WEDNESDAY, Sept. 14 (HealthDay News) -- U.S. health experts say
the controversy triggered by Monday's Republican presidential
debate over the human papillomavirus vaccine for pre-teen girls is
generating misinformation about the shots' value.
During the debate, Rep. Michele Bachmann of Minnesota criticized
Texas Gov. Rick Perry for mandating that sixth-grade girls in his
state get the HPV vaccine to prevent cervical cancer later in life.
On television the next day, Bachmann, who had argued that the order
violated individual rights, also said she had heard from a mother
she met that the vaccine had caused mental retardation in the
woman's 12-year-old daughter.
That's unlikely, experts said.
"This is a very safe vaccine," said infectious disease expert Dr. Marc Siegel, an associate professor of medicine at New York University. "The benefit of this vaccine so outweighs any rare risk that it's not worth considering side effects.
"What is going on right now," added Siegel, "is a political backlash against the whole idea of vaccines. You are seeing vicious rumors circulating because of the debate."
The American Academy of Pediatrics also tried to squelch
concerns over the vaccine's safety.
"There is absolutely no scientific validity to this statement. Since the vaccine has been introduced, more than 35 million doses have been administered, and it has an excellent safety record," Dr. O. Marion Burton, academy president, said in a news release.
Dr. Judy Schaechter, an associate professor of pediatrics at the
University of Miami Miller School of Medicine, said, "We have not
seen any cases of mental retardation caused by this vaccine and
there is no reason to suspect that that would happen.
"For mental retardation to start in any 12-year-old is an odd occurrence," she said. "I don't have an explanation for that -- I've never seen it as an adolescent medicine doctor. There is nothing in science or experience that would back that up."
Perry signed an executive order in 2007 requiring that all
sixth-grade girls be vaccinated to protect them from the sexually
transmitted virus, but the state legislature subsequently rescinded
the order.
The HPV vaccine, approved in 2006, targets two types of HPV that
cause 70 percent of cervical cancers and most HPV-induced genital
and head and neck cancers. It also protects against most genital
warts.
The U.S. Centers for Disease Control and Prevention recommends
that girls at age 11 or 12 get three doses (shots) of the HPV
vaccine, also often called the Gardasil vaccine, and that girls and
young women 13 to 26 years old get all three doses if they have not
already.
"The best way to be sure that a person gets the most benefit from HPV vaccination is to complete all three doses before sexual activity begins," the CDC said.
Each year in the United States, about 6.2 million new cases of
human papillomavirus are diagnosed, and about 4,000 women die from
cervical cancer, according to the CDC.
Side effects of the vaccine tend to be minor, the CDC said. They
include pain at the injection site, headache, nausea, and fever.
Fainting has been reported on rare occasions.
Some cases of Guillain-Barre Syndrome (GBS), a rare disorder
that causes muscle weakness, have been reported after vaccination,
but "there is no evidence that Gardasil has increased the rate of
GBS above that expected in the population," the CDC said.
Blood clots in the heart, lungs and legs also have been
reported, but "most of these people had a risk of getting blood
clots, such as taking oral contraceptives," according to the
CDC.
After reviewing 56 deaths that followed vaccination, the CDC
said it could not find a pattern suggesting the vaccine was
responsible. Autopsy and death records pointed to other factors,
including illicit drug use, diabetes, viral illness and heart
failure, the agency said.
Others, however, remain unconvinced of the vaccine's safety.
Barbara Loe Fisher, co-founder and president of the National
Vaccine Information Center, an anti-vaccine group, said that the
HPV vaccine "can cause brain and immune system dysfunction that
takes various forms, including memory loss and inflammation of the
brain."
But Fisher said that assessment was based on anecdotal evidence.
"I don't know how common it is," she said.
Her website reports six cases of adverse reactions to the
vaccine, none of which include mental retardation. But, "to suggest
that it does not happen is inaccurate," she said.
Siegel does not disagree that brain inflammation can occur, but
he said it is rare. "Encephalitis (swelling of the brain) is a
remote and rare side effect of many vaccines, including the flu
vaccine," he said. "It is more common in live virus vaccines, which
HPV is not."
A recent Institute of Medicine report, sponsored by the
Department of Health and Human Services, also said severe reactions
were rare.
In the United States, two HPV vaccines are available, Cervarix,
made by GlaxoSmithKline, and Gardasil, made by Merck & Co.
More information
For more information on HPV vaccine, visit the
U.S. Centers for Disease Control and Prevention.