COVID-19 Update

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    ‘Social distancing and face masks have been proven very effective, together with discipline and personal hygiene. It’s time we learned!’

    THE COVID-19 pandemic has risen to almost 17 million, with nearly 98,000 new cases in 24 hours worldwide, and about 660,000 deaths. There are almost 4.5 million cases in the United States, with about 16,000 new cases in one day, and about 152,000 deaths, 400 of which was last Monday. Brazil is second highest, with almost 2.5 million cases and 88,000 deaths, and almost 3,000 new cases. The Philippines has 83,700 cases and almost 2000 deaths (1,680 new cases).

    In our column last March, we warned about the probability of a second or third wave of COVID-19 in the USA, which would be caused by people’s protests and demand for their civil rights and lack of self-discipline and reckless behavior. The recent increases in the number of cases in California (466,835, with 8549 deaths) and Florida (441,977, with 6,119 deaths) are a testament to people’s non-compliance to social distancing and wearing face covers. The massive testing and high positive results are not to blame for the spike in the number of cases. If people were more compliant and disciplined, the number of positives would be enormously less. More people tested positive because they were careless and exposed to those infected. Social distancing and face masks have been proven very effective, together with discipline and personal hygiene. It’s time we learned!

    Oral sex

    The rate of throat cancer in the United States has not declined, compared to most head and neck malignancies. I suspect that the statistics could also be true, when extrapolated, for other countries, like the Philippines, since most Filipinos are westernized in their lifestyle, habits, and behavior.

    The most logical explanation why cancer of the throat has not diminished is due to the Human Papilloma virus (HPV), a bug that causes a sexually-transmitted disease. HPV is popularly known to cause genital warts and most cancer of the cervix (mouth of the womb). It has only been fairly recently when scientists discovered and identified HPV transmission through oral sex as an etiology of throat cancer.

    M.D. Anderson Cancer Center in Houston reported that its research team found “the incidence of throat cancer (in the United States) to be stagnant and even rising in some populations, defying a downward trend in other head and neck cancers linked more closely with smoking.”

    The American Cancer Society reports that the greatest risk factors in head and neck cancers are smoking and drinking alcoholic beverages, 90% of them either smokers or tobacco-chewers and about 80% of them also imbibed a lot of alcohol. The good news is that a trend analysis in head and neck cancers in the United States shows a decline the past 20 years, trailing a decrease in smoking prevalence, which started in the 1970s, by 10 to 15 years.

    The bad news is that oro-pharyngeal cancers (which include the tonsils, base of the tongue and soft palate, and side and back of the throat) have been up in some population in the United States, and probably among people in other parts of the world who practice oral sex, where HPV takes its toll.

    Sample of the vaccine referred to is Gardasil, which is genetically engineered, and which blocks infection caused by two of the more than 100 types of Human Papilloma Virus (HPV), strains 16 and 18. These two sexually-transmitted viruses are responsible for about 70% of cervical cancers. HPV, in one form or the other, afflicts about 20 million Americans. The other strains of the virus cause painful genital warts, and sometimes, cervical cancers too.

    How prevalent is cervical cancer?

    In the Philippines, there are about 5000 new cases of cervical cancer each year. However, more alarming than that is the fact that there are from 10,000 to 25,000 women walking around (not seen by physician) who have undiagnosed pre-invasive lesions in their cervix. If diagnosed early, these women could be saved. For every four survivors of breasts cancer, there are less than three women who survive cervical cancer, which shows how virulent cervical cancer is.

    What causes cervical cancer?

    Human Papilloma Virus (HPV, also known as genital herpes virus) accounts for most cervical cancers. At least 50% of sexually active men and women are infected with genital HPV, especially those with multiple partners. There are about 20 million American men and women infected with HPV, many linked with abnormal pap tests, genital warts and cervical cancer. It is estimated that at least 10,000 new cases of cervical cancers are discovered annually. Between half a million to a million Americans have genital warts, transmitted thru sexual contacts.

    What is the cure for cervical cancer?

    Better than the cure! A vaccine (Gardasil) that prevents cervical cancer, vulvar and vaginal cancer that was approved by the US-FDA in 2006 was found to be “effective 100%, in the short term, at blocking the cancer and lesions likely to turn to cancer” (like the pre-invasive lesions), according to Gardasil manufacturer, Merck & Co. “To have 100 percent efficacy is something that you have very rarely,” Dr. Eliav Barr, Merck’s head of clinical development for Gardasil, told The Associated Press.  The UK’s version of the vaccine is known as Cervarix.

    How early should the vaccine be given?

    Students in grammar school, middle school and high school should be vaccinated before they become sexually active, because once they catch HPV infection, there is no cure; herpes is for life. This was the recommendation of Dr. Gloria Bachmann, director of The Women’s Health Institute at Robert Wood Johnson Medical School in Brunswick, NJ., who said this vaccine is a “phenomenal breakthrough.”

    Prophylaxis Gardasil vaccination comprehensively eliminates HPV 16 and 18 associated non-invasive and invasive cervical cancer. The vaccine also cuts down infection with HPV 6 and 11, the causes of 90% of genital warts.

    How about throat cancers?

    Of the 45,000 head and neck cancers in the US each year, about 10,000 of them are oro-pharyngeal cancers, and tongue cancers among young adults have also increased. The evident conclusion is that the cause is the HP virus.

    “Over the last five years, 35% of the throat cancer patients treated at the M.D. Anderson Cancer Center had no history of smoking, and that close to 90% of patients who had never smoked showed evidence of oral infection with HPV,” says Dr. Sturgis on Web MD.

    Vaccination against HPV among young girls and boys have been proven to be of great benefit in preventing the infection and the related potential malignancy.

    The use of cling plastic wrap used in the kitchen, placed over the woman (groin to groin), has been advocated by some to prevent HPV transmission when oral sex is performed. Mouth, tongue, and other throat cancers could be as grave and deadly as most other forms of cancers.

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    Philip S. Chua, MD, FACS, FPCS, a Cardiac Surgeon Emeritus based in Northwest Indiana and Las Vegas, Nevada, is an international medical lecturer/author, a Health Advocate, and Chairman of the Filipino United Network-USA, a 501(c)3 humanitarian foundation in the United States. Websites: philipSchua.com  and  FUN8888.com   Email: [email protected]

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