ASHINGTON, Dec. 26 — The National Cancer Institute,
which used to say on its Web site that the best studies showed
"no association between abortion and breast cancer," now says
the evidence is inconclusive.
A Web page of the Centers for Disease Control and
Prevention used to say studies showed that education about
condom use did not lead to earlier or increased sexual
activity. That statement, which contradicts the view of
"abstinence only" advocates, is omitted from a revised version
of the page.
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Critics say those changes, far below the political radar
screen, illustrate how the Bush administration can satisfy
conservative constituents with relatively little exposure to
the kind of attack that a legislative proposal or a White
House statement would invite.
Bill Pierce, spokesman for the Department of Health and
Human Services, scoffed at the idea that there was anything
political about the changes, saying that they reflected only
scientific judgments and that department headquarters had had
nothing to do with them. "We simply looked at them, and they
put them up," he said of the agencies involved.
The new statements were posted in the last month, after
news reports that the government had removed their
predecessors from the Web. Those reports quoted administration
officials as saying the earlier material had been removed so
that it could be rewritten with newer scientific information.
The latest statements are the revisions.
Those statements have drawn some criticism, as did the
removal, though like the issue itself it has gone largely
unnoticed. Fourteen House Democrats, including Henry A. Waxman
of California, senior minority member of the House Government
Reform Committee, have written to Tommy G. Thompson, secretary
of health and human services, charging that the new versions
"distort and suppress scientific information for ideological
purposes."
Gloria Feldt, president of the Planned Parenthood
Federation of America, said the new statement on abortion and
breast cancer "simply doesn't track the best available
science."
"Scientific and medical misinformation jeopardizes peoples'
lives," Ms. Feldt said, adding that any suggestion of a
connection between abortion and cancer was "bogus."
The earlier statement, which the National Cancer Institute
removed from the Web in June after anti-abortion congressmen
objected to it, noted that many studies had reached varying
conclusions about a relation between abortion and breast
cancer, but said "recent large studies" showed no connection.
In particular, it approvingly cited a study of 1.5 million
Danish women that was published in The New England Journal of
Medicine in 1997. That study, the cancer institute said, found
that "induced abortions have no overall effect on the risk of
breast cancer."
The Danish research, praised by the American Cancer Society
as "the largest, and probably the most reliable, study of this
topic," is not mentioned in the government's recent posting,
which says the cancer institute will hold a conference next
year to plan further research.
Dorie Hightower, a press officer at the cancer institute,
attributed the revision to the institute's periodic review of
fact sheets "for accuracy and scientific relevance." Asked
whether the institute now thought that the Danish study failed
on either count, Ms. Hightower said no. But she said there was
no scientist available to explain the change.
As for the disease control centers' fact sheet on condoms,
the old version focused on the advantages of using them, while
the new version puts more emphasis on the risk that such use
may not prevent sexually transmitted diseases, and on the
advantages of abstinence.
Posted on Dec. 2, the new version begins, in boldface: "The
surest way to avoid transmission of sexually transmitted
diseases is to abstain from sexual intercourse, or to be in a
long-term mutually monogamous relationship with a partner who
has been tested and you know is uninfected. For persons whose
sexual behaviors place them at risk for S.T.D.'s, correct and
consistent use of the male latex condom can reduce the risk of
S.T.D. transmission. However, no protective method is 100
percent effective, and condom use cannot guarantee absolute
protection against any S.T.D."