HPV Vaccination for Boys

Martin Docherty-Hughes Excerpts

Wednesday 2nd May 2018 Westminster Hall

[Martin Docherty-Hughes (West Dunbartonshire) (SNP)]

It is a pleasure to serve under your chairmanship, Sir Henry. I am grateful to the hon. Member for North Thanet (Sir Roger Gale) for bringing this debate today. I participated in the debate in June 2016, which the hon. Member for Finchley and Golders Green (Mike Freer) brought to the Floor of the House. I am delighted to be here for this debate. I also congratulate the hon. Members for Worthing West (Sir Peter Bottomley) and for Henley (John Howell) on participating. I am slightly disappointed that more hon. Members are not here, because this is an important debate. It is especially important for hon. Members who happen to be men to understand the issue of HPV and their role in prevention.

Across the UK, the Governments of the various nations are progressing towards what I see as a progressive policy on HPV vaccination. As a Scottish constituency MP, I am delighted that the Government in Scotland are progressing that way and that this debate is taking place in the UK Government. In all good conscience, however, as a constituency MP I also have a role to highlight the issue around HPV and the need for men to be more aware of their role in sexual health, predominantly because this is a public health issue. A great amount of work is being done all over the world, which has impacted on people’s lives.

We heard about issues relating to penile cancer. It would be interesting to know how many hon. Members know that men can get penile cancer. When I was the secretary of Cahonas Scotland, a male cancer charity in Scotland, we did a piece of work with a broad range of men from different socioeconomic backgrounds. The very idea of issues such as penile cancer was an absolute shocker to them. We showed them pictures of men wearing adult nappies. The lived experience of other men dealing with the impact of cancer related to HPV was profound and they did not know anything about it.

This is not just a sexual health issue, but a public health one. Knowledge is power. Knowing more about the issue and being able to make an informed choice to have the vaccination with parental approval is critical in ensuring that young men are protected for the future. Nevertheless, clarity is required—it is a challenge for me to say this to Governments across the UK—on why we are articulating a message about the numbers game, in which it is just about cost. If we relate that to the lived experience of men living with the consequences of not having the vaccination—I believe there may be some in the Gallery today—the clinical evidence needs to inform the economic choice. The clinical evidence is that the vaccination for young men will save lives. That is about understanding the consequences of the failure to give the HPV vaccination to young men. Governments across the UK should no longer be timid. We are being progressive at the moment, but timidity does not save lives.

There is also a difficulty at the core of this debate. In public policy debates on public health, it seems that those of us in the public policy arena—men, predominantly—are abdicating responsibility by saying, usually through the herding immunisation argument, that the public health and sexual health of young men are down to young women. I do not find that acceptable. I can no longer stand as a Member of Parliament and look young women in my constituency in the eye and say that, from a policy perspective, abdicating sexual and public health to them is acceptable. It is the responsibility of policy makers to articulate a view that young men and young women have the right to this vaccination. In allowing that public policy narrative to continue, we as men are abdicating our responsibility to those young women. That is no longer sustainable.

Historically, it is now 100 years since women over 30 got the vote. How does that relate to this issue? It is about gender being at the heart of a public health debate. We are saying to young women that they are responsible for young men’s sexual health, with negative consequences for young men. In the 21st century, that is no longer tenable. It has profound consequences for young men in the future, in relation to cancers, and it is the same stuff that we said to young women in the 19th century: “We’ll just leave it to you when it comes to sexual health.”

The hon. Member for North Thanet said that instances of oral sex were a new thing since the 1960s, but I have to admit, that is news to me. When I look at the historical narrative of sexual—[Interruption.] I sometimes feel as though I might have been born then. The historical narrative of sexual health has traditionally been an abdication of responsibility from men to women. One need only look at the friezes in Pompeii where oral sex is de rigueur. It was no different in the 18th century, when women had to tolerate the sexual norms of men who would have sex with other men and with sex workers, and when the attitude was that women just had to deal with sexual health issues.

In 2018, I make no apology for saying: not in my name. The young men of the UK deserve better, and the young women in my constituency should expect no less from me as their Member of Parliament than for me to say to Ministers—not just here in London, but in Holyrood, Belfast and Cardiff—that we need to take collective responsibility and stop genderising the public health debate. Only then will we create a more equal, fairer and far healthier society, in which young men have the opportunity to participate and acknowledge their role in sexual health and, in future, to live healthy sexual lives without fear of talking about sex or HPV—and, frankly, without having to tell parliamentarians stories of their sexual activity to bring a debate to the Floor of the House. That is no longer tenable and we need to rise to the challenge.

We need to say to young men and older men who are suffering from HPV that we will do everything in our power as politicians to meet the challenge they have placed before us. We need to say to young women that we no longer accept that they are responsible for the sexual health of young men.