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Mandating the HPV Vaccine as a School-Entry Requirement: Ethical and Policy Considerations

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abstract
Mandating the HPV vaccine is very controversial because although eliminating cervical cancer is a worthwhile cause, a variety of issues come into play with the HPV vaccine that our nation's public health officials have yet to encounter in any other vaccine, prompting a re-evaluation of the proper role of vaccine mandates. This thesis evaluates what makes the HPV vaccine different from previously mandated vaccines, offering an analysis of the proposed HPV vaccine mandates and arguing that the vaccine does not provide sufficient public health benefit to justify overriding individual autonomy for the sake of the public good. Although the HPV vaccine confers prospective benefit in the form of prevention of HPV-derived cancers to those who receive it, there is not enough of a public health necessity to justify imposing the high financial and moral costs of vaccination on the public. Because the potential burdens of an HPV vaccine mandate can be minimized through alternative, voluntary vaccination programs that confer similar public health benefits as mandates without coercion, and because in the absence of a public health necessity, it is unfair and unjust to impose the burdens of a vaccine mandate on the public, HPV vaccine mandates are not the ideal legislative solution.
subject
Bioethics
Cervarix
Cervical Cancer
Gardasil
HPV Vaccine
Vaccine Mandate
contributor
Maultsby, Margaret Louise (author)
Iltis, Ana S (committee chair)
Lord, Pat (committee member)
Moskop, John (committee member)
date
2011-07-14T20:35:31Z (accessioned)
2011-07-14T20:35:31Z (available)
2011 (issued)
degree
Bioethics (discipline)
identifier
http://hdl.handle.net/10339/33449 (uri)
language
en (iso)
publisher
Wake Forest University
title
Mandating the HPV Vaccine as a School-Entry Requirement: Ethical and Policy Considerations
type
Thesis

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