HPV: The Other Vaccine

Source: http://www.womenshealthmag.com/Has anything been left unsaid in the uproar over vaccination since the measles outbreak? My little sleepy corner of the world, Marin County, has even been skewered by Jon Stewart on The Daily Show for its high rate of personal-belief exemptions. Not since the peacock feathers and hottubs of the 70s have we been so subject to ridicule.

Yet one aspect of the vaccination debate deserves more attention. A local newspaper story provides a clue, quoting a parent who said, almost as an afterthought, “There are vaccines I didn’t do. I skipped the one related to sexually transmitted disease.”

She means the HPV vaccine, which protects against the human papilloma virus. HPV is the most common of all sexually transmitted infections. Although usually harmless, it can be far deadlier than the measles—HPV causes cervical and other cancers. In the United States, 12,000 are diagnosed with and 4,000 die from cervical cancer each year. Even those less drastically affected may suffer invasive testing, treatments, and anxiety. There is no way of knowing who will be afflicted or who will spread it to others.

But since 2006, it’s been possible to stay safe from the most serious strains of HPV. All it takes is three shots administered over six months to girls and boys around age 11, before they become sexually active.

You’d think parents would jump for joy at such an easy way to protect their children from getting or giving cancer. Yet even though the vaccines are highly safe and effective, a recent KQED report notes that based on 2011 data, the most current available, “Just 33 percent of girls and less than 7 percent of boys in the U.S. have gotten all three recommended doses.”  When it comes to HPV, there’s no ground zero like Marin County to mock for low immunization rates; they’re abysmal across the whole country.

Many parents fear that vaccinating against HPV condones early sexual behavior, despite evidence to the contrary. Even some doctors are reluctant to bring up the topic because of the link to sex. But such fears fly in the face of reality.

We can keep our heads in the sand and hope that nothing bad happens. Or we can keep our kids safe from cancer and other ills with the HPV vaccine.

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How will/did you choose? What do you think of the vaccination debate? 

For more on HPV and the HPV vaccine:

Center for Disease Control: http://www.cdc.gov/hpv/vaccine.html 

KQED Forum: http://www.kqed.org/a/forum/R201408040900

Dr. Jen Gunter, Ob-gyn who writes about women’s health: https://drjengunter.wordpress.com/tag/hpv-vaccine/

No Joke

The Pain of the Watermelon JokeI’ve come to expect the blatant and dog-whistle racism routinely sounded by Fox News. But Lemony Snicket?! For it was none other than the beloved children’s author of A Series of Unfortunate Events–aka Daniel Handler—who recently made racially insensitive remarks while emceeing this year’s National Book Awards. Right after his friend Jacqueline Woodson won for Brown Girl Dreaming, Handler told an unfunny joke about watermelon. He drew deserved criticism for his racially insensitive words, and quickly apologized. Woodson wrote about the injury in an eloquent essay called, “The Pain of the Watermelon Joke.”

In grappling with my very different reactions when prejudice comes out of the mouth of someone I like rather than someone I hate, I’m reminded of another unfortunate event involving poor word choice from my childhood.

I grew up in an all-white, affluent Boston suburb. My parents had moved from Tennessee because they did not want their children to grow up hearing black people called “Nigger.” Civil rights activists, they worked tirelessly to end racial discrimination in housing and schools.

Life was simple because we knew who to hate—bigots like South Boston politician Louise Day Hicks, a rabid opponent of court-ordered busing to end school desegregation. Buses may have burned in working-class Southie, but racism was far more genteel in our privileged enclave. Homes for sale would just suddenly disappear from the market should the prospective buyers turn out to have an abundance of melanin. My parents were outspoken critics of this northern variant of discrimination. Apparently racism knew no geographical bounds, as my mother was reminded every time she picked up the phone to hear the whispered hiss, “Nigger Lover.”

Undeterred, my parents spoke frequently at civic and church gatherings in favor of fair housing. At one such meeting, my mother rose from her seat next to her black friend Bernie and approached the podium. Particularly furious about the latest example of redlining that kept non-whites from living in our town, my mother shook her fist and proclaimed, “Let’s call a spade a spade!”

Realizing with horror the racial slur she had just uttered, my mother prayed for the earth to open up and swallow her whole. Meanwhile, her friend Bernie threw back his head and roared with laughter.

I wonder if their friendship could survive today in light of the furor surrounding this year’s National Book Awards. Much of the ensuing commentary fell into two polarized camps: what an unforgivable racist Handler was; or an attack on black people for seeing everything through a racial lens. One commenter wrote, “I cannot imagine that they are still friends.”

My fervent hope is that they are. I like to imagine the two friends sitting down together for a good, long, honest talk. Racism must be called out, but we must also know the difference between malevolence and ill-spoken ignorance.

I am saddened by the pain oblivion causes, whether it is Handler’s or my own. I want to do better, be better, even if I am clumsy in the process. There are plenty of times my fear of offending or of being upbraided for saying the wrong thing makes me say nothing. I do not want to remain adept at this kind of silence, where no one is the wiser, and no one learns a thing.

The National Book Awards created a stir, but also offer a way forward. In a recent Fresh Air interview, Woodson spoke further about Handler’s remarks: “I’m sad that so many are not connected to the deep history [of the African-American’s experience of racism]. Daniel didn’t know. He made the mistake of thinking we’re beyond that. Friendships are complicated. But he has a good heart. A lot of people who are ignorant have good hearts, and that’s what this kind of racial mistake looks like.”

So I’m guessing she and Lemony Snicket are OK, just as my mother and Bernie were, just as I hope to be with whomever I offend.  Such unfortunate events open up opportunities for understanding, if only we keep talking honestly with one another.

Benefit of the Doubt

http://maverickphilosopher.typepad.com/.a/6a010535ce1cf6970c01b8d06105e4970c-piThe other night I walked out of CVS without paying for photos I’d just printed. By the time I realized my mistake, I was back home and too exhausted to return to the store.

I confessed my inadvertent shoplifting to my husband.

“If you were a black man, the police would be here hauling you in,” he remarked. “You might end up dead.”

This was the same day a grand jury failed to indict a white policeman for the choking death of an unarmed black man whose crime was selling individual cigarettes. Less than two weeks earlier, the Ferguson grand jury let another white officer off the hook for killing an unarmed black teenager who had recently stolen a pack of cigarillos. Two days before the Ferguson decision, a 12-year-old black boy playing with a toy gun was shot to death within seconds by the responding white police officer. Earlier this summer, a black man who was inspecting a toy gun while browsing in Walmart was shot to death after alarmed shoppers called the police.

Each situation is different, of course. But the key difference is that they were black, and I am white. I do not have to think about clerks tailing me in stores. I can come and go without arousing suspicion. Even if I were somehow caught in the act with my purloined photos, I would be given the benefit of the doubt. I could buy a toy gun for my child and count on not being killed.

But Eric Garner, Michael Brown, Tamir Rice, John Crawford, and so many boys and men whose skin is darker than mine cannot. That’s the real crime.

I returned to CVS the next morning to pay for my photos.

“Thank you for your honesty,” said the clerk, smiling as he handed me the change.

I continued on with my day–another key difference between me and those whose days have been cut short.

 

Thanksgiving Pardon

turkey farmI’m thankful for Andy Borowitz, a political satirist who keeps me laughing through my tears with The Borowitz Report, whose tagline is “The news, reshuffled.” If you would like a frequent, faster-acting-than-Jon-Stewart-or-Stephen-Colbert dose of humor delivered to your inbox, you should subscribe immediately. In the meantime, I will try channeling Borowitz here, for a Thanksgiving offering of sincere Imitation Flattery. But really, you’d be better off with the real thing. Happy Thanksgiving! 

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WASHINGTON, D.C. In a new twist on an old tradition, President Obama extended the annual Thanksgiving pardon to an entire class of turkeys—the two-thirds of eligible voters who failed to vote in the recent mid-term elections. “As I said in my press conference the morning after the election,” the President said, “I hear those of you who chose not to participate. Now I want you to hear me.  I am extending a second chance, and I expect you to take full advantage of it by exercising your franchise.”

Republicans were swift to condemn the President.  Governor Rick Perry of Texas, presidential hopeful and a supporter of the Lone Star State’s efforts to restrict voting, said, “How dare he inject politics into this holiday ritual? The Republicans would never dream of scolding those who stayed home on Election Day. Matter of fact, in keeping with the spirit of the season, we are very grateful.”

Speaker of the House John Boehner went even further in expressing his displeasure. “President Obama’s massive amnesty is just one more example of executive overreach,” the Speaker pronounced.

The White House declined to get embroiled in the controversy. Asked whether President Obama had abused his holiday prerogative, Press Secretary Josh Earnest had only this to say: “As the President has made clear, he is simply pardoning a whole lot of turkeys this Thanksgiving.”

Getting Out the Vote

Absentee BallotsMy husband and I are political junkies—or at least we were until we had to stop following the news to preserve our mental health. Still, we consider voting a duty, not a privilege. So when our eldest daughter turned 18 in 2006, I wrapped her birthday presents in voter registration forms.

Even then, back in the days when hope was ascendant and our fervor less dampened, voting was complicated. For Emma’s first election, we sat down together at the dining room table piled high with Voter Guides, newspaper clippings and endorsements, and a small forest’s worth of glossy political ads. The lesson commenced.

“It’s pretty impossible to be well informed about all the issues and candidates,” I instructed. “So one strategy is to follow the recommendations of people you trust. Or compare all the editorial endorsements of various newspapers and average them out.”

“Then there’s plenty of well-intended but poorly drafted initiatives. You have to decide what message you want to send or whether to vote purely on the merits. It’s perfectly reasonable to vote your ideals, but it’s also a good strategy to vote pragmatically. Sometimes, to be honest, I vote against whoever is using the most FULL CAPS in the voter information pamphlet—never trust someone who only knows how to shout.”

“This is really depressing,” sighed Emma, staring at hundreds of blank bubbles on her vote-by-mail ballot.

When our daughter Ally turned 18 three years later, she was less interested in my voter education drill. In fact, she registered in her college town, beyond the reach of my knowledge of local issues. Still, a mother can dream of eternal influence, so I sent Ally my trusted friend’s carefully researched election recommendations on statewide and federal choices.  I assumed she’d be thankful for my guidance.

Wrong again.

“I really don’t appreciate you sending me that,” declared Ally. “I’m trying to be my own person.”

I apologized immediately, adding how proud I was that she was following the issues and figuring things out for herself.

“How are you staying informed?” I ventured.

Ally replied, “I’m just going to vote according to this mailer I got from the Democratic Party.”

So much for Ally’s declaration of independence.

Always the child who suffered most from Post-Traumatic-Dinner-Table-Political-Rants, Ally has now removed herself even farther from our impassioned discussions and maternal interference, to Barcelona. So Jerry Brown and the Democrats will have to make do without her vote.

Emma, though, wanted me to send her mail-in ballot to Brooklyn, where she’s been temporarily sojourning as a starving artist. I am happy to report that she’s been calling for election advice.

Trouble is, now that hope has curdled, I have been shirking my civic responsibilities by being less well-informed. Of course I’ll vote, but I hadn’t quite gotten around to the research phase. So I suggested a couple of sources to check out, then gave the only reliable advice I could:

“Remember, the ballot must ARRIVE by the end of election day, not just be postmarked. So be sure to mail it in time. And please–let us know what you find out, so you can tell us how to vote.”

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What is your method of being an informed voter? How have you talked to your kids about politics and voting? Do they follow your lead? 

 

The Vote for Independence

UK and Scottish flags

I was alarmed when I learned that 16- and 17-year-olds were allowed to vote in Scotland’s bid for independence. What might happen if complicated economic and social issues were fanned with the flames of developmental yearnings? Extending the franchise to such young people seemed as dubious as introducing Ayn Rand to resentful teenage boys. After all, what adolescent chafing for freedom doesn’t want to be the self-determining hero who defies the influence of the state?

It might be unwise to superimpose youthful reading follies or one’s own household experience onto geopolitical affairs. The Scottish independence movement rests on an uneasy history and understandable grievances about economic and social policies that favor the rich and southern countries at the expense of the North.

Still, I couldn’t help but think of my own children’s strivings for independence over the years: The two-year-old who insisted on negotiating a steep flight of stairs by herself, chanting, “Self! Self!” with every step. Perpetual refrains of, “You’re not the boss of me!” Then the heavy artillery of adolescence: “Stop treating me like a kid!” “It’s so unfair!” “I can’t wait to get out of here!”

Is it really that far from my house to the blended Houses of Stuart and Hanover? Let’s drop in on a typical family meeting as it might have been unfolding recently at Balmoral Castle. We join parents David and Elizabeth (aka Queenie) as they sit down for a serious talk with their teenager, Scot:

David: Scotty, your mother and I want to talk with you about this petition for emancipation you’ve filed.

Scot: Stop calling me Scotty. I’ve told you a million times I prefer Scot. Besides, what’s there to talk about? I’ve had it with you, and I’m leaving.

Queenie: Is this about our taking all those pound notes from your billfold without asking?

Scot: It’s so unfair.  You treat me like a serf. I’m outta here.”

David: Don’t be ridiculous! You can’t possibly make it on your own!

Scot: Sure I can! In fact, I’ll be better off without you.

Queenie (crying a little): How could you do this to us after all we’ve done for you? I’m tired of you blaming us for everything!

David (shouting as Scot gets up from the table): We’ll cut off your allowance! If you walk through that door, there’s no coming back!

Scot slams out of the room.

David (turning to console his weeping wife): There, there, dear. It’s just a bluff. Scotty will calm down and be back in time for dinner.

In the ensuing weeks, Scot is more resolute than ever. He hangs out with friends, eliciting sympathy and offers of supper and a spare bed from their mothers, who have never much liked those imperious snobs, David and Elizabeth.

We rejoin Scot’s parents as they argue over whether to double down on tough love, or reach out to their wayward child. 

Queenie: Perhaps we’ve been too harsh . . .

David: Nonsense! We can’t give in to these antics!

Elizabeth: Maybe we could grant a little bit more independence . . . a later curfew, more control over his money . . . I don’t want to lose him.

David (sighing as he reaches for the phone): Scotty, er . . . Scot . . . It’s me, Dad. Listen, your mother and I want you to know we miss you. We love you very much and wish you’d come back. Can we talk?

A few hours later, Scot strolls through the front door.

Scot: Now that I’ve got your attention . . .

Or something like that . . .

Now the ballots have been counted. Scotland, despite the youth vote, has decided to stick with the parental unit. Perhaps the realities of going it alone registered; perhaps gaining concessions, more autonomy, and a later curfew were sufficient. With high-fives for democracy all around, the UK and Scotland are still one big, happy, dysfunctional family.

Which may be about as good as it gets for reasonable households and countries everywhere.

Ready for Hillary?

https://d1qodaktuuv1h7.cloudfront.net/sites/readyforhillary/files/ReadyPoster.jpegMy first thought was, “I guess she’s running,” when I heard about Hillary Clinton’s highly publicized criticism of President Obama’s foreign policy in The Atlantic.

My second thought was of Dick Cheney—not that Hillary’s comments are in the same league as Cheney’s relentless attacks. But there’s the same failure to take responsibility for a mess both helped create in launching war against Iraq. Plus a knee-jerk hawkishness and reliance on the illusion of American exceptionalism. This dismays me about Hillary even more than her dissing of the President.

My third thought was to wonder if Joe Biden is really too old, his candidacy truly unviable.  Or if a bid for the presidency by Elizabeth Warren would make Nixon’s 1972 rout of George McGovern look like a cliffhanger.

I want to be pragmatic, to bank on winnability. That’s why I was not an early supporter of Obama, believing that a black man whose name rhymed with Osama bin Laden could never be elected President. Gradually I saw how this view was less pragmatic than borderline racist and certainly self-defeating, enabling the very views I abhorred. I became a fervent admirer of Barack Obama, and worked hard for his 2008 and 2012 victories. I thought highly not only of his policies, but also of his intelligence, calm demeanor, decency, and capacity for nuanced thinking and self-reflection. Most of all, I loved that Obama appealed to the better angels of our natures.

Now I am not so confident that the better angels of our natures can prevail. It is a futile endeavor, but one I undertake anyway, to wonder if President Hillary Clinton might have succeeded where President Barack Obama has been stymied. Mostly I think not—the economic and foreign policy disasters are too immense, the virulence toward Hillary almost as strong as the virulence toward a black man. Perhaps there would have been no difference.

But the one thing I reluctantly come back to again and again is that Hillary might have done better because she is more hard-nosed. She would not have wasted time and energy trying to make friends with a Republican Party hell-bent on destroying her. She might also have more room to maneuver as a white woman than as a black man in a country that is arguably more racist than sexist.

Pragmatism counts, and Hillary is nothing if not pragmatic. She’s smart, hard-working, dedicated, and, unlike faux feminist candidates like Sarah Palin, a true champion of women’s issues. Some of her personal qualities, however, give me pause as well as hope.

I’m not sure I’m ready for Hillary. But what are the alternatives?

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How do you feel about Hillary and the presidential prospects for 2016?

 

Buying Time

Golden-Gate-Bridge-from-Chrissy-Field-March-1-2014.jpg

One day several years ago, a 14-year-old boy got off the bus and walked to the railing of the Golden Gate Bridge. Some things were troubling him, and he put his leg up over the railing, preparing to jump. Then he took his leg down, caught the bus home, and told his mother, who sought help immediately. He’s fine now.

Without that pause to reconsider, this boy’s life may have ended in a tragedy that has claimed the lives of more than 1,600 people known to have jumped to their deaths from the iconic but deadly landmark.

There’s long been talk of a suicide barrier on the Golden Gate Bridge. At last there is action: Earlier this summer, the bridge district directors committed the final $76 million needed for safety nets to deter jumpers. The barrier will be operational in three years.

It’s been a long time coming. The most potent opposition has rested on a widespread misconception: many wrongly believe that people stopped from jumping will just go on to find another way to kill themselves.

Nothing could be further from the truth. Although some who are intent on suicide will find a way to die no matter what, fewer than 10 percent of those pulled from the bridge later take their own lives.

Ninety percent go on living—that’s a phenomenal success rate.

The most lethal means of suicide—death by firearms and jumping—are often chosen not by those who have carefully planned their own demise, but by those acting impulsively in a moment of upset. Young people are particularly susceptible to impulsivity; teens account for more than 10 percent of those who make the fatal plunge.

It only takes a moment—to go over the edge of the alluringly low railing, or to pull back from it. A moment that means life or death.

Buying time is the essence of suicide prevention. Time allows impulses to pass, moods to shift, circumstances to improve. Would-be jumpers who are thwarted by a barrier gain precious time to change their mind.

That’s time those who go over the railing probably wish they had. Kevin Hines is one of the very few who made the leap and lived to tell about it. Here’s what he said in an interview with a New York Times reporter: “I’ll tell you what I can’t get out of my head. It’s watching my hands come off that railing and thinking to myself, My God, what have I just done? Because I know that almost everyone else who’s gone off that bridge, they had that exact same thought at that moment. All of a sudden, they didn’t want to die, but it was too late.”

As the saying goes, suicide is a permanent solution to a temporary problem. With the Golden Gate Bridge barrier in place, we will have a much better permanent solution to the temporary problem of suicidal impulses.

It’s about time.

*

For further information:

“The Urge to End it All,” by Scott Anderson. New York Times Magazine, July 6, 2008.

The Final Leap, by John Bateson (publication date 2015).

Myths about Suicide, by Thomas Joiner (2011).

Bridge Rail Foundation: http://www.bridgerail.org/

24/7 National Suicide Prevention Lifeline: 1-800-273-8255

Trigger Alert

(AP Photo/Jae C. Hong)My daughter Ally’s been living in Spain following her graduation from UC Santa Barbara last year. Occasionally, I send her articles about her alma mater, including one about a recent UCSB student Senate resolution calling for mandatory trigger alerts–warnings about potentially upsetting lecture or reading material, such as rape, childhood abuse, or racism, that might inadvertently traumatize students.

Now it is Ally sending me urgent messages from Spain about UCSB. But it’s not words on campus that have upset her.

“Did u hear about what happened in Isla Vista????” read her text.

Of course I had heard—who hadn’t, as Isla Vista joined the long string of names where innocents were slaughtered by an angry and alienated young man with a gun. Columbine, Virginia Tech, Tucson, Aurora, Sandy Hook, street corners every day in our cities. And now again, on the streets where my daughter has spent the last several years riding her Cruiser to class, partying on Del Playa, buying snacks at the IV Deli whose plate glass windows are now riddled with bullet holes.

Skype is inadequate for the arms-around-soothing these incidents require, though I tried my best. At least Ally was safe in Spain, where the rate of firearm homicide is less than 1/10th  of this country’s. Toward the end of our conversation, Ally, who has traveled alone extensively abroad, said, “I’m afraid to come home to the United States.”

This breaks my heart. And makes me furious.

The real trigger alerts are the ones we apparently dare not issue—those having anything to do with curtailing the availability and lethality of guns. Almost twice as many gun laws have been loosened than have been tightened since 20 six-year-olds were massacred at Sandy Hook. There have been at least 74 school shootings since Newtown.

Open Carry aficionados wear their weaponry loud and proud. One such demonstration in Texas inspired a mild protest from an NRA member who wrote on an official site that such tactics, which he called “weird” and “scary,” could hurt the gun rights cause. Since his statement caused undue upset, perhaps it should have come with its own trigger alert. So outraged were the highly sensitive (though strangely insensitive) members of Texas Open Carry that the NRA apologized and distanced itself from the offending member by expunging his post.

We do not need protection from words. We need protection from guns, and from those who cherish them above all else.

Unwatchable Must-See

"12 Years a Slave" wins best picture Oscar

Celebrating Oscar best-picture winner “12 Years a Slave”

I did not want to see 12 Years a Slave. It sounded like a magnificent movie that was nearly impossible to watch. But I went anyway, to keep up with Oscar best-picture nominees. I’m glad it won–now more people will overcome their wish to look away, and go see it.

How people direct their gaze is an important motif in the film. The camera lingers on the brutality of a system that subjugated millions of black men, women, and children. Protagonist Solomon Northrup, who has lived a comfortable life as a free man until he is kidnapped and sold into slavery, looks directly at people. A fellow captive aboard the steamboat delivering them down the Mississippi to their enslavement advises, “Survival’s about keeping your head down.” Indeed, slaves who have never known freedom avert their eyes. In contrast, the menacing, sometimes psychotic gazes of white owners are as crucial to the system of terror as whips and lynching ropes. Plantation mistresses stare silently from the porches above.

The most compelling scene is an interrupted lynching. Solomon, rope around his neck, dangles from a tree an inch above the mud. For hours, he tries to maintain contact with the yielding ground by shuffling his feet back and forth in a tortured tip-toe. Meanwhile, his fellow slaves come in and out of their cabins and go about their business without looking directly at him.

Solomon survives only to endure years of even worse agony until his release is finally secured. Traveling safely on the road returning him to freedom, he gazes intently at those left behind on the plantation.

We, too, have traveled far from those times. Yet around the time 12 Years a Slave was released, news broke that an African-American freshman had been tormented by his white suite mates at San Jose State University. They taunted him with names like “Three-fifths” and “Fraction,” displayed a Confederate flag, and placed a bicycle lock around his neck. This went on for weeks, until the freshman’s parents intervened. Once the outcry became impossible to ignore, the tormentors were suspended. Some face criminal hate-crime charges.

But how long were eyes averted? The victim himself apparently tried to survive by keeping his head down. So did the many who were silent witnesses to his ill treatment. A report describing widespread racial discrimination on campus had been shelved by the administration two years earlier.

In the wider world, too, we look away while African-Americans still struggle to gain traction. The unemployment rate among blacks is twice that of whites. Housing discrimination and de facto school segregation are widespread. Racial disparities in drug laws have resulted in mass incarceration of African-American males. Voting rights are under attack. Young men are treated with suspicion, and sometimes even killed, because of the color of their skin. And while it’s true that President Obama has won the presidency twice, it’s also true that racial animus has fueled a concerted effort to delegitimize him.

This is not the antebellum South. It’s happening now. How long will we continue to avert our eyes? 12 Years a Slave–this unwatchable must-see–forces us to look directly at America’s horrific history so we may come to terms with our unreconciled past and ongoing shame.