Srdjan Kamenko

Eugene, OR, United States

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Comments & conversations

149954
Srdjan Kamenko
Posted over 3 years ago
When it comes to vaccine intervention for disease control, should personal liberty go before the benefit to society?
The type of cream you use for your hemorrhoids does not influence anyone but you. The choice for getting vaccinated does because the virus can be spread from person to person. This is not the case for hemorrhoids. I still believe people should enjoy their own opinion, but they should ponder the decision more extensively if the outcome effects anyone else other than themselves.
149954
Srdjan Kamenko
Posted over 3 years ago
When it comes to vaccine intervention for disease control, should personal liberty go before the benefit to society?
Do you think educating everyone to make the choice on their own would take too much money and time? Maybe if we started vaccinating the masses now we can catch the virus before it gets any worse. It might also be cheaper for simple vaccination vs. education programs. It is hard to boil things down to cost, but some people have raised the cost effectiveness as an issue for the use of the vaccine, saying the vaccine is too expensive. Is the alternative any cheaper?
149954
Srdjan Kamenko
Posted over 3 years ago
When it comes to vaccine intervention for disease control, should personal liberty go before the benefit to society?
I too feel that education should be our number 1 priority. People need to understand both sides of the story and decide for themselves. I wonder how much time and money that would take. would it be cheaper and safer just to mandate? By safer I mean, by the time we have educated people to the point of making a decision sometime in the future the virus might become an even bigger problem than it would have been. Just a thought. What do you think?
149954
Srdjan Kamenko
Posted over 3 years ago
When it comes to vaccine intervention for disease control, should personal liberty go before the benefit to society?
Smoking has been banned in dozens of types of public establishments (restaurants, bars, schools). This has limited the exposure of people to second hand smoke. It seems that as far as the government is concerned it is not up to the individual to choose where they want to smoke because of the risk to others. In the case of smoking, the government has weighed the cost of limiting personal freedom vs. the benefit to society and have found that the benefit is greater! Smoking is a good analogy because it shows that in some cases the benefit to society comes before personal liberty.
149954
Srdjan Kamenko
Posted over 3 years ago
When it comes to vaccine intervention for disease control, should personal liberty go before the benefit to society?
I am actually curious to see the statistic of what % of our population (either in U.S. or just in college) are abstinent until marriage. I disagree that the value would be substantial. If you would like to continue using that word, back it up with evidence. You are right that there is risk in taking the vaccine because we don't have any really long term data given that the vaccine is so new, but it's not ALL risk and no reward. The reward is preventing such a prominent cause of cervical cancer, various other cancers, and genital warts. I also wonder what the occurrence of HPV is at BYU, but BYU does not accurately reflect the rest of the nation. Lets talk about this more in class!
149954
Srdjan Kamenko
Posted over 3 years ago
When it comes to vaccine intervention for disease control, should personal liberty go before the benefit to society?
I agree! I think if we are to consider vaccinating the masses we need to have the vaccine at an affordable cost for all. Here are the payment options I found: Girls ages 18 and under may qualify for the federal Vaccines for Children (VFC) program, which will cover the $120 for each injection. • Merck, the manufacturer of Gardasil vaccine offers a patient assistance program for young women, ages 19-26, based on financial eligibility. • Some private health insurance policies may provide coverage (private insurance clients will need to pay for the vaccine at the time of service and then submit a receipt for reimbursement from their insurance company). Source: http://www.plannedparenthood.org/ppsworegon/hpv-cervical-cancer-vaccine-29204.htm As for your question regarding the upper age limit for the vaccine, here is a direct quote from the CDC: "Both vaccines were studied in thousands of people from 9 through 26 years old and found to be safe and effective for these ages. The vaccine is not licensed in the United States for persons over age 26 years, as GARDASIL has not been demonstrated to prevent HPV-related outcomes in a general population of women and men older than 26 years of age". Source: http://www.cdc.gov/vaccines/vpd-vac/hpv/vac-faqs.htm It is interesting, Canada offers the same vaccine but their upper age limit for women is 45 as of April of last year. The difference comes from doing more studies with the vaccine up to that age limit. Source: http://www.newswire.ca/en/story/796529/health-canada-approves-gardasil-for-women-up-to-age-45
149954
Srdjan Kamenko
Posted over 3 years ago
When it comes to vaccine intervention for disease control, should personal liberty go before the benefit to society?
For this reasoning to be true, we would have to agree that HPV can be avoided by lifestyle adjustments. If the lifestyle adjustment was abstinence, I would agree, HPV could be avoided and we should not vaccinate. However, people will not stop having sex. As my colleague Kevin pointed out in another comment: abstinence education is ineffective at changing sexual behaviors. Source: http://www.openeducation.net/2009/01/05/abstinence-only-sex-education-statistics-final-nail-in-the-coffin/ HPV can take months or years to show up on a cervical screen, men can't be tested, it can be passed through oral intercourse, and condoms don't fully protect, thus having sex at all exposes you to the risk of contracting the virus. With a virus as prevalent as this one (20 million in the US, 45% of college aged women) the chances that someone will contract it at some point in their sexual career is very high. Sources: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1477576/?tool=pmcentrez http://www.cdc.gov/std/hpv/ Therefore, I believe HPV is a threat to society as long as that society continues to have any kind of sex.
149954
Srdjan Kamenko
Posted over 3 years ago
When it comes to vaccine intervention for disease control, should personal liberty go before the benefit to society?
When it comes to HPV, it's not so easy for someone to protect themselves if they still wish to have sex. Several months to years can elapse before the virus can be detected clinically (through paps). Source: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1477576/?tool=pmcentrez This, combined with the fact that men can't be tested means that if anyone wishes to engage in sexual intercourse at all, they will still have the risk of getting the virus. Wearing condoms also reduces the risk of contraction, however it can be spread from contact by other genital areas uncovered. Abstinence is the only way to decrease the risk to 0%. Unfortunately for HPV there is no such thing as safe sex.
149954
Srdjan Kamenko
Posted over 3 years ago
When it comes to vaccine intervention for disease control, should personal liberty go before the benefit to society?
For your first question regarding the test for men, here is a quote from the CDC: "Currently, there is no HPV test recommended for men. The only approved HPV tests on the market are for screening women for cervical cancer. They are not useful for screening for HPV-related cancers or genital warts in men." Source: http://www.cdc.gov/std/hpv/STDFact-HPV-and-men.htm We can think of a situation in which both men and women get vaccinated, that way the woman are protected against cervical cancer while the men are 1) stopped from giving it to them (for the most part) 2) protected against the majority of genital warts types.