Commentary Politics

Young People: The Most Powerful and Untapped Resource in the Battle for Reproductive Justice

Andrew Jenkins

With the 39th anniversary of Roe v. Wade a little over a month away, and the 2012 election right around the corner, I can’t help but think about the popularly speculated relationship between abortion rights and young people.

With the 39th anniversary of Roe v. Wade a little over a month away, and the 2012 election right around the corner, I can’t help but think about the popularly speculated relationship between abortion rights and young people.

It wasn’t very long ago that the media was busy theorizing the supposed absence of young folks in the battle for reproductive health.  It’s a deafening theme that refuses to relinquish its stranglehold over the public consciousness. Scapegoating blame is much easier than taking us seriously. 

The message to young pro-choice activists around the country continues to be clear: if we aren’t organizing the way our previous generations were, on their issues, we aren’t organizing at all.

This blatantly false assumption that young people are apathetic and absent from the reproductive rights movement is unfortunately alive and kicking. And I’m not just talking about the infamous 2010 Newsweek article alleging that young women are complacent with the right-wing assault on reproductive freedom. I’m talking about the pervasive narrative written into the very fabric of our movement and the subpar attempt to rewrite that narrative.

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The truth is, we may not relate to Roe in the same way that our pro-choice predecessors do, but that doesn’t mean we don’t care about reproductive and sexual health. If the successful endeavor to fund comprehensive sex education and include no-cost birth control in the Affordable Care Act showed us anything, it’s that young people are more than willing to mobilize around the issues they care about.

The overarching fear perpetrated by our previous generation is that we’ve never experienced the loss of agency that occurs in a world without legal abortion services. That couldn’t be further from the truth.

My generation has witnessed the most callus and galvanized anti-abortion movement in history and we’ve seen the legal right to an abortion become meaningless in the face of insurmountable restrictions placed on young people. Teenagers are consistently denied access to truthful information about sex and sexuality. Young women across the country are being stripped of their decision-making power through parental notification and consent laws. Pharmacists are denying young women access to emergency contraception because of their “personal morality.” Crisis Pregnancy Centers are proliferating misleading information in our communities. As I write this article, Catholic Bishops are busy lobbying the President to undermine birth control access for millions of young women.

If we’re going to have a fighting chance at preventing the anti-choice insurgency from stripping away the very few rights we have left to control our own bodies, we’re going to need young people. The movement has a responsibility to prioritize our issues, not simply appease us with a few tokenizing attempts at addressing our concerns. Make no doubt about it: the anti-choice establishment is engaging young people. They’re crafting strategic language and mobilizing young people to speak in a deafening tone on college campuses around the country, while simultaneously pushing a political agenda that undermines the very health and well being of our youth.

If we don’t prioritize young people, this ship is going to sink.

The Health and Human Services Department just overruled a decision by the FDA to allow teenage girls to purchase Plan B without a prescription. We shouldn’t act surprised. Until the movement begins to centralize young people and include them in the decision-making process, those in power will continue to sell us out. Why? Because they know they can.   

There is no doubt in my mind that the reproductive rights movement can mobilize young people in record numbers. Choice USA, a leading youth-led and youth-focused reproductive justice organization, for example, is mobilizing a diverse, upcoming generation of pro-choice leaders and helping young people win on issues that matter to them in every region around the country. Youth organizations like Choice USA are changing the political landscape and empowering young people with the agency to shape reproductive rights legislation in this country.

But they can’t do it alone.

If we want to win, we have to abandon the single-issue narrative that continues to alienate young people, and instead, build a framework for our movement that is intersectional and inclusive. We have to continue talking about the war on abortion rights, but we can’t treat it as if it’s an isolated issue anymore. We have to build messages and campaigns that emphasize the connection between reproductive rights and other social justice movements like immigration and environmental justice. We need to abandon sex education that is heteronormative and treats teenage sexuality as a crisis to be controlled. Then we need to replace it with a truly comprehensive agenda that is sex-positive and empowers young people.

We need to ensure that Emergency Contraception is available over-the-counter so that all people have access, regardless of their age. We need pro-choice organizations to stop throwing events with ticket prices that young people can’t afford to pay. We need to prioritize an electoral campaign in 2012 that engages, registers, and educates young people from all walks of life on the issues they care most about.

We need to engage communities previously left behind or written off by the movement. LGBT communities. Young people. Conservative women. Men. Low-income families. People of color. We can’t afford to continue letting anti-choice extremists prey on the marginalized communities left behind by our movement.

The bottom line is simple. Either we fundamentally reshape the very framework of our movement and engage young people on the issues they care about, or we sit idly by as our opponents continue to exploit the most powerful and untapped resource in the war on reproductive rights.

News Politics

Clinton Campaign Announces Tim Kaine as Pick for Vice President

Ally Boguhn

The prospect of Kaine’s selection has been criticized by some progressives due to his stances on issues including abortion as well as bank and trade regulation.

The Clinton campaign announced Friday that Sen. Tim Kaine (R-VA) has been selected to join Hillary Clinton’s ticket as her vice presidential candidate.

“I’m thrilled to announce my running mate, @TimKaine, a man who’s devoted his life to fighting for others,” said Clinton in a tweet.

“.@TimKaine is a relentless optimist who believes no problem is unsolvable if you put in the work to solve it,” she added.

The prospect of Kaine’s selection has been criticized by some progressives due to his stances on issues including abortion as well as bank and trade regulation.

Kaine signed two letters this week calling for the regulations on banks to be eased, according to a Wednesday report published by the Huffington Post, thereby ”setting himself up as a figure willing to do battle with the progressive wing of the party.”

Charles Chamberlain, executive director of the progressive political action committee Democracy for America, told the New York Times that Kaine’s selection “could be disastrous for our efforts to defeat Donald Trump in the fall” given the senator’s apparent support of the Trans-Pacific Partnership (TPP). Just before Clinton’s campaign made the official announcement that Kaine had been selected, the senator praised the TPP during an interview with the Intercept, though he signaled he had ultimately not decided how he would vote on the matter.

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Kaine’s record on reproductive rights has also generated controversy as news began to circulate that he was being considered to join Clinton’s ticket. Though Kaine recently argued in favor of providing Planned Parenthood with access to funding to fight the Zika virus and signed on as a co-sponsor of the Women’s Health Protection Act—which would prohibit states and the federal government from enacting restrictions on abortion that aren’t applied to comparable medical services—he has also been vocal about his personal opposition to abortion.

In a June interview on NBC’s Meet the Press, Kaine told host Chuck Todd he was “personally” opposed to abortion. He went on, however, to affirm that he still believed “not just as a matter of politics, but even as a matter of morality, that matters about reproduction and intimacy and relationships and contraception are in the personal realm. They’re moral decisions for individuals to make for themselves. And the last thing we need is government intruding into those personal decisions.”

As Rewire has previously reported, though Kaine may have a 100 percent rating for his time in the Senate from Planned Parenthood Action Fund, the campaign website for his 2005 run for governor of Virginia promised he would “work in good faith to reduce abortions” by enforcing Virginia’s “restrictions on abortion and passing an enforceable ban on partial birth abortion that protects the life and health of the mother.”

As governor, Kaine did support some existing restrictions on abortion, including Virginia’s parental consent law and a so-called informed consent law. He also signed a 2009 measure that created “Choose Life” license plates in the state, and gave a percentage of the proceeds to a crisis pregnancy network.

Regardless of Clinton’s vice president pick, the “center of gravity in the Democratic Party has shifted in a bold, populist, progressive direction,” said Stephanie Taylor, co-founder of the Progressive Change Campaign Committee, in an emailed statement. “It’s now more important than ever that Hillary Clinton run an aggressive campaign on core economic ideas like expanding Social Security, debt-free college, Wall Street reform, and yes, stopping the TPP. It’s the best way to unite the Democratic Party, and stop Republicans from winning over swing voters on bread-and-butter issues.”

Roundups Sexual Health

This Week in Sex: The Sexually Transmitted Infections Edition

Martha Kempner

A new Zika case suggests the virus can be transmitted from an infected woman to a male partner. And, in other news, HPV-related cancers are on the rise, and an experimental chlamydia vaccine shows signs of promise.

This Week in Sex is a weekly summary of news and research related to sexual behavior, sexuality education, contraception, STIs, and more.

Zika May Have Been Sexually Transmitted From a Woman to Her Male Partner

A new case suggests that males may be infected with the Zika virus through unprotected sex with female partners. Researchers have known for a while that men can infect their partners through penetrative sexual intercourse, but this is the first suspected case of sexual transmission from a woman.

The case involves a New York City woman who is in her early 20s and traveled to a country with high rates of the mosquito-borne virus (her name and the specific country where she traveled have not been released). The woman, who experienced stomach cramps and a headache while waiting for her flight back to New York, reported one act of sexual intercourse without a condom the day she returned from her trip. The following day, her symptoms became worse and included fever, fatigue, a rash, and tingling in her hands and feet. Two days later, she visited her primary-care provider and tests confirmed she had the Zika virus.

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A few days after that (seven days after intercourse), her male partner, also in his 20s, began feeling similar symptoms. He had a rash, a fever, and also conjunctivitis (pink eye). He, too, was diagnosed with Zika. After meeting with him, public health officials in the New York City confirmed that he had not traveled out of the country nor had he been recently bit by a mosquito. This leaves sexual transmission from his partner as the most likely cause of his infection, though further tests are being done.

The Centers for Disease Control and Prevention (CDC)’s recommendations for preventing Zika have been based on the assumption that virus was spread from a male to a receptive partner. Therefore the recommendations had been that pregnant women whose male partners had traveled or lived in a place where Zika virus is spreading use condoms or abstain from sex during the pregnancy. For those couples for whom pregnancy is not an issue, the CDC recommended that men who had traveled to countries with Zika outbreaks and had symptoms of the virus, use condoms or abstain from sex for six months after their trip. It also suggested that men who traveled but don’t have symptoms use condoms for at least eight weeks.

Based on this case—the first to suggest female-to-male transmission—the CDC may extend these recommendations to couples in which a female traveled to a country with an outbreak.

More Signs of Gonorrhea’s Growing Antibiotic Resistance

Last week, the CDC released new data on gonorrhea and warned once again that the bacteria that causes this common sexually transmitted infection (STI) is becoming resistant to the antibiotics used to treat it.

There are about 350,000 cases of gonorrhea reported each year, but it is estimated that 800,000 cases really occur with many going undiagnosed and untreated. Once easily treatable with antibiotics, the bacteria Neisseria gonorrhoeae has steadily gained resistance to whole classes of antibiotics over the decades. By the 1980s, penicillin no longer worked to treat it, and in 2007 the CDC stopped recommending the use of fluoroquinolones. Now, cephalosporins are the only class of drugs that work. The recommended treatment involves a combination of ceftriaxone (an injectable cephalosporin) and azithromycin (an oral antibiotic).

Unfortunately, the data released last week—which comes from analysis of more than 5,000 samples of gonorrhea (called isolates) collected from STI clinics across the country—shows that the bacteria is developing resistance to these drugs as well. In fact, the percentage of gonorrhea isolates with decreased susceptibility to azithromycin increased more than 300 percent between 2013 and 2014 (from 0.6 percent to 2.5 percent).

Though no cases of treatment failure has been reported in the United States, this is a troubling sign of what may be coming. Dr. Gail Bolan, director of CDC’s Division of STD Prevention, said in a press release: “It is unclear how long the combination therapy of azithromycin and ceftriaxone will be effective if the increases in resistance persists. We need to push forward on multiple fronts to ensure we can continue offering successful treatment to those who need it.”

HPV-Related Cancers Up Despite Vaccine 

The CDC also released new data this month showing an increase in HPV-associated cancers between 2008 and 2012 compared with the previous five-year period. HPV or human papillomavirus is an extremely common sexually transmitted infection. In fact, HPV is so common that the CDC believes most sexually active adults will get it at some point in their lives. Many cases of HPV clear spontaneously with no medical intervention, but certain types of the virus cause cancer of the cervix, vulva, penis, anus, mouth, and neck.

The CDC’s new data suggests that an average of 38,793 HPV-associated cancers were diagnosed each year between 2008 and 2012. This is a 17 percent increase from about 33,000 each year between 2004 and 2008. This is a particularly unfortunate trend given that the newest available vaccine—Gardasil 9—can prevent the types of HPV most often linked to cancer. In fact, researchers estimated that the majority of cancers found in the recent data (about 28,000 each year) were caused by types of the virus that could be prevented by the vaccine.

Unfortunately, as Rewire has reported, the vaccine is often mired in controversy and far fewer young people have received it than get most other recommended vaccines. In 2014, only 40 percent of girls and 22 percent of boys ages 13 to 17 had received all three recommended doses of the vaccine. In comparison, nearly 80 percent of young people in this age group had received the vaccine that protects against meningitis.

In response to the newest data, Dr. Electra Paskett, co-director of the Cancer Control Research Program at the Ohio State University Comprehensive Cancer Center, told HealthDay:

In order to increase HPV vaccination rates, we must change the perception of the HPV vaccine from something that prevents a sexually transmitted disease to a vaccine that prevents cancer. Every parent should ask the question: If there was a vaccine I could give my child that would prevent them from developing six different cancers, would I give it to them? The answer would be a resounding yes—and we would have a dramatic decrease in HPV-related cancers across the globe.

Making Inroads Toward a Chlamydia Vaccine

An article published in the journal Vaccine shows that researchers have made progress with a new vaccine to prevent chlamydia. According to lead researcher David Bulir of the M. G. DeGroote Institute for Infectious Disease Research at Canada’s McMaster University, efforts to create a vaccine have been underway for decades, but this is the first formulation to show success.

In 2014, there were 1.4 million reported cases of chlamydia in the United States. While this bacterial infection can be easily treated with antibiotics, it often goes undiagnosed because many people show no symptoms. Untreated chlamydia can lead to pelvic inflammatory disease, which can leave scar tissue in the fallopian tubes or uterus and ultimately result in infertility.

The experimental vaccine was created by Canadian researchers who used pieces of the bacteria that causes chlamydia to form an antigen they called BD584. The hope was that the antigen could prompt the body’s immune system to fight the chlamydia bacteria if exposed to it.

Researchers gave BD584 to mice using a nasal spray, and then exposed them to chlamydia. The results were very promising. The mice who received the spray cleared the infection faster than the mice who did not. Moreover, the mice given the nasal spray were less likely to show symptoms of infection, such as bacterial shedding from the vagina or fluid blockages of the fallopian tubes.

There are many steps to go before this vaccine could become available. The researchers need to test it on other strains of the bacteria and in other animals before testing it in humans. And, of course, experience with the HPV vaccine shows that there’s work to be done to make sure people get vaccines that prevent STIs even after they’re invented. Nonetheless, a vaccine to prevent chlamydia would be a great victory in our ongoing fight against STIs and their health consequences, and we here at This Week in Sex are happy to end on a bit of a positive note.