Chamber
Plenary, 01 Feb 2007
01 Feb 2007 · S2 · Plenary
Item of business
Cervical Cancer
I agree whole-heartedly. The member has identified one course of action on which we can press the minister.
The JCVI has still to decide on the vaccination programme; I believe that that is a question not of "if" but of "when". Many are anxious about the long time that the JCVI is taking to decide on the availability of the new vaccines. With every passing month, we miss out on the opportunity to protect thousands of young women.
However, it is important that the joint committee reaches a fair and balanced decision. It should be made clear to the JCVI that there is no shortage of public or political support for a vaccination programme that is aimed at eradicating cervical cancer for the majority of women, if not all, in the next few years. As Shona Robison said, the joint committee next meets on 14 February—on Valentine's day. I ask the minister to undertake to forward a copy of today's debate to that committee so that the views of members of the Scottish Parliament and of the Scottish Executive are brought to its attention.
In the meantime, it is important that the Scottish Executive begin preparatory work. I give no credence to the scare story that making such cancer vaccines available to pre-teen girls and boys will in any way encourage sexual activity. No evidence supports that. The churches have reacted positively and by far the majority of the parents who have been surveyed have taken an eminently sensible and welcoming approach to the vaccine. There is no doubt that an education and awareness programme would need to precede introduction of the vaccine. I see no reason why the Scottish Executive could not start work on that now.
If the potential for the HPV vaccine has yet to be realised, the impact of cancer screening is already known. The Scottish Executive needs to take action now to raise awareness of the importance of having a smear test. We know that, with all cancers, early detection is the key to successful treatment. Nothing prevents us from doing more to convey that message now. Even if it is fully implemented, the HPV vaccine will not work for all women and a screening programme will be needed for at least the next 20 years, or until we create herd immunity against this deadly virus.
I began the debate by reminding members that more than 20 women die every week as a result of this preventable cancer. I will close with the words of Laura Mackay, a supporter of Jo's Trust, who spoke to members about her experience of cervical cancer at the Scottish Parliament just last week, so that we and others could learn from it. Laura said:
"I cannot emphasise enough the feeling of isolation and fear that comes with a cancer diagnosis, especially cervical cancer. I thought I was going to die. For a couple of years I was in that very dark, horrible and lonely place. I completely withdrew myself from my friends and my family and that was mainly not because it was cancer but because it was cervical cancer and I felt people didn't want to know. For you looking at me today you have absolutely no idea—no idea—of the surgery that I have had and what I have to live with for the rest of my life. By providing this vaccine for free it is giving women OF the future A future. Giving them life options—fertility. Providing this vaccine free is going to save lives."
I thank members for supporting the motion.
The JCVI has still to decide on the vaccination programme; I believe that that is a question not of "if" but of "when". Many are anxious about the long time that the JCVI is taking to decide on the availability of the new vaccines. With every passing month, we miss out on the opportunity to protect thousands of young women.
However, it is important that the joint committee reaches a fair and balanced decision. It should be made clear to the JCVI that there is no shortage of public or political support for a vaccination programme that is aimed at eradicating cervical cancer for the majority of women, if not all, in the next few years. As Shona Robison said, the joint committee next meets on 14 February—on Valentine's day. I ask the minister to undertake to forward a copy of today's debate to that committee so that the views of members of the Scottish Parliament and of the Scottish Executive are brought to its attention.
In the meantime, it is important that the Scottish Executive begin preparatory work. I give no credence to the scare story that making such cancer vaccines available to pre-teen girls and boys will in any way encourage sexual activity. No evidence supports that. The churches have reacted positively and by far the majority of the parents who have been surveyed have taken an eminently sensible and welcoming approach to the vaccine. There is no doubt that an education and awareness programme would need to precede introduction of the vaccine. I see no reason why the Scottish Executive could not start work on that now.
If the potential for the HPV vaccine has yet to be realised, the impact of cancer screening is already known. The Scottish Executive needs to take action now to raise awareness of the importance of having a smear test. We know that, with all cancers, early detection is the key to successful treatment. Nothing prevents us from doing more to convey that message now. Even if it is fully implemented, the HPV vaccine will not work for all women and a screening programme will be needed for at least the next 20 years, or until we create herd immunity against this deadly virus.
I began the debate by reminding members that more than 20 women die every week as a result of this preventable cancer. I will close with the words of Laura Mackay, a supporter of Jo's Trust, who spoke to members about her experience of cervical cancer at the Scottish Parliament just last week, so that we and others could learn from it. Laura said:
"I cannot emphasise enough the feeling of isolation and fear that comes with a cancer diagnosis, especially cervical cancer. I thought I was going to die. For a couple of years I was in that very dark, horrible and lonely place. I completely withdrew myself from my friends and my family and that was mainly not because it was cancer but because it was cervical cancer and I felt people didn't want to know. For you looking at me today you have absolutely no idea—no idea—of the surgery that I have had and what I have to live with for the rest of my life. By providing this vaccine for free it is giving women OF the future A future. Giving them life options—fertility. Providing this vaccine free is going to save lives."
I thank members for supporting the motion.
In the same item of business
The Deputy Presiding Officer (Trish Godman):
Lab
The final item of business today is a members' business debate on motion S2M-5359, in the name of Ken Macintosh, on cervical cancer and the human papilloma v...
Motion debated,
That the Parliament welcomes the licensing of the first vaccine against strains of the human papilloma virus (HPV) responsible for around 70% of cases of cer...
Mr Kenneth Macintosh (Eastwood) (Lab):
Lab
I thank all the members who are present for the debate and the 50 or so members who have signed the motion on cervical cancer and the human papilloma virus. ...
Shona Robison (Dundee East) (SNP):
SNP
The member will be aware that the Joint Committee on Vaccination and Immunisation—I hope that I have got the name right—will have its next meeting on 14 Febr...
Mr Macintosh:
Lab
I agree whole-heartedly. The member has identified one course of action on which we can press the minister.The JCVI has still to decide on the vaccination pr...
Christine Grahame (South of Scotland) (SNP):
SNP
I congratulate Ken Macintosh on securing this very important debate and on his commitment to the cross-party group on cancer. I do not know whether Shona Rob...
Eleanor Scott (Highlands and Islands) (Green):
Green
I am happy to speak in this debate on an issue that I think is going to become a medical hot topic. The first paragraph of the briefing that members have rec...
Dr Jean Turner (Strathkelvin and Bearsden) (Ind):
Ind
I thank Ken Macintosh for securing such an important debate.A lot of good words have already been said, and from the practical point of view of having done c...
Mr Macintosh:
Lab
Does Jean Turner agree that, although the cervical cancer screening programme has been dramatically successful in reducing the number of deaths and in reassu...
Dr Turner:
Ind
Ken Macintosh is right, and I think that it was mentioned that familiarity sometimes breeds contempt. People can just come along and get their smear, but the...
Mrs Nanette Milne (North East Scotland) (Con):
Con
I will be fairly brief because a lot of what I was going to say has already been said. I am pleased to have the opportunity to speak, and I add my congratula...
Ms Maureen Watt (North East Scotland) (SNP):
SNP
I will be brief, because most of what I wanted to say has already been said. I, too, thank Ken Macintosh for bringing the debate to the chamber. As others ha...
The Deputy Minister for Health and Community Care (Lewis Macdonald):
Lab
I, too, thank Ken Macintosh for his opening remarks and for bringing this debate to the chamber, and I thank members for their constructive contributions on ...
Ms Watt:
SNP
Are any programmes specifically designed for women from ethnic minorities? I know that they find it particularly difficult.
Lewis Macdonald:
Lab
Yes. I recognise, as has been said by a couple of members, that among certain groups that is an issue. Boards recognise that and deal with it on a case-by-ca...
Meeting closed at 17:44.