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The Voice of Southwest Louisiana April 2018 Issue

The Voice of Southwest Louisiana News Magazine April 2018

SWLA Health Center Young

SWLA Health Center Young People! Parents! By Lillian Browning WHNP-BC What is HPV? Why are we concerned? What can we do about it? The letters HPV are short for the word Human Papillomavirus. The virus is very common. According to the CDC (Center for Disease Control) nearly “14 million people including teenagers become infected with HPV each year”. More than 40 types of HPV viruses have been linked to cancers of the mouth, throat, rectum, and anus in both males and females. Cancer of the penis in men and cancer of the vulva, vagina, and cervix in women has been linked to specific types of HPV. About 30 - 40 HPV types have been linked to sexual contact. Each is named with a number in the order it was discovered. They are divided into two groups, low-risk and high risk HPV. The low-risk are those often seen as genital warts. The low-risk are linked to the numbers 6, 11, 40, 42, 43, 44, 53, 54, 61, 72, 73 and 81. Types 6 and 11 are linked to 90% of the genital warts seen. The high-risk are linked to the numbers 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59 and 68. Types 16 and 18 are the most dangerous and are linked to 70 % of the cervical cancers seen. In many cases, a serious cervical cancer can develop in just three years after exposure to Types 16 and 18. Currently, there are few to no tests that can give the specific HPV one has been infected with; however, the tests that do exist can offer evidence of a possible exposure to the high-risk group. Work is being done to develop tests that will specifically identify the type of HPV. The HPV virus is passed from one person to another through skin to skin contact during sexual activity. It’s most common in late teens and early 20’s. Nearly every person has been exposed to one or more of the viruses over a lifetime. Generally, the body is able to fight off the virus and the person will never know that they were infected. However, sometimes the body does not fight off the virus and this can lead to the development of the aforementioned cancers. Parents are very concerned about having additional vaccinations given to their children and may ask: Why should my child have the vaccine? “He/She is only 11 for goodness sake”. Parent’s of young males are particularly perplexed. They may wonder or say,“I thought the vaccine was to prevent cervical cancer. My son does not have a cervix!!!”. The HPV vaccine is recommended for preteen boys and girls. The immune response is higher for those aged 11 or 12 than it is for older adolescents. So they are usually protected before any concern of sexual activity is present. Remember, the cervix is not the only area of the body that can be affected by the virus. Additionally, vaccination of males does give greater protection for females from HPV. As with any disease entity, prevention is always the best approach. Avoidance of a problem before it can ever happen is the goal of prevention. The HPV vaccines along with abstinence or condom use can best achieve this goal. Currently, there are three vaccines that are approved by the FDA to prevent HPV infection: Gardasil, Gardasil 9, and Cervarix. “The HPV vaccines Gardasil and Gardasil 9 are recommended by the Centers for Disease Control (CDC) for boys and girls. Gardasil 9 is the newest HPV vaccine that protects against the types of the HPV viruses that cause genital warts and cancer of the anus, rectum, penis, mouth, throat, and oropharynx. The HPV vaccine is approved for ages 9 to 26. The CDC recommends vaccination for boys at ages 11-12 years and between 13 and 21 years if not previously vaccinated” (Young Men’s Health 12/2016). Currently, the research shows no major health concerns for those receiving the vaccines. Parents should always inform their healthcare provider if their child has any allergies including a latex allergy or an allergy to yeast. Many vaccinated will have minor reactions such as pain at the injection site, slight fever, nausea or dizziness. Young women who did not receive the vaccine as children are encouraged to do so by age 26. Some insurance providers such as Kaiser Permanente encourage pap smears to be done on all young women who have been sexually active for three years or more, are now 21 years of age regardless of sexual history, have ever had genital warts, an abnormal pap smear, or cancer of the cervix, vagina or vulva in an effort to identify possible HPV infection. For many women the thought of going to the GYN for the yearly “pap” smear is a thought laced with feelings of dread, fear, embarrassment, anticipation of discomfort and some shame. It is indeed the least liked or desired part of the GYN exam. Women can almost tolerate the thought of the breast exam; but, those stirrups, who thought up that apparatus anyway??? Often the thoughts listed above are enough to ensure prolonged avoidance. 10 April 2018 WWW.THEVOICEOFSOUTHWESTLA.COM Volume 5 • Number 9

The new guidelines for pap smears have offered a bit of a reprieve. According to multiple National Agencies, “Women should start with a Pap test at age 21 and should be co-tested with a Pap and an HPV test starting at age 30. If there are no problems, Pap tests can be done every three years and co-testing with a Pap and HPV test every five years.” At age 65, if no previous problems, no more pap tests are needed. There is a great on-going debate as to whether a pelvic exam (checking the outside and inside of the genital area) should be done yearly. It is important that the discomfort associated with the exam not be used as a reason to avoid the entire annual exam. As stated before, other areas can be affected by the virus and only a professional can often detect changes that are a cause for concern. Exams such as a breast exam, abdominal exam, external genital exam, oral and penial exam with age appropriate yearly labs are particularly still a must. Also, it is important to know that for sexually active teens and young adults a yearly genital or pelvic exam may be valuable in detecting silent STD’s. Remember, prevention is the best answer. Talk with your personal health care provider to determine what is best for you or your child. At SWLA Center for Health Services, we provide OB/GYN Services and Pediatric services. We can also provide information on HPV vaccinations and provide the vaccination. Contact us at 337-439-9983 to make your appointment today. http://www.thehpvtest.com/about-hpv/ high-and-low-risk-hpv-types/ http://youngmenshealthsite.org/parents/ gardasil-for-my-son/ https://www.cdc.gov/vaccines/parents/ diseases/teen/hpv-indepth-color.pdf http://www.nccc-online.org/hpvcervicalcancer/cervical-cancer-screening/ https://www.cdc.gov/cancer/hpv/basic_ info/index.htm BLACK BEAN AND CORN QUESADILLAS It’s a Mexican grilled cheese sandwich—with tortillas instead of bread. We like whole-grain or corn tortillas better than white flour tortillas because they have lots of flavor and more nutrients! (Corn tortillas are smaller: if you use them here, use 2 per quesadilla, sandwiching the cheese in the middle between them instead of folding them.) By Adam Ried. INSTRUCTIONS: INGREDIENTS: 2 8-inch whole-grain tortillas 1⁄4 cup canned or cooked black beans, drained and rinsed 1⁄4 cup canned or frozen corn, drained or thawed as needed 2 scallions, thinly sliced 1⁄2 cup grated Monterey Jack or cheddar cheese Salsa for serving (if you like) KITCHEN GEAR: Cutting Board Measuring cup Colander or strainer Small mixing bowl Wooden spoon Sharp knife (adult needed) Large nonstick skillet Spatula Large plate, for serving HANDS-ON TIME: 15 MINUTES | TOTAL TIME: 15 MINUTES | MAKES: 2 QUESADILLAS Wash your hands with soap and water, then gather all your kitchen gear and ingredients and put them on a clean counter. 1. Put the tortillas on the cutting board and sprinkle half the cheese over half of each one. 2. Put the beans, corn and scallions in the mixing bowl, and mix well with the spoon. RECIPE CONTINUE FROM PAGE 8 3. Sprinkle half the bean and corn mixture over the cheese on each tortilla, then fold the tortilla to make a half-moon shape. 4. With the help of your adult, put the skillet on the stove and turn the heat to medium-low. Add the quesadillas. Use the spatula to press down gently. Cook the quesadillas, flipping halfway through, until they are spotty brown and crisp on both sides. The cheese inside should be melted. 5. Take the quesadillas out of the skillet and let them cool about 2 minutes on the serving plate. 6. With the help of your adult, cut the quesadillas into wedges and serve with salsa (if you like salsa). Republished with permission from ChopChop (chopchopmag.org): Photography by Carl Tremblay. Styling by Catrine Kelty. Volume 5 • Number 9 WWW.THEVOICEOFSOUTHWESTLA.COM April 2018 11

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