宫颈癌HPV疫苗要注意什么
宫颈癌HPV疫苗要注意什么?
HPVVaccinationControversyinJapan,RatesPlummetto1%Controversyoverhumanpapillomavirus(HPV)vaccinationinJapanhasledtomuchconfusionamonghealthcareprofessionalsandparents,withtheresultthatvaccinationrateshaveplummeted,fromaround70%toonly1%.安徽省立医院肿瘤科何义富
ThesituationinJapanissummarizedbyRyoKonno,MD,ofJichiMedicalUniversity,SaitamaMedicalCenter,Japan,speakinginaLancetOncologypodcastthataccompaniedanarticlereviewingbreastandcervicalcancerscreening.
DrKonnoexplainsthattheJapanesegovernmentwithdrewitsrecommendationfortheHPVvaccinein2013,alsosaysthatthesideeffectsareapsychosomaticreactionandthatthewholecontroversywasstartedbyananti-HPVvaccinationgroup.
DrKonnorecalls,InMarch2013,justbeforethestartofanationalHPVvaccinationprograminJapan,therewasamajorreportwithoutanymedicalevidencethatsomegirlshadsufferedfromsevereandchronicpainasaresultoftheHPVvaccination.
Thatreport,whichappearedintheJapanesedailynewspaperAsahiShimbun,gavedetailsofabout50girlswhosufferedfromcomplexregionalpainsyndromeand100girlswhowereabsentfromschoolafterreceivingtheHPVvaccine.
AccordingtoDrKonno,thisreportwasbasedoninformationthatcamefromananti-HPVvaccinationgroupcalledVaccineVictims....Theseso-calledvictimgirlswereputattheforefrontoftheTVcamerasandseenbyalargeaudience.
ThestorybecamesensationalizedandwasrepeatedontelevisionnewsprogramsandthenonInternetwebsitesbyvictimgroups,DrKonnosaid.
Afewmonthslater,inJune2013,theJapaneseMinistryofHealth,LaborandWelfare(MHLW)withdrewitsrecommendationfortheHPVvaccinebecauseofthesereportsofserioussideeffectsassociatedwithvaccination,butthevaccineswerenotwithdrawnfromthemarket.
TheMinisterofHealthhassaidthatgirlscanbevaccinatedifparentsunderstandtherisksandbenefitsofthevaccine,butthevaccinescouldnotbeactivelypromoted,DrKonnoexplained.
Inthemeantime,JapanhasputinplaceaschemetodealwithchronicsymptomsafterHPVvaccination
ClassActionLawsuit
ButthesituationinJapanhasbecomemorecomplicated.
OnJuly27,aclassactionlawsuitwillbefiledagainsttheJapanesegovernment,whichlaunchedthenationalvaccinationprogram,elawsuitisbeingfiledonbehalfofgirlsandwomenwhosaythattheyhavesufferedseveresideeffectsasaresultofreceivingthevaccine.
Whenthelawsuitwasfirstannounced,therewere12plaintiffs,aged10to20years,butaccordingtotheJapanTimes,thisgroup,28willlodgetheirsuitwiththeTokyoDistrictCourt,sixwiththeNagoyaDistrictCourt,16withtheOsakaDistrictCourt,and14withtheFukuokaDistrictCourt.
Theyplantodemand¥15million($140,682)indamagesforeachplaintiff,foratotalof¥960million($9million),andmayincreasetheamountinthefuture,dependingontheirsymptoms.
addition,theysaythatthemanufacturersbearproductliability.
AsquotedintheJapanTimes,lawyerMasumiMinaguchistated,Weaimtoclarifytheresponsibilitiesofthegovernmentandthedrugmakersthroughthelawsuitssothatthevictimscanlivewithoutanxiety.
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