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Below is a response From NHS Hammersmith and Fulham (the primary care trust covering the London Borough of H&F) to some of the questions that have been raised in this discussion. I hope it is of some use. On the HPV vaccine:A good sources of information is the www.immunisation.nhs.uk website. In terms of testing, the vaccine has gone through the same process of development and trials as other vaccines do before it is licensed for use. The HPV is currently approved for use in more than 100 countries including all 27 European Union states. More than 1.4million doses have been given in the UK. So there is a substantial volume of evidence both from trials and actual use to support its safety.On Chlamydia testing:It is estimated that 1 in 10 Londoners between the ages of 16 and 24 has Chlamydia – it is one of the fastest growing sexually transmitted infections. It can cause a range of serious problems later in life if not dealt with, but it is also often symptomless so your body isn't doing anything to alert you there is a problem and prompt you to go to a doctor. Which is why the NHS is adopting an approach of broad screening.Young people are often reluctant to come forward for screening for a variety of reasons, for example they do not perceive the dangers posed by Chlamydia as an immediate threat to their health.  Given the seriousness of the problem, we are using a number of approaches to encourage more young people to protect their sexual health.NHS Hammersmith and Fulham sent out letters to all of the borough’s 15 to 24-year-olds earlier in the year to invite them to request a Chlamydia test via our website www.check-kit.org.uk.  The initiative generated a good response, with almost 1,000 young people taking the test. We're considering further mailouts of the kit's themselves.Our aim is to make screening as accessible, discreet and convenient as possible.As well as the website, tests can also be carried out at all GP surgeries across the borough as well as at family planning clinics and even selected pharmacies.If the test is taken by sending back a postal kit, the young person chooses whether to receive their results by text, letter or telephone.  Text message has been the most popular option.  Only negative results are sent by text or letter.  Anyone who receives a positive result is called by a member of our Chlamydia screening service who provides advice and information on where to get treatment.This work is part of an ongoing campaign to raise awareness of the dangers of Chlamydia.Tom StevensonHead of Communications NHS Hammersmith and FulhamWe try to keep an eye on this site but if you have specific questions it's probably better to email us at communications@hf-pct.nhs.uk (we're not doctors though, so no personal medical issues please!)

Tom Stevenson ● 5672d

I think you should give consent for the vaccination but I can't help having mixed feelings about the whole process. We are in a sense saying to our daughters - ' we don't trust you not to be promiscuous so let us stick this needle in you.'Our generation were in a perverse sense lucky in that when we were at that age when we may have had the inclination to be promiscuous the HIV scare was a fairly good disincentive. I would add that in my case poor looks and ineptitude also thwarted any efforts in that direction.Today I get the impression that amongst the young STIs are considered to be universally an inconvenience rather than a serious health problem. If what I hear from members of the medical profession is true then infection rates in this part of London amongst the late teen/early twenties age group are extremely high almost guaranteeing some sort of reinfection if you have more than three partners.The reality is that many sexually transmitted diseases, even with modern medicines, can leave you with serious health problems or even kill you. The likelihood is that in a few decades time illnesses caused by having multiple sexual partners will be causing a bigger drain on the NHS than those relating to drink or tobacco (with no compensating tax benefit.) Any suggestion that the Government should launch a campaign urging people to be less promiscuous would be scoffed at. When people die of alcohol or smoking related illnesses we know about it and they serve as useful warnings for the younger generation. With sexually transmitted illnesses the embarrassment factor means that there have been many deaths due to this cause that have never been publically acknowledged. Even when the cause of death seems likely to have been down to this there is an unwillingness to draw any lessons from it. Jade Goody's early onset cervical cancer was in all probability due to her well-documented promiscuity at an early age but even the section of the press that was hostile to her were reluctant to make this obvious and important link.Our desire not to appear Victorian and censorious is creating dangers for future generations.

Andy Jones ● 5686d