The Hpv Vaccine Controversy

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The Human Papilloma Virus, so-called HPV, is one of the most widespread sexually transmitted diseases in America, with more than 20 million infected now and more than 6 million new cases detected each year. It is estimated that at least 50 percent of all sexually active people will be infected during their lifetimes. And while the silent disease may cause no symptoms in most cases, two strains of HPV cause some 70 percent of all cervical cancer, which strikes more than 10,000 women in the United States alone each...

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The Human Papilloma Virus, so-called HPV, is one of the most widespread sexually transmitted diseases in America, with more than 20 million infected now and more than 6 million new cases detected each year. It is estimated that at least 50 percent of all sexually active people will be infected during their lifetimes. And while the silent disease may cause no symptoms in most cases, two strains of HPV cause some 70 percent of all cervical cancer, which strikes more than 10,000 women in the United States alone each year. So it is with great fanfare than an HPV vaccine, tested around the world and approved by the US government in 2006, is being marketed. But controversy surrounds the vaccine, which is being recommended for girls as young as 9 and may be mandated by state governments. In this timely book, Shobha Krishnan, M.D., of Barnard College, Columbia University - a longtime gynecologist and family physician, and mother of a young daughter - explains in layterms both the disease and vaccine to parents, youths, men and women. She also addresses the controversy, legislative aims to require the vaccine, and another vaccine to hit the market this year. Krishnan also raises the issue of whether boys should get the vaccine. Coverage across the book is comprehensive and addresses both the pros and cons of anyone being innoculated.

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Editorial Reviews

Doody's Review Service
Reviewer: Yvonne Collins, MD (Christ Hospital and Medical Center)
Description: With its expanded look at the human papillomavirus that includes etiology, transmission, diagnosis, ramifications, vaccination, and controversies, this book attempts to answer questions and concerns of patients, parents, and providers.
Purpose: The goal of this book is to better inform readers on the disease manifestations of HPV and the role of vaccine therapy. The author also wishes to address issues that have been raised in an attempt to empower women.
Audience: This is intended to be a resource for healthcare providers (internal medicine, obstetrics/gynecology, family practice, adolescent medicine, pediatrics), parents, and patients (both young and the more mature). For educated providers, the book may be too simple, but it is thorough enough for patients, parents, and less knowledgeable providers. The author has a background in obstetrics/gynecology and family practice in addition to having worked at the Centers for Disease Control and Prevention.
Features: The book covers HPV in good detail, including natural history, risk of regression, transmission and the importance of behavior modification, risk factors for transmission, staging, and treatment, as well as barriers. She also addresses the disease burden of HPV beyond the cervix. She discusses vaccine therapy, taking a thorough look at other vaccines throughout history. With vaccine therapy, she explores treatment, prevention, side effects, risks, and the possibility of vaccinating other non-FDA approved populations. Lastly, she also addresses the global need for intervention for cervical cancer. The book is impressive in the vast area covered, the questions answered, and the controversies raised. The author provides an unbiased view and is honest about what we don't know. The key facts at the end of each chapter help identify the take-home points, and the glossary and figures help emphasize pertinent information. One possible drawback is that the book may be too long for the typical patient or parent.
Assessment: This is good addition to the books explaining HPV. It attempts to provide a complete source of information without directing patients and parents to multiple sources and sites. It covers just about everything patients and parents want to know about HPV.
...Krisham offers a well-written, easy- to- understand book that does a super job of providing timely, relevant information regarding human papilloma virus (HPV). Chapters treat transmission, effects on the human body, prevention, and how the virus causes cancer. The author both a gynecologist and family practice physician, does an outstanding job of explaining the controversy surrounding the vaccine, and has brought to light a rarely discussed issue: why males/boys are not mentioned in the vaccination plans, when according to the date cited HPV causes almost as many cancers in men as in women . . . this volume will be a very valuable acquisition for public, two- year community college, four year university/ college, and consumer health libraries.
Shobha Krishnan's The HPV Vaccine Controversy is a welcome and much-needed book authored at a critical time. . . . Krishnan's book does a masterful job of organizing the complex and expansive HPV literature into well-organized chapters. . . a superb book for any person who wants to be introduced to this fascinating field as well as for the more experienced clinician or health educator who wants to get a fresh and renewed perspective. . . . This is a much-needed reference source for parents who want more information and explanations before making the decision as to whether to give the vaccination to their children, as well as for concerned parents who have pressing questions and want full and detailed answers. . . . This book is a terrific contribution, and individuals involved in the HPV field should be grateful for its publication.
Journal of American College Health
A great book for anyone dealing with sexuality issues, as well as for the occasional lay reader who wants to know more detailed information about HPV and its vaccine. There is far too much information in this book for me to cover it all, but many college health providers will find the chapter on issues surrounding HPV infections in men to be unique and quite helpful. Many college health practitioners may not know the following: women actually get more anal cancer from HPV infections than men; an anal Pap test is available; visual inspection of the cervix with acetic acid techniques are being used in the developing world as a cost-effective alternative to Pap tests; the teenage cervix is the most vulnerable to HPV infections and other sexually transmitted diseases.
This book is packed full of information. It should be a tool for parents and for health classes in high school, as to teach all teenagers the dangers of sexually transmitted diseases / infections and to also encourage both parents and teenagers to be open and honest in regards to their sexual activity. This book contains so much needed information, from the cause to the treatment, and also the vaccine itself. If I had a teenager, or a child in puberty I would definitely use this book as a learning tool. As a nurse, of course I find any writing related to Health care very beneficial, but that said, shouldn't all parents be informing their children not only the importance of abstinence but also some of the consequences that accompany their sexual urges? This book also delves into the vaccine aspects for both males and females. This book contains much needed information and also gives references and Internet resources. This book is easy for the layman to understand, and also contains a glossary.
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Product Details

  • ISBN-13: 9780313350115
  • Publisher: ABC-CLIO, Incorporated
  • Publication date: 8/1/2008
  • Pages: 248
  • Product dimensions: 6.50 (w) x 9.40 (h) x 1.10 (d)

Meet the Author

SHOBHA S. KRISHNAN, MD is Staff Physician at Columbia University's Barnard College Health Services. A board certified gynecologist and family practice physician, she has also worked as a surveillance physician for the federal Centers for Disease Control and Prevention. Prior to joining Barnard, she was in private practice for 10 years. In addition, Dr. Krishnan has worked as a physician at the Institute on Aging, and as Chief Resident in the Family Practice Department at St. Vincent Hospital, Indianapolis.
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Table of Contents


Author's Note

1.The HPV Vaccine Controversy: Science versus Faith

2. HPV Transmission and Natural History: A Silent Epidemic

3. Risk Factors and Testing: Knowledge is Power

4. Cancers, Warts and HPV: From Head and Neck Lesions to Cervical, Penile, and Anal Diseases

5. Emotional Aspects and Prevention of HPV: Shame, and Blame, and Absence of Cure

6. The New HPV Vaccines: History, Recommendations and Limitations

7. HPV Vaccines for Males: The Unsolved Half of the Equation

8. FAQ's on HPV and the Vaccines: Excerpts from a University Town Hall Meeting

9. Parent's Dilemma to Vaccinate: A Physician Mother's Perspective

10. Vaccines on the Global Front: Unique Challenges and Opportunities

Internet Resources


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Customer Reviews

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