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Traubenfuchs 10 hours ago

Everyone already knows!

HPV vaccination leads to massive reduction in nasopharyngeal, penile and rectal cancer in men.

The focus of messaging around HPV vaccination on ovarian cancer, female fertility and the age limitations for recommendations / free vaccination in some places are nothing short of a massive public health failure and almost scandal.

Just truthfully tell the boys their dicks might fall off and see how all of them quicklky flock to the vaccine.

jorvi 9 hours ago | parent | next [-]

> Just truthfully tell the boys their dicks might fall off and see how all of them quicklky flock to the vaccine.

Every male above the age of 26 is locked out of the vaccine unless you pay out of pocket, which will be €300-€500 (or even higher).

It's led to this really weird situation, where HPV vaccination for men is now recommended up to 40s but only covered up to 26yr old, and that recommendation upgrade happened relatively recently. Which means there's a whole generation of men who are told they should get the vaccine, who would have had covered access to the vaccine in the past, but are now expected to go out of pocket.

jobs_throwaway a minute ago | parent | next [-]

I am over 26, a man, and my insurance (Cigna) in the US covered it.

tecleandor 9 hours ago | parent | prev | next [-]

Yep, I paid for mine. male/43/Spain. Almost €400. Two shots of the nonavalent vaccine, ~€190 each.

For younger people it's three shots (second after two months, third after 6 months of the first one), now for older (over 30s or 40s, I can't remember exactly) it's recommended to get two shots (second after six months).

derbOac an hour ago | parent | prev | next [-]

I'm in the US and have wanted to get it but perpetually have been older than the recommended cutoff. They have raised the age over and over again but I've always been older than it. I'm not sure why they don't just get rid of the age limit recommendations altogether.

nerdjon 7 hours ago | parent | prev [-]

This seems to be changing in some areas. I am in the US, in my 30's, Male and I only had my $30 copay for the first visit (nothing for my second shot)

5 hours ago | parent | prev | next [-]
[deleted]
spiderfarmer 10 hours ago | parent | prev | next [-]

[dead]

blell 10 hours ago | parent | prev | next [-]

[flagged]

port3000 10 hours ago | parent [-]

That's not what they are saying. Read it again.

blell 9 hours ago | parent [-]

That’s exactly what they are saying. Read the last part.

nephihaha 10 hours ago | parent | prev | next [-]

Promiscuity is not a healthy lifestyle and we need to stop presenting it as one. The AIDS crisis of the 1980s should have been enough of a warning. If people don't sleep around then HPV's spread will be much reduced and they will be much less likely to catch other STIs.

tokioyoyo 9 hours ago | parent | next [-]

If people stopped driving, we would have zero car crashes.

nephihaha 9 hours ago | parent [-]

[flagged]

resoluteteeth 8 hours ago | parent [-]

A better comparison would be saying that we shouldn't have seat belts because people should be driving more carefully in the first place.

matthewmacleod 10 hours ago | parent | prev [-]

This adds nothing. It has been repeatedly shown that stupid abstinence-driven approaches to public health do not work. It’s equivalent to saying “maybe the obesity crisis would be solved if we all just ate less”.

Moral crusades have zero place in public health and are actively harmful.

bluGill 10 hours ago | parent | next [-]

This isn't an abstinence driven approach it is a marry 'young' and then only that one partener for life.

ulfw 10 hours ago | parent | next [-]

What a truly sad life

nxm 9 hours ago | parent | next [-]

And yet countless couples followed this path in life and are happy

CalRobert 9 hours ago | parent | next [-]

Many miserable people married young and are trapped until they die.

tpm 9 hours ago | parent | prev | next [-]

And countless couples followed this path in life and are not happy at all, and countless individuals can't for a variety of reasons follow this path. But public health advice should also be available to them.

nephihaha 9 hours ago | parent [-]

Psychology is a whole other matter, but if you're talking about sleeping around like Bonnie Blue then it is a form of Russian roulette and is likely to result in physical health trouble. Especially if people are having unprotected sex.

HPV spreads through oral sex as well by the way.

tpm 9 hours ago | parent [-]

I am not talking about 'sleeping around' at all. Just by the look at the divorce rates around the world it is very clear that 'marry young and then never change partners' is an advice divorced from reality.

nephihaha 9 hours ago | parent [-]

Divorce is horrible for sure but that is mainly down to interpersonal relationships.

It is a simple fact that unprotected sex with large numbers of people is very risky. We should have learnt that lesson in the eighties.

wpietri 8 hours ago | parent [-]

If there's somebody out there advocating for "unprotected sex with large numbers of people", you should go post at them, because I don't see that here.

The biggest barrier to disease transmission reduction, at least here in the US, is uncritical abstinence promoters like yourself. It works, at best, for a small fraction of the population, and leaves the rest woefully unprepared for the biological realities. The best solution to STDs is education. Which, yes, should emphasize that not having sex is an option, but cannot stop there.

isbvhodnvemrwvn 8 hours ago | parent | prev [-]

Same goes for people who did not.

nephihaha 9 hours ago | parent | prev [-]

Not as sad as catching something which will damage you physically, sterilise them or even kill them.

People don't want to hear this obviously. But it is a fact STI transmission has skyrocketed since the so called sexual revolution of the late sixties. Within fifteen years, we has an AIDS epidemic.

matthewmacleod 8 hours ago | parent | next [-]

But it is a fact STI transmission has skyrocketed since the so called sexual revolution of the late sixties

It’s the opposite of a fact. Gonorrhoea rates as an example rose significantly in the 1960s, but are now lower than in the 1940s and 1950s. This is thanks to good public health measures.

Start by making sure you’re accurately informed.

CalRobert 8 hours ago | parent | prev [-]

Gen z are depressed, lonely, and less sexually active then their predecessors, so you may see your desired change come to pass.

matthewmacleod 8 hours ago | parent | prev [-]

That just seems like abstinence with extra steps.

nephihaha 9 hours ago | parent | prev [-]

[flagged]

Krssst 8 hours ago | parent | next [-]

> Disease transmission becomes prevalent if people keep doing the things which spread it

The solution to covid/flu is wearing well-fitting masks and vaccines rather than never getting out.

The solution to STIs is good protection with vaccines, condoms and tests.

Religion can stay out of that.

matthewmacleod 8 hours ago | parent | prev [-]

Yeah that’s a moral crusade. It’s a public health issue; you deal with it through public health measures like education, vaccination, and treatment. You don’t make it go away by wagging your finger at it.

potato3732842 8 hours ago | parent | prev [-]

You could probably have gotten away with it a decade ago but that is a very poor plan in the far more critical of public health world of today.

Statistically nobody even knows a guy who knows a guy who's dick fell off. Serious HPV problems for men are not even common enough to be viable urban legend. You have less to back up your DARE messaging than DARE did. It's just not gonna work. The nanosecond someone who took your bait shows up to be interviewed by some Youtube talking head about side effects the already severely damaged (compared to, IDK a decade ago) credibility of the medical establishment will go up in flames.

You need to tell the truth the whole truth and nothing but the truth and let people make their own decisions. People don't "trust the experts" anymore at the scale you need for stuff like vaccination campaigns so you have to operate based on that reality.

elric 8 hours ago | parent | next [-]

Apparently HPV is responsible for some ~70% of throat cancers and ~30% of penile cancers in men. Seems pretty significant to me.

If nobody knows a guy who knows a guy who had penile cancer, that's probably because people are very bad about talking about genital health. I'm sure some of the men in my life have issues with erectile dysfunction, enlarged prostates, hemmorrhoids, etc. But no one is talking about those issues.

AnimalMuppet 7 hours ago | parent | next [-]

70% of throat cancers? In a world with cigarettes and chewing tobacco? I find that a very surprising number - so surprising it's almost unbelievable.

Got a source?

tialaramex 6 hours ago | parent | next [-]

Think of it as shared responsibility. The tobacco and the virus are both reasons why you got cancer and died, prizes for all.

So maybe 70% of throat cancer victims have HPV, and like 70% smoked - and if those were independent facts you'd expect that about 49% both smoked and had HPV, but it's actually more than half 'cos it turns out that if you have HPV then smoking is even worse. So that's nice.

tokai 7 hours ago | parent | prev [-]

"Currently, the estimated proportion of oropharyngeal cancers testing positive for HPV within the United States is 68%–70%"[0]

[0] https://www.asha.org/practice-portal/clinical-topics/head-an...

potato3732842 7 hours ago | parent | prev [-]

And how many men get throat and penile cancers vs other cancers and health issues? There's a reason old men crack jokes about prostate health, erectile dysfunction and incontinence rather than their dicks falling off and are way more worried about colon cancer than rectal cancer.

I didn't say it wasn't a significant source of cancer. I said that nobody knows a guy who knows a guy who's dick fell off or some other extreme outcome. Without enough of that to back up your messaging it just won't work. You need to be honest with people, not try and scare them like you're trying to keep school kids from smoking weed in 1990.

The public messaging you're trying to engage in could perhaps have skated by in a less critical time but in the current environment it will be counterproductive.

I don't want my kid or my grandkid to get measles or some other "of immediate consequence" disease because they go to school with a bunch of unvaccinated kids because you people sullied the reputation of public health via "just push the truth a little, it'll make them take the vaccine" type endeavors.

elric 7 hours ago | parent [-]

> "you people"

JFC. I'm checking out of this conversation.

bschwarz 5 hours ago | parent | prev [-]

HPV is also responsible for very unsightly genital warts. I'd think people would want to avoid that if possible.