As parents, we are charged with doing everything within our
power to ensure our children grow up healthy. Fortunately, we
live in a country where seatbelts are mandatory and pollutants
are measured down to parts per billion, taking a lot of the guesswork
and personal responsibility out of the equation. Every so often
though, an issue comes along that divides our sensibilities between
our values and our fears. The HPV vaccine is the latest development
in disease prevention that asks us to find where we stand in
the gray area between values and safety. What should be an easy
decision, whether or not to vaccinate our daughters against a
disease that kills 4,000 women a year in the United States, is
complicated by the fact that the cancer itself is caused by a
sexually transmitted disease.
As the parent of a fifteen year old, I’m very aware of
the fact that my daughter is growing up. My wife and I have had
many conversations with her about sex and sexuality, about abstinence
and prophylactics, about the value of chastity and how we would
prefer she not have sex until her first wedding anniversary.
I’d like to think that were we being graded on “talking
with your teen about sex,” we would be in the 95th percentile.
Unfortunately, all that talk was just that- talk. We were happily
dealing in theory and semantics then. Now this vaccine has forced
us into reality- and that can be a scary place.
In order to properly deal with this, I had to splash myself
in the face with a cold glass full of facts and statistics- the
more disturbing the better. I wanted to shock myself into action
through fear, basically manufacturing my own consent. As a bonus,
all this information allowed me to have a conversation with my
daughter that was centered on statistics instead of sex. Here
are the ones I found most motivating (courtesy of the CDC):
Human papillomavirus, or HPV, is the name of a group of viruses
that includes more than 100 different strains or types. OVER
ONE HUNDRED! The vaccine only covers the four nastiest types,
but those four are accountable for 70% of cervical cancers.
80% of women will have some form of HPV by age
50. That’s
pretty much everyone but spinsters, nuns and Nanci Pelosi.
The virus usually causes no symptoms, and there
is no cure. How horrible is that? Not only might you not know
you have
the virus, but even if you do have symptoms, there’s
nothing you can do about it.
Most cases clear up on their own, but some persist
and can cause cancer decades later. Yeah, you know that one
time you
had sex
thirty years ago? That’s what’s killing you. And
don’t think condoms are going to guarantee your safety
either. With an effectiveness against HPV of only 70%, they’re
in the C-/D+ range on this assignment. (That’s because
HPV can be transmitted by genital skin contact alone, unlike
some other STDs which are only transmitted through shared bodily
fluids.)
Having learned all this, I realized that in order to take the
necessary steps to protect our daughters, we must have what is
quite possibly our first concrete admission that they will one
day have sex.
A friend of mine-also the parent of a teenage daughter-found
these facts somewhat less compelling. She was worried that vaccination
would send the message that sex would be safer, and thus more
tempting. This is a problem a lot of people have with the vaccine,
and depending on where you look, you can find research that either
verifies or denies it.
I personally think it has a lot to do with how
you approach it. If you tell someone you’re giving them a STD vaccine
and don’t elaborate, maybe they’ll think it was for
all STDs and that they’re completely bulletproof. I suppose
that might make some girls more likely to go wild. On the other
hand, if you tell them that the shot can only inoculate them
against four of the hundred-plus types of HPV, you would send
a message that even with this measure of protection, they’re
still woefully susceptible to more diseases than they even knew
existed. Honestly, it’s a pretty easy sell. What’s
not so easy is actually getting vaccinated.
Limited supplies, combined with the $360 price tag, have kept
many from getting the series of three shots. There is hope that
the federal government will make HPV a mandatory inoculation,
so it could be provided at low- to no-cost. However, that plan
is running into some problems with social conservatives who have
moral objections to requiring girls as young as nine to take
part in STD preventatives. I have two problems with this. First,
in order for the vaccine to work, it has to be administered before
exposure to the viruses. To ensure that, it must be given before
their first sexual contact. In practical terms, that means that
bureaucrats who want to debate this issue for months-running-on-into-years
do so at the risk of a whole generation of young women. Second,
every state in the union has a law in place to protect people
from having their religious/moral beliefs trampled by the government,
which allows them to exempt themselves from any and all required
vaccines.
For now, the buck stops with you. Since the government’s
not telling you what to do, you’re forced to make your
own decision. Statistically speaking, every woman in America
has a one in 38,000 chance of dying from this disease, which
makes it pretty rare. At the same time, I’m going to do
everything in my power to make sure that one woman is not my
daughter.