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180 points gnabgib | 9 comments | | HN request time: 0.201s | source | bottom
1. offmycloud ◴[] No.43638758[source]
> PSA, everyone should be getting the HPV vaccine, regardless of age and gender.

This is false, please don't take medical advice from an HN post. CDC guidelines do include quite a bit of discussion of patient age. [1]

1. https://www.cdc.gov/vaccines/vpd/hpv/hcp/recommendations.htm...

replies(5): >>43638853 #>>43638868 #>>43639195 #>>43639231 #>>43640496 #
2. colechristensen ◴[] No.43638853[source]
Either the vaccine has notable safety issues or it should be at least fine to get the vaccine at an older age.

The reason many people don't trust the CDC's advice is they don't really tell you why or why not.

If you're over 26 you're pretty likely to already be exposed to HPV but not necessarily every strain which would be protected by the vaccine (as it says in the article).

So this pushes the question: why shouldn't I get it even if there's only a small chance it will be beneficial at my age? Is there really a risk they're not telling me about or are they giving bullshit answers? There isn't a third direction.

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3. odyssey7 ◴[] No.43638868[source]
The CDC is just a government organization. Don’t put too much stock in appeals to authority.
4. js2 ◴[] No.43638993[source]
Vaccine recommendations are based on more than just safety. Efficacy, cost, availability, and prioritization are also considerations.

> Compared with the benefit of the existing HPV vaccination program for adolescents and young adults through age 26 years, the additional benefit of vaccinating people age 27 through 45 years would be minimal.

> Given abundant evidence for safety of HPV vaccines, undesirable anticipated effects are minimal. Also, anticipated population-level benefits are minimal for vaccinating adults over age 26 years. In this scenario, other considerations including cost-effectiveness play an important role in guiding policy-making.

https://www.cdc.gov/acip/evidence-to-recommendations/HPV-adu...

Elsewhere:

> There’s not a safety issue past age 45. We just aren’t sure how much the vaccine will help men and women who are past that age, because so many of us have acquired HPV by that point, and because it takes many years for cancer to develop after acquiring the virus. However, as the average life expectancy increases, it may benefit the population to increase the age limit for HPV vaccination as well.

https://www.mskcc.org/news/think-you-re-too-old-get-hpv-vacc...

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5. Angostura ◴[] No.43639108{3}[source]
Yeh. The NHS has a pretty focussed set of criteria https://www.nhs.uk/vaccinations/hpv-vaccine/
6. sitkack ◴[] No.43639195[source]
Yeah, and masks don't work. If it is recommended for adults aged 45, when you turn 46, it kills you.
7. ugh123 ◴[] No.43639231[source]
Thats nonsense. Their "recommendation" is based on supply and epidemiological trends, not actual need of the drug. If supply gets constrained, its up to the CDC and drug makers to make more, not to tell the population to limit uptake.

This is why I don't trust CDC guidelines, nor doctors who blindly parrot them without explanation or context.

Sure, check with "your doctor" about the vaccine. If they give you no good reason not to take it, then take it.

8. sureIy ◴[] No.43640496[source]
CDC guidelines are nonsense here and I fail to see why they would give them. Is there a vaccine shortage?

The claim is that you're more likely to catch the virus early in your life and thus "lifetime efficacy" is reduced as you grow older. Duh, this is true of any vaccine. There are various strains of HPV and you can catch them one after the other. Having HPV at 50 is just as painful as when you're 18, if not more since your immune system is less effective.

The second part of I don't understand this advice is that they say there's no HPV test for men because the result is non-actionable. What? HIV is also nearly "non-actionable" but knowing one has it definitely reduces the chances of spreading it, does it not?

I don't get it.

I got the vaccine in my thirties against doctor's advice.

Please get the vaccine if you're sexually active with more than one person, regardless of your age.

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9. smegger001 ◴[] No.43641059[source]
Even if you are monogamous partners cheat, people suffer sexual assault better to have it and not need it than to need and not have