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LILY MAYNER                                    cancer. Launched statewide in 2023, Operation Wipe
                                                                    Out is a collaborative e¡ ort between the Alabama Pub-
                                                                    lic Health Department, the University of Alabama at
                       IS ABOUT
          莉莉h梅納 (Lily Mayner)                              Ⴍj˜Ңࡁॆ̙ٙ˸ऊ๘ɓ၇ᐖसdவ݊ɓධ
                                                                    Birmingham, and various partners, including the Ro-
                                                                    tary clubs of Birmingham and LaFayette.
                                                           փᔴf™
                                                                      The face of the initiative is Isabel Scarinci, a be-
                     即將上台，
                     TO TAKE THE                               வࡈ̂တҎૐٙۃ౻จբഹڛזˋ৵ψ̙
                                                                    havioral psychologist and the vice chair of the Global
                                                                    and Rural Health Program in UAB’s Department of
                         STAGE,                            ˸༺ϓɓධˢ௰৷ϥɳଟһމΈ׼ʘা፽j̴
                                                                    Obstetrics and Gynecology. Sixty-two years old and
         μܘၡੵfμႭj˜ҢତίᏀɢɽՑʔБ™d                              ݊ΌߕୋɓࡈՓ֛Όࠦ׌ࠇ೥Ըऊ๘ɿࢗ᎕ᐖ
                                                                    a member of the Rotary Club of Birmingham, Scarinci
                                                                    has deep expertise in cancer prevention; she was re-
         Шμᔊٜݺɢ̬࢛f਄ሔٙ 17 ๋ૠॶ߈ഹॎ                            ٙψfɓධΤމ˜࣬ৰБਗ™(Operation Wipe
                                                                    cently tapped by the American Cancer Society to lead
                                                                    a task force developing a nationwide cervical cancer
         ݸˬ˺ፇdᏖഹᄀᐑd๟௪ߘڏࣧݼ࿁™ɪ                              Out) ٙࠇ೥׵ 2023 ϋί༈ψ΢ή઼ਗdɗ݊
           and she’s nervous: “I am so stressed out right now,”     strategy. And she has deep personal experience that
         ೯ڌစᑺfவ݊ӊϋίڛזˋ৵ψၾఐطԭψ                              ɓධ͟ڛזˋ৵ψʮ΍ሊ͛௅eڛזˋ৵ɽኪ
                                                                    dramatizes the stakes of vaccination: As an infant in
           she says, practically humming with energy. A chatty
                                                                    the early 1960s, Scarinci contracted polio when an
           17-year-old wearing torn jeans and a nose ring,
         ᗙྤٙʃᕄזج໢ (LaFayette) ᑘ፬ٙݺਗf                       Ь׼ӼʱࣧʿεࡈΥЪྫМ ķķ ܼ̍Ь׼Ӽ
           Mayner is slated to speak at the Back to School Bash,    epidemic struck the small Brazilian town where she
         Ϥࣛ݊ 7 ˜ֵd˂ंفᆠd˂Ѝϲᏸᏸdʃ؃                            (Birmingham) ҧቃٟʿזج໢ (LaFayette) ҧ
           an annual event in LaFayette, a small town near Ala-
                                                                    grew up. When she was older, her mother took Scar-
           bama’s border with Georgia. It’s late July, hot and
                                                                    inci — who, due to the infection, walks with a limp
         ʾၾ˼ࡁٙ˨͎ί̂ं۬ఝʿᆠَᛅʘග߈                               ቃٟ΍ΝપਗٙΥЪ˙ࣩf
           overcast; kids and their parents wander between a
                                                                    — door to door, exhorting her neighbors to immunize
         ૞fૠॶٙ˓ዚҞӚཥədவึ݊ࡈਪᕚdΪ                                  வධБਗ˙ࣩٙ˾ڌɛي݊ͺ୶Ԏဧh̦
           bouncy house and a hot dog stand. Mayner’s phone
                                                                    their children against the disease.
           is nearly dead — a problem, since that’s where her         Now it’s Scarinci who’s spreading the word, with
         މμٙစᑺᇃఱπί˓ዚ༁fʔཀμҪʫ࢙ෂ                              ̔؍փ (Isabel Scarinci)dμ݊ɓΤБމːଣኪ
                                                                    Operation Wipe Out aimed at multiple audiences.
           speech is stored. But she transfers the text to some-
         ՑəйɛٙༀໄdစᑺνಂආБf                                   ࢕dɰ݊ڛזˋ৵ɽኪЬ׼Ӽʱࣧ੉ପ߅ӻΌ
           body else’s device, and the show goes on.
                                                                    Young people and their parents, she insists, need
             “Good afternoon, everyone,” Mayner says to a
                                                                    to learn about vaccination, an e¡ ort Mayner’s high
             ૠॶ࿁ഹʔ˄ਖ਼ːٙᝈ଺Ⴍj˜ɽ࢕ʹ
           distracted crowd. “Today we’re spreading awareness   ଢၾඊӀ਄ੰࠇ೥ٙਓ˴։f62 ๋ٙμ݊Ь
                                                                    school class has embraced with aplomb. (Mayner’s
                                                                    speech, by the way, goes great. “I honestly did not
           about a virus that is very prevalent in our commu-
         τfʦ˂Ңࡁࠅ౤৷࿁ɓ၇षݭٙႩᗆdவ၇                              ׼ӼҧቃٟٟࡰdኹϞᔮబٙᐖसཫԣਖ਼ุٝ
           nity. This virus is called human papillomavirus. We      need the script even a little bit,” she says afterward.
         षݭίҢࡁٟٙਜʕڢ੬౷ཁḍਂɛᗳԪ߉                              ᗆiߕ਷ᐖस՘ึ௰ڐᒗሗμჯኬɓࡈतйʈ.”)
                                                                    “I think it messed me up way more to have it
           know that this can be a very di–  cult topic to broach,
           but today it’s very important for us to talk about it to
         षݭ (HPV)fҢࡁٝ༸வ̙ঐ݊ɓࡈᗭ˸઼኉                        At age 6,     Before Operation Wipe Out went statewide, Scar-
           prevent illness.”                           Isabel Scarinci   inci coordinated an early version in Chambers County
         ٙ༑ᕚdШʦ˂Ңࡁ̀඲ሔሞ̴d˸ԣ˟शष                         participates in a   that boosted the full HPV vaccination rate among
             HPV is a highly common sexually transmitted infec-
                                                      fashion show in
                                                           6 ๋ࣛdͺ୶Ԏဧh̦̔؍փਞ̋ίμख़਷ˋГᑘ፬
           tion that can cause six kinds of cancer, including cer-
         ೯͛f™                                         her native Brazil.  county school district students to 60 percent in 2024,
           vical cancer. The reason Mayner is talking about it is   ٙɓఙࣛༀӸf
             ɛᗳԪ߉षݭ݊ɓ၇฽Չ੬Ԉٙ׌ෂᅧष
           that Chambers County, where LaFayette is located, has
           the highest rate of cervical cancer in Alabama, which
         ݭdঐˏ೯ܼ̍ɿࢗ᎕ᐖίʫٙ 6 ၇ᐖसfૠ
           itself is near the top nationally in both incidence of
         ॶሔሞவࡈ༑ᕚٙࡡΪ݊dזج໢הίٙ፺Ь
           and mortality from the disease. A high school senior
           who hopes to become a psychiatrist, Mayner has been
         ౶য় (Chambers County) ٙɿࢗ᎕ᐖ೯͛ଟί
           part of a health sciences class that’s worked to reverse
           these numbers, one cog in a larger machine devoted to
         ڛזˋ৵ψ௰৷dϾڛזˋ৵ψίΌߕɿࢗ᎕
           stopping cervical cancer in Alabama.
         ᐖ೯षଟձϥɳଟʕѩΤΐۃ߫fૠॶ݊ɓΤ
             Caught early, cervical cancer is treatable. But more
           than that, it’s preventable. In 2006, the U.S. Food and
         ৷ʕଭุफኪ͛dͭқϓމၚग़߅ᔼ͛dμה
           Drug Administration approved the fi rst HPV vaccine,
         ࡌٙ਄ੰ߅ኪሙߧɢ׵৕ᔷவԬᅰοd̙ၑ݊
           which could be administered starting at age 9. Since
           HPV causes virtually all cervical cancer cases, this
         ڛזˋ৵ψԣطɿࢗ᎕ᐖ̶ٙɽዚኜʕٙɓࡈ
           means people can basically immunize themselves
         ኉ቃf
           against a cancer — and that, in theory, there’s no
           reason cervical cancer should persist as a deadly ill-
             ɿࢗ᎕ᐖν؈Ϙಂ೯ତ̙݊˸طᐕٙdШ
           ness. “We really can eliminate a cancer,” says Nancy
         һࠠࠅٙ݊d̴̙݊˸ཫԣٙf2006 ϋdߕ                                                                               PHOTOGRAPH: COURTESY OF ISABEL SCARINCI
           Wright, director of the Cancer Prevention and Control
           Division of the Alabama Department of Public Health,
         ਷࠮ۜᖹي၍ଣ҅ҭࡘəୋɓ˕ɛᗳԪ߉षݭ
           which has set up a booth at the Back to School Bash.
         ޥߴd༈ޥߴ̙˸੽ 9 ๋ක֐݄͂f͟׵ɛᗳ
           “It’s a miracle.”
             This hopeful prospect means Alabama can stake
         Ԫ߉षݭ఻˷݊הϞɿࢗ᎕ᐖٙߧषࡡΪdவ
           its claim to another superlative, far sunnier than high
           mortality rates: It’s the fi rst state in the nation to devise
         จբഹਿ͉ɪɛࡁ̙˸ீཀટ၇ޥߴԸ࿁வ၇                                                                          PHOTOGRAPH: COURTESY OF ISABEL SCARINCI
           a comprehensive plan for the elimination of cervical
         ᐖस༺Ցеޥ ķķ ଣሞɪdɿࢗ᎕ᐖʔᏐᘱ
         ᚃϓމߧնशषfڛזˋ৵ψʮ΍ሊ͛௅ᐖस
           36  ROTARY  NOVEMBER 2024
         ཫԣʿછՓ҅҅ڗیҎhഺत (Nancy Wright)
         ߘڏࣧݼ࿁™ɪணໄəɓࡈ࢝ᚎᛅЗfμ
       nov24-D-Scarinci.indd   36                                                                        9/30/24   12:04
      26  臺灣扶輪 2024.11
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