Do you approve of spending $300 million on HPV vaccination?: no.

Following very clear recommendations of the National Advisory Committee on Immunization, the Canadian government has earmarked $300 million for purchasing human papillomavirus (HPV) vaccine. I am in almost complete agreement with this decision. I might be seen as biased, as I was an investigator for the quadrivalent vaccine, but I am more biased owing to the fact that I have performed thousands of procedures to burn condylomas and have diagnosed far too many women with cancerous or precancerous lesions of the vulva. Treatment for this condition leaves women with mutilated genitals, and countless women have agonized over abnormal cervical cytology results. Had an infinitesimal fraction of the $300 million been earmarked for optimizing our cervical cancer screening programs, I would have been in complete agreement.