The unforgettable story of vaccines is a story of triumph and controversy. The saddest part of the story is persistent ignorance and a lack of education, comingled with the personal need of some parents to explain away the problems of their children, have caused the controversy to arise. The good news is that the triumphant reality of vaccines as a whole is still the larger enduring legacy. The human papillomavirus vaccine is not an exception to this rule; in fact despite all the controversy surrounding the vaccine, it is one of medicine’s greatest lifesaving gifts to us.
The human papillomavirus (HPV) is a sexually transmitted disease (STD) that is very common throughout the United States and worldwide (World Health Organization (WHO), 2016). There are over 100 different forms of the virus with 13 of these types being capable of causing cancer (WHO, 2016). HPV can lead to the development of serious health problems. Theses health problems are especially an issue for adolescent women due to the highly increasing STD rates among this age group (Kostas-Polston, Johnson-Mallard & Berman, 2012). There is a vaccine for many of the common types of HPV, however, many parents are refusing to vaccinate their daughters for various reasons. With the rising cases of STDs, less birth
HPV is by far the most common sexually transmitted infection in the United States. Per the Centers for Disease Control and Prevention (CDC), 50 percent of all sexually active men and women will get it at some point in their lives, and 20 million already have it. A vaccine is available that prevents 70% of cervical cancers that arise from sexual intercourse. The human papillomavirus is unknowingly common and is diagnosed in 10,000 women a year, causing 4,000 deaths per year (“HPV Question and Answers”). If we take the responsibility to vaccinate young girls and boys, to be safe, we can eliminate many unnecessary deaths. This vaccine is a great discovery that should be put to good use, the HPV vaccine should be mandated in young teens everywhere.
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.
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
I have chosen this paper since one of my goals during the Integrated Practicum was to gain knowledge about cancer prevention and management in the community settings. I believe that this article might increase my understanding about the usage of HPV Vaccines in prevention of various types of cancer.
Looking at the principles of beneficence, non-maleficence, justice, and autonomy we can evaluate the requirement of the HPV vaccination through the ethical theory of principlism. The principle of autonomy indicates that people should make their own choices and decisions, but this law would be forcing someone to make a decision regarding their lifestyle choices, not from a student’s presence in a school classroom. The principle of beneficence, which is doing good, however does support the case in which HPV does prevent some strains of cervical cancer and genital warts. There are potential harms that fall under the principle of non-maleficence however, there could be less pap smear exams given if the student feels they are now insusceptible to developing cervical cancer. The HPV disease is sexually transmitted therefore it is unreasonable to require
Throughout the last decade there has been a rising epidemic of parents choosing not to vaccinate their children. One of the most common vaccinations that is not being administered is the Human Papillomavirus Vaccine, commonly known as HPV Vaccine. Childhood immunization involves a balance between parents’ autonomy in deciding whether to immunize their children and the benefits to public health from mandating such vaccines. Ethical concerns about pediatric vaccination span several public health domains, including those of policymakers, clinicians, and school administrators. This rise in reluctance has provoked the “Personal Choice vs. Public Health” debate among many decision making public institutions. There are many reasons why parents choose against the administration of the HPV vaccination among their children. Three many oppositions to the administration of the HPV vaccine are, the HPV vaccine encourages sexual activity among youth, parents feel
A study by Gerend et al. addresses the common perceived barriers regarding the HPV vaccine, including: adverse effects from the vaccine (55%), vaccine safety (46%), not enough knowledge about the vaccine (37%), not enough research (36%), have not gotten around to getting the vaccine yet, but plan to (36%), and more. The authors suggest that tailoring the conditions in which the participants receive their information regarding the HPV vaccine would increase the likelihood that they would be more willing to accept and adhere to the three-dose vaccine regimen.6
The information provided by student Cheryl Gordon pertains to today’s society. The world is getting smaller therefore the risk of contracting an illness increases significantly. Government officials have created many reforms in order to make the necessary and positive changes to have at least the majority of children vaccinated before they enter the school system (Capron, 2015). These precautions have been mandated due to the increase research of the benefits of vaccinations. Children that young are more susceptible of contracting more illnesses. This is why it is important for them to be vaccinated against preventable diseases. One example is the recommendation for routine HPV vaccination for females 11-12 years of age (Klein & Luedtke,
Cervical cancer is the leading cause of cancerous death, in women, since 1950. Approximately 200,000 cervical cancer patients die each year in developing countries. Strains like HPV 16 and 18 cause about 70% of cervical cancer in women– one of the top causes of death in the world (WebMD, 2010, p.1). In the Unites States, about 10,000 women acquire the disease and 3,700 die annually Human Papilloma Virus (HPV) is directly associated as a cause of cervical cancer. This virus affects the skin and genital area and, in some cases, it can also infect the throat and mouth. Since the HPV is passed from one person to another through skin-to-skin or sexual contact, sexually active people are more prone to this virus. Merck
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.
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
The Human papillomavirus (HPV) is the virus responsible for cervical cancer. It is one the most common viral sexually transmitted infections. A vaccine was approved in 2006 that is effective in preventing the types of HPV responsible for 70% of cervical cancers and 90% of genital warts. Proposals for routine and mandatory HPV vaccination of girls have become sources of controversy for parents of school-aged youth, legislators, members of the medical community, and the public at large (Cooper et al. 2010).
All 50 states require vaccinations for children to enter kindergarten. These mandated vaccinations protect children from various diseases, such as, measles, mumps, rubella, polio, etc. These are contagious diseases that are contracted by casual contact within a school setting and have resulted in many deaths prior to the introduction of the vaccine. Mandating these vaccinations was the only solution to prevent the disease from spreading. In recent years the side effects of these vaccinations have been in question. Every child is unique and their bodies respond differently to each vaccination. Therefore, it is crucial to educate parents about all vaccinations and possible side effects. An informed parent has the right to decide whether to have their child vaccinated and when to have their child vaccinated. In 2006 the Human Papillomavirus (HPV) vaccine was introduced to the vaccination repertoire for 11-12 year old females and in 2010 for same aged males (Keim-Malpass,29). This vaccination is now mandated in Rhode Island, Virginia, and The District of Columbia. This vaccination unlike the other mandated vaccinations is to prevent the spread of a sexually transmitted disease, which is not contracted casually in a school setting. Mandating the HPV vaccine has created much controversy.