HPV Vaccine now available in Canada AND US

[danaeris]

Gardasil, the vaccine against HPV strains 6 and 11 (which cause 90% of genital wart cases) and 16 and 18 (which cause 70% of cervical cancers), was approved last month in Canada for use in women ages nine to 26. In the US it was approved a month earlier for women ages 11 to 31. Edit: ignore that part of the survey below... apparently the thing I read that said this was confused. Also, keep in mind some doctors may be willing to administer for older women; it just might not be covered by your insurance.

The vaccine requires three doses over a six month period (day 0, month 2, and month 6), and costs $135 Canadian per dose, for a total cost of $405. In the US it is going for a total of $360 USD.

In July, the Public Health Agency of Canada's National Advisory Committee on Immunization (NACI) said it was reviewing scientific data and expected to make recommendations by the end of this year on whether provinces and territories should fund mass immunization programs.
-From Canada.com

In clinical trials Gardasil, manufactured by Merck, has been 100% effective in preventing infection with HPV strains 16 and 18, which together cause 70% of cervical cancer cases. The vaccine is also 99% effective in preventing HPV strains 6 and 11, which together with strains 16 and 18 cause about 90% of genital wart cases. Gardasil also protects against vaginal and vulvar cancers, two other gynecological cancers that also are linked to HPV, according to another study.
-From about.com

There are many other cancer-causing strains, but the ones that are most implicated aside from 16 and 18 are: 31, 33, and 35

[Poll #805885]

Comments

[jadia.livejournal.com]

I thought in the US it was only approved for ages 9-26. I found some articles that seem to say that, too. Where'd you hear about it approved for women up to 31? If it's now approved until women are 31, that's kinda cool.

http://www.fda.gov/bbs/topics/NEWS/2006/NEW01385.html
http://www.cdc.gov/std/HPV/STDFact-HPV-vaccine-hcp.htm

[danaeris.livejournal.com]

Huh, no.
For some reason the source I had was confused. It's 9 to 26 everywhere.

[fyfer.livejournal.com]

In the US, I am told that there's nothing keeping doctors from giving the vaccine to people outside the approved age range. The age range mostly affects what insurance companies will cover. Such "off-label" prescriptions are common but do have a slight risk of malpractice suits if something goes wrong, so some doctors are reluctant to do them. I wonder if the same is possible in Canada? (I don't even know for certain that it's true in the US, but well-informed people have told me so.)

Another question is whether doctors will administer the vaccine without doing a test for the relevant HPV strains, and how much that would cost. They won't usually do actual tests for the virus unless you have abnormal Pap results. My campus health center says they might start testing & vaccinating everyone.

[tshuma]

At my last gyno visit, Kaiser's nurse-practitioner said they were now testing for HPV as a matter of course at every pap smear.

[athereal.livejournal.com]

MIT Medical covers it through the insurance ($20 copay/shot), but not if you fall outside the age range. So you could still get it, you'd just have to pay more.

As for testing... the info sheet I got with my first shot seemed to indicate that testing wasn't terribly important, as the vaccine protects against four strains of HPV. Although the vaccine is more useful for someone who hasn't had HPV at all, it can still be effective with somebody who has had the disease, as they are unlikely to have had all four varieties.

[commodorified.livejournal.com]

Other:

I am too old to be eligible.

I already have HPV.

I have excellent insurance and could probably get it covered.

I never had that kind of money when I was the right age for it, even had it been available.

I would have gotten it immediately had it been free or affordable.

I am an American man.

[etherial.livejournal.com]

This poll way does not apply to me.

Re: I am an American man.

[velvetpage.livejournal.com]

You can carry the virus, and it can cause penile cancer. And the warts are still an issue. They're probably testing it on men now, to reduce overall the amount of virus in the population.

Re: I am an American man.

[etherial.livejournal.com]

a) I live in American and therefore Question 2 does not apply to me.
b) I am a man and the vaccine is not approved for me in either country, so Question 1 does not apply to me.

I'm well aware that I could contract herpes and that it's bad. The poll does not apply to me, and I was expressing mild annoyance as I keep seeing polls on my flist that do not explicitly exempt anybody but implicitly exempt people from the poll by the scope and wording of the questions.

Re: I am an American man.

[tshuma]

At the risk of annoying you further, Herpes and HPV are different virii. As far as I know, Herpes rarely causes death, whereas the strains of HPV that cause cervical cancer can and do.

(Just thought maybe you'd read it quickly and thought we were discussing the other virus...)

[velvetpage.livejournal.com]

I'm at almost-zero risk, and I'm outside the age range, but when my daughters are old enough I will make sure they get this vaccine, and if my risk factors ever change I will consider asking for it for myself.

[darkestembrace.livejournal.com]

I saw this a couple days ago, actually, and hadn't had enough time to do more research.

If this become funded (ie if I will not have to pay for it), I intend on getting it. If it doesn't get funded, I still intend on getting it done, but first I will have to see if my father's medical plan will cover it. If it doesn't, it may take a while, but I would totally save up the money for it.

[jackspryte.livejournal.com]

Yeah I would actually wait for Canada to have it and distribute it because I am lazy and wouldn't make the trip for the sake of a few weeks.

But if the vaccine took longer than that then I would go and get it one there...given that I had the money.

Is it only between the ages of 9 and 26? I am sort of confused...why?

If not I imagine I would get it sometime this year or next.

I hope of course the government/insurance pays for it soon however because that would make all the difference. My sister should get it too come to think of it.

[jackspryte.livejournal.com]

Might I add that it is kinda expensive but I think worth it.

[ratatosk.livejournal.com]

I would pay out of pocket for it for myself, even though it's not approved for men, if I could find a way to keep that anonymous. I would be afraid of it affecting my insurance in the future to have gotten STD tests of vaccinations. That's all assuming I had a source for it in the first place.

[angel-thane.livejournal.com]

Have you heard any word on approval for men?

[polywolf.livejournal.com]

According to the canadian women's health network "You should be aware that this test is new in Canada and is not available everywhere.".

I find it interesting that although "genital HPV infections are so common among people who have sex that one could say they are almost a routine aspect of being sexually active. An estimated 70 to 80 percent of sexually active Canadians carry the virus at some time in their life." the test in not available throughtout canada yet.

subj

[newo-to-apollo.livejournal.com]

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