Medical Forum / General / General / February 2004
CERVICAL CANCER IS AN INFECTIOUS DISEASE. Ch V. FATAL PROBE
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yelxol - 06 Feb 2004 14:17 GMT FATAL PROBE
CHAPTER V
CERVICAL CANCER IS AN INFECTIOUS DISEASE AND HOW DOES THIS RELATE TO THE HPV DORMANCY MISREPRESENTATION
True Fact: Cervical cancer is an infectious disease, which is transmitted via the human Papillomavirus (HPV), and one can be cross-infected with this virus via a fomite [1], i.e. a non-sterile medical device.
Unproven, Self-Serving Claim: "
older women who are not currently sexually active may have been infected years before. HPV can live in the body for years, even a lifetime, without any indication." A Large Medical Provider
. [Author's Note: Please forgive the repetitiveness . of some of this information. I am particularly . outraged with regard to this subject, and have . sacrificed good penmanship in an effort to bring . your attention to this matter.]
It is remarkable that the above-quoted canard concerning the lifetime dormancy of HPV - which has absolutely no bases of proof - has been broadcast to and blindly accepted by ninety-nine percent (99%) of the U.S. medical community in lock step, Machiavellian construct. Their purpose for expending such extensive efforts is completely self-serving, utterly beguiling and certainly not in the best interest of the good health of women.
Beginning with medical school, physicians are taught to never tell a patient they do not know the answer to a patient's question, and one way they avoid the appearance of not knowing is to parrot what they have heard from another physician, who is, by default, a medical expert.
Another method is for the physician to simply repeat something he has read in some drug distributor's medical summary or data he has skimmed over in a medical journal which was written by
a medical expert.
This "medical hearsay" quickly becomes known as "common knowledge" in the medical community because it is passed from the second physician to three or four other colleagues, each of whom pass it on to four or five associates
and so on. (As referred to in the Introduction)
When the disinformation reaches this level, we refer to it as Medspeak.
To repeat something we hear from another person is not necessarily a bad thing; however, when the information repeated is directly related to a serious health matter, we should always be sure the information is accurate.
This is definitely true if we have reason to believe the person to whom we are giving the information will trust categorically what we are telling them, and will make life changing decisions based on the information given them. Such is the role of the physician, and to knowingly breach that trust is grossly irresponsible and clearly unforgivable.
The HPV Dormancy Misrepresentation is such a breach, but in most cases, it may be given unknowingly through ignorance, mixed with a strong dose of Medspeak, which the physician considers to be "common knowledge."
A typical patient diagnosed with HPV will have questions, such as where, when and how. Here is a shortened version of the misleading message that such a patient will be given:
"Once contracted, the human Papillomavirus may (can or will [2]) remain dormant and undetectable in the human body for decades, then, with no explainable reason, no triggering mechanism, may (can or will) suddenly become very active."
However, let us be perfectly clear on this
There is credible evidence that shows the medical profession manufactured this myth and set in place a methodical plan of action as a scheme to cover up the very real probability that large numbers of women have become, and continue to become, infected with cancer-causing HPV in their medical providers' office environments. In fact:
No study exists that demonstrates HPV remains dormant in the human body for decades!
The fundamental mechanics necessary for such a study extend the imagination beyond the limits of credulity, with the major dilemma in managing such a project being the re-infection component, a completely unmanageable control factor for human subjects.
In addition, it would be necessary to closely track the control group for fifteen to twenty years or more, unless an extrapolation technique were implemented based on the results of fewer years. However, such assumptions would not render reliable, peer-review data.
Nevertheless, regardless of the fact that there is no basis for the dormancy theory, the surge of "medical hearsay" that parrots this beguiling Medspeak dominates the Internet landscape. Approximately 1,500 web sites most associated with the medical community claim, affirm and reaffirm this misconception, which is now spewed from the mouths of ignorant physicians and nurses.
In the most favorable light, this scheme underlines the fact that the practice of medicine is not a science. In the worst light, it points to a devious, self-aggrandizing, self-serving, well-thought-out strategy to protect its good name' and, more importantly, its assets.
Although physicians and other medical providers assert long-term HPV dormancy as though it is a proven fact, it is important that the public knows the truth:
There is much credible evidence to support the converse, that: HPV does not remain dormant in the human body for several years, and certainly not for decades or for a person's lifetime. There are thousands of individuals who are witness to this fact.
Several studies have been conducted for the purpose of determining whether HPV remains dormant. Although they are doomed from the outset based on the above reasoning all of them concluded on the side of the fact that HPV does not remain dormant.
Here is a summary of a report by "Infectious Disease News" concerning the latest study: ..."It has long been suggested that all HPV infections result in lifelong carriage of the organism and that the virus may remain "clinically silent," but a 1993 study, and the recently completed follow-up study, produced contrasting results, according to lead author Anna-Barbara Moscicki, MD, Univ of California at San Francisco. ...The first study suggested that some women infected with HPV appear to eliminate the infection over a short time and are at low risk or no risk of developing disease. The newest study yielded even more promising results. ...Approximately 300 age-eligible women were screened
...Based on the original 1993 study, the women were followed for a mean of 27.6 months with an average of six visits
...Moscicki said (the study) suggests that the cervices of patients with repeatedly negative PCR results are free of the HPV types tested and that the women had neither latent nor active HPV cervical infection." ...Variability of (HPV) DNA testing in a longitudinal cohort of young women; Moscicki AB, et.al.; Obstet Gynecol 1993 Oct;82(4 Pt 1):578-85
With the advent of the Internet, "medical common knowledge" that has developed from years of "medical hearsay" has been propagated to a completely different plane. Patients now surf the Internet, researching their personal health issues. Doctors refer patients to various websites, neglecting their professional duty to counsel patients or to provide printed, explanatory materials. When patients find pertinent information from a noted health or medical entity's Internet site, the validity of that information is seemingly verified. Nevertheless, that certainly does not guarantee the information is accurate, true, or benign in its message! Listed at the back of this book at reference [3] are a few examples of the Medspeak that relate directly to the subject, "The HPV Dormancy Misrepresentation". If you visit the referenced web sites you will see that most of them simply parrot the same data. Notice the chronological progression from may
to can
to usually
and from dormant, to dormant for years, to many years, to forever.
"HPV may remain dormant," www.womenshealthinthenews.net "HPV can remain dormant," www.umass.edu "HPV can remain dormant for months," www.3m.com "HPV can remain dormant for years," www.hscbklyn.edu "HPV can remain dormant for many years," www.forums.obgyn.net "HPV usually remains dormant," www.uhs.berkeley.edu "HPV usually remains dormant forever," www.navymedicine.med.navy.mil "HPV can remain dormant in your system for the rest of your life," www.healthboards.com
As with the term *Standard-of-Care*, if you say it enough, everyone will believe it
well, most everyone.
Unless you were specifically watching for it, you would not have noticed the subtle, shrewd and broadening move by the entire medical profession toward the promotion of the dormancy theory, which they created and have defended for over a decade.
Why is the dormancy theory an irreducible constituent of the medical community? Why have they gone to the extraordinary effort of constructing and promulgating such a broad based misrepresentation?
Asked another way
Why did those who frame and institute the strategy and presumptions' of medical providers opt in on the side of a baseless dormancy theory, as opposed to non-dormancy? Was there some sort of meeting in which a presentation was given, then a vote taken? Believe it or not, this is not a tongue-in-cheek question. The answer is - yes, such meetings do take place, and risk management committees are assigned to the task of "stopping the news" or, if the problem leaks out minimizing the damage.
There is only one logical answer as to why the medical profession hawks the HPV dormancy scheme with such intensity:
The profession's Risk Management contingent (those charged with the duty of overseeing matters concerning broad based liability issues), are aware of the very high probability that a significant percentage of women have contracted the HPV virus during visits to the offices of their medical providers.
For many women diagnosed with HPV, an explanation of the mode of infection can be relatively simple though often not conclusive. Although there is rarely any clear cut, definitive evidence that might prove where the patient contracted the disease, there is usually a list of probable suspects'
a one-night stand with some guy, a boyfriend who may have had a recent relationship with another girl, etc. There is often at least a suspect.
However, this is not always the case. It turns out that there is little or no explanation for the infection of over 80% of women diagnosed with cervical-cancer-causing HPV, or cHPV.
These include: Women over the age of sixty-five, confirmed virgins, nuns and women in monogamous marriages.
In all of these cases the health care provider, as a last resort, and in an attempt to explain away the unexplainable infection, drags out the dormancy theory.
Not much explanation is needed concerning confirmed virgins, nuns and women in long-term monogamous marriages; however, let us take a look at the group of women who are affected the most by this disease.
Women Over The Age Of Sixty-Five (Our mothers and grandmothers.)
"We did expect to find a peak of infection in the younger groups, and we did expect to find a decrease in the infection rate in the older groups. We were surprised that there was an indication that older women again began to develop a higher prevalence of HPV." Study co-author Dr. Alice Lytwyn, Canadian Medical Association Journal Although cervical cancer is caused by HPV, which is classified by the CDC as a sexually transmitted disease, women over the age of 65 constitute 80% of cervical cancer deaths in the U.S. Even more dismal is the fact that women over the age of 65 comprise only 24.1% of the women who are prone to cervical cancer (over the age of 29). The widespread dissemination of the dormancy theory is crucial for medical providers. It is essential that that they establish the "medical common knowledge" that HPV can be contracted at a very early age, never present symptoms, lay dormant for forty years (or more), then suddenly cause cancer.
As a cause for the disproportionately high cancer rate of older women, the medical profession points out that only 8% of women over the age of 65 have regular Pap smears as the important integral.
However
Fact #1: Women between the age of 50 and 64 receive 35% of the Pap smears. Fact #2: Women between the age of 30 and 39 receive only 14% of the Pap smears. Fact #3: It takes 10 to 15 years to develop cervical cancer from the first appearance of abnormal cellular activity.
Therefore, the possibility that a woman over the age of 65 has received a Pap smear within the previous 10 to 15 years is *250%* greater than the possibility that a woman between the ages of 40 and 55 has received a Pap smear within the previous 10 to 15 years.
Nonetheless, the woman over 65 is 200% more likely to die of cervical cancer.
The medical profession must identify a different important integral.
Even more noteworthy: The CDC reports that in 1995 and 1996, persons 75 years and older visited the doctor more often than any other group, 6.1 visits per person, and females made 59.4 percent of the visits. [4]
HYPOCRISY
Since HPV is considered a sexually transmitted disease, the medical community's only blameless answer to the disproportionate numbers of elder victims is the ever-convenient dormancy theory. The obvious (and more rational) explanation is the cross contamination of patients, particularly when they fall within the 50-64 age grouping that receives 35% of given Pap smears.
Medical providers would have us believe that, once contracted, the human Papillomavirus can remain dormant and undetectable in the human body for decades, then, suddenly, inexplicably, with no known or explainable triggering mechanism, may decide' to become very active.
However, there is no proof of this self-serving assertion. None!
If there is no proof, on what is the claim based, and is the propagation of the claim self-serving?
It is actually based on pure assumptions, "medical hearsay" and what is referred to as "medical common knowledge"
but not facts, and certainly not scientific studies.
One particularly habitual, and cunning method used by many medical providers is to reference a study (only by name and year) that supposedly supports their contention that HPV has been proven to lay dormant forever. Yet, when one goes to the effort of searching out those references, one finds the author has simply made the statement that HPV is dormant. This method is used widely in an effort to "prove" this self-serving postulation.
On the other hand, actual studies have shown those infected with HPV clear the virus from their system within six to ten months, with some indications that it may take as long as two years to be completely free of it. [5]
Considering the fact that a great majority of those infected with the virus contract it sexually, as a result of a patterned "life-style", or promiscuous behavior, it is interesting that research-based PhD pathologists do not conclude that reinfection is the primary reason why some patients find themselves reinfected at a later date.
Additionally, though the medical profession is quick to assign HPV infection to sexual transmission, and forcefully promotes the false claim that this is the only mode of infection, a patient who becomes reinfected with the virus after an extended time is always told the reinfection is due to the reemergence of the dormant virus
not sexual transmission
quite an interesting juxtaposition.
Although the logic of reinfection is easily understood and certainly explains why many of the cases that are infected with the virus, "clear" the virus from their system for several years, then, suddenly, find themselves reinfected, this obvious answer is not a part of the reasoning given by medical providers. Why?
The answer is simple. The easiest, less stressful, "guiltless" doctors' explanation is that the virus just lays dormant for 10, 20, 30 years
or forever.
The patient is always in every case an easy patsy' for this fabrication. The guiltless' factor alone naturally makes the patient a willing and anxious advocate and a future big-time promoter of this false notion. No woman wants to consider the possibility that she's been reinfected with an STD. The embarrassment involved in answering questions and confronting sexual partners with the situation is a natural inhibitor, and human nature will be to accept the less painful, less awkward option of dormancy particularly when offered to her by her own, trusted doctor.
More importantly, it removes or circumvents any thoughts the patient may have as to the possibility that she may have contracted the virus from the medical provider.
The entities that decide such things categorized genital HPVs as a Sexually Transmitted Disease (STD) because HPV's primary transmission mode is by way of sexual contact. Nevertheless, this creates quite a vexing conundrum for those who do not contract HPV by sexual contact, and always causes severe problems for those who are celibate, virgins or in long-term, faithful marriages.
There are many cases involving a husband or wife who had been married faithfully for 10, 20 years or longer, where the wife suddenly and mysteriously contracted HPV.
Here is a typical scenario:
The wife's medical provider tells her she has a sexually transmitted disease but never informs her the disease is also spread in other ways, because *one* of those paths is by way of non-sterile medical instruments, and the physician is certainly not going to open that door. [6, 7, 8, 9]
The wife knows she hasn't messed around', so the only possible explanation is that she contracted the virus from her husband.
The moment she is given the devastating information she begins to think of the times her husband came home late, with the excuse of a late appointment
or no excuse
because she trusted him. There had never been any reason not to trust him
until now.
Even before she pulls out of the doctor's parking lot, she sits in her car, unable to drive safely. She is terrified, angry, panic-stricken, horrified, frightened, petrified and very confused
all at the same time.
By the time her husband arrives home that evening, she has cried for hours, until she is almost beside herself
[You get the picture].
He flatly and truthfully denies having extra marital sex, and the argument begins. She has been told that, unequivocally, she has a sexually transmitted disease (neither she nor her husband have ever been infected with an STD) and the only possible way she could have contracted it was sexually. She also tells her husband that the nurse (or doctor) told her that if she had not "messed around", then the disease had to have come from her husband.
The wife files for divorce, files testimony' from her doctor that states the wife has an STD and the four children begin living without a father in the home and
There are obviously different versions of this scenario, but the basics remain the same.
If, during the consultation or chat concerning how, where and when she became infected, the patient insists that she has never messed around' and she is positive her husband has been faithful, then the physician may "drag out" the old dormancy theory, which is presented as fact.
The patient is asked if she ever had sex before she met her husband, or had even been touched sexually by anyone. If the patient says she was only briefly touched by a guy when she was fifteen, the doctor will tell her that was more than likely when she became infected, but that the virus had simply lain dormant for the last 26 years.
The patient has an answer that she can live with, and the non-billable minutes spent chatting about where the patient contracted the virus are cut short
and the physician is off the hook.
Here are two typical scenarios on which the claim of lifetime HPV dormancy is based. Both are rather detailed and lengthy, but necessary in order to explain the reason medical providers are compelled to convince the public of the dormancy theory. Each is based on a true-life case, but the names have been changed.
Scenario One:
It is 1998, and Katie and Paul Walton had just celebrated their thirtieth wedding anniversary. Katie was a virgin when they married and Paul had only been intimate with one other girl before he met Katie. They have always been faithful to each other and Katie's yearly visits to Dr. Metzger, her gynecologist, included a Pap smear, which was always negative.
This year was different. Abnormal cells were found and Katie was eventually found to be infected with gHPV (genital human Papillomavirus), which Metzger explained was a sexually transmitted disease' (STD), the cause of cervical cancer and could only be contracted sexually. She left his office humiliated and horrified.
By the time Paul arrived home from the office that afternoon, she had read through forty-eight Internet web sites. All of them confirmed the fact that HPV was a sexually transmitted disease.
It was not a good night at the Walton house.
Katie's absolute trust in Paul had met head on with the information given her by her trusted gynecologist of thirty years and absolute confirmation from forty-eight medical providers that the disease with which she was now infected which she now knows is the cause of cervical cancer is a horrible, dirty, sexually transmitted disease.
Yes, divorce even crossed her mind. Her entire life had suddenly become distorted and grotesque.
Two days later, during another visit with Dr. Metzger, she came unglued, sobbing uncontrollably. She simply could not deal with the fact that after thirty years of marriage she was suddenly and unexplainably infected with a sexually transmitted disease.
Metzger could see she was not going to be able to deal with this, so he offered the elixir.
Katie was told that many people who are infected with HPV never develop any symptoms, but the virus remains dormant in their bodies for ten, twenty, thirty years or longer
sometimes for life.
The elixir was working; it grabbed her attention and she asked how this applied to her.
"Katie, you've stated that you and Paul have been faithful to each other during your entire thirty years of marriage, but were you in a relationship with anyone before you met Paul?"
"No. I was a virgin when I married."
"Did you allow anyone to touch' you in a sexual way?"
"No."
"Do you know if Paul was sexually active before he met you?"
"Yes, with one girl."
"Then there's your answer, Katie (the elixir). Paul obviously but unknowingly contracted the virus from her thirty years ago, spread the virus to you, and it has laid dormant somewhere in your system for the last thirty years."
Katie bought the bait, the hook, the line, the sinker, the rod and the reel
because she trusted her doctor and because she needed an answer, even if it did sound a bit contrived.
But there was no other explanation and it gave her some peace of mind.
During the previous year Dr. Metzger had offered the same peace of mind' to eighteen other happily married, monogamous couples. During this same period he also diagnosed and treated forty-nine cases of genital HPV
in the same room, on the same examining table, with the same non-sterile examining devices.
Scenario Two:
It is 1999 and 67-year-old Sister Marianne has been a Dominican nun in Greater Boston for almost 50 years. God blessed her with almost perfect health, but because of two articles she read back in the early 80s that claimed cervical cancer could be caused by "bad genetics," and the fact that her mother had died 15 years ago of cervical cancer, she paid yearly visits to Dr. Woodward, the local gynecologist, for the last several years.
The tests for the first 15 years were normal, but the 16th one was not.
The sister informed several others of her unfortunate news and asked for their prayers. One of them did a bit of research and was shocked to learn that 99.8% of all cases of cervical cancer were caused by a sexually transmitted disease, HPV. She also asked and verified that the remaining .2% was well within the standard error rate of plus or minus 1%, which confirmed that there was no doubt that all cervical cancer is caused by HPV, a sexually transmitted disease.
This totally devastating revelation was confirmed by Dr. Woodward, and after Sister Marianne insisted on a determination as to whether she was infected with HPV, he did his own research and found there was a simple, low-cost HPV test made by the Digene Corporation.
Sister Marianne, a devout Catholic and a confirmed virgin, tested positive. She was infected with a sexually transmitted disease.
But Dr. Woodward had also read somewhere that the virus may remain dormant forever, which made sense to him. He asked Sister Marianne if she had ever in her entire life even been touched in her genital area by another person.
"Ever? In my entire life?"
"Yes, sister."
"Well, other than you, doctor, I suppose I would have to say my mother probably did when I was an infant."
"And didn't your mother die of cervical cancer?"
"Yes."
"Well, I think we have solved the problem, sister. As I told you, the virus doesn't always produce symptoms, and it remains dormant in the body forever. Your mother obviously inadvertently infected you with the virus when you were an infant."
Dr. Woodward wasn't quite so tense when he gave the explanation to two other Boston nuns. One of them said she had sexual intercourse before she became a nun and the other had been touched sexually before she had taken her vows.
During the previous year, Dr. Woodward also treated sixty-two other women who had presented with genital HPV. Three of them were scheduled just prior to Sister Marianne's 1998 exam and were examined on the same table, with the same speculum
and the doorknobs [10] and cabinet tops were not sterilized afterward.
One of Dr. Woodward's nurses is infected with HPV, but has not informed anyone in the office. Even if she had told of her infection, nothing would have changed. The infected nurse is also the one assigned to the cleaning of the instruments, which she detests because of the damage done to her beautiful, well manicured, paste-on fingernails. [See Endnote at [11]: "
nurse had an infection under the fingernail which made its way to surgical sites even though the nurse wore latex gloves.]
See Chapter VI: Entire Medical Profession Quietly Ignores Their Own Theory of HPV Dormancy
References:
[1] A fomite is an inanimate object. [2] Some physicians use the word "may", others use the word "can", and others use the word "will". See list of web site posts at the back of this book. [3] Internet sites that promote (as of this printing) the misleading claim that HPV remains dormant in the body forever:
Womens Health in the News (HPV) may remain dormant www.womenshealthinthenews.net/
HPV Information for Women (HPV) may remain dormant ... www.npclinics.com/
iVillage.com: The Women's Network (HPV) may remain dormant www.ivillagehealth.com/
Genital warts: XtraMSN Health (HPV) may remain dormant xtramsn.co.nz/
Genital Warts Transfer Factor Immune Syst (HPV)may remain dormant for years www.4lifetf.com/genital_warts.html
Genital Warts and HPV (HPV) can remain dormant www.umass.edu/uhs/warts.html
[PDF]HUMAN PAPILLOMAVIRUS (HPV) (HPV) can remain dormant www.stressgen.com/
File Format: PDF/Adobe Acrobat (HPV) can remain dormant www.rwhmelb.org/
Aldara (imiquimod) Cream, 5% - (HPV) can remain dormant for months www.3m.com/us/
October 7,1994 (HPV) can remain dormant for months wildcat.arizona.edu/
[PDF]Pap Smear Patient Information (HPV) can remain dormant for years www.labcorp.com/
WOMENS-HEALTH Messages (HPV) can remain dormant for years forums.obgyn.net/
The Abnormal PAP Smear (HPV) can remain dormant for years. 192.215.104.222/
template (HPV) can remain dormant for years www.wvdhhr.org/
Birth Control Basics Guide (HPV) can remain dormant for years guide.fateback.com/4.html
American Indian Youth Challenge (HPV) can remain dormant for years www.crihb.org/Tobacco/challenge.htm
Re: HPV (human papilloma virus) (HPV) can remain dormant for years seniors-site.com/ailments/6075.html
Brooklyns Women's Health... Q & A (HPV) can remain dormant for years www.hscbklyn.edu/
aarogya.com " The Wellness Site " (HPV) can remain dormant for years www.aarogya.com/
WOMENS-HEALTH Messages (HPV)can remain dormant for many years forums.obgyn.net/forums/
A Friend Indeed (HPV can remain dormant for many years www.cancercare.mb.ca/
Re: Condylomata & HPV (HPV)can remain dormant in your system for the rest of your life www.healthboards.com/
Health Information (HPV) usually remains dormant uhs.berkeley.edu/
Human Papilloma Virus (HPV) (HPV)usually remains dormant forever navymedicine.med.navy.mil/
Virtual Naval Hospital: (HPV)usually remains dormant forever. www.vnh.org/OBGYN/
[4] Annual number and percent of office visits by selected diagnostic and therapeutic procedures, averaged over a 2-year period, United States, 199596: Persons 75 years and older had the highest visit rate, 6.1 visits per person. Females made 59.4 percent of the visits
[5] Study Results Indicate HPV Can Disappear From System, Anna-Barbara Moscicki, MD, 1997,University of California at San Francisco.
[6] Non-sexual transmission of sexually transmissible diseases. Broso P, Buffetti G, Sacco A: "Sexually transmitted diseases can be transmitted through nonsexual transmission. It is possible that contamination may occur with use of the contaminated speculum and forceps. Use of laser may release viruses during treatment for viral diseases. Candidiasis, trichomoniasis and genitalis condilomatosis, which should not be considered an exclusively sexually transmitted diseases are considered."
[7] Aust N Z J Obstet Gynaecol 1990 Aug;30(3):240-2; Tay SK, Ho TH, Lim-Tan SK; Dept of Ob & Gyn, Singapore Gen Hosp. "The high prevalence of (HPV) infection among the virginal women indicated that transmission of HPV by nonsexual modes was common."
[8] Gynecol Oncol 1995 Dec;59(3):423-6; Craigo J, Hopkins M, DeLucia A.; Dept of Microbiology/Immunology, Northeastern Ohio Univ, College of Medicine, "The results show that genital oncogenic human papillomaviruses may be passed by nonsexual routes and suggest that the virus may work in concert with p53 mutations to help the infected tissue progress toward invasive cancer."
[9] J Am Acad Dermatol 1990 Aug;23(2 Pt 1):205-13; Obalek S, Misiewicz J, Jablonska S, Favre M, Orth G.; Dept of Dermatology, Warsaw School of Medicine, Poland; "This study shows the frequent nonsexual transmission of genital papillomaviruses in children
"
[10] Doorknobs: a source of nosocomial infection, Diagnostic Medicine, Nov/Dec, 1983, Phyllis J. Kuhn, Ph.D, "..stainless steel produced a heavy growth of all microbes" "Culturing a stainless steel knob on a door between a burn unit and an intensive-care unit, I found a multiply resistant Staphylococcus epidermidis with a susceptibility pattern identical to that found in the blood of a septic patient in the intensive-care unit. Cultures of wounds of several other patients yielded similar organisms."
[11] Alicia J. Mangram, MD, Univ. of Texas, Houston Dept of Surg., Herman Hosp. "Many studies have linked OR workers with active infections to surgical site infections. An outbreak of Serratia marcesans in cardiovascular patients was traced back to a contaminated jar of exfoliant cream in a nurse's home. Although Serratia does not normally colonize the human skin, it can colonize artificial nails, which this nurse was wearing. Another nurse had an infection under the fingernail which made its way to surgical sites even though the nurse wore latex gloves."
Steve Harris sbharris@ROMAN9.netcom.com - 07 Feb 2004 22:08 GMT
> Beginning with medical school, physicians are taught to never tell a > patient they do not know the answer to a patient's question, Comment:
Bullshit. Burdon of proof for this outrageous statement rests on you. Why do you you think it's true? Can you find it in any published material for any medical school curricula? Have you heard it while attending medical school (I haven't, and what's more I've been there to hear it, and you haven't). You have a tape recording of medical students being told this in medical school? No? So what's your evidence?
> However, let us be perfectly clear on this? > There is credible evidence that shows the medical profession > manufactured this myth and set in place a methodical plan of action as > a scheme to cover up the very real probability that large numbers of > women have become, and continue to become, infected with > cancer-causing HPV in their medical providers' office environments. COMMENT:
There is no such credible evidence. In fact, it sounds like paranoid ravings. As does any theory which requires that millions of physicians and nonphysician virologists alike are "in on" some vast conspiracy. Which only you seem to know about, at this point.
> In > fact: > > No study exists that demonstrates HPV remains dormant in the human > body for decades! COMMENT:
Define your terms. "Dormant" is not a medical word, and is only used by doctors in trying to explain medical terms like subclinical or latent. Probably "dormant" is a bad synonym because no viral infection, even one which shows no outward signs, is ever truely dormant. Even herpes zoster, waiting decades between chickenpox and shingles, is ticking over and making at least one protein. Think of it rather like that fog that the eggs make in the movie Alien.
The idea of latency of infections for "decades" is an extrapolation of studies which have found evidence of latency of HPV infections for longer than 5 years in serial followup studies. Longer periods are extrapolated from that, since it seems reasonable to imagine that women who've been infected for more than years (and as long as the study has run) with the same strains of HPV, will remain infected for longer than that, as well. Here is a study which was running for 8 years at the time it was reported, and long latency is what it concluded:
APMIS. 1989 Nov;97(11):957-70.
Epidemiology of human papillomavirus (HPV) infections and their associations with genital squamous cell cancer. Review article.
Syrjanen KJ.
Department of Pathology, University of Kuopio, Finland.
Reliable assessment of the epidemiology of genital HPV infections is hamphered by a number of technical problems. Because of the lack of tissue-culture systems, methods based on morphological approaches (colposcopy, cytology and histopathology) play a central role in HPV diagnosis. Even DNA-hybridization techniques and the recently introduced DNA amplification with PCR are extremely difficult to standardize, and are thus subject to major interlaboratory variation. Further confusion in the field is created by the complex biological behaviour of HPV infections. As established by the long-term prospective follow-up study of over 500 women which has been running in Kuopio since 1981, clinical progression and regression are significantly related to the grade of the lesion at the time of diagnosis (p less than 0.00001, and p = 0.0005, respectively), as well as to the type of HPV (p = 0.0012). Most importantly, however, genital HPV infections seem to run an extremely fluctuating course, passage from manifest to subclinical or latent infection being frequently encountered in individual patients when examined at 6-month intervals over prolonged periods. This explains the significantly divergent prevalence figures reported in different series (ranging from 2% to 80%), which are completely dependent on the technique used to analyse the presence of HPV, i.e. whether a) PAP smear, b) biopsy, c) DNA hybridization, or d) PCR amplification. The first two are capable of disclosing only manifest (clinical) infections, the latter two also the latent ones. In an unselected population of 22-year-old Finnish females, the prevalence of clinical HPV infections was about 3 per cent, and the adjusted annual incidence was 8.0 per cent. According to estimates of the life-time risk, up to 79% of Finnish females will contract at least one HPV infection between the ages 20 to 79 years. When related to the long-term trends in invasive cervical cancer in Finland, it is evident that this 79% life-time risk of becoming HPV-infected or even the observed 15% clinical progression rate for HPV infections in the prospective follow-up study by no means signifies an identical risk of developing cervical cancer (i.e. 0.79 x 0.15 = 11%). It seems likely that in countries where mass-screening programmes exist (and precancer lesions are traced), the high prevalence of HPV infections is not necessarily reflected as an increased prevalence of invasive cervical carcinomas. The distinction of lesions at risk for malignant transformation from those regressing spontaneously will have major implications in therapeutic considerations of genital HPV infections.
Publication Types: Review Review Literature
PMID: 2556164 [PubMed - indexed for MEDLINE]
> The fundamental mechanics necessary for such a study extend the > imagination beyond the limits of credulity, with the major dilemma in > managing such a project being the re-infection component, a completely > unmanageable control factor for human subjects. COMMENT: Quite so, but one presumes that when there are close correlations between strains of latent virus detected, and previous non-latent infections years before, that this is not a coincidence. Yes, perhaps it's reinfection by the same partner. However, HPV is a long latency virus in animal models as well, where one can control for these factors. YOUR hypothesis is that it behaves completely differently in humans. I think the more likely hypothesis is that it does in people what it does in other primates.
It is also possible that HPV is spread by routes other than sexual. If it's non-sexual, that doesn't mean foreign objects are all that are left. The virus may well be transmitted vertically, from mother to daughter, at birth.
Consider the following:
Dev Biol (Basel). 2001;106:443-51; discussion 452-3, 465-75.
Viral latency--the papillomavirus model.
Broker TR, Jin G, Croom-Rivers A, Bragg SM, Richardson M, Chow LT, Vermund SH, Alvarez RD, Pappas PG, Squires KE, Hoesley CJ.
Department of Biochemistry and Molecular Genetics, University of Alabama at Birmingham, 35294-0005, USA.
To investigate the prevalence and the natural history of human papillomavirus infections, we monitored HPV DNA shedding as a consequence of immunosuppression, with the expectation that latent viral infections would reactivate and become detectable. The study populations consisted of women who were in end-stage renal failure, those who ultimately received kidney transplantations, and those who had HIV/AIDS with various degrees of immune depression at entry. For each woman, cervico-vaginal lavage to sample viral shedding from the lower genital tract was performed at approximately six month intervals, and the cohorts have been followed since 1996. Nested polymerase chain reaction amplification of papillomavirus DNA using novel pairs of primers was followed by diagnostic restriction endonuclease cleavage or by DNA sequencing. This strategy is particularly capable of identifying single and multiple infections and determining the genotypes of any viruses present. Of the 225 women in the HIV cohort, 177 (79%) were HPV-positive and 111 (49%) shed from two up to eight different HPV types over the course of the survey. Thirty-five different mucosotropic HPV types, virtually all that have ever been described worldwide, were isolated from these 225 women, and nine additional new (provisional) types were discovered. As is always the case, HPV-6 was very common. However, all the other frequently detected HPV types (45, 52, 53, 54, 58, 74) were more prevalent than the types typically reported forthe general population (HPV-11, 16, 18, 31, 33, 35). Notably, the 14 members of the A3 phylogenetic subgroup (HPV-61, 62, 72, 81, 83, 84, and all the new types) were by far the most frequently observed viral types in the AIDS cohort. The HPV prevalence in the cohorts of kidney transplantation candidates and recipients was only slightly lower than that in the AIDS cohort. We conclude that HPV infections are extraordinarily common and are normally held in a sub-clinical state by functional immune systems, but can be reactivated by immunosuppressive conditions. The question of how so many distinct types persist in the human population and can be repeatedly isolated from specimens collected around the world raises complex issues concerning the nature of viral transmission, reproduction, shedding, and mutational drift. These molecular epidemiological observations signal the likelihood that HPV is part of the commensal microflora of human epithelia. Their prevalence elicits a caution that latent HPV DNA may be present in primary human epithelial tissues.
> Nevertheless, regardless of the fact that there is no basis for the > dormancy theory, the surge of "medical hearsay" that parrots this > beguiling Medspeak dominates the Internet landscape. Approximately > 1,500 web sites ? most associated with the medical community ? claim, > affirm and reaffirm this misconception, which is now spewed from the > mouths of ignorant physicians and nurses. COMMENT: And also "spewed" the mouths of people who've spent their professional careers working with this virus, and who've forgotten more about it than YOU will ever know. But you are here saying you know better. On what grounds? Where are your studies? The ones you quote do not support your position. What are your credentials? Hell, what is your name? If you want to talk "hearsay," your essays serve as wonderful examples.
> In the most favorable light, this scheme underlines the fact that the > practice of medicine is not a science. COMMENT It is an applied science, like engineering. Like engineering, there is some art to it.
> Although physicians and other medical providers assert long-term HPV > dormancy as though it is a proven fact, it is important that the [quoted text clipped - 3 lines] > HPV does not remain dormant in the human body for several years, and > certainly not for decades or for a person's lifetime. COMMENT: No, there isn't. There is evidence that it may not remain in the bodies of SOME people. That doesen't mean it doesn't in "many" or even "most." Finding that some women clear the virus does not mean that all do, or even that most do.
> Several studies have been conducted for the purpose of determining > whether HPV remains dormant. Although they are doomed from the outset > ? based on the above reasoning ? all of them concluded on the side of > the fact that HPV does not remain dormant. COMMENT: No, that is incorrect. I have posted two to the contrary in this message alone (see above). So much for your use of the word "all."
> Here is a summary of a report by "Infectious Disease News" concerning > the latest study: [quoted text clipped - 16 lines] > ...Variability of (HPV) DNA testing in a longitudinal cohort of young > women; Moscicki AB, et.al.; Obstet Gynecol 1993 Oct;82(4 Pt 1):578-85 COMMENT:
And what fraction of women in the study was this? Let's see if you can read.
SBH
yelxol - 08 Feb 2004 18:09 GMT Steve / Dr. Harris:
Thanks for your review of this post.
First. I think it was a bit 'out of bounds' to insert question marks within my posts. But... the foul didn't 'determine the outcome of the...'; therefore, I overlook it... sort of.
ex.:
> ...Based on the original 1993 study, the women were followed for a > mean of 27.6 months with an average of six visits? (your inserted "?") Definite foul here and in several other spots. So, please do not castigate me too heavily for a few words and/or phrases that may have been better stated. For ex.:
> > Beginning with medical school, physicians are taught to never tell a > > patient they do not know the answer to a patient's question, > > Comment: > > Bullshit. You are correct, and I will rephrase this 'claim'. This was taken from an anecdotal remark by a physician that was, well, anecdotal. However, in the meantime, I shall dig deeper.
Also, concerning your retort, "...it sounds like paranoid ravings." and your use of the much overused charge "vast conspiracy", which is commonly used to discredit the messenger and the message, overshadowed the remainder of that paragraph.
Re. the "Dormancy Theory": I honestly do not believe you got any points here.
You said: "It is also possible that HPV is spread by routes other than sexual. If it's non-sexual, that doesn't mean foreign objects are all that are left. The virus may well be transmitted vertically, from mother to daughter, at birth."
So what is your point? Do you suggest that possibly vertical transmission could be an important factor in the transmission of HPV? Put another way... Do you suggest that VT of HPV is probably AS an important a factor as cross-infection via fomites?
I respectfully suggest that this subject does not even belong in the same discussion as cross-infection, regardless of the mode.
Re. my statement that: "Approximately 1,500 web sites ? most associated with the medical community ? claim, affirm and reaffirm this misconception, which is now spewed from the mouths of ignorant physicians and nurses. (YOUR question marks.)
I apologize. The word "ignorant" was a bit harsh. I should probably should change that to "uninformed", recognizing that "ignorant" is defined as "unlettered", which, by its definition renders the word incorrect.
I actually did not intend the word in an offensive way... as in "I am ignorant of the ..." and I could fill in the blank with innumerable choices.
You ask: "What are your credentials? Hell, what is your name?"
Credentials? Do you infer that on must have credentials in order to 'properly' present new and credible thoughts or ideas?
I do not think that you actually believe that, because I have read some of your posts and you seem to be a fair person who seeks the truth. Email me and I will give you my name, rank AND serial number.
It is apparent that you and I will not agree on much concerning this subject. But, do you object to the discussion of the possibility of cross-infection of women during routine exams.
Also, do you disagree that there is a possibility that a significant number of women are cross-infected with various pathogens with non-sterile devices and procedures during medical examinaton?
Are you aware that there are NO guidelines published by the CDC, FDA or OSHA concerning the sterilization of gynecological medical devices?
DO you see how this give the medical profession an 'open door', as far as using non-sterile devices?
Do you agree that the placing of the gyn speculum, the gyn probe and other gyn medical devices in the area of CLASS II devices (no need to sterilize) has caused (could cause?, does cause?, may cause?... you pick the most applicable) the U.S. medical profession's Standard of Care to accept the use of non-sterile gyn medical devices (without the knowledge of its patients)?
Best regards.
Will
> > > Beginning with medical school, physicians are taught to never tell a [quoted text clipped - 254 lines] > > SBH Steve Harris sbharris@ROMAN9.netcom.com - 08 Feb 2004 23:47 GMT > Steve / Dr. Harris: > [quoted text clipped - 9 lines] > > Definite foul here and in several other spots. COMMENT:
All of which you'll see happened when the google newsreader ran across the odd dash symbols in your text which you apparently intend to be hyphens, and read each as a "?". I didn't figure out at first this was happening. Which is fine, because neither did you. However, this is a microcosm for your attitude, because instead of realizing finally that this was a simple machine error in coding, *you* decided instead that some doctor, namely myself, was responsible for it, with evil intent. Which attitude is pretty much is my problem with your whole style of looking at life. Capiche?
SBH
yelxol - 13 Feb 2004 22:22 GMT > > Steve / Dr. Harris: > > [quoted text clipped - 23 lines] > > SBH Your "...problem with (my) whole style of looking at life"?
You really DO want to change the subject, don't you. Are you an MD or a JD?
Will
BTW: You may be very surprised to learn 'how I look at life'... or don't.
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