Josie Caskey
Honors Rhetoric
Dr. Margaret Murray
20 April 2015
Should HPV Vaccines Be Mandatory? The debate over the human papillomavirus (HPV) vaccines represents two very controversial topics in healthcare in America, mandatory vaccination and teenage sexuality. Currently the two approved vaccines, Gardasil and Ceravix, are designed to protect against the sexually transmitted virus HPV. Because these vaccines have their greatest benefit when given before a person becomes sexually active, the Centers for Disease Control and Prevention (CDC), recommends they are to be administered at age 12 (Colgrove). The arguments both for and against the vaccine are embedded with ethical and economic issues. From a public health perspective, mandating this vaccine is important in reducing communicable disease through mass immunization. However, parents question the issues of morality. Should HPV vaccination be mandatory, and if so, to whom? HPV is the number one sexually transmitted infection (STI) in the United States, and anyone who is sexually active is at risk of contracting the virus. HPV is transmitted through intimate skin-to-skin contact with someone who has the virus, and it is so common that most all sexually active men and women encounter a strain without ever knowing they’re infected (CDC). There are many strains of the HPV virus, some of which don’t cause cervical cancer. To help understand and classify the types of HPV, the terms low-risk and high-risk HPV are used. Some
What is the Human Papillomavirus? Commonly known as HPV, it is an infection that spreads through sexual contact. There are over one hundred different types of HPV; several types cause genital warts, while other high risk strands can lead to cancer of the cervix, anus, vagina, and penis. Because HPV is often asymptomatic, many people are unaware of their infection status, and thus, their potential for transmitting the virus to a sexual partner. The significance of the Human Papillomavirus is that fifty percent of Americans who are sexually active will contract it within their lives, and at any given point there are twenty million Americans already infected with it (“By the numbers: HPV Vaccine”).
HPV is so common in the United States that nearly all men and women will contract the virus at some point during life (Center for Disease Control and Prevention [CDC], 2017). In the United States, in 2008, it is reported that 3.2 million, or one in four adolescent women, ages 14 to 19 have had or have an STD (Kostas-Polston et al., 2012). The rate of HPV cases has only increased since 2008. The prevalence of a genital infection with any HPV type was 42.5% among United States during 2013–2014 (CDC, 2017). The incidence of HPV in the United States is about 14 million people each year.
The HPV vaccine reception has been similar to that of the hepatitis vaccine in that both are seen as an attack on morality, and are considered by some as a license for promiscuity. In the book Vaccine Allen quotes, ‘ “ If a 10- or 12-year-old is given a vaccine to protect against a sexually transmitted disease, then it’s implied they’d be engaging in risky sexual behavior,” said Pia de Solenni, director of “life and women’s issues” for the Family Research Council’ (433). The fact that HPV lives in the sexual organs and is spread by sexual intercourse or intravenous drug use has caused many parents to come to the belief that their children are not at risk. Some parents go so far as to suggest that if
HPV vaccinations bring up many public health and ethical issues. Some states want to require vaccines for school attendance. In the academic journal article “HPV Vaccination’s Second Act: Promotion, Competition, and Compulsion”, author Jason Schwartz states that, “Although some argue that HPV vaccines should never be mandated for school attendance, the temptation for policymakers to revisit this ethical and policy debate must be resisted until HPV vaccination has successfully become a routine, trusted component of adolescent medical care” (Schwartz). This train of thought exemplifies the opposition to HPV vaccination in this country, which restricts us in immunizing possible victims as effectively as possible. If the ignorance towards the vaccine continues, there will not be a powerful impact in decreasing rates of HPV infections.
The HPV virus has gone unseen by many until the recent controversy over the vaccine. However, this virus is thought to be one of the world’s most wide spread STD’s. “According to the Centers for Disease Control and Prevention (CDC), about 6.2 million women and men are newly infected every year” with HPV. HPV has over 100 strains, with more than thirty that are sexually transmitted. Some of these strains are known to cause cervix, vulva, vagina, anus, or penis cancers and others can cause genital warts. “Studies have found the vaccine to be almost 100% effective in preventing diseases caused by the four HPV types covered by the vaccine—including precancers of the cervix, vulva and vagina, and genital warts” (“HPV Questions and
Taking away a person’s right to choose can leave them feeling violated and disempowered. Taking away a parent’s right to choose what is best for their child can be even more disempowering and frustrating. A number of people are experiencing such frustration as a result of Governor Rick Perry’s mandate that all young Texas girls must be vaccinated for the HPV virus. In both, “HPV Vaccine Texas Tyranny” by Mike Adams, and “The HPV Debate Needs an Injection of Reality” by Arthur Allen, the authors disapprove of the vaccination mandate; while both articles differentiate in tone, justification of the mandate, and reliability of sources.
This essay will attempt to investigate the employment of the 23 plus vaccinations used today and how they defend the preventions and spread of diseases. The paper will support the pros and the cons of vaccinations that are supported by research statistics as well as the different symptoms that have been reported for each available vaccine.
Ever since the invention of the first smallpox vaccine more than two centuries ago, there has been plenty of controversy over the morality, ethics, effectiveness, and safety of vaccination and immunization. It has recently been argued whether laws should be introduced that render some or all vaccines obligatory for all children (Singer). Parents, health care specialists, nurses, teachers and children all have an important stake in this issue. Parents argue that it is they who should have the ultimate decision-making right on whether or not to vaccinate their children. Nurses and health care officials oppose that view on the grounds that by making vaccination rates in children incomplete, we expose all children to contracting the vaccine-preventable diseases. If this is a risk some parents are willing to take, but others face unwillingly, there is obviously a propitious platform for debate. It is in fact irresponsible and a violation of good citizen when parents oppose vaccinating their children. It is important to unify certain rules related to vaccination and not make it the prerogative of a particular public or private school to decide whether or not to accept an unvaccinated child. It would only be right to end all debate by passing a binding country-wide law to make certain vaccines (against
There are many reasons that this vaccine could be beneficial, not only to our society, but to many of the underdeveloped nations of the world in which HPV and cervical cancer are still considered to be an epidemic (MacDonald). It could save the young women who get the vaccine from the future trouble of dealing with a highly invasive cancer, as well as protect them from the embarrassment that comes with contracting a venereal disease. However, the controversy of this topic is not in whether the vaccine is a benefit to women’s health, which many, including the FDA and the Centers for Disease Control, believe that it is; but in the debate over whether it is the parents’ right, not the states’, to choose what is best for their child. The question of mandatory vaccination raises medical, moral and legal issues that are not easily reconcilable (Lovinger). Many parents are opposed to the mandating of this vaccine for three reasons. First, HPV is not spread by casual contact, as are the other diseases that children are vaccinated against for the safety of the classrooms. Second, the vaccine has only been approved for a short while, thus not all of the side effects and long term effects are known. Last, parents are afraid that by getting their child vaccinated against a sexually transmitted disease they will be encouraging promiscuity. Gardasil would become the first vaccine mandated for school-aged children that targets a
Since the development of vaccinations, there has been an underlying question; should vaccinations be mandatory? People know of cruel tests conducted to “save lives” while in the process of developing the vaccination. “Unfortunately, the first attempts at creating a polio vaccine were disastrous and rather primitive…(Tolsma 4)” People also know of the tribulations that saved so many others. However, people can’t help but wonder will it be safe for them or their children? People can’t help but feel that they shouldn’t have to get vaccinated because they believe mandatory vaccinations take away their amendment rights. Therefore, the question of mandatory vaccinations has been on many minds. Mandating vaccinations although saves many lives,
Immunizations should be mandatory in the United States because they do not cause harm to children. According to The Food and Drug Administration, “The U.S. Food and Drug Administration (FDA) ensures the safety, effectiveness, and availability of vaccines for the United States. Before the FDA licenses (approves) a vaccine, the vaccine is tested extensively by its manufacturer. FDA scientists and medical professionals carefully evaluate all the available information about the vaccine to determine its safety and effectiveness”( The Food and Drug Administration). Many people become concerned if vaccines are safe or not. They think about if vaccines will make their children develop mental or even health problems such as autism and asthma. Vaccines
In an online survey, the survey administrator and his team asked over fifteen hundred parents of 11-17 year old children whether they agreed that laws requiring HPV vaccination for sixth grade school entry were “a good idea” about half of the parent believed the HPV vaccine, was at least as important as the Tdap and Meningococcal vaccines, the other two recommended for adolescent, only forty percent believed the vaccine prevented cervical cancer. Nearly a quarter of the parents inaccurately believed the vaccine might cause long term health problems and one
HPV vaccinations have been involved in some heated debates involving the general public and the government for some time now; whether the vaccine is worth being administered to young girls is the underlying question and if so at what cost. In the articles “HPV Vaccine Texas Tyranny” and “The HPV Debate” both authors Mike Adams and Arthur Allen provide enlightening information on why the HPV vaccinations should not be mandated through legislation, Adams conveys his bias and explains how the government is over stepping its boundaries when it comes to the publics’ health while Allen on the other hand, is more opt to present analytical data on previous cases similar to the one he is currently facing.
Among the many arguments for mandatory HPV vaccination, the foremost is that it is an important medical achievement and a major public health milestone. This vaccine has proven to be one-hundred percent effective in preventing the 4 HPV strains that are responsible for seventy percent of cervical cancers and ninety percent of genital warts. In addition, no serious side effects have been identified. Because this vaccine is a preventive measure, administration before onset of sexual activity is ideal; however, even females who have been sexually active can still benefit from this vaccination (Perkins et al., 2010). Nationally and internationally, the HPV vaccine will significantly reduce disease burden by reducing monetary and psychological costs of invasive procedures that remove precancerous and cancerous lesions. By combining vaccination with routine Pap smear screening, these public health efforts have the remarkable opportunity to eradicate cervical cancer (Ramet et al., 2011).
Human Papilloma Virus (HPV) remains the most commonly sexually transmitted infection in both males and females. (Giuliano et al., 1999).