A couple of years ago, I contributed to a documentary with the intriguing title Catching Cancer. We don’t normally regard cancer as an infection, so it often comes as a surprise to learn that more than 20% of the global cancer burden can be attributed to infections, and that most of these infections are viruses.
To understand this link, we first need a basic understanding of cancer.
What is cancer?
Put most simply, cancer is a collection of cells that have lost their way. Each cell in our body is a machine programmed by the genetic information it contains to perform a specific job. A cancer cell has a corrupted program, with several genes that have acquired mistakes.
Each cell in our body has (approximately) the same genetic information, and passes this on to daughter cells when it divides. Any cell in our body is programmed to use only a subset of that information, which tells the cell whether to be part of your skin, your brain or your blood.
Much of that programming tells the cell what to do when the environment changes. It might be instructed to produce a protein (such as insulin), to divide, to repair itself, or to die. This programing is generally directed by signals from outside the cell.
A cancer cell will have programming mistakes which stop it responding correctly to external directions. The cancer cell will divide inappropriately, lose its specialist function, and become able to move to places it shouldn’t.
Genetic mistakes, once they have arisen, are passed on to the daughter cells, and eventually, the body’s ability to sort the problem fails. When there are enough misbehaving cells present, we recognise this as a cancer.
Where do viruses come in to the picture?
Viruses are not cells, but they infect cells, and have genes that can program the infected cell to make more viruses. To do this efficiently, some viruses instruct an infected cell not to die when it should, but to divide and produce more (infected) daughter cells.
Not all viruses do this: most simply multiply inside the cell and then cause the cell to die, releasing viruses to infect more cells.
But for those viruses that reprogram the cell not to die, the longer the cell lives, and the more daughter cells it gives rise to, the more viruses are produced, and the more successful the virus becomes.
The human papillomavirus that I study behaves like this. That’s why some of them give us warts, which are little mounds of excess skin cells, each acting as a virus factory. But warts are not cancers, so how can some papillomaviruses cause cancer?
Cells have defence mechanisms against viruses – part of the cell’s machinery can tell when the cell is dividing inappropriately, or when stray viral genes are hijacking the cell machinery. Usually these defences cause the cell to die if they detect trouble. But some viruses have acquired the ability to reprogram the cell machinery to overcome these defences, and, in doing so, they set the cell up for trouble.

Mistakes in our cells’ genes occur quite commonly when our cells divide – there’s a lot of information and the machinery which copies it isn’t perfect. So the cell defences that recognise viruses are part of the machinery that recognises mistakes in the cells' genes. If the cell finds a serious genetic mistake and can’t fix the problem it dies, rather than dividing.
If a virus has switched off the defences against viruses and genetic mistakes, the cell can divide with mistakes in the gene. These mistakes occur quite commonly if the cell is dividing, and if enough mistakes accumulate that reprogram the cell, the cell can acquire the behaviours of a cancer cell: dividing when it shouldn’t and going where it shouldn’t.
Which viruses cause cancer?
The viruses we recognise as causing cancer include some strains of papillomavirus, two hepatitis viruses (B and C), the glandular fever virus Epstein Barr virus, and some polyoma viruses.
But most people who catch them don’t develop cancers. Even a persisting viral infection such as papillomavirus doesn’t cause a cancer in everyone infected. Through sexual activity, most of us will get infected with the genital papillomaviruses that can cause cancer. Fortunately, most of us get rid of them between 12 months to five years later without even knowing we’ve had the infection.
Even if the infection persists, only a few individuals accumulate enough genetic mistakes in the virus-infected cell for these to acquire the properties of cancer cells.
Cancer-causing viruses are more likely to persist if the immune system is faulty and can’t eliminate them. This can occur, for example, in patients taking immune-suppressive drugs to control autoimmunity or prevent transplant rejection, and in patients with HIV AIDS. In consequence, virus-associated cancers become more common with immune suppression.
This information gives us a clue as to where to look for other virus-causing cancers – if a cancer becomes more common if your immune system is damaged, then maybe a virus is contributing to the risk.
One place we’re looking at the moment is in the skin, because the common squamous skin cancer becomes 30 to 100 times more common with immune suppression. We know that sun damage to the skin is the major cause of the squamous skin cancer, but we suspect a virus or viruses may also contribute to the risk.

Vaccinating against cancer
We have effective vaccines to prevent infection with some viruses. Vaccines against hepatitis B and papillomavirus, for instance, have reduced the burden of cancer caused by these viruses.
So finding a virus in skin cancers should enable development of a vaccine that would help reduce the burden of this extremely common disease, which affects one in three Australians in their lifetime, and costs more to prevent and treat than any other single cancer type.
It took 25 years from discovery of the papillomavirus, and 15 years from discovery of the vaccine technology, before there was a vaccine to help prevent cervical cancer, which kills over 250,000 women world wide every year. Now, we need to make sure it’s used globally, to prevent this second most common cause of cancer death in women.
Vaccines are the public health measure that, after safe food and water, have saved most lives. Vaccines for the cancers we know or suspect may be linked to viruses should be possible. We know how to do the work. All it will take is funding to support the research scientists working on these vaccines, and time.
How long are you prepared to wait for that shot?
Margaret Rose STRINGER
retired but interested
Marvellous news for those in possible danger from cancer of the kinds mentioned - that having a shot could put them back between the flags.
Far less exciting for those with a family history of other types, like lung cancer.
Oh, how I hope this article might stimulate readers to take up regular donating to the various Cancer Councils: my age pension widow's mite enables me to give the NSW branch the magnificent sum of $40 a month; so I reckon everyone can afford something...
(P.S. not directly related: why does this posting software tell me that spelling "marvellous" with two 'l's is wrong? - how very irritating that is...)
David Boxall
logged in via Facebook
Margaret Rose STRINGER: "... why does this posting software tell me that spelling "marvellous" with two 'l's is wrong?". Probably because your browser is set to US English. In IE, go to Settings/Internet Options/Appearance/Languages and set it to English (Australia) [en-AU]. For Firefox, try https://addons.mozilla.org/en-US/firefox/addon/au-english-dictionary/?src=api
Andrea Walker
Teacher Librarian
I find this article a bit disturbing. I don't agree that vaccines are the cure all to cancer. We need to be supporting healthy cell formation through supporting our immune system with nutritional building blocks. Glyconutrition is a good start. To promote the cervical cancer vaccine as a way of preventing cancer is risky. There is a lot of research and evidence to suggest it causes other cancers ie breast cancer. I have a 28 yr old daughter who had this vaccine at 24 and who at 26 was diagnosed with breast cancer. So much for this vaccine protecting her. Do your own research!
Stephen Prowse
CEO at Wound CRC
I do not think this article is saying that all cancer is caused by infection and can be prevented by vaccination, just a proportion (20% related to infection). I am sorry to hear about your daughter with breast cancer. The cervical cancer vaccine is thought only to be effective if given before potential exposure to the virus and most people will be exposed to the virus by their late teens. In addition it only protects against the most common types of the virus. Are you really saying that there is good evidence that the cervical cancer vaccine causes cancer?
Mike Mayfield
Avid Science Nut
Firstly it is terrible news that your daughter was diagnosed with breast cancer, and that must be very stressful. I wish her all the best.
But a couple of things you say don't quite make sense, Andrea. You seem to be upset that the HPV vaccine given to your daughter didn't prevent her breast cancer. yet the HPV vaccine cannot possibly do this. It was never designed to protect against all cancers, and has never been promoted as such. It is just a protection against cervical cancer.
The next…
Read moreMargaret Rose STRINGER
retired but interested
Oh, d'uhhh...
<embarrassed grin>
Thanks, David! Used Tools in Firefox (and Bing) to achieve the same result. Recently switched from Chrome and Google because I couldn't stand Google's peering into every facet of my online activities. Can't decide who's worse - Google or Microsoft..
Anyway - I'm grateful for this!
Sue Ieraci
Public hospital clinician
Andrea Walker, Teacher Librarian, recommends so-called "glyconutrients", but scientists who work in this area do not.
Interesting paper in the scientific journal "Glycobiology": "A “Glyconutrient Sham”
An extract:
"The discipline of glycobiology contributes to our understanding of human health and disease through research, most of which is published in peer-reviewed scientific journals. Recently, legitimate discoveries in glycobiology have been used as marketing tools to help sell plant extracts termed “glyconutrients.” The glyconutrient industry has a worldwide sales force of over half a million people and sells nearly half a billion dollars (USD) of products annually. Here we address the relationship between glyconutrients and glycobiology, and how glyconutrient claims may impact the public and our discipline. "
Is there no end to these supposed nutrient scams?
Laurie Willberg
Journalist
So where does it implicate the sale of glyconutrients as a scam? It talks about "legitimate discoveries" and that it's published in peer-reviewed scientific journals...
You endorse anything marketed by drug companies and slam anything that competes with it.
Pretty transparent.
Sue Ieraci
Public hospital clinician
Information about nutrient scams:
http://fnic.nal.usda.gov/dietary-guidance/fraud-and-nutrition-misinformation
"You endorse anything marketed by drug companies " nope, I don't. Except in the case of significant deficiency, I prefer my nutrients to come from foods, not manufacturing companies.
Gavin Moodie
Principal Policy Adviser
Thanx for this piece, which I found most informative because of its simplicity.
James Wookey
Paramedic
Fantastic article! Thank you!
Trevor Kerr
ISTP
Ian, suppose a good candidate virus for causation of SCC is reported tomorrow. Could you sketch out the timelines & costs to get a vaccine onto the market? I'm guessing the clinical trials, alone, would have to be over 50 years in duration.
Leo Kerr
Consultant
I have a very big problem with this article. As stated in the disclosure statement the author has a vested (financial) interest in promoting the vaccine. The article draws no attention to the documented side effects of this vaccine or to the fact that it's relative newness in the marketplace means there is no historic perspective on long term effects. Yes it is a simple and easy to understand explanation of how cancers work etc. but in the corrupt environment where the pharmaceutical industry…
Read moreStephen Prowse
CEO at Wound CRC
There is no doubt that there are examples of pharmaceutical companies covering up side effects etc so we need to treat their claims with care. However there is also a strong body of research that has no connection with companies showing linkages between some cancers and infection. Vaccines that prevent the infection can also prevent the cancer. One person in three will get cancer in their lives and public health strategies of which vaccination is one, are one of the most cost effective means of controlling infections.
Andrea Walker
Teacher Librarian
Cervical cancer is preventable without this vaccine, ie regular pap smears. I don't believe the risks/side effects make this vaccine worth considering. See this article http://www.womenshealthmag.com/health/hpv-vaccine-facts
Dennis Alexander
logged in via LinkedIn
Actually, Andrea, a pap smear picks up whether you have anomalous cells. if you do, they may be cervical cancer. That is, a pap smear is early detection, not prevention: more than a semantic difference.
Joel Mayes
Bicycle Mechanic
That article is not a good source of information on the cervical cancer prevention. It is however a fine example of the following logical fallacies.
"But thousands of women have also reported more worrisome issues, including crippling fatigue, paralysis, blindness, or autoimmune complications, and some have even died, according to CDC and FDA data. "
http://yourlogicalfallacyis.com/appeal-to-emotion
Read moreBig scary emotive sentence here.
http://yourlogicalfallacyis.com/the-texas-sharpshooter…
Laurie Willberg
Journalist
The only problem with VAERS data is a gross UNDERREPORTING of adverse reactions.
Read moreOh, no, not another pseudoskeptic philosophical kick at the "logical fallacy" can. In case you hadn't noticed real researchers do research. The major difference between pseudoskeptics/science blogs and real science is that pseudoskeptics don't engage in any real science.
You really want to deny the fact of adverse vaccine reactions so badly you'll post any sort of nonsense to undermine reality.
2-4 million people…
Laurie Willberg
Journalist
So, Joel, have you had your HPV shots yet? I mean you're such a proactive voice for it you'd better put your money where your mouth is.
Mariana Podesta-Diverio
Undergraduate Arts Student at University of Sydney
We know that vaccines have long been an effective public health measure. Addressing the way that opposition to vaccines (such as that of complementary healthcare practitioners) operates is crucial for an adequate analysis of tensions surrounding immunological issues in Australia. It's not simply a question of waiting for a cure-all shot that is ubiquitously regarded as effective and safe.
Peter Pollard
Principal Research Fellow, Australian Rivers Institute at Griffith University
Great research and article Ian.
Some recent research has shown that viruses have their own viral nemesis, virus that pre on other viruses — one viruses swapping its DNA for the others. Do you think this approach could be applied to limit the viral cross infection of human cells using a virus with a be-nine DNA sequence to prevent the spread of the cancerous cells?
Peter
Jack Arnold
Director
Thank you for this simply written explanation of a major concern to society.
I am reminded that about 40 years ago, a group of four recent graduates were solving the problems of the world & concluded without any evidence whatsoever that some cancers were likely of pathogenic origin rather than physiological malfunction.
This article shows why more research funding is essential to build the future tomorrow that we want today.
Laurie Willberg
Journalist
More research funding? The cancer industry has been milking donors for hundreds of billions of dollars for more than 20 years and is still peddling chemo and radiation...
Public funds are being used to profit the drug cartels. What a great scam.
People should really donate their money to alternative medical research -- the mainstream has obviously failed and it's time to move on.
Vaccines against cancer will likely CAUSE cancer and other chronic diseases and only the gullible are likely to believe the pseudo-scientific nonsense/ad copy that will go into promoting it.
Elizabeth Hart
Independent Vaccine Investigator
In this article Ian Frazer states:
“The viruses we recognise as causing cancer include some strains of papillomavirus, two hepatitis viruses (B and C), the glandular fever virus Epstein Barr virus, and some polyoma viruses. But most people who catch them don’t develop cancers. Even a persisting viral infection such as papillomavirus doesn’t cause a cancer in everyone infected. Through sexual activity, most of us will get infected with the genital papillomaviruses that can cause cancer. Fortunately…
Read moreLeo Kerr
Consultant
I would suggest Elizabeth that it can't be justified - it's all about money!! The manufacturers, Merck, have been trying to get compulsory vaccination mandated in order to boost the flagging sales of Gardisal. For example check out the financial and social links of White House hopeful, Governor Rick Perry of Texas who wanted Gardisal mandated as a compulsory vaccine for all sixth grade girl students. It's worth reading about his connections to Merck. There have been thousands of side effects including deaths attributed to this drug (http://truthaboutgardasil.org/) - Merck have been embroiled in controversy for years and their Vioxx drug is estimated to have killed more Americans than all those killed in the Vietnam war. I am so surprised the Conversation has published this very one sided article from someone who benefits financially from this drug. I note the negative score attributed to my previous entry - how very interesting. Big Pharma, big business, big profits....
Dave Hawkes
Research Officer (Viral tools and Neuropeptides) at The Florey Institute of Neuroscience and Mental Health
Hi Elizabeth, Figures from 2002 show that Australia/New Zealand had an incidence of cervical cancer of 7.5 per 100,000 women and a mortality rate of 2 per 100,000 (1.9/100,000 in 2007). We have a very effective the screening program to identify pre-cancerous lesions and so any additional way to reduce cervical cancer rates would be beneficial. As there does not appear to be any significant risks associated with the HPV vaccine I suggest a vaccine that can save the lives of a 100 - 200 women a year would be of great benefit.
Elizabeth Hart
Independent Vaccine Investigator
Leo, on the subject of mandated vaccination, the Australian Government recently announced that “families will now need to have their children fully immunised to receive the existing $726 per child Family Tax Benefit Part A supplement”.
In this regard, I am questioning the Government’s requirement that children be vaccinated twice with the measles/mumps/rubella (MMR) vaccine as it is likely most children will already have lifelong immunity after the first dose.
I have forwarded a letter on this matter to the Federal Minister for Health, Tanya Plibersek. The letter can be accessed via this link: http://users.on.net/~peter.hart/Letter_to_Minister_Plibersek_re_MMR_vaccine.pdf
Elizabeth Hart
Independent Vaccine Investigator
David, on the push for HPV vaccination, David Sackett’s editorial “The arrogance of preventive medicine” comes to mind, i.e.:
“But surely the fundamental promise we make when we actively solicit individuals and exhort them to accept preventive interventions must be that, on average, they will be the better for it.2 Accordingly, the presumption that justifies the aggressive assertiveness with which we go after the unsuspecting healthy must be based on the highest level of randomized evidence that…
Read moreDave Hawkes
Research Officer (Viral tools and Neuropeptides) at The Florey Institute of Neuroscience and Mental Health
Hi Elizabeth, I will also be interested in the Cochrane review. I have recently been writing something about the HPV vaccine and have been reading published peer reviewed double blind clinical trials (through PubMed) papers so I don't think you need to wait. There is a wealth of evidence already available if that is what you are interested in.
Dave Hawkes
Research Officer (Viral tools and Neuropeptides) at The Florey Institute of Neuroscience and Mental Health
Sorry forgot. Just because most women who get HPV (remember it is the straing 16 and 18 that are strongly linked with cancer and in the vaccine not the other 50 subtypes) can clear it doesn't mean that preventing those susceptible to it is not a good public practice. If you argue against it please provide you evidence for your view please. Do you think it isn't safe? effective?
Elizabeth Hart
Independent Vaccine Investigator
Can you clarify your position David? Are you arguing that HPV vaccination should be compulsory for all girls/women, despite the National Cervical Screening Program’s statement: “It is important to remember that most women who have HPV clear the virus naturally and do not go on to develop cervical cancer.”?
Dave Hawkes
Research Officer (Viral tools and Neuropeptides) at The Florey Institute of Neuroscience and Mental Health
Hi Elizabeth,
Read moreYou are throwing up a lot of the anti-vax favorite lines with reference to the HPV vaccine so I will try and address them in clear dot point form.
- There is no compulsory vaccination for the general Australian public
- You have chosen not to clarify if the statement about clearing HPV refers to all HPV or specifically to the two main cancer linked strains (also contained in the vaccine, 16 and 18). By the way I notice you didn't quote "When cervical cancer develops, HPV is found…
Joel Mayes
Bicycle Mechanic
Your letter refers to a MMR vaccine controversy. Are you referring to the Wakefield paper? Are you not aware that he faked his data, took payments from vested interests and had a financial conflict of interest due to patents he held on competing vaccines?
Joel Mayes
Bicycle Mechanic
Elizabeth writes"
I would like some clarification on this. If “only a few individual accumulate enough genetic mistakes in the virus-infected cell for these to acquire the properties of cancer cells”, can universal HPV vaccination be justified?"
The National Cervical Cancer Coalition estimates 253,500 deaths per year from cervical cancer. 70% of those cancers can be prevented by this vaccine.
A few individuals over the world population really adds up.
Elizabeth Hart
Independent Vaccine Investigator
David, re your comment: “There is no compulsory vaccination for the general Australian public.”
The Immunise Australia Program website notes: “Families will need to have their children fully immunised to receive the existing $726 per child Family Tax Benefit Part A supplement, replacing the Maternity Immunisation Allowance from 1 July 2012.”
This appears to be a significant financial incentive for vaccination. The vaccinations required to fulfil the definition of ‘fully immunised’ are listed…
Read moreElizabeth Hart
Independent Vaccine Investigator
Further to my response to David above, and my reference to “current knowledge” in my PS comment.
An Australian Pesticides and Veterinary Medicines Authority media release today announces: “New Australian research showing that poultry vaccines have recombined to produce more virulent viruses has prompted the Australian Pesticides and Veterinary Medicines Authority (APVMA) to examine regulatory controls over the approval and use of veterinary vaccines.”
Read moreRef: “Agvet regulator responds to chicken…
Leo Kerr
Consultant
Excellent points raised in your letter Elizabeth. Today's worrying alert about poultry vaccines is yet another wakeup call to resist pressure from Big Pharma to make vaccinations mandatory.
Elizabeth Hart
Independent Vaccine Investigator
Yes Joel, I’m referring to the MMR/Wakefield controversy.
Re your reference to “a financial conflict of interest”. It is imperative that scientists, doctors and others are open and transparent about any possible conflicts of interest regarding their endorsement of medical products.
For example, both Ian Frazer and the Minister for Health, Tanya Plibersek, were involved in advertising the HPV vaccine for boys (and girls) yesterday, yet the media articles I read on the launch of the HPV vaccine…
Read moreSue Ieraci
Public hospital clinician
Elizabeth Hart - you say " It’s about time the spotlight was thrown onto the exploitation of the “unsuspecting healthy”.
That's exactly why it is so important to shine light on ineffective "therapies" like homeopathy.
I don't know what your area of "research" is, but your apparent paranoia about vaccination suggest it is not a scietific area.
Joel Mayes
Bicycle Mechanic
I would hope anyone can see the difference between a scientist getting remunerated *after* demonstrating their work is safe and efficacious and a scientist getting paid by a lawyer to produce evidence to fit a legal argument.
Elizabeth Hart
Independent Vaccine Investigator
Sue, I’m employed as a part-time Research Officer providing assistance on research projects in areas unrelated to vaccination. I have experience with scientific literature searching. I am also aware of processes for ethics approval of scientific projects. My tertiary education majored in politics and philosophy.
I’m particularly interested in the ethical aspects of companion animal and human vaccination, and also evidence based medicine. I became interested in these topics after my dog became…
Read moreSue Ieraci
Public hospital clinician
Elizabeth Hart - being literate in research methods is certainly an advantage, but the ability to do a critical analysis of medical research also requires an understanding of the underlying clinical sciences and clinical practice.
Have you read the basic science underlying the development of the various vaccines? Have you read and analysed the data on the early-phase developmental studies of vaccines? What is your analysis?
Your comment about the "unsuspecting healthy" also suggests that you…
Read moreSue Ieraci
Public hospital clinician
The new knowledge about the effects of a combination of live vaccines used in poultry is not a "wake-up call" - it is just a new piece of evidence in ever-developing health science that will continue to make vaccination better and safer.
People who bemoan the fact that the current whooping cough vaccine is not the most effective of vaccines should understand the history of its development - the previous vaccine that was used was more effective, but had a higher rate of side-effects. The new Pertussis vaccine is acellular - less side effects but also less effective (although a lot better than nothing). Science improves in this way - gradually and in steps.
Elizabeth Hart
Independent Vaccine Investigator
Joel, re ‘estimates’ of cervical cancer deaths, a recent media release from The Royal Society of Medicine is pertinent: “Controversial vaccine trial should never have been run in India, researchers say”, 21 June 2012: http://www.rsm.ac.uk/media/pr305.php
QUOTE
Read moreResearch published in the Journal of the Royal Society of Medicine raises further questions about a trial of HPV vaccines in India….
Professor Pollock explained: “This trial has clearly raised serious concerns for the people and government…
Laurie Willberg
Journalist
Wakefield is now suing the BMJ and Brian Deer, the again-unemployed journalist who faked the evidence against Wakefield as a means of boosting his career.
Laurie Willberg
Journalist
Viruses are neither alive nor dead -- they are incapable of "doing" anything until they occupy a live host.
Viruses contain DNA and RNA that invade the DNA and RNA of the host. What goes on from there is a crap-shoot, and researchers are far from having all the answers. Seeing that the research is being manipulated by and for the benefit/profit of the drug companies, they are more interested in good ad copy and promotion than the public good. With the further manipulation of medical journals, it's a safe bet that the independent research that does not support vaccination will be buried.
The fact that we are seeing all sorts of virus mutations is not surprising at all with all the manipulations that are going on in labs. It also explains why some viruses are now able to cross species.
Dave Hawkes
Research Officer (Viral tools and Neuropeptides) at The Florey Institute of Neuroscience and Mental Health
Laurie, Your generalizations about viruses are misleading at best. What viruses do is not a "crap shoot". Your last paragraph shows that you are completely unaware of how viruses. Last time I checked an HIV virus will incorporate roughly 30 - 80 mutations with each life cycle. That is the normal baseline mutation rate. Scientists don't need to cause high mutation rates in viruses, the viruses can do that themselves very well.
Sue Ieraci
Public hospital clinician
Wakefield has made several attempts to silence Brian Deer. He may also be suing the BMJ, but his fraudulent paper in the Lancet stands retracted.
Sue Ieraci
Public hospital clinician
Laurie Willberg shows a homeopathic knowledge of vaccine science.
Elizabeth Hart
Independent Vaccine Investigator
Sue, I don’t claim to be an expert about anything, least of all immunology/vaccinology, that’s why I’m careful to quote others when I make my arguments. For example, I quoted Ronald Schultz in my previous response to you, did you read it? Schultz says: “I tell practitioners that vaccines are drugs, albeit biological drugs. I remind them that they would not consider it good medicine to give an unnecessary pharmaceutical drug on a recurring basis. I think it is even worse to give a vaccine, or biological…
Read moreElizabeth Hart
Independent Vaccine Investigator
David, re your reference to this statement on the National Cervical Cancer Screening website, i.e.:
“When cervical cancer develops, HPV is found in almost all cases.”
So HPV isn’t found in all cases of cervical cancer. That’s interesting isn’t it?
Ref: http://www.cancerscreening.gov.au/internet/screening/publishing.nsf/Content/hpv
Sue Ieraci
Public hospital clinician
Elizabeth - it would take some time to explain to you that the assertion " The possible adverse consequences of a vaccine generally far outweigh the adverse consequences of a pharmaceutical drug." is just not true.
Firstly, there is no single category of "pharmaceutical drug". Does he mean topical antibiotics? Paracetamol? Aspirin? Digoxin? Then, the vaccines are injected intramuscularly - theya re not injested or intravenously administered. That is just a nonsensical statement.
However, I…
Read moreElizabeth Hart
Independent Vaccine Investigator
Sue, I suggest you are the one with the obvious bias… I am simply asking questions from an evidence-based medicine perspective, which is my right.
Read moreYou are trying to characterise me as ‘anti-vaccine’ while I suggest it is clear from my comments that I am challenging vaccination of questionable benefit to the health of most individuals. I am also concerned about the over-bearing and authoritarian attitudes emanating from ‘experts’ in science and medicine about vaccination. This isn’t just about…
Dave Hawkes
Research Officer (Viral tools and Neuropeptides) at The Florey Institute of Neuroscience and Mental Health
Hi Leo, and to a lesser extent Andrew. Could you please show evidence these side effects. VAERS in the US is not a valid reference and neither is the work of Ms Wilyman. There are a significant number of published papers looking at side effects of the vaccine including some that follow those vaccinated 4 years after vaccination. The side effects reported have generally been sore arms, some fainting (though no more than control groups) and other minor but reasonably common side effects. The reason that high school students are being given the vaccine is that it is less effective if the person is already infected with HPV strains 16 or 18, although there is still a 44% reduction in pre-cancerous lesions.
Leo Kerr
Consultant
Hi David - the side effects are listed in many websites as you are probably aware:
Headache, Pyrexia, Oropharyngeal pain, Diarrhea, Nasopharyngitis, Nausea, Upper respiratory tract infection, Abdominal pain upper, Myalgia, Dizziness, Vomiting, Anaphylaxis has also been reported following vaccination with Gardisal. As I stated in my comment, the problem for me David with the article is that the author has a vested financial interest in promoting the drug, "Now, we need to make sure it’s used globally, to prevent this second most common cause of cancer death in women." The cynic in me adds "..... and I make a bundle of money on the way through". The manufacturer's questionable promotions tactics with this drug and their shameful history with Vioxx had my cynics radar on red alert. Oh and I think it was Andrea you referenced in your response, not Andrew.
Leo Kerr
Consultant
oh I forgot toothache, syncope, insomnia and nasal congestion :)
Dave Hawkes
Research Officer (Viral tools and Neuropeptides) at The Florey Institute of Neuroscience and Mental Health
So headache, pain and fever? Those would be the minor side effects (which I don't think present a valid reason for avoiding this vaccination) to which I was refering. In terms of his vested interest as it is declared you can incorporate that info into your opinion. If I cured cancer tomorrow, or MS or cystic fibrosis and marketed that cure you would argue I have a vested interest and shouldn't be trusted?
Leo Kerr
Consultant
David - you asked for the side effects - I expect you already knew them but I've listed them anyway and I don't consider Anaphylaxis as a minor side effect. I'll answer your question about whether I'd trust you when you develop the cure for the other diseases you mention - let me know when you've made the breakthrough.
Dave Hawkes
Research Officer (Viral tools and Neuropeptides) at The Florey Institute of Neuroscience and Mental Health
You were talking about side effects including death. You are correct that anaphylaxis is associated with all vaccinations (especially those from eggs) but is a very rare condition and public health professionals now wait for 15 mins post vax to make sure if it occurs they can treat it there and then. I suspect that you dislike or distrust medicine in general (the "truthaboutgardasil citation kind of gives it away). You didn't answer my question which is basically the statement that if someone finds a cure for a disease and goes through the 10 - 15 years of work to get it TGA approved and makes some money off of it you won't trust them. Nothing I can say will satisfy you and you will continue to move the goalposts.
Andrea Walker
Teacher Librarian
What about Multiple Sclerosis-Like Symptoms and Paralysis - Check out this link http://articles.mercola.com/sites/articles/archive/2012/01/24/hpv-vaccine-victim-sues-merck.aspx
Leo Kerr
Consultant
c'mon David - I answered your question about side effects so now you've diverted into matters of ethics and entitlement (sorry who was it that moved the goalposts?). To me the article was interesting and informative - however the roundup was a sales pitch - "let's get everyone immunised" - forgive me for thinking there might be a financial motivation factor seeing as the author has a financial interest and the drug company that manufacturers it has been trying to influence governments to make it…
Read moreJoel Mayes
Bicycle Mechanic
Mercola is not a medical doctor. He is very successful profiteer from human gullibility and desperation. He is a HIV/AIDS denialist, will tell you that sun exposure *prevents* skin cancer, sells a number of fake cancer, diabetes and autism cures, and promotes unpasteurised milk as the only safe food for infants if they can't be breast feed.
That article is typical of the content on his site. Lots of assertions with no data to back them up, links to conspiracy theory sites, links to his own articles plugging product from his shop.
He is not a reliable source of health information.
Andrea Walker
Teacher Librarian
Not being a medical doctor does not make you an unreliable source. We need to look beyond the medical profession anyway and I believe there is enough evidence of harmful side-effects to carefully reconsider compulsory immunization. If you want real data from sources such as the FDA then this link also provides plenty of information. http://www.naturalnews.com/Report_HPV_Vaccine_0.html
Its interesting when the truth is sort that their is an immediate assertion of "conspiracy theory" if it does not support the popular, media driven belief. We need to keep open minds.
Dave Hawkes
Research Officer (Viral tools and Neuropeptides) at The Florey Institute of Neuroscience and Mental Health
Hi Andrea, I am afraid that again you have cited one of the most notorious sources of misinformation (Mike the Health Ranger) about health on the web. Try the following website http://www.ncbi.nlm.nih.gov/pubmed and search for "HPV vaccine side effects", on the left hand side you can reduce results to just "human" "randomized control trial" and "clinical trials". This will give you 74 peer reviewed studies of the safety of this vaccine. There is a wealth of information for studies all over the world. Also remember that there is no compulsory vaccination for the Australian general public.
Joel Mayes
Bicycle Mechanic
You are correct in the first statement, however that does not change anything about Mercola he is a dishonest profiteer.
The article you have linked to is quite dishonest. Have a look at this quote which is centre of his argument that the FDA is lying and HPV does not cause cancer.
FDA Quote
Read more"The HPV DNA test is not intended to substitute for regular Pap screening. Nor is it intended to screen women under 30 who have normal Pap tests. Although the rate of HPV infection in this group is high…
Luke Weston
Physicist / electronic engineer
Hahahaha, it was explained to you that Mercola is a science-denialist anti-medicine conspiracy theorist crackpot quack who gets rich from selling his bogus health products, so in order to provide information from another source who is not a crackpot hysterical anti-science conspiracy theorist you then go and provide a link to bloody NaturalNews?
Laurie Willberg
Journalist
Mercola IS a medical doctor who graduated as a Doctor of Osteopathy/DO which is the equivalent of an MD in the U.S. Get your facts straight.
Gardasil is said to "protect" against only 3 strains of HPV when there are about 90... There is also research showing that HPV is largely harmless and that the virus burns out on its own in a few weeks to months.
Cervical cancer has one of the lowest incidences of all cancers.
Correlation does not mean causality. Just because HPV is found in SOME women presenting with cervical cancer does not mean it is the cause.
Selling injections to hundreds of thousands of women to allegedly prevent one case of cervical cancer worldwide is hardly effective and certainly not cost-effective -- these are what the real statistics add up to.
Sue Ieraci
Public hospital clinician
Laurie Willberg - selling drops of water or alcohol containing no therapeutic substance to vulnerable people is certainly not either effective or cost-effective, nor is it ethical.
Joel Mayes
Bicycle Mechanic
Laurie Willberg writes
"Mercola IS a medical doctor who graduated as a Doctor of Osteopathy/DO which is the equivalent of an MD in the U.S. Get your facts straight. "
No. He is a Doctor of Osteopathy, A Medical Doctor in the U.S.A. does a different degree program. The fact that in the U.S.A. Osteopaths have been given the privileges of medical doctors and that their degree program has some overlap with a medical degree does not change that the basis of osteopathy is the non-evidence based treatment of disease by skeletal manipulation.
Laurie Willberg
Journalist
The FDA is a clearinghouse for the pharmaceutical industry. It is NOT and never has been a consumer protection agency. A large number of former FDA employees end up in the employ of drug companies.
The cherry-picking is done by the drug companies who are not required to also submit the dozen failed "studies". Until there's an independent body to truthfully evaluate the claims of drug companies the public is well-advised to take a pass.
Is anyone NOT aware that Glaxo was just fined $3 billion for conspiring to and then falsifying studies (among other things)? This has been going on for a very long time. Again it was inside whistleblowers who exposed them.
The best predictor of future behaviour is past behaviour.
Ad hominem attacks on Mike Adams and Joseph Mercola don't negate the impartial information they provide.
Vioxx, Avandia, Thalidomide etc. were all "approved" products. You pseudo-skeptics sure like to appeal to authority when it suits you.
Laurie Willberg
Journalist
Depends on what "treatment of disease by skeletal manipulation" you're referring to. I have a hunch you know very little about it, but this knee-jerk litany of pseudo-skeptic nonsense is typical.
Osteopaths in the U.S. get the same medical training as MDs and then some.
Pick the medical care you want. Don't be surprised if others are scoffing at you for being a "sheeple".
Laurie Willberg
Journalist
Just your opinion Sue. You're certainly no expert on other medical systems. You spend your time defending the old school status quo. Thousands of MDs are incorporating non-mainstream approaches and enjoying the gratification of seeing patients actually get better. You won't.
Joel Mayes
Bicycle Mechanic
Actual Laurie my information on Osteopathy come from the American Osteopathy Association http://www.osteopathic.org
This is the body in the US responsible for licensing Osteopaths. They quite happily talk about using skeletal manipulation to treat asthma, and advocate cranial manipulation, neither of which has any evidence base.
Sue Ieraci
Public hospital clinician
No Laurie Willberg - not just my opinion. You've responded to most of the similar threads that show similar evidence - so you clearly know it is not just me.
Your comment about "old-school status quo" is such an amusing irony.
Instead of medical science, which continuously updates itself, you are promoting homeopathy, which upholds the principles invented by one person in the nineteenth century, and is uninfluenced by evidence?
I have the pleasure of seeing lots of my patients get better. It is gratifying indeed.
Laurie Willberg
Journalist
Medicine is not "science", it falls into the category of health care technology. The core theory behind mainstream medicine is the suppression of symptoms or the removal of organs -- this is not "updating". The notion of being able to use technology to diagnose a condition in order to be able to put a name on it is not therapeutic. It's just more of the same old same old.
Read moreMainstream treatments like surgery are not evidence-based: just trial and error, otherwise how to do you explain the elaborate…
Leo Kerr
Consultant
"The combined profits for the ten drug companies in the Fortune 500 ($35.9 billion) were more than the profits for all the other 490 businesses put together ($33.7 billion) [in 2002]. Over the past two decades the pharmaceutical industry has moved very far from its original high purpose of discovering and producing useful new drugs. Now primarily a marketing machine to sell drugs of dubious benefit, this industry uses its wealth and power to co-opt every institution that might stand in its way, including the US Congress, the FDA, academic medical centers, and the medical profession itself."
-- Dr. Marcia Angell, former editor in chief of the New England Journal of Medicine
Senior Lecturer in the Department of Social Medicine at Harvard Medical School in Boston, Massachusetts
Sue Ieraci
Public hospital clinician
Mercola's own site says that he no longer practices - he spends his time promoting his book and marketing a whole lot of dubious retail products. If you wanted to hold up some idealistic examplar against the supposed medical-industrial complex, he would not be the one!
Sue Ieraci
Public hospital clinician
Laurie Willberg - when bacterial infections are treated with antibiotics, would you classify that as "suppression of symptoms" or "removal of organs"?
When a clot-busting drug clears a blocked coronary artery, is that "suppression of symptoms" or "removal of organs"? The nailing of a fractured femur so it can heal straight - "suppression of symptoms" or "removal of organs"?
Your comments seem to reflect a degree of envy of health care workers - perhaps being a homeopathic journalist is not as fulfilling as helping people get better.
No matter how many times you repeat the number "200", there is no evidence that giving someone drops of water and/or alcohol with no detectable molecules of anything else can have any effect on the body. I don't rely on anybody's propaganda - I've read many, many of the papers that you and other proponents have referred to, as well as your websites, chat pages and the news items you have referenced - your "magic water" just doesn't do anything.
Leo Kerr
Consultant
Well try this one Sue:
"The combined profits for the ten drug companies in the Fortune 500 ($35.9 billion) were more than the profits for all the other 490 businesses put together ($33.7 billion) [in 2002]. Over the past two decades the pharmaceutical industry has moved very far from its original high purpose of discovering and producing useful new drugs. Now primarily a marketing machine to sell drugs of dubious benefit, this industry uses its wealth and power to co-opt every institution that might stand in its way, including the US Congress, the FDA, academic medical centers, and the medical profession itself."
-- Dr. Marcia Angell, former editor in chief of the New England Journal of Medicine
Senior Lecturer in the Department of Social Medicine at Harvard Medical School in Boston, Massachusetts
Leo Kerr
Consultant
oh and here's a video that might help open your eyes to the "so called" medical industrial complex....
http://www.youtube.com/watch?v=ZqKY6Gr6D3Q
President's Lecture Series 2009-10: Dr. Marcia Angell
Dave Hawkes
Research Officer (Viral tools and Neuropeptides) at The Florey Institute of Neuroscience and Mental Health
Um Leo, please check facts and don't just parrot anti vax info from a decade ago. The link below is to the top Fortune 500 performers in 2012. Proctor and Gamble appears to be the highest pharma company on the list at 14 which makes you statement about the top ten pharma companies making more profit than the other 490 incorrect.
http://money.cnn.com/magazines/fortune/fortune500/2012/performers/companies/profits/
Dave Hawkes
Research Officer (Viral tools and Neuropeptides) at The Florey Institute of Neuroscience and Mental Health
Hi Laurie, Please post one peer reviewed double blind randomized clinical trial (the base standard for any new treatment) that shows homeopathy works better than placebo. I am happy to go through it within 24 h and get back to you.
Cheers
Leo Kerr
Consultant
Um David (you never did respond by the way to my query on anaphylaxis - too difficult for you or is that a minor side effect in your opinion).
David if you had read the quote properly you would have noticed that it did reference the year 2002. This isn't anti vax propaganda. If you'd checked the reference or watched the video link I'd provided, you would realise the quote had nothing to do with anti vax info. It was about the criminal activities of the pharmaceutical industry (activities…
Read moreDave Hawkes
Research Officer (Viral tools and Neuropeptides) at The Florey Institute of Neuroscience and Mental Health
HI again Leo,
Anaphylaxis is a serious but rare side effect. It does occur with vaccination and should be closely monitored by medical professionals. Anything else?
Your Fortune 500 quote, irrespectively of who said it is commonly parroted on anti vax websites as I am sure you are aware. I don't particularly care who said it. I looked it up, Fortune 500 profits in 2002 (link below). Pfizer (#5) and Merck (#9) are in the top twelve for profit. However this means that 10 of the top 12 most profitable companies are not pharma companies so how can the top ten Pharma companies make more than the other 490 Fortune 500 companies. I look forward to your answer. And before you ask I looked at the ten years up to 2002 and it appears that 2002 was a booming year for Pharma profits as no other year had two (or more) pharma companies in the top ten for profitability.
Dave Hawkes
Research Officer (Viral tools and Neuropeptides) at The Florey Institute of Neuroscience and Mental Health
Sorry, here is the link
http://money.cnn.com/magazines/fortune/fortune500_archive/profits/2002/
Dave Hawkes
Research Officer (Viral tools and Neuropeptides) at The Florey Institute of Neuroscience and Mental Health
I would also like it known that I am not a huge fan of pharmaceutical companies and I think the have some very dubious/criminal practices. If you want to attack them for things like Vioxx etc please feel free. However I think that if you are going to attack a person, company, organization or government please use facts not just stuff you found from 5 minutes on google without choecking your sources..
Leo Kerr
Consultant
David - glad you're not a particular fan of the drug companies. Thanks for the link - it confirms the data in the quote - the mistake you made in looking at it, is you plugged in the year 2002. That gives results for the financial year 2001 - plug in the year 2003 to get the 2002 numbers (as can be verified by the annual reports of the drug companies e.g. Pfizer annual report at the following link showing 2003, 2002, 2001 comparative figures - Pfizer Annual Report: http://www.uic.edu/classes/actg…
Read moreLaurie Willberg
Journalist
For starters try www.extraordinarymedicine.org
Read morePubMed has an easily found meta-analysis of placebo effect comparison between Homeopathy and conventional drugs -- the result is that it's about the same. Anyone who still wants to claim that Homeopathy produces nothing but placebo response will have to concede that pharmaceuticals are placeboes too.
RCTs are NOT the only standard for any treatment otherwise it would be used for surgery, psychiatry and... oh yeah, vaccines.
RCTs were developed and…
Dave Hawkes
Research Officer (Viral tools and Neuropeptides) at The Florey Institute of Neuroscience and Mental Health
Ok put in 2003. The Top 10 most profitable (profit in millions) companies were;
1 Citigroup 15,276.0
2 General Electric 14,118.0
3 Exxon Mobil 11,460.0
4 Altria Group 11,102.0
5 Bank of America Corp. 9,249.0
6 Pfizer 9,126.0
7 Wal-Mart Stores 8,039.0
8 Microsoft 7,829.0
9 Merck 7,149.5
10 Johnson & Johnson 6,597.0
So three pharma companies in the…
Read moreDave Hawkes
Research Officer (Viral tools and Neuropeptides) at The Florey Institute of Neuroscience and Mental Health
I am sorry I don't think you understood my request.
"Please post one peer reviewed double blind randomized clinical trial (the base standard for any new treatment) that shows homeopathy works better than placebo. " Not a link to a homeopathy promoting website.
The single best double blind randomized clinical trial of homeopathy that shows it works better than placebo. I await your response.
As for your distaste of RCTs and how homeopathy can't be tested., that is called special pleading. If it can't be tested it can't be shown to work.
Leo Kerr
Consultant
ah David - I thought you might make that calculation mistake (you may be a scientist but your maths are sloppy). The numbers aren't fudged - they are correct. Re-read the quote: "for all the other businesses put together" - now if you'd done as I'd suggested and run a spread sheet you get the total figure of profitability for the fortune 500. You're mistake this time is not including all the other businesses (some of which ran negative balances). It's just high school maths David (perhaps even primary school maths). What you have to do is plug in the whole of the 500 companies and combine their profits (as many made losses that year) "for all the other businesses put together".
Geez David - don't cherry pick the winners and then tell me I'm making stuff up. Do it properly this time mate.
Dave Hawkes
Research Officer (Viral tools and Neuropeptides) at The Florey Institute of Neuroscience and Mental Health
I stand corrected. If you include the losses, including the 98 billion loss of Time Warner in 2002 that was correct. See how easy it is. I was looking at companies that made profits not losses. Now what would be interesting is if this occured the next year. If it didn't then I suggest that a one off event from a decade ago is not a good basis for an argument.
Dave Hawkes
Research Officer (Viral tools and Neuropeptides) at The Florey Institute of Neuroscience and Mental Health
One more thing that was bothering me. Firstly the quote and figures are correct, I will be clear on that. However I think the calculation and impression it gives is very misleading. Essentially of the Fortune 500, 375 made a profit (365.2 billion, of which the top ten Pharma companies would have contributed just under 10%) but the lower 125 made a loss which can be subtracted from the profit. I am not a finance guy so I picked the top five "finance" companies as I could identify them (Citigroup…
Read moreLeo Kerr
Consultant
Well thanks for acknowledging that the quote is correct (I mean that sincerely) - but please don't try to fit the figures around some other point - Dr Marcia Angell was precise in what she was comparing - the other figures that she has researched (such as the exorbitant profit percentages of big pharma in comparison to the other fortune 500 companies is equally as disturbing). To dismiss her figures as total bull in the real world is a little petulant - she was not claiming or trying to manipulate anything as you suggest. David - really - you should look in to what she says - she is an excellent and extremely credible resource for insights into how big parma operates - it's scary stuff!!!! Have enjoyed the exchange with you .....
Leo Kerr
Consultant
Significant losses can be tracked to many major fortune 500 companies over the past decade - but that's not the point of the quote - it was merely demonstrating how profitable the pharma industry is. Their profit percentage from revenues is on average 5 or 6 times that of fortune 500 companies - just another indication of where their motivation lies - profit over people - a bit of corruption, a bit of fraud, a few fines on the way through - who cares when you're creaming in so much ...... oh and…
Read moreSue Ieraci
Public hospital clinician
Laurie Willberg - ALL therapies have the potential to have a placebo effect. That's exactly why therapies have to be tested AGAINST placebo. AN effective therapy is one whose benefit is GREATER than placebo.
Homeopathic water is, however, ONLY a placebo.
Elizabeth Hart
Independent Vaccine Investigator
Leo, thanks for the link to Marcia Angell’s presentation. I watched it last night, very interesting…
Read moreSadly, there are few people like her brave enough to speak out. There are others though, see for example this recent paper by Peter Doshi, Tom Jefferson, and Chris Del Mar titled “The Imperative to Share Clinical Study Reports: Recommendations from the Tamiflu Experience”
Here are the summary points of the paper:
- Systematic reviews of published randomized clinical trials (RCTs) are considered…
mark mc dougall
educator
there have been tests upon plant growth.
plants arent subject to self deception
dilutions do seem to have effect
Laurie Willberg
Journalist
Joe Mercola is an Osteopathic Physician -- they are pretty much in the same league as MDs in the U.S.
Calling him a "dishonest profiteer" is considered libellous in most civilized countries... Mercola.com and Natural News are two of the most widely read and well-researched natural health sites worldwide, contrary to your nasty opinions.
Laurie Willberg
Journalist
There are plenty of sources for that sort of information. The conclusions of the actual researchers speak for themselves, thanks, without any special interpretations from you. The website I referred you to has links to many published studies and also commentary by scientists who disagree with your pre-conceived bias.
Read moreAny study that doesn't individualize the remedy to the patient violates a fundamental principal of homeopathic practice. It's not a one-size-fits-all form of treatment. Your insisting…
Elizabeth Hart
Independent Vaccine Investigator
The Federal Health Minister, Tanya Plibersek, announced today that the HPV vaccination program is to be extended to boys in a world-first initiative.
Here are links to a couple of media articles:
“Schoolboys to get Gardasil vaccine”. Brisbane Times, 12 July 2012: http://www.brisbanetimes.com.au/queensland/schoolboys-to-get-gardasil-vaccine-20120712-21xqg.html
“Boys to get free Gardasil vaccine”. ABC News, 12 July 2012: http://www.abc.net.au/news/2012-07-12/hpv-vaccine-extended-to-boys…
Read moreLeo Kerr
Consultant
With the announcement that boys will now get the Gardasil vaccine free (obviously the author was aware of the forthcoming announcement) the cat's out of the bag and I reiterate the issues I had with this article - it could have been written by the Merck PR department - this is all about money. The various responses to my comment and comments by others reflects the circle the wagons approach when outsiders such as myself raise the conflict of issue with this type of promotion. I think it's all pretty disgraceful and a waste of taxpayers dollars for such a small return in investment (not to mention the potential life threatening side effect of anaphylaxis - glossed over by some of the responses in this comments page). The incidence of HPV is very small in this country (and the U.S.) with 85% of cases happening in developing countries. This sales pitch should never have been published.
Sue Ieraci
Public hospital clinician
Leo Kerr: it definitely is not straightforward to calculate life-long cost-effectiveness of any intervention - though some are relatively simple (low cost, low risk and huge benefit).
Which of the vaccines that you or your family have received benefit from would you agree ARE cost-effective across a lifetime?
Leo Kerr
Consultant
I see you don't comment on the conflict of interest issue that is and has been my main objection about this article. The question you pose to me is impossible to answer as I don't have details on the cost/benefit analysis of any vaccine but the incidence of death resulting from HPA is relatively small in this country as you are probably aware. There has been a substantial campaign by the manufacturers of Gardisal (Merck) to have this vaccine made mandatory. The motivation for this is not substantial…
Read moreSue Ieraci
Public hospital clinician
Leo Kerr - which of the vaccines that you or your family have received benefit from would you agree ARE cost-effective across a lifetime?
Ian Frazer
logged in via Facebook
For the record, trecords at the Conversation will confirm that this article was commissioned by The Conversation - not initiated by myself. The commissioning was done well before I became aware that the vaccine was to be made available free of charge to boys in Australia.
Ian Frazer
Leo Kerr
Consultant
I think you're probably a good guy Ian but you're in bed with the devil.
Sue Ieraci
Public hospital clinician
Leo Kerr - if Ian Frazer, good guy, was to get his discovery (vaccine against HPV) manufactured and distributed world-wide (where it can achieve its maximum benefit) - how would you suggest that he should get it manufactured and distributed in a way that would not disturb you?
Leo Kerr
Consultant
Sue - it would be nice to think that the drug companies operate from a patient perspective with altruistic aims and make it available at pricing (or free) in developing countries that might lead to better health outcomes in those places. As profit is their motivation I doubt very much if this would ever come to pass.
Tongue in cheek - my suggestion for getting it manufactured and distributed - perhaps the bikie gangs could do that - they may be criminals but at least they're honest about it.
Sue Ieraci
Public hospital clinician
Leo - of course profit is their motivation - like all manufacturing businesses. We live in a capitalistic democracy. Unless the drug companies are being dishonest or acting in a dangerous way (for which they must be stopped and prosecuted), we can't regulate their motivations.
Without tongue in cheek - how would you advise Ian to get his discovery manufactured and distributed?
Leo Kerr
Consultant
Sue I doubt Ian has any choice now in the way this vaccine is manufactured and distributed. That's part of this whole issue - the only way to globally distribute is via a mafia like corrupt industry. There is simply no incentive for them to change. The huge fines that have been dished out to them are just part of the cost of doing business - who cares if you get fined a billion dollars when you've already made billions in profit (or as I heard one commentator state, "that's a good business model…
Read moreSue Ieraci
Public hospital clinician
Leo - the answer, like in most things, lies in the balance of good and bad.
Does the current manufacturing and distribution system bring more benefit to the people of the world than harm? IF it does, then it is worth continuing.
I can't see any benefit from accusing Ian Frazer of being "in bed with the devil" if the result is that developing countries are obtaining the benefits at reduced cost.
We can't compel multinational manufacturers to have the motivation of saints - we can only seek to regulate their behaviour.
Leo Kerr
Consultant
Sue - you're right - I shouldn't have said in bed with the devil - I should have been more specific - in bed with a company that has been involved in corruption and criminal behaviour over many years. Sue I doubt if Merck are doing very much in the way of reducing the costs to developing countries - perhaps a bit of PR window dressing of course - they are after all a marketing company. Their intention in developing countries where admittedly the rates for HPV are higher is to expand their markets - that's all. Merck are not philanthropists - they are in the business of making money. With finite health budgets is it proper that aggressive marketing has been used to try to convince developing countries that cervical cancer prevention through HPV vaccinations takes priority. HPV doesn't rank in the top 10 causes of death in undeveloped countries.
Leo Kerr
Consultant
oops that should have read.... " cervical cancer doesn't rank in the top 10 causes of death in undeveloped countries"
Sue Ieraci
Public hospital clinician
Leo Kerr - you seem to have a big hang-up about the motivation of multinational manufacturers, but can offer no alternative.
The top causes of death in impoverished countries are mainly infectious diseases and trauma. One of the most cost-effective ways of improving the outcomes from infectious diseases - especially in children - is vaccination. Solving poverty and hunger and producing employment, clean water and good food would be nice, but that is not a simple task.
You don't seem to like the idea of either vaccines or pharmaceutical manufacturers. What are your preferred solutions for health in impoverished countries? Do you have a simple and reliable way of bringing employment, good food and clean water to everyone in a developing country?
Leo Kerr
Consultant
I'm not trying to offer alternatives and that isn't why I joined this discussion in the first place. My point was conflict of interest plain and simple. That's it Sue. It really surprised me the reaction that my initial comment got. I'd have thought everyone would be concerned about conflict of interest. Vaccination may be a great and cost effective way to prevent infectious diseases in developing countries but with a finite budget you then have to make choices based on what gets the biggest bang for the buck. That's the point I was making with regard to the introduction of HPV vaccine into those countries. There are many greater priorities for the health systems in those countries to fund - cervical cancer is way down the list - why is the pharmaceutical industry trying to foist their products in this way? Its a rhetorical question that we all know the answer to - profit pure and simple.
Elizabeth Hart
Independent Vaccine Investigator
Recently, The Australian published an ‘exclusive’ report noting that University of Wollongong PhD student Judy Wilyman had “questioned the value of the vaccine Gardasil in the fight against cervical cancer”. (‘University stands by anti-vaccine student’, Rick Morton, 26 September 2012.)
Read moreWhile Ms Wilyman’s views on vaccination are highly controversial, she is not alone in questioning the value of the HPV vaccine against cervical cancer. Citizens are entitled to ask well-founded questions about vaccination…
Ian Frazer
logged in via Facebook
While I agree that the risk of cervical cancer in those with HPV infection is low (about 1 chance in 100 in a lifetime) , the risk of cervical cancer for those who don't catch HPV infection is zero, and HPV infection amongst unvaccinated women is incredibly common, with 1 in every 2 women contracting the infection at some time. Worldwide, cancers arising from HPV infections kill 250,000 women every year, mostly at an age that they're still caring for their children - if the currently available…
Read moreElizabeth Hart
Independent Vaccine Investigator
On the subject of oral cancers, I’ve noticed media articles on this popping up recently, e.g. “Researchers say HPV is behind increased rates of throat cancer in men”: http://www.nbc33tv.com/news/national-news/researchers-say-hpv-is-behind-increased-rates-of-throat-cancer-in-men
Read moreAnd this one: HPV virus previously thought to be at low risk for cancer: http://www.nbc33tv.com/news/national-news/hpv-virus-previously-thou
And this: HPV takes its toll on men and women: http://www.ksn.com/content…
Miriam Sullivan
logged in via email @gmail.com
For those harping on about financial conflict, it's worth noting that Ian Frazer waived royalties for 72 developing countries.
http://www.uniquest.com.au/portfolio/gardasil
Laurie Willberg
Journalist
There are a wide variety of "cancers". Show us a random-controlled double blind challenge study that could possibly give credence to the notion that some form of vaccine could be preventative.
Read moreThe notion that cancer could be caused by a virus/viruses has yet to be substantiated beyond theory.
I'd lump this speculation in with the notion of an "anti-obesity vaccine".
As with all vaccines, the pharma industry has a closet full of excuses when their vaccines don't work, and a tendency to take…
Sue Ieraci
Public hospital clinician
Laurie Willberg - perhaps you have never helped a patient with chronic Hepatitis B who, many years later, develops Hepatoma.
But then, perahps you have never helped a patient at all.
Joel Mayes
Bicycle Mechanic
Laurie writes
"There are a wide variety of "cancers". Show us a random-controlled double blind challenge study that could possibly give credence to the notion that some form of vaccine could be preventative. "
http://www.hu.ufsc.br/projeto_hpv/Prevention%20of%20cervical%20cancer.pdf
http://dceg.cancer.gov/Files/schiffman35321012005.pdf
http://onlinelibrary.wiley.com/doi/10.1002/%28SICI%291096-9896%28199909%29189:1%3C12::AID-PATH431%3E3.0.CO;2-F/abstract
Elizabeth Hart
Independent Vaccine Investigator
In this discussion thread Ian Frazer says that “the risk of cervical cancer in those with HPV infection is low (about 1 chance in 100 in a lifetime)”, but provides no reference to back up that statement.
Read moreSEER (Surveillance Epidemiology and End Results), which provides statistics on cancer for the US population, says: “1 in 147 women will be diagnosed with cancer of the cervix uteri during their lifetime.”(1)
It is interesting to compare these figures with the risk of bowel cancer, as provided…
mark mc dougall
educator
Interesting view of immunology- very different perspective
http://philipincao.crestonecolorado.com/index_htm_files/Infection.pdf
http://philipincao.crestonecolorado.com/index_htm_files/The%20Paradigm%20Shift%20in%20Medicine%20and%20Science.pdf
cancer and degenerative diseases following upon vaccination...?
Elizabeth Hart
Independent Vaccine Investigator
Gardasil is proving to be a nice little earner…
Read more“Shares in global vaccine maker CSL reached a record high on Tuesday after the company upgraded its profit forecast to 20 per cent, helped by a rise in Gardasil royalties.”(1)
“CSL shares have risen above the $50-mark for the first time after the blood products and vaccine supplier lifted its full-year profit guidance. CSL now expects its profit after tax in the 2012/13 financial year to grow about 20 per cent, from $US1.02 billion in 2011/12.”(2…
Elizabeth Hart
Independent Vaccine Investigator
Some history on how Gardasil eventually got onto the Pharmaceutical Benefits Scheme, brought to my attention in an article in The Australian’s Cut & Paste, November 17-18 2012.
Read moreCut & Paste reported a recent comment by Tony Abbott on Twitter, i.e. “Pleased to see research on the positive impacts of Gardasil being on the PBS; a decision I made as health minister.”
Cut and Paste then referred to an article by Matthew Stevens published in The Australian in November 2006. The article, titled “Howard…