Nobel laureate calls for HPV vaccine for boys
SEXUAL HEALTH / Gardasil could prevent anal and penile cancers
Andrew Innis / National / Tuesday, October 28, 2008
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The Nobel Prize winning pioneer of human papilloma virus (HPV) research is calling for the vaccination of boys against HPV.

Speaking at the MaRS Centre in Toronto on Oct 21, Dr Harald zur Hausen argued that vaccination against the viruses, which can lead to cervical cancer in women, is also important to men since they too are susceptible to developing cancers related to HPV.

Zur Hausen said men, like women, need to be protected from the more dangerous strains of the virus, HPV-16 and -18, which can contribute to the development of anal and penile cancer.

The announcement came hours before the release of a report by the US Centers for Disease Control and Prevention (CDC), which confirmed that after two years of clinical usage Gardasil remains safe for human use, citing no elevated risk for neurological complications. The vaccine was approved for use in both Canada and the United States two years ago.

Philippe Brideau, media relations officer for Public Health Agency Canada, said Gardasil has been found to be, “effective and the vaccine is safe, and should be used.” He said there have been no major reactions reported.

Health Canada estimates nearly 75 percent of sexually active men and women will be infected with HPV at least once in their lifetime. While most strains of the virus are of little danger, mainly producing genital warts, it can lead to the development of cancer in both males and females.

Men who have sex with men are at even higher risk, according to studies by the CDC that claim gay and bisexual men may be up to 17 times more likely to develop anal cancer than heterosexual men.

There is also an increased risk of developing cancers of the throat. A 2007 study published in the New England Journal of Medicine found a link between the presence of HPV and a development of oropharyngeal cancer, showing those with HPV had a 32 times higher risk of development.

Most people will eventually eliminate HPV from their body, but those who are HIV-positive or have a compromised immune system are at a greater risk from the virus, making treatment for things like genital warts more difficult.

But the HPV vaccine is not approved for use in males, though Merck, the manufacturer, is holding clinical trials to determine the effectiveness of Gardasil on men.

Sheila Murphy, a spokesperson for Merck, said she is hopeful that preliminary data for the study will be available soon.

“There is going to be a [peer reviewed] meeting in Europe in November, and I was hoping there would be some data presented there, and I still haven’t heard weather that is going to be the case or not,” Murphy said on Oct 27.

When asked if the study could become bogged down by bureaucracy, Murphy was clear that public interest was high.

“We’re talking about a vaccine that prevents cancer, and that will prevent cancer in men… so there’s no question,” she says.

“People are waiting for these results, people like yourselves are clamouring for them.”

But even after the release of preliminary data from the female study, Murphy said it took, “another two years before we had approval of the vaccine, so I would imagine we’re another two or three years away.”

Other countries have allowed boys to be given the vaccine, she said, based on the initial studies on Gardasil. “In Canada… they want us to do the efficacy studies, to show in fact that the vaccine, not only does it cause an immune response recognition, but it actually prevents a disease.”



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Reader Comments


 
I'm getting in the USA
I read about Gardasil vaccinations for men and mentioned it to my doctor offhand. He said he knew a specialist who advocated it and would do it for me, though my insurance won't cover it. It's going to be about $100 per shot, 3 shots total. Totally worth it, especially as a gay teenager.
Alex Brewer, Seattle Washington, USA
10/29/08 3:01 AM EST
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Lesbians over 26 - go to WCH for the HPV vaccine
Kudos to Xtra for following up on this important health research story. Please note that although there is still much resistance to vaccinating young girls and boys with the Gardasil vaccine, I have learned that women over age 26 may access a clinical trial at Women's College Hospital to assess the efficacy of the Gardasil vaccine in preventing cervical cancer in women over age 26 infected with HPV. The cost is not covered by OHIP, but the vaccine may help older women, particularly lesbians, at risk of cervical and HPV related cancers. For further information on these and other lesbian health initiatives, please contact Women's College Hospital at (416) 323-6400. Joanne Cohen Bruce E. Walker Law Office 205-65 Wellesley Street East Toronto, ON M4Y 1G7 www.bwalkerlaw.com
Joanne Cohen, Toronto Ontario
10/29/08 3:50 PM EST
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If you can get Gardisil, get it!!
I'm a nurse practitioner who treats genital warts and prevents anal cancer by treating pre-cancerous lesions of the anus in men and women. I recommend that men get Gardisil, even while we wait for the data to be analyzed. Gay men with HIV are 10 times more likely to develop an HPV-related cancer than the average woman. Our risk means that we should be vaccinated before everyone else yet we are the last group to be studied with this vaccine. Preventing warts is reason enough to put out the cash for this effective vaccine.
Jeff Huyett, NP, New York USA
10/29/08 5:01 PM EST
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If you can get Gardisil, get it!!
I'm a nurse practitioner who treats genital warts and prevents anal cancer by treating pre-cancerous lesions of the anus in men and women. I recommend that men get Gardisil, even while we wait for the data to be analyzed. Gay men with HIV are 10 times more likely to develop an HPV-related cancer than the average woman. Our risk means that we should be vaccinated before everyone else yet we are the last group to be studied with this vaccine. Preventing warts is reason enough to put out the cash for this effective vaccine.
Jeff Huyett, NP, New York USA
10/29/08 5:02 PM EST
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Deadly Gardasil
Obviously this article is a PR piece designed to evoke a positive acceptance of Merck's new wonder drug. This drug was given a green light after 6 months of testing, and what this article fails to mention are the thousands of adverse reactions including death that have been reported and are on record with the CDC. Also since no screening is being done it turns out the vaccine triggers warts and outbreaks in girls already exposed. there are also questions raised that Gardisil may in fact cause cancer and infertility. But the drug companies, in this case Merck will decieve the public ...again for the $$$ hundreds of millions. remember deadly Vioxx the ather failed Merck product...same marketing. Merck attempts to Profit from this bogus Medicine by pursuing mandatory vaccination of young children with this drug. do your homework...
wolfbite, missoula usa
11/20/08 1:47 AM EST
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Excellent piece Xtra
After reading the marriage woes (and misinformation) it was great to see this article. This vaccine I have always thought was sexist in its promotion-- obviously for gay men, but also for men in general. Men that are orally exposed to HPV are also at greater risk of throat cancer (and I know we have many gay drinking/ smoking individuals out there) and other types. It should be promotoed to both genders absolutely (gay and straight)
All evidence points to taking this, Vancouver B.C.
11/20/08 3:20 AM EST
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