Human Papilloma Virus (HPV)
The HPV "cervical cancer" vaccine
- CDC Takes Closer Look at Gardasil and Paralysis - Click here to read the article
- HPV vaccine a tough sell - The Canadian Press - March 2009
- Informed choice and immunisation programmes - WHU Feb 2009
- Gardasil side effects - Feb 2009
- NZ Herald commentary: 'When a shot in the arm's no silver bullet', March 2009
- Cartwright anniversary seminar: 'Gardasil - Cartwright's Daughter?'
- The potential impact of mass HPV vaccination on cervical cancer prevention: population and clinical perspectives, July 2007
- Update on Gardasil - WHU Nov 2007
- Cervical Cancer vaccine doesn't rule out the need for screening- WHU May 2007
- Cervical cancer vaccine on the horizon- WHU May 2006
- Will vaccination end cervical screening?- WHU Jan 2003
The school-based phase of the HPV (human papillomavirus) immunisation programme which will provide Gardasil vaccine for girls from 12 years old is about to start. Given the debate on the failure of informed consent processes with the MeNZB immunisation programme, and a troubling start to the national HPV immunization programme launched in September last year, it is timely to raise concerns about the fate of informed choice and consent in the school-based phase of the programme. Christy Parker looks at some of the ethical issues surrounding mass immunization programmes targeting children and young people and argues that the principles of informed choice and consent must not be compromised by population health objectives.
Click here to read the full article including references
Concerns about the safety of Gardasil (the HPV "cervical cancer" vaccine) are growing following recent reports from both Australia and the United States of serious adverse effects in young women. The United States based vaccine watchdog, the National Vaccine Information Center has just realeased an analysis of the reported Gardasil side effects in the United States, comparing these side effects with those of another commom childhood vaccine for meningococcal. For more information see the National Vaccine Information Center website: http://www.nvic.org/Vaccines-and-Diseases/hpv.aspx or click here.
NZ Herald commentary: 'When a shot in the arm's no silver bullet', March 2009
To read Tapu Misa's opinon piece on Gardasil click here.
5th August 2008
Twenty years ago New Zealand reeled at revelations over the treatment of women with cervical abnormalities at National Women's Hospital. Today we know a lot more about the disease and its treatment. We also have a 'miracle' vaccine and a national programme to deliver it to our young women. What were the issues raised by Cartwright and how much have we learned about patient rights and informed consent in the last 20 years?
Lynda Williams, the first patient advocate at National Women's Hospital will give us a provocative and entertaining tour of the issues.
The potential impact of mass HPV vaccination on cervical cancer prevention: population and clinical perspectives, July 2007
Dr Hazel Lewis, Clinical Leader of the National Cervical Screening Programme considers how the HPV immunisation programme may impact upon the life saving success of the National Cervical Screening Programme. Click here for her paper.
November 2007 Women's Health Update
Gardasil has been approved for use in but in May this year former Minister of Health Pete Hodgson announced that Gardasil would not get government funding for inclusion in the childhood vaccination schedule, but the decision would be reviewed in a year or two. Prime Minister Helen Clark, at the Labour Party conference in at the beginning of November, said she was seeking urgent advice on the vaccine after the British government decided to go ahead with it in October. Lynda Williams looks at what is happening with the vaccine. Read More (pdf)
The new cervical cancer vaccine has taken the world by storm. Jesse Solomon looks at cervical cancer in New Zealand and the implications of the vaccine for New Zealand women. Cervical Screening has had a dramatic impact on the incidence of cervical cancer and cervical cancer mortality in developed countries including New Zealand. The New Zealand screening programme started in 1991 and now achieves around 75% coverage of eligible women. However, this is significantly lower amongst some groups including Maori women at 55%...
Cervical Screening is availible to all women in New Zealand and women can be screened by their GP, Family Planning or sexual health clinic. Cervical Cancer Screening is the single most effective intervention against cervical cancer...
A vaccine for some types of HPV has been approved for use in New Zealand...Concerns have been raised about some safety aspects of the vaccine, including the aluminium content and its long term neurological effects. The FDA in the United States have required Merck (the makers of Guardasil) to undertake further trials for safty amongst younger girls as the studies so far have not included many girls.... Read More
Cervical cancer vaccine on the horizon
May 2006 Women's Health Update
An HPV vaccine is on the horizon, potentially reducing the risk of cervical cancer. Two vaccines are battling to get to market; both GSK and Merck (marketed by CSL in New Zealand) have HPV vaccines ready for approval from drug regulators throughout the world. An HPV vaccine would be a welcome advance. However WHA remains cautious as clinical trials have been short and we have yet to see the long term impacts of the new vaccines....Read More
January 2003 Women's Health Update
Sandra Coney reports on recent advances in the development of a vaccine against cervical cancer and the New Zealand connection in ongoing research...