Younger Women's Movement news for younger women
January 2009

In honor of Cervical Cancer Awareness Month, this issue of YWM is devoted entirely to cervical cancer and HPV, whose presence is seen in 99.7% of all cervical cancer cases. Cervical cancer is the second most common cancer in women. Worldwide, nearly 500,000 women around will develop cervical cancer and 300,000 women will die from it. In the United States, after breast cancer, cervical cancer is the leading cause of cancer death in women ages 20-39.

Because there are no symptoms until it is advanced, cervical cancer is extremely devastating disease. In this day in age, no woman should die from cervical cancer! Between the HPV vaccination, the Pap Test, and the HPV test, we can eliminate cervical cancer. But many women do not have the knowledge or access to these resources.

Whether or not you decide to get the HPV vaccination, every woman needs regular screening. It is recommended that women between the ages of 19-29 receive a yearly Pap and women 30 and older should get an HPV test. Check out the articles below and our Cervical Cancer/HPV Fact Sheet to the right. Protect yourself by learning about the facts and available resources. Spread the word by talking to your friends, mothers, daughters and grandmothers and ensure that they know how to protect themselves.

Don't wait! Talk to your doctor today about the vaccination, the Pap, and the HPV test to determine what the best option is for you. If you are 26 and under and are interested in getting the HPV Vaccination but are unable to pay because you are either uninsured or your insurance does not cover the vaccination, check out these resources. If you are privately insured but your insurance does not cover the vaccination, be sure to read about the article on the Does Replacement Program.

If there are no resources available in the community where you live, take action and get involved!

Sincerely,
Shannon, Alison, and, as always, the entire YWTF Coordinating Board

In this issue
  • HPV and Cervical Cancer Facts
  • Do You Need The HPV Test?
  • U.S. and European Advocacy Groups Launch United, Global Campaign to Prevent Cervical Cancer
  • Clinical trials often only hope to fight cervical cancer for India's poor
  • Drugmaker Seeks FDA Approval For Gardasil For Males
  • Merck Launches Dose Replacement Program for HPV Vaccine
  • Immigration authorities add Gardasil to list of required vaccines

  • Do You Need The HPV Test?

    From Better Health and Living

    You've probably heard about the HPV vaccine-a series of three shots that protect against infection with strains of the human papillomavirus that are responsible for 70 percent of cervical cancers. Right now, this vaccine is FDA approved for women ages 26 and younger. What you may not know is that for women over age 30, another HPV-related tool, an HPV test, can help stop cervical cancer. When given along with a traditional Pap test, this check can help catch more cervical cancers in their earliest, most treatable stages than a Pap smear alone.

    Even women whose Pap tests have always been normal may benefit from this important new test, yet many women haven't heard about it.

    "The Pap is one of best cancer screening tests ever made, but it's not perfect. It doesn't pick up important precancerous changes in all cases," says HPV researcher Daron G. Ferris, MD, director of the Gynecologic Cancer Prevention Center at the Medical College of Georgia in Augusta. "The HPV test is more sensitive at detecting moderate to severe precancerous changes, but it's not being used as widely as it could be. Women should discuss this extra test with their doctors and find out if their insurance company will pay for both."

    About 11,000 women are diagnosed with cervical cancer each year; 3,000 die. Here's what you need to know.


    U.S. and European Advocacy Groups Launch United, Global Campaign to Prevent Cervical Cancer

    From PR News Wire

    WASHINGTON, Jan. 14 /PRNewswire/ -- Marking Cervical Cancer Awareness Month in the United States, a coalition of U.S. women's health advocacy groups, policymakers, healthcare providers and others is partnering with their European counterparts in a united, global awareness campaign to prevent cervical cancer worldwide. The Pearl of Wisdom Campaign to Prevent Cervical Cancer (www.PearlofWisdom.us) will raise awareness of cervical cancer, encourage women to take advantage of the means that are now available to prevent it, and work to make sure that these methods are accessible to girls and women around the globe - particularly to the underserved populations that have much higher rates of cervical cancer. The campaign will promote the Pearl of Wisdom as the global symbol for cervical cancer prevention and will help all participating groups unite behind a core set of messages.

    "Cervical cancer devastates too many women's lives around the world, with nearly 300,000 women dying from this disease each year," said Dr. Anne Szarewski, interim president of the Brussels, Belgium-based European Cervical Cancer Association (ECCA), which initiated the campaign. "However, research has established that cervical cancer is caused by persistent infection with a very common virus called the human papillomavirus (HPV), whose presence is seen in 99.7% of all cervical cancers. So, almost all cervical cancers are now preventable through organized screening with Pap tests, HPV tests and immunization programs with HPV vaccines."


    Clinical trials often only hope to fight cervical cancer for India's poor

    From Courier-Journal.com

    KOLKATA, India - Snechalata Maity wipes away tears with one end of her blue-and-green sari as she voices her fears about the cervical cancer threatening her life.

    Yet, she draws hope from a cancer treatment study, a cooperative effort between Chittaranjan National Cancer Institute in Kolkata and the University of Louisville.

    "I think I will be recovered," the 58-year-old housewife and mother of four says through an interpreter in a women's ward crowded with cancer patients. "This is the only thought in my mind."

    The study involves testing a treatment for advanced cervical cancer that uses interferon shots and pills of retinoic acid, a Vitamin A derivative, to boost the benefits of radiation.

    Poverty, combined with a lack of cervical cancer awareness, screening and access to health care, mean the vast majority of cases are diagnosed late.


    Drugmaker Seeks FDA Approval For Gardasil For Males

    From Jezebel

    Drugmaker Merck has asked the FDA to approve the Gardasil vaccine's use for boys ages 9 to 26. For those who don't know, Gardasil is a vaccine that protects against HPV and cervical cancer.

    Gardasil first hit the market in 2006 and was initially recommended for girls and young women, ages 12-26. Due to aggressive marketing, Gardasil quickly became one of Merck's top-selling vaccines, with sales of $1.5 billion in 2007 (which were perhaps aided by the high cost- $360 for a three-dose regimen). Despite becoming a requirement for immigrant women, sales slowed in 2008 after a government-funded Harvard study found that it was not cost-effective to administer Gardasil to women in their 20s.

    Gardasil for men is not a new idea. Merck has long planned to release a vaccine specifically for males, which seems like a great idea considering that men are more than simply the carriers of HPV. Men infected with HPV run the risk of getting cancer of the genitals or mouth, not to mention genital warts. In Merck's initial testing, Gardasil prevented 90 percent of cases of penile cancer and genital warts in the 4,000 males, ages 16-26, who received the vaccine.


    Merck Launches Dose Replacement Program for HPV Vaccine

    From AAFP News Now

    Delegates at the AAFP National Conference of Special Constituencies recently took action on a measure intended to address the high cost of some vaccines recommended for routine administration by the CDC's Advisory Committee on Immunization Practices, or ACIP. Now the manufacturer of one such vaccine, Merck and Co. Inc., has launched its own initiative aimed at helping physicians and other immunization providers defray some of these costs.

    Physicians who enroll in Merck's Dose Replacement Program can receive a limited number of free replacement doses of the company's quadrivalent human papillomavirus, or HPV, vaccine, Gardasil, when they administer the vaccine to privately insured 19- to 26-year-old women and later learn the women's insurance plans provide no HPV vaccine coverage.


    Immigration authorities add Gardasil to list of required vaccines

    From Feministing

    U.S. Citizenship and Immigration Services (USCIS) announced today a revised list of vaccines required for applicants seeking to adjust status to become legal permanent residents. This revision follows guidance from the Department of Health and Human Services, Centers for Disease Control and Prevention (CDC).

    CDC's revised Technical Instructions to Civil Surgeons for Vaccination Requirements require the following age-appropriate additional vaccinations to adjust status to legal permanent resident: * Rotavirus * Hepatitis A * Meningococcal * Human papillomavirus * Zoster

    The requirements for these new vaccines went into effect on July 1, 2008, however CDC approved a 30-day grace period for any medical exam conducted before August 1, 2008. At that time the new vaccinations, if appropriate, must be administered in order for USCIS to approve the applicant for adjustment of status.



    HPV and Cervical Cancer Facts

    1. HPV is a virus that includes more than 100 different stands, more than 40 of which are sexually transmitted

    2. Only a few high risk types cause cancer

    3. HPV causes normal cells of infected skin or mucous membrane to turn abnormal

    4. 10% of women with highest risk HPV on their cervix will develop long lasting HPV infections that will put them at risk for cervical cancer

    5. Approximately 20 million Americans are infected with HPV and 6.2 Million become newly infected each year

    6. Most HPV infections will be cleared up by the immune system within 8-24 months but if a person's immune system does not clear the infection with high risk, he/she is at high risk of developing cervical cancer

    7. The HPV Vaccine is highly effective in preventing HPV infection with two "high risk" types (16 & 18) that cause 70% of cervical cancer, and types 6 & 11, which cause 90% of genital warts

    8. The vaccine is recommended for girls/women 9-26 and is given through a series of three shots over a six month period

    9. 74% of new infections occur among young people 15-24

    10. HPV can go undedicated for years, so it is difficult to know when people have become infected, how long they have been infected, and who passes it to whom

    11. Even if you are sexually active, the vaccine can be beneficial because it is unlikely that you have been exposed to all 4 types of HPV the vaccination protects against

    12. The Pap test is used to look for abnormal cervical cells. It only catches about 70% of cervical cell abnormalities - this is why it is important to have a Pap done every year

    13. The HPV test is a very accurate way to tell if high risk HPV is present in a woman's cervix

    14. Risk factors for persistent HPV infection and or progression to cancer include: multiple partners, lack of condom use, smoking, HPV type, and increasing age

    If you would like more information regarding the safety of the HPV vaccination, read the CDC's Q&A

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