Whether to vaccinate all young women against human papillomavirus (HPV) remains controversial. A study published in this week’s Journal of the American Medical Association is the first to report data on harms of the vaccine from large groups of vaccinated women. The results were somewhat surprising in the numbers of adverse events, although the design of the reporting system makes it hard to know whether all of the harms are indeed caused by the vaccine.
Experts disagree on the importance of the new data. Some argue that any amount of risk is too high given that currently available cervical cancer screening methods are so effective and inexpensive. Others point out that the risks are in line with other established vaccines. Regardless, it is clear that physicians and patients should be aware of the risks and make a decision about vaccination depending on their own feelings about the pluses and minuses of vaccination.
This story, in a short amount of time, does a good job of describing this controversy and educating consumers about the issue. It quotes multiple sources with important differences of opinion, although the comment from the OB/GYN about not wanting his daughter vaccinated was a somewhat troublesome anecdote. We’d rather hear from a pediatrics professional group. The story could have been improved by describing the cost of the vaccine, which is $120 per shot or $360 for the series of three, not including physician fees.
The story does not mention the cost of the vaccine, which is $120 per shot or $360 for the series of three, not including physician fees. These costs may not be covered by medical insurance.
The news angle was the report on Gardasil’s safety, so it’s understandable that the story didn’t discuss potential benefits. This criterion is N/A in this case.
The story adequately describes the harms of the vaccine.
The story adequately describes the current study. The story could have described some of the limitations of relying on an adverse event reporting system.
The story does not exaggerate the seriousness or prevalence of cervical cancer. It is very helpful when a story cites both the incidence of new cases of a cancer and the annual deaths from that cancer in the US, with a source cited (as this story did).
The story quotes multiple experts who provide valuable perspective. However, the comment from the OB/GYN about not wanting his daughter vaccinated was troublesome because, as with a patient story, it is anecdotal. We don’t know who are the doctors he knows. Do they take care of adolescents who are the candidates for this vaccine? Why not get a reaction from a pediatrics professional group?
The story mentions other methods for preventing cervical cancer, including pap smears and regular check-ups.
The piece made it quite clear HPV vaccine has been widely available.
The story adequately describes that the idea of vaccination for HPV is relatively new.
Because the story quoted multiple experts, the reader can assume that the story did not rely on a press release as the sole source of information.
Systematic, Criteria-Driven
Monday at #ADA2021, an infectious disease epidemiologist, a journalist, and a researcher shared perspectives on communication of risk in the era of COVID-19: http://ow.ly/ROfR30rMeE7 @AstleyCM @garyschwitzer @berthahidalgo @ADA_DiabetesPro
Shoutouts to @susan_bewley @drkevinknopf @MichaelBaum11 in this call for more than fawning coverage from press releases for these kinds of stories.
Also, linked history inside goes back 5 years just on Grail apparently trying to become Holy Grail. https://twitter.com/garyschwitzer/status/1408849696416841731
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