wanting people to get a vaccine that might prevent them from getting cancer? They are probably doing studies on this right now. Maybe soon.

[CondoleezzaProtege]

She’s one of those people that wouldn’t mind being Mitt Romney’s (or Rick Perry’s) VP nominee...that’s why she will not endorse Palin as soon as she should. (What woman of her stature wouldn’t, deep down, want to beat Palin to becoming the FIRST woman President?)

And for that reason I am no fan. I’m a Palin-bot, what can I do? I’m not ashamed. :) LoL

[mac_truck]

Best protection rates are only found in studies when the vaccine is given at a young age.

I hope that isn't a Merck study you're citing. Is it?

[mac_truck]

Perry got a total of $28,500 in contributions from Merck’s political action committee from 2002 to 2010.

That and a lobbyist to be named later...

[1010RD]

Perry heard and that’s important. Every candidate, with the exception of Cain, is a tried and true politician. We’ve got to pick the one with the fundamental values closest to our hearts. So far that appears to be Perry.

We shouldn’t shun this vetting process. It is best to get all the poison out before the general. That way we can be inoculated against the inevitable attacks from the Machine.

[Cboldt]

HB 2475 ...

This bill requires the Department of State Health Services to develop a strategic plan to eliminate mortality from cervical cancer by the year 2015. The department is required to work with the Texas Cancer Council and is authorized to convene workgroups that may include physicians, nurses, cancer epidemiologists, representatives of medical schools, health educators, representatives from areas or groups at higher risk, representatives from community-based organizations, or anyone else deemed necessary. When developing the plan, the department is required to identify barriers to screening and treatment, identify methods to increase screenings, review current technologies, develop partnerships, identify gaps in service, identify actions to reduce morbidity and mortality, and make recommendations to the legislature on policy and funding changes. The strategic plan must be developed and delivered to the governor and legislature no later than December 31, 2006. This section expires January 1, 2007.

Heh. This whole effort was started, it appears, by the organization "Women in Government," which was organized by Merck as part of its government lobbying efforts. HB 2475 was passed as a result of Women in Government efforts. See page 8 of the report, "Women in Government urged state legislatures ... The Texas Legislature responded to this challenge in 2005." Meaning, I think, that HB 2475 was instigated by Women in Government.

Anyway, I'm reading through the resulting report, seeking policy recommendations that are directed toward HPV vaccination.

@ page 17
Goal I: Information & Communication.
Objective C, Increase the number of Texans participating in informed and shared medical decision-making about cervical cancer prevention, screening, diagnosis, treatment and survivorship.

Strategy 5: Promote and encourage communication between health care professionals and patients to increase patientsa knowledge and facilitate their decision-making about HPV testing, diagnosis and prevention, including vaccination.

@ page 21
Goal II: Access to and Use of Services.
I. Recommendations to Improve Access and Use of Services

As long as all women do not have access to necessary preventive health services, including low cost screening, cervical cancer will remain as a health threat in Texas. Recommendations to eliminate cervical cancer must prioritize access to care and improve the quality of cervical cancer services in public health settings. Access to the Pap test is not enough. Women must also be able to access the latest discoveries and technologies in cervical cancer. Recent advancements in cervical cancer care technology include the liquid-based cytology for Pap test; Pap test combined with HPV test; and the availability of HPV vaccines.

@ page 22
Recommendations for Funding:

Provide sufficient state funding to comply with federal Food and Drug Administration and Advisory Committee on Immunization Practices recommendations for HPV vaccination for age appropriate Texas females in public health programs.

@ page 25
Objective E: Increase the number of Texas residents with access to cervical cancer prevention, screening, diagnosis, treatment, and survivorship services delivered in a culturally appropriate manner throughout the continuum of care

Strategy 5: Promote and implement policies and programs that reduce health care disparities, including increased access to preventive vaccines and other health services for the medically underserved.

@ page 36
GOAL IV: Professional Education & Practice
I. Recommendations for Using Data

Promote the use of the DSHS ImmTrac registry to monitor the use of the HPV vaccine in Texas.

I find "Perry had every reason to believe an executive order mandating HPV vaccination as a condition of public school attendance would be welcomed." to be totally disconnected from that background. I would also find a total disconnect between the recommendations in that report, and the Texas legislature mandating HPV vaccination.

[Scotsman will be Free]

So you are stating that Perry was more interested in being popular rather than doing what he believed in?

[Cboldt]

I have to take back part of my ultimate conclusion, because "Provide sufficient state funding to comply with federal Food and Drug Administration and Advisory Committee on Immunization Practices recommendations for HPV vaccination for age appropriate Texas females in public health programs" incorporates, by reference ... Quadrivalent Human Papillomavirus Vaccine Recommendations of the Advisory Committee on Immunization Practices (ACIP)

Recommendations for Use of HPV Vaccine

Recommendations for Routine Use and Catch-Up

Routine Vaccination of Females Aged 11--12 Years

ACIP recommends routine vaccination of females aged 11--12 years with 3 doses of quadrivalent HPV vaccine. The vaccination series can be started as young as age 9 years.

Catch-Up Vaccination of Females Aged 13--26 Years

Vaccination also is recommended for females aged 13--26 years who have not been previously vaccinated or who have not completed the full series. Ideally, vaccine should be administered before potential exposure to HPV through sexual contact; however, females who might have already been exposed to HPV should be vaccinated. Sexually active females who have not been infected with any of the HPV vaccine types would receive full benefit from vaccination. Vaccination would provide less benefit to females if they have already been infected with one or more of the four vaccine HPV types. However, it is not possible for a clinician to assess the extent to which sexually active persons would benefit from vaccination, and the risk for HPV infection might continue as long as persons are sexually active. Pap testing and screening for HPV DNA or HPV antibody are not needed before vaccination at any age.

There is some connection between "routine" and "mandatory," even though they aren't exactly the same thing.

I'm not familiar with the terms of art used by ACIP, so don't know if there are some vaccines where the recommendation is "mandatory vaccination." I think I'll research that.

[kennyboy509]

I was born in SC.

I now live in AK.

I like the way this is going!!!!

[Cboldt]

In the ACIP cut-sheet on Hep-B vaccination ...

States are encouraged to adopt regulations or laws that require hepatitis B vaccination for entry into child care and also for entry into kindergarten and/or elementary school to ensure high vaccine coverage among infants and children. ...

States are encouraged to adopt regulations or laws that require hepatitis B vaccination before entry into middle school or its equivalent.

This sort of "encouraged to ... require" language is absent from the ACIP cut-sheet on HPV vaccination.

So, it appears ACIP does not encourage states to require HPV vaccination, but it does recommend HPV be part of the routine childhood vaccination schedule.

[Beagle8U]

I’m pretty sure that was from the CDC.

[Cboldt]

ACIP recommendation for influenza ...

Recommendations for Vaccination
Routine annual influenza vaccination is recommended for all persons aged >=6 months

That might be sufficient to reinstate the contention I took back. That ACIP recommends something be routine, is not the same as ACIP recommending the vaccine be required.

So, with the Texas HPV report and its recommendations, I submit that one would be surprised to find a legislated HPV mandate. As far as I know, there has only been one vaccine mandate via EO, in the history of the country; and the Texas HPV report, in combination with the ACIP recommendation, do NOT support a requirement for the vaccine.

It doesn't cause me to knock Perry out of contention, and the effort has shown me, again, the importance and value of doing independent research.

This accused liar, also accused of lacking personal integrity, is concluding research into Perry's claims on his HPV vaccine mandate. I think I've found the source documents for all the claims and defenses made.

And FWIW, not that it's some sort of brilliant revelation, posters do make their own reputations; and as far as I'm concerned, a few more names have emerged as untrustworthy towards truth, and not worth engaging in discussion.

[apocalypto]

Good points!