HPV and You
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Hey, and welcome to the podcast. I'm Josh, and there's Chuck, and Jerry's here too. And this is Stuff You Should Know. And I've got an intro for this, Chuck. You ready? Yeah, let's hear it. Dearly beloved, we are gathered here today to talk about this thing called human papillomavirus. What do you think? That's good. I hear the beat starting in the background. Such a good album. We've got to add some kind of good spin to this. Sure. Well, we're talking about HPV, like you've mentioned, and

Um, we should say right out of the gate, HPV is a very, very, very, very, uh, common sexually transmitted infection. Uh, if you have HPV or have had it, you may have not even known about it perhaps because your body just took care of it. Uh, but if you have it and you know about it or have had it and knew you had it, it's no big deal for the most part. It's nothing to be ashamed of. It is very, very common.

It is. The problem is this, like that would be the end of the episode. If, if HPV wasn't a virus, actually the first virus found to cause cancer, that is rare in and of itself compared to all of the HPV infections that are running around the world at any given time. There's a lot.

And there's a lot of different types of HPV. But because it causes cancer, it's drawn a lot of interest from the biomedical community. And luckily, what we're finding is that HPV is super treatable if your body doesn't clear it up on its own. And in fact, there's an amazing vaccine out there that is...

One of the better, more effective vaccines on the market today for anything. That's right. And if people get this vaccine, they are potentially looking at eradicating at least HPV caused cervical cancer. Yeah. Just getting rid of it. So long. Goodbye, cervical cancer. You're a thing of the past.

And because we brought up the vaccine so early, I believe I heard the sound of 100,000 people skipping to the next episode or maybe finding a new podcast altogether. Come on. So the other thing that you might think about when you hear of HPV besides cervical cancer is genital warts. Maybe the last few remaining people have tuned out now.

Right. But we're going to dig into this because those including talk of genital warts and cervical cancer. But HPV itself, we should say, is a larger name, an umbrella term basically for many, many different viruses. But there are a handful that are are pretty key to our story here. And they are you will hear, say, various numbers like HPV 11, HPV 16. That's how they have them labeled.

Yeah, and one of the stars, the villain, I guess, is HPV-16. It's the strain that causes the most kind of cancers. And it's actually, it's really ancient. Like, the reason they call it human papillomavirus is because it is specific to humans. Like, you can give it to your dog all day long, and your dog's not going to get it. Your dog has papillomavirus. Right. Your dog and other animals have papillomavirus. Apparently, cottontail rabbits don't.

get warts very easily from their papillomavirus, and we can't get it from them. So it's very, very specific. And HPV-16, which is a kind of human papillomavirus that causes cervical cancer, among others, they believe that humans, us, modern homo sapiens, got it from Neanderthals and Denisovans when we used to have sex with them and then with us. Yeah.

You know what you got to do before you try and give your dog HPV, though? What? You got to make him sit. I don't get it. What?

You got to make your dog sit before you give it HPV. All right. I'm just going to scoot right on past that one. Okay. So we're talking a little bit of history. We'll see. We'll do a poll of people who get that joke and don't. I want to hear from you. Is it? Okay. All right. Well, you explain it later and I'll see if I'm guessing it right. All right. No, I get chastised for explaining jokes. So I'm not even going to do that this time. We'll let the people speak.

Wait, why don't you do it next time? I really want to know this one. I'll tell you after. Okay. So looking at our history of human beings, people have long suspected that warts that you see, like you got a wart on your nose.

or a wart on your elbow, that there was an infection that was responsible for that happening. Finally, we proved that in the middle of the 19th century or so when people, there were scientists that were intentionally trying to give themselves warts. And it worked by infecting their skin. So like, all right, we figured that out. With wart extracts. Yeah. Gross. It's fun to point that out. So...

It took a little while for that to go downstairs and apply to genital warts because people thought for a very long time, hey, if you have genital warts, that's just a symptom of like syphilis or something. And we eventually learned that that's not the case at all. Yeah, there's a 1917 German paper that purposefully infected a virgin girl to prove that genital warts exist outside of STIs.

That it's its own thing. And they did. They proved it. So there's another thread going on at the same time back in the 19th century. They figured out that cervical cancer was a strange conundrum, scientifically speaking, because if you took a group of nuns and you took a group of married women and put them together, the incidence of breast cancer would probably be about the same.

The incidence of lung cancer, probably about the same. The one that diverged is cervical cancer. And they couldn't figure out why because it didn't really make sense. Except the only way that did make sense is that cervical cancer somehow developed from a sexually transmitted infection. I wonder if like one person knew it and they were sharing with other scientists and they were like, I don't know. And they're like, what do nuns not do that other married ladies might do? Yeah.

Drink wine. No, no. What's something I might do in the bedroom maybe? Watch TV. I don't know. Just tell me. Oh, there's a good sketch in there somewhere, I think. Sure.

So they figured all this out. They put it all together and they finally realized, thanks to a German virologist, another one named Harald Zurhausen, great name. In 1983, he found that if you took a specimen of cervical cancer, a biopsy, and studied it closely, you would actually find a papillomavirus inside. And specifically, it turned out to be what we now know as HPV16. The chances are there's going to be some form of HPV16

PV-16 found in that biopsy in that cancerous cell taken from a cervical cancer patient. That's right. And like you said, that was in 1983. Flash forward to 2008.

When Harald Terhausen gets a Nobel Prize in physiology or medicine for his continued work developing that HPV vaccine that we mentioned. Right. It's a nice work, Terhausen. Yeah, way to go. I think he deserved it because he found this is the first virus that we've ever shown to cause cancer.

There's like this whole field of medicine that's starting to kind of wrap its head around the role that viruses play in all sorts of diseases. I know there's a hypothesis that schizophrenia might actually be triggered by a dormant virus that comes to life later on around your teenage years. So this is the first time we...

pointed to it. And that's one of the things that makes HPV so fascinating. There's not a lot of viruses running around that cause cancer, and this one definitely does. Yeah. So we mentioned that it's a lot of viruses, over 200, if you want to get a little more exact.

And they generally divide these into a couple of different groups, the cutaneous and the mucosal types. Cutaneous HPVs are, this is where you think of the warts. They infect the skin. If you have like plantar warts on your feet or you have warts on your hands or something like that, it's because of the cutaneous type of HPV. The mucosal type and HPVs,

It gets a little grosser here because we have to say the word moist, but they specifically infect moist parts of the body. This is where you get warts on genitals, your throat, maybe your nose, your anus, your cervix, of course, and your inner eyelids, which can't be comfortable.

Yeah, and because all of those or a lot of those are sexy parts, the inside of your eyelid notwithstanding, it goes to show that HPV infection can be transmitted sexually. It's not all the time like the other kind, the cutaneous type.

that causes plantar warts, you can get that from walking around a pool deck where there's HPV hanging out. But it's a different kind of HPV. HPV-16 that can cause cancer, that is a sexually transmitted HPV. It's mucosal. And it's also in a subcategory of mucosal HPV called high risk. There's high risk and there's low risk. And as you may guess just from the names, high risk typically leads to cancer or can. The low risk almost never does.

Yeah, that's right. If you think, hey, can I use a condom to get around this? That helps. But HPV, the mucosal type, at least, doesn't require bodily fluids for transmission. So if you if you are sexually active as a person and you have been so for a few years, then chances are you probably had HPV and maybe not even known it.

Yeah, and that's a really big point that you don't have to exchange body fluids. And also similarly, Chuck, I want to make sure it's totally clear. Genital warts doesn't cause cancer. It's a different type of HPV. So you actually can give somebody genital warts from sexual contact, but that's almost certainly not going to lead to any kind of cancer. They're just different types, even though they can be passed along similarly through skin-to-skin contact. That's right.

So, yeah, I think you said just from being sexually active, you're probably going to pick up some form of HPV or another. About 14 million Americans, yeah, just Americans alone, get a new infection every year. There's at least 80 million Americans running around with an HPV infection right now. And if you do the math...

Here in America, we have a pretty close replacement rate where we have just a few more 100,000 births than deaths every year, right? So let's just say that's a wash.

At 14 million new infections every year, that means everything's staying exactly the same as it is now. In 24 years, every single American will be infected with HPV. And we already said that HPV-16, we got from Neanderthals. So it's been around a really long time. So it makes you wonder, well, why this sudden surge in...

And apparently, a lot of the incidences of HPV or this rise in incidence can be traced to changes in sexual mores and behaviors that have occurred over the last few decades. Should we just put a pin in that? Sure. Okay. We'll reveal what that might mean later on. Maybe we should take a break. Yeah? Yes. Pretty good intro. And we'll talk about genital warts when we get back. ♪

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Come on in, grab a cold one, get fitted by a pro, and shop the latest dials. Visit Decovas.com. That's T-E-C-O-V-A-S dot com. And don't go gently, y'all. All right, so we're back. We promised talk of more talk, that is, of genital warts.

Um, we, I believe you mentioned the low risk mucosal type, uh, usually six and 11 HPV are the ones that cause these warts, um, or other, you know, moist membranes, uh, mucus membranes. Uh, they don't generally cause a lot of health problems, uh, or any really, um, uh,

They can be painful sometimes. They can be itchy. Obviously, there's a lot of embarrassment that surrounds genital warts. Just saying those words together isn't something you're probably going to advertise to people. No, you don't say, like, just disregard my genital warts. Yeah, I mean, well, I'm sure plenty of people have said that, but who knows? It doesn't always work. That's what works. But it's nothing to be ashamed of because it is quite common and they can be removed.

Um, sometimes medication can do it. Sometimes, uh, they'll do the old, uh, freeze with liquid nitrogen routine. I used to get that. I got warts on my elbows and I used to get it burned off with liquid nitrogen pretty regularly. I think I remember that. Yeah. I, I, I feel like I've had that done with, uh,

I think I had plantar warts that they did that to when I was in college. Yeah. I mean, you can get rid of warts that way. Yeah. There's also lasers these days that can handle that. Different methods to get rid of those genital warts in due time. So don't worry about it if you have those people. Just keep soldiering on. You'll be okay. Yes. So there are some...

Some types of HPV infections that lead to warts, mucosal warts, that can be a problem. There's one in particular, respiratory papillomatosis, is a condition that's caused by warts in the airways. And it typically happens in kids and it's treatable, but it can narrow the airway and that in and of itself is problematic. They think that it's transferred, that HPV infection is transferred during birth or

or from the amniotic fluid inside the womb. But it's pretty rare. It's one of the rare ones that, okay, this actually could be a bit of a health problem from warts. Yeah, for sure. But that is only in young children. Usually you see it between the ages of two and six. It can occur in adults, but I think it's even more rare.

But again, you can remove these surgically. So you can get that taken care of as well. Yeah. Plus you get to go back to school in the fall and be like, yeah, they shot lasers down my throat. What did you do this summer? That's right. To get rid of my warts. Yeah. There's also infections with the high risk kinds of APV that don't clear up on their own. And these are the ones that could eventually lead to cancer. Right.

Yeah. So this is a very, very long process, but essentially this HPV infection that is akin to causing warts just hijacks a cell, just like any other virus, causes it to multiply and multiply and multiply. And then as these cells rupture, they release more viruses into the extracellular membrane and they get into more cells and it just gets worse and worse.

The difference between an HPV infection and other types of infections from viruses is that they're not systemic. They stay very, very localized. And so they form a very recognizable lesion. Yeah, but it isn't just cervical cancer, though, that we should point out. I believe there are six kinds of cancer. I think the data that we got, was this Livia? Did she help us with this? Yeah, hats off. I can tell. In a good way.

I was like, oh, geez, I could tell. All the dirty jokes that we can't say.

2021 is when we got the latest CDC data with more than 37,000 cases of cancer associated per year that are associated with HPV, 22,000 in women, 16,000 in men. And the six kinds of cancer, or I guess the five besides cervical, are anal cancer, penile cancer, vaginal cancer, vulvar cancer,

cancer, vulvar cancer, man, that's hard to say. It is. That's a good pre-stage warmup. Okay. Uh, so if you hear me backstage saying good Lord, uh, and then finally, uh, oro pharyngeal cancer, which is, uh, the base of the tongue, the back of the throat, uh,

Tonsils, you can also get that through tobacco use, not surprisingly. So you should also not be surprised to learn that as tobacco use has gone down, so have incidences of non-HPV oropharyngeal cancer. But incidence of oropharyngeal cancer overall has increased because there's been a rise in HPV infections due to that.

And I think I made it pretty clear. HPV 16 is one of the big baddies of this episode. So is HPV 18. Those are the two most common cancer causing types of HPV. They're responsible. HPV 16 is responsible for 90 percent.

of HPV-related oropharyngeal cancers, half of all cervical cancers, and all the other cancers that are related to HPV, it makes up a significant portion of them, just 16 alone. Yeah, and I think 18 causes 20% of cervical cancer. So between those two, you know, you're looking at 70%.

So let's talk cervical cancer, shall we? Because it's really important. It's become, I guess, how do you put it? It's really emerged as a condition that's gotten a lot of attention because there's so much potential for getting rid of it altogether. Right.

Yeah. And it's a situation where here in the United States, due to early detection and treatment, it is really, really lowered. I think it's gone down by more than 50 percent from the mid 70s to the mid 2000s and only and, you know, of course, 4000 people is a lot of people, but.

But when you're talking about what the rates could and would have been in the past, 4,000 Americans dying of cervical cancer each year is a lot of progress has been made. Yeah.

Yeah, and overall, I think there's 350,000 deaths from cervical cancer worldwide every year. And, I mean, Americans make up a decent portion of the world population, but not a good portion of the cervical cancer death population. The reason why is because America has a really robust screening process.

that is easily accessed by American women to search for cervical cancer and catch it early on. And it's not nearly as robust in some other developing parts of the world. Yeah, because in America, once you turn 21, if you're a woman, generally from about 21 to 65, you're going to be getting a pap test about every three years, or at least you're supposed to.

And the U.S. Preventative Services Task Force, the USPSTF,

It says if you're under 30, they don't recommend that you get tested for HPV unless you have some, you know, some pretty obvious risk factors. Well, because generally by then you have probably gotten it and it is probably cleared up on its own. And that also means that you have some kind of immunity, sometimes very long lasting immunity. Right.

Yes. So they say don't bother with the HPV test, but definitely do get your pap test. Pap, by the way, isn't short for papioma. It's short for the guy who came up with the test, Georgios Papinikolaou.

Pap, I guess, to his friends and family. So that's looking for abnormal cells in your cervix. If they find that, then you test for HPV to see what kind of HPV infection you might have that could account for those abnormal cells. And then the American Cancer Society says, forget that.

Just start at 25. Forget the pap smear. Start with an HPV test. Like if you have to prioritize one, do that. And you might say, well, I'm confused. The Preventative Services Task Force says 30 and focus on the pap test. In the meantime, the ACS says throw the pap test out. Focus on the HPV test starting at 25. Which one should I choose? And you don't have to worry if you're an American because your insurance company will choose for you. And that'll probably be neither. Right.

That's right. If during your screening you happen to see what's a precancer or dysplasia, then what they're probably going to do next is to examine the cervix. It's not a pleasant process. It's done using an instrument called a colposcope. You may get a biopsy performed, but a lot of times it's

A minor thing that's going to go away on its own. And so what they might do is say, hey, let's just monitor this thing instead of removing it and just sort of get you tested more regularly to see what's happening with that. Hey, welcome to your year of anxiety. Yeah, true. Until your next test. It sucks. Yeah, but the odds are with you. Yeah, yeah, for sure. Because we've got this early screening, because they have like a lot of telltale signatures. Yeah.

They may also do a biopsy. If it does seem like it's a big deal, they may do more invasive surgery. But for the most part, we'll set cervical cancer aside for a second until we get to the vaccine. If you go get a pap test and you do some form of HPV testing if needed, you're probably going to catch it early enough for it to be treated.

That's right. That's the great news with cervical cancer. Unfortunately, the other kinds of cancers, the other five that we mentioned caused by HPV, there isn't a routine screening for those or preventative treatments for those. And that is one of the reasons why you mentioned oropharyngeal cancer is growing, even though tobacco use and tobacco-caused oropharyngeal cancer is falling. Yeah.

Yeah, because people stopped using tobacco as much, but they replaced tobacco use with oral sex.

which is one of the, it's actually the biggest risk factor now for developing oropharyngeal cancer. And the more oral sex partners you've had, the greater your risk of developing oropharyngeal cancer a few decades later is, as a matter of fact. So that's what I was saying earlier when I was saying that there's been a change in sexual mores and behavior. Oral sex has become much more prevalent now.

since the 60s and 70s than before. And a lot of those men in particular are starting to age into that point in their life where that HPV infection is developing into a cancer and it's developing into oropharyngeal cancer. Right. And we're talking specifically about oral sex performed on women, right?

So I guess the idea is that you can get that HPV

And many, many years later, when you're, like you said, in your 50s or 60s, that's when it might rear its ugly head. Yeah. Do you remember when Michael Douglas said that he had oral cancer, throat cancer, I think? And he's like, it's from oral sex. Yeah. And everyone laughs. Yeah. That's exactly what he was talking about. And he's right in that age group of boomers that were like, you know, let me try this back in the day. Right.

So we don't have a good handle on really anything besides cervical cancer. So the oropharyngeal cancer field, like the researchers and doctors who study this kind of stuff are like, okay, it's go time for us because, you know, we thought everything was just ducky with the tobacco use going down. And now we've got this. We've got to figure this one out. That's right. Good time for a second break.

I think so. All right, great. We're going to take a break. And, you know, we talked about the vaccine a couple of times. We're going to come back and put all our cards, all our vaccine cards on the table right after this. Hi, icons. It's Paris Hilton. Check out my new single, Chasen, featuring Meghan Trainor. Out today. Hi.

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Chuck, before we move on to the vaccines, which I agree we should do post-haste, we do want to mention that the other kinds of high-risk HPV mucosal cancers include, I think like you said, anal cancer, vulvar cancer, penile cancer, and vaginal cancer. And they start to get much more rare now.

starting with anal cancer down to vaginal cancer, as far as cancer cases go caused by HPV. Hopefully, we'll be able to figure this out. And there won't be any of those cases. But that's another reason why cervical cancer got so much attention, because it was much more prevalent in addition to much more treatable. That's right. I'm glad you said that stuff. So now we can talk about the vaccine, okay? Yeah, let's do it.

There were two guys, Zhang Zhao and Ian Frazier. They both worked at the University of Queensland. I believe Ian Frazier ran the lab and Zhang Zhao and his partner worked for Ian Frazier. And together, they started studying HPV, specifically HPV-16.

And they figured out that you could take HPV-16 and isolate proteins from it. And you could use those proteins ostensibly in a vaccine. And in very short order, within a few, well, a decade or so, a vaccine finally did come out. Apparently, the drug companies took some pep talks, I guess, about how much money they could make on this. And they finally saw the light.

And we ended up with a HPV vaccine in 2006. The first one was called Gardasil. And I remember when this came out from the outset, it came out essentially in the midst of the firestorm of the vaccines cause autism stuff that was going on at the same time. Merck was like, hey, we got a new one, everybody. Come check this one out.

That's right. It's meant for girls and women between nine and 26 years old. There is a group called the ACIP, the Advisory Committee on Immunization and Practices that said, you know, this stuff's good to go. Let's get it out there. And it protected against HPV 16 and 18. Mm hmm.

which is the most common high-risk types we talked about, and then 6 and 11, which more readily caused a genital wart. So it basically kind of took care of the four bad guys. Yeah, and after this thing was released, they started launching studies on the – like real-world studies on people who'd gotten it, and they found, like, this is actually –

pretty good at protecting people against those four HPV strains. And in fact, they also figured out that it could protect men against genital warts and anal cancer because HPV that causes anal cancer, I think 16 or probably 18 as well, can be transmitted from anal intercourse.

I can't remember. Receptive anal intercourse. That's the word. And so you can transmit it like that. And they found that if men got this vaccine, it protected them against that, which was pretty surprising because at the beginning they were like, yeah, we just need to give this to little girls. And then they were like, no, we need to give it to little boys, too. That's right. So that was in 2009 when the FDA licensed it for for boys and men from nine to twenty six.

And, again, a couple of years after that is when the ACIP said, yep, we should get it going in that population. Yeah. So at the same time, GlaxoSmithKline said, us too, we want to make some money off of this too. And they released ServerX.

which I guess just never really picked up steam against Gardasil because in 2014, Merck released Gardasil 9. And that is essentially the de facto HPV vaccine in most of the developed world. It protects against, as you might have guessed from the name, nine different strains of HPV, not just the common ones, but also some less common ones that are still high risk.

And they also found, again, through more clinical trials and more real-world studies, that these things were really, really effective at protecting kids if you gave them this vaccine before they became sexually active. Right. Because one of the really big keys here is once you're infected with the strain of HPV—

that vaccine won't protect you against that strain. It'll protect you against the other strains that you haven't gotten yet, but it apparently won't do anything. It doesn't cure any HPV infections. It just defends against them from getting infected with them. Yeah, and that's why they went from nine, you know, down to nine years old. It's two shots, six months to a year apart.

Um, if you're older than 15, I believe you have three shots over a six month period. And if you're like, well, wait a minute. Um, at the time, like you're like, well, I'm, I'm older now. And this stuff just came out and they were like, sucks for you. Yeah. Well, they, you know, you're not going to get the full benefit necessarily from that vaccination. Um, but they said it still may be worth getting, uh, if you weren't vaccinated as a kid.

Especially if you had fewer sexual partners. So less sex, the older you are, the likelier the vaccine is to protect you against it later in life. Right. And if you were a 40-year-old virgin, then they made a movie about you. Pretty good movie, too. Yeah, I like that one.

So, like I said, this thing was released in the midst of the vaccine vaccines cause autism firestorm. And so it was controversial right out of the gate. But Rick Perry, who is governor of Texas at the time, did not help things at all. He did something that seems extraordinarily bizarre today. In retrospect, he was the Republican governor of Texas who ended up serving as Department of Energy secretary under Trump.

And he mandated as governor that every girl entering sixth grade who lived in Texas had to get the Gardasil vaccine in 2007, a year after it got FDA approval. And that did not sit well with a lot of parents. No, a lot of parents were either...

Just, you know, sort of like stuff you hear about today, like, you know, parents rights groups saying that we want to make those decisions. Some of them were part of the anti vaccine movement and some of them also and just people in general, I think, were like, well, wait a minute, Perry, you've got your cozied up to these lobbyists for Merck. Like, is that what's going on here?

So it was it was a big deal. And like you said, in retrospect, is it's very odd to see a Texas Republican governor mandating vaccines for anybody. Yeah. And Rick Perry had big time ties to Merck. That was the only HPV vaccine on the market at the time. So it's not like he could choose from a different type.

But just those ties made the whole thing smell fishy. There was another really big thing that parents came out against. There was a lot of fear that when you vaccinated your kid with the HPV vaccine, they were going to run right out and start having receptive anal sex because now they were protected. Right.

They're going to have intercourse or have oral sex starting at age nine because you just gave them this license to go have sex because you vaccinated them against HPV. And that was the one that the most vocal opponents had.

sounded the alarm about. But it turns out from studies, follow-up studies about hesitation, HPV vaccine hesitancy among parents, that's almost like not even on the charts. Like very few parents are actually worried about that. They're more worried about things like whether it's safe or they think that their kid actually doesn't need it because my kid's ugly.

Like there's a whole other cadre of reasons, and that one apparently didn't pan out. And studies that looked at it, that possibility found that girls who had been given the HPV vaccine preteen compared to girls from the same cohort had no more incidences of seeking birth control, of pregnancies, or of any other things that indicated they had more sex than the girls who weren't vaccinated with the HPV vaccine.

Yeah. And I bet one reason is because parents probably didn't say, all right, you're going to the doctor and you're getting this vaccine. And you know what that means? Yeah.

So the other one of the other things that popped up was the idea that whether or not you need to vaccinate boys in 2011, there was a story in The New York Times that that basically kind of suggested that the biggest benefit for male vaccination was either protecting female partners because, well, was protecting female partners because the only way to protect

if you're going to get it as a man or a boy is to have, like you said, had that receptive anal sex. And so we've learned since then that straight men are also at risk, especially for that oropharyngeal cancer. So that was sort of, I mean, I was about to say quickly quashed, but also it wasn't because people got up in arms about it.

Yeah, because I mean, HPV 16 causes 70 percent of oral cancers. Right. So if you give a boy the vaccine against HPV 16, you're going to take a big bite out of that possibility of them developing oropharyngeal cancer later in life. It just makes sense.

So it does make sense for boys and girls to both get the vaccine. And yet there's, thanks to the anti-vax movement, thanks to Rick Perry and his Merck ties, thanks to that study that linked autism with, um, with vaccines, uh,

There's still today just a lot of hesitancy in mandating HPV as part of a required vaccine schedule among boys and girls in America. I think Delaware, Rhode Island, Hawaii, Virginia, and D.C. are the only ones that require vaccines for students. They require it for boys and girls. But...

Yeah, I mean, that's the one takeaway is that...

This is a vaccine that really seems to work. Yeah, there was a study in 2021 that found that among women who had been vaccinated between 12 and 13, there were 87 percent fewer cases of cervical cancer.

Yeah, that's nuts. And Johns Hopkins came up with a model that said that because of vaccination rates among men, there should be 1,000 fewer cases of oropharyngeal cancer by 2045. You might be like, that's it? That doesn't seem like that much. Well, the reason why is because only 20% to 30% of boys aged 13 to 17 are getting that vaccine. If you increase that percentage to like

What girls are getting, which is more like the 60 to 70 percent range, it would take an even bigger bite out of oropharyngeal cancer in the future because those kids will eventually age. And if they got the vaccine, they won't have contracted that strain of HPV.

That's right. How many people are getting this vaccine? More and more. In 2022, 57 percent of kids between the ages of 15 and 17 had gotten at least one dose. If you are from a family that has children,

Parents that are college educated and maybe a little more money, you're more likely to be vaccinated against it. Statistics show. And, you know, public public education is one of the big reasons that people are more aware of it and more inclined to get it. Yeah.

So I guess that's it, Chuck. HPV. Yeah. If you want to know more about HPV, there's a lot to go read out there and educate yourself on. Same with the HPV vaccines that are available. You should probably read up on anything like that first. But make sure that you are getting your info from trusted sources. And since I said that, of course, it's time for Listener Mail.

This is good because it ties into an episode on whistling and something we both love, which is whistling the scorpions. Oh, yeah. I love this one.

Hey, guys, listening to the show about whistling and got to the part of the episode about popular songs. And as I hoped, you guys did mention the classic Wind of Change by Scorpions. Side note, he says, it's just scorpions, not thee. Oh, sorry. Didn't know that. Kind of like eagles and indigo girls. And Edie Brickell and New Bohemians. Yeah, and Edie Brickell. And New Bohemians? Yeah, that's right. Yeah. Isn't that what you said? Yeah. Yeah. Brand New Bohemians. Right.

And brand new heavies. That's right. Oh, God. I used to love that band. And new pornographers. Well, you know, I still love them.

Who else? Jethro Tull. Okay. I love Jethro Tull, too. There we go. He whistled through his flute. However, guys, I was half expecting one of you to mention this crazy fact, and you passed over it. To state it briefly, there exists a conspiracy theory that the song Wind of Change was written or partially written by the CIA as a mode of propaganda to help bring an end to the Cold War. I had never heard this. Did you?

No, but it really rang true because I remember when the song came out and what the sentiments were like. Oh, sure. Down to Gawky Park. Yeah. The song was written and released just months before the Berlin Wall was brought down and became hugely popular throughout the Soviet Union. At the time, a political-leaning song was very out of character for Scorpions. I just can't say it. Yeah. I just picture a bunch of Scorpions. Yeah. It doesn't quite sit right. It's not like Jethro Tull.

No, very out of character for the Scorpions. And the band claims that the song was written by lead singer Klaus Meineck.

who typically never wrote music for the group. I didn't know that either. Their manager, Doc McGee, somehow weaseled out of a large drug case with a mysterious deal from the U.S. government. The Scorpions claim the song was inspired during a rock festival called the Moscow Music Peace Festival, where the bands were surrounded by CIA and KGB handlers. The interesting wrinkles go on from there.

Probably not doing it justice, but highly recommend the podcast Wind of Change by Patrick Raden Keefe, which chases down a number of these connections and threads. If nothing else, it's a pretty amusing story about the 80s hairband. They were more than a hairband. Yeah, they were a political hairband. Yeah, that's right. I hope this email finds you guys well. I've been a huge fan for years. Glad I could share this with you. That is Jimmy from Spokane, Washington, saying,

And Jimmy, I want to just follow up, and Josh, with a recommendation of my own. If you're a fan of Scorpions, I recommend that you go look immediately at the video for the song from 1978, Sales of Charon.

Charon, like the river sticks boat keeper? Yeah, Charon. Sails of Charon. C-H-A-R-O-N. Yeah. If you only know the scorpions from like the early 80s, then check out this gem from 1978 because it's awesome. All right. Well, we've got a couple minutes left before we hit 45. So I am going to tell you about a movie that I watched last night from 1979 called Tourist Trap. Have you ever seen it? I don't think so. Oh.

It is the definition of camp without intentionally being camp, without being annoying camp. It's one of the best schlocky late 70s horror movies I've ever seen in my life. It is really good. All right. What year? 1970? 79. 79.

You can stream it online somewhere. I'm looking it up right now. You don't even think you have to pay for it. Please watch it. It's a really good one. It's like a highly watchable, enjoyable movie. And there's some surprising little directorial bits in there that you're like, wow, that seems sophisticated for this movie. Tanya Roberts and Chuck Connors are in it. That's enough for me. That's all you need right there. Yep. 90 minutes. Also perfect. Yep. So go forth.

Look up sales of Charon video by Scorpions. Yeah, you need to watch that one. You're going to love it. I still need to watch your whistling video that you sent me. You haven't watched that? No, I feel like a jerk. I'm sorry. All right, you got work to do. I do. Well, while I do that, you guys go out and send us a listener mail. You can send it off to stuffpodcasts at iheartradio.com.

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