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Gardasil is a vaccine against human papillomavirus that has been shown to protec

ID: 271715 • Letter: G

Question

Gardasil is a vaccine against human papillomavirus that has been shown to protect girls and young women against the types of HPV that cause about 50% of vulvar cancer, 70% of vaginal cancer and 75% of cervical cancer cases. It has also been shown to protect against sexually transmitted anal cancer in both males and females. The Washington State Department of Health requires a series of vaccines for school attendance.

http://www.doh.wa.gov/Portals/1/Documents/Pubs/348-284-IndividualVaccineReqs2016-17.pdf

Write a 3 page (double-spaced, Times 12 font) background for the issue and then one page each arguing for and against inclusion of an HPV vaccine in this list. Consider the implications of each scenario in a global, societal and ethical context.

Explanation / Answer

All three vaccines prevent infections with HPV types 16 and 18, two high-risk HPVs that cause about 70% of cervical cancers and an even higher percentage of some of the other HPV-associated cancers (9, 10). Gardasil also prevents infection with HPV types 6 and 11, which cause 90% of genital warts (17). GARDASIL 9 is a vaccine indicated in females 9 through 26 years of age for the prevention of cervical, vulvar, vaginal, and anal cancers caused by human papillomavirus (HPV) Types 16, 18, 31, 33, 45, 52, and 58; precancerous ordysplastic lesions caused by HPV Types 6, 11, 16, 18, 31, 33, 45, 52, and 58; andgenital