end my life, this conveys an attitude, cated by the Multiple Sclerosis Society
Cervarix™ is a prophylactic vaccine. It does
and therefore future decisions, about of Canada and their actions demon-
not prevent progression of HPV-related
the value of a human life apart from its strate their lack of interest in pursing
lesions present at vaccination. Cervarix™
“worth” or its “meaning.” To compare this novel treatment. Government fund-
does not protect against all oncogenic HPV
the death of a cat to the death of a ing needs to go to research programs
types and may not prevent infection with
human is not a useful analogy. As a that involve patients’ views.
HPV 16/18 or subsequent progression to
culture, we shall favour alleviating pain I am more than willing to be a study
cervical carcinoma in all vaccinees. Cervarix™
even if it shortens life. To encourage subject and a patient advocate. By
is not a treatment for current HPV infection,
and make possible the intentional studying the outcomes of the liberation
precancerous lesions, or cervical cancer.
killing of myself or my fellow is not procedure, maybe the medical commu-
Vaccination is for primary prevention and is
good for our society and will backfire. nity can gather the evidence to prove
not a substitute for regular cervical screening
what I already know.
Robert Blanchard MD (secondary prevention) or for precautions
Professor Emeritus, University of Michael Barkhouse against exposure to HPV and sexually
Manitoba, Winnipeg, Man. Halifax, NS transmitted diseases.
REFERENCE REFERENCE Vaccination should not be undertaken in
1. Sumner W. Looking for options at the end of the 1. Stanbrook MB, Hébert PC. Access to treatment for pregnant women and vaccinees should be
day. CMAJ 2010;182:1004. multiple sclerosis must be based on science, not advised to take adequate precautions to
hope. CMAJ 2010;182:1151.
For the full letter, go to: www.cmaj.ca/cgi/eletters avoid pregnancy for 2 months following
/182/9/1004 For the full letter, go to: www.cmaj.ca/cgi/eletters vaccination.
DOI: 10.1503/cmaj.110-2085 The most commonly