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Cervical Cancer Prevention

Cervical cancer kills over 274,000 each year worldwide and is still one of the leading causes of death in Indonesian women, and now we have a vaccine to prevent it!

The cervical cancer vaccine Gardasil, designed by Australian Doctor Ian Frazer, has been approved by Australia’s Therapeutic Goods Administration (TGA) for use on boys aged nine to 15 and girls aged nine to 26; while the US Food and Drug Administration (FDA) has approved its use in girls and women aged from nine to 26. Europe and the UK are now also using the vaccine. The good news is that the vaccine is now available here in Bali. (Call Dr. Ristie 08123818570, or myself 08123660000 for appointments).

One of the leading causes of cervical cancer is the Human Papilloma Virus or HPV (a sexually transmitted genital wart). About 80 per cent of sexually active women (and men) can expect to have an HPV infection at some point in their lives.

Gardasil works against the sexually transmitted human papillomavirus (HPV), which causes changes in cells that leads to cervical cancer, it protects against cervical cancer caused by HPV strains 6, 11, 16 and 18, and also against genital warts. In worldwide clinical trials involving more than 20,000 mostly sexually active women, Gardasil was 100 per cent effective in preventing cervical cancers, and 99 per cent effective in preventing two types of warts.
The vaccine is given in three doses at two monthly intervals over a period of 6 months and costs approximately 1.5 million rupiah ($160.00 USD) per dose.

Here are some of the more common questions regarding this vaccine:

Does the vaccine contain a live virus?
No. Gardasil contains a virus-like particle, but not the virus itself.

Is Gardasil safe?
Reports from clinical trials, to date, show Gardasil to be safe.

Will Gardasil protect women that have already been exposed to HPV and can it be used to treat cervical cancer?
Gardasil is not designed to protect people who have already been exposed to HPV or to treat cervical cancer; it is a preventative treatment only.

Will the new vaccine eliminate the need for cervical cancer screening?
No. Gardasil doesn’t protect against all causes of cervical cancer, so screening (such as the Pap test) will still be needed. Screening is essential to detect cancer and precancerous lesions caused by other HPV types. Screening will also continue to be necessary for women who have not been vaccinated or are already infected with HPV.

Are there other cervical cancer vaccines?
Gardasil is the first cervical cancer vaccine to be approved. In fact, it’s the first vaccine to protect against a risk factor for a cancer.

Will this vaccine protect against other sexually transmitted disease?
NO. This vaccine is not a protection against any other sexually transmitted diseases, and is by no means a substitute for safe sexual practice.

Does it interfere with my birth control pill or injections?
No. There is no interaction between these medications.

What are the side effects of the vaccine?
The vaccine is generally well tolerated, however some girls my suffer fever, nausea, fainting and swelling at the injection site.

Kim Patra is a qualified registered nurse and midwife who has been living and working in Bali for almost 20 years. She now runs her own private practice and medical referral service from her Kuta office. Kim is happy to discuss any health concerns with you and she may be contacted via e-mail at info@chcbali.com or Hp. 081 2366 0000.

Copyright © 2007 Kim Patra
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