Cervical Cancer Awareness: HPV And The Vaccine

By Lauren Williams, BlackVoices.com

Once upon a time, cervical cancer was the leading cause of death among American women. Not anymore. As more and more women stick to their schedule of yearly pap tests, which detect cancer-causing HPV, cervical cancer rates in this country are on a steady decline. In addition to regular screenings, there's the HPV vaccine, sold as Gardasil in the U.S. It protects against the two strains of HPV that are responsible for 70 percent of cervical cancer diagnoses.

The decline in cervical cancer doesn't mean that it's not still a problem. Cervical cancer still affects 9,000 women a year, and African American women are afflicted at higher rates than any other segment of the population. Black women are twice as likely to die from cervical cancer than white women. As Cervical Cancer Awareness month comes to a close, it's important for all women to remain vigilant about being screened for HPV and to make a decision about the vaccine -- either for themselves, if eligible, or their children.The vaccine is available for females ages 9-26, and the Centers for Disease Control and Prevention recommends that girls get it around the age of 11 or 12. This recommendation gives some parents pause, said Curtis Allen, spokesman for the CDC.

"In a lot of ways, this is a difficult subject for many parents, because [HPV] is a sexually transmitted disease, and no parent wants to think about their children having sex," Allen said. "It's also important that parents recognize that many of these cases of HPV begin shortly after beginning sexual activity. Within a couple of years, there's a chance that they would have come into contact with someone with HPV, and by the time that they're 50 years of age, almost 80 percent of women would have had an HPV of some sort."

Both the vaccine and Merck, the pharmaceutical company that sells Garadasil, have attracted a bit of a backlash since the vaccine was introduced to the public in 2006. Many parents are anti-vaccine, and critics have said that it is too early to gauge how safe it is. But Allen said there has been "no scientific evidence of the vaccine having safety issues." As of June of 2008, more than 18 million doses of Gardasil had been distributed in the United States.

"It's important that African American women are aware of the vaccine and should take advantage of the vaccine," Allen said. "There is a higher rate [of cervical cancer] in the African American community than in other communities."
Dr. Philip Castle, an investigator at the National Cancer Institute, told Black Voices that the HPV vaccine is useful, but not a cure-all. The vaccine protects against the two strains of HPV that cause 70 percent of cervical cancer cases. Even if a woman receives the vaccine, she is still at risk for less common forms of cancer-causing HPV that the vaccine does not prevent and needs to continue her annual exams.

"If women get screened regularly," he said, "they won't need the vaccine."

Cervical Cancer Awareness Quiz

Awareness of Cervical Cancer is very important for black women's health. Compared to white women, black women are more likely to die of the disease at what rate?

  • Twice the rate
  • Three times the rate
  • Five times the rate

What is cervical cancer?

  • A disease of the abdomen
  • A disease of the reproductive tract
  • A disease of the intestines

Is cervical cancer easy to prevent and treat?

  • Yes
  • No
  • It depends

When should a woman begin getting screened for cervical cancer?

  • By age 21
  • By age 31
  • By age 40

How many cervical cancer screening options are there for a woman aged 30-40?

  • 4
  • 2
  • 10

At what age can a woman stop getting her yearly screenings for cervical cancer and be sure she will remain healthy?

  • 45
  • 55
  • 65

What do the best medical professionals recommend to maintain your feminine health, regardless of your age?

  • Only getting cervical cancer screenings
  • Annual gynecologic examinations, including pelvic exams
  • Waiting until you have symptoms

Are there conditions that require more frequent tests for cervical cancer?

  • Yes
  • No
  • I'm not sure

What is the name of the cervical cancer vaccine?

  • HibTITER
  • Gardasil
  • Menomune

At what age should a woman consider getting vaccinated with Gardasil?

  • Ages 5-10
  • Ages 32-44
  • Ages 9-26

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