Read the background information shown in the pictures and answer the following questions. 1. With the information provided, would you agree with Governor Perry if you were in his place? Do you think he should be commended for his initiative and concern for the public weltare or is he overstepping his bounds? 2. How would you respond to parents with moral reservations about having their young daughters vaccinated against STDs like HPV if you were the governor?

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Read the background information shown in the pictures and answer the following questions. 1. With the information provided, would you agree with Governor Perry if you were in his place? Do you think he should be commended for his initiative and concern for the public weltare or is he overstepping his bounds? 2. How would you respond to parents with moral reservations about having their young daughters vaccinated against STDs like HPV if you were the governor?
Texas Republican governor Rick Perry initiated a whirlwind of controversy on February 2, 2007, when he
issued an executive order mandating that all girls entering into the state's public school system be vaccinated
against the human papillomavirus (HPV) prior to entering the sixth grade. This virus is strongly implicated as
the causative agent of cervical uterine cancer. "The HPV vaccine provides us with an incredible opportunity
to effectively target and prevent cervical cancer," said Perry. "Requiring young girls to get vaccinated before
they come into contact with HPV is responsible health and fiscal policy that has the potential to significantly
reduce cases of cervical cancer and mitigate future medical costs" (Office of the Governor, 2007). Governor
Perry believed it was his obligation to safeguard the public health and safety, while many parents in this
deeply conservative state were outraged by what they perceived as a governmental intrusion into a private
family matter.
The human papillomavirus (HPV) is the collective name for a group of over 100 viruses, 30 of which are
sexually transmitted. HPV is spread during sexual activity by skin-to-skin contact and not by the exchange of
bodily fluids. HPV is responsible for genital warts. Most HPV infections occur without any symptoms and go
away without any treatment. But a strong link has recently been established between HPV and cervical cancer.
The American Cancer Society (ACS) estimates that in 2007 over 11,000 women in the United States will be
diagnosed with cervical cancer and more than 3,600 will die from this malignancy (ACS, 2006). Hispanic
women develop cervical cancer twice as often as Caucasians, and African American women about 50%
more often than non-Hispanic white women (ACS, 2006) The Centers for Disease Control and Prevention
(CDC) estimates at least 50% of sexually active men and women will contract HPV during their lifetime
(ACS, 2006). In the United States each year, 6.2 million people are newly infected with HPV, and as many as
half of them are aged 15-24 years (CDC, 2004).
The pharmaceutical giant Merck recently developed a vaccine for HPV. The new vaccine, called GardasilⒸ,
was approved by the Food and Drug Administration on June 8, 2006, for girls and women aged 9 to 26.
It protects against two HPV strains believed responsible for about 70% of cervical cancer cases, and two
other strains that cause 90% of genital wart cases. The vaccine is given by intramuscular injection in three
doses over a six-month period and costs about $360 for the full series (CDC, 2006). The HPV vaccine is
recommended for 11-12-year-old girls, but can be given to girls as young as nine. There is no U.S. federal
law requiring HPV immunization. State laws regulate immunizations for school and childcare facilities
(CDC, 2006). In October 2007, the British government announced all girls 12 years of age and older would
be vaccinated free of charge (U.K. Department of Health, 2007). Similar programs are planned for several
Canadian provinces (O'Brien, 2007).
Transcribed Image Text:Texas Republican governor Rick Perry initiated a whirlwind of controversy on February 2, 2007, when he issued an executive order mandating that all girls entering into the state's public school system be vaccinated against the human papillomavirus (HPV) prior to entering the sixth grade. This virus is strongly implicated as the causative agent of cervical uterine cancer. "The HPV vaccine provides us with an incredible opportunity to effectively target and prevent cervical cancer," said Perry. "Requiring young girls to get vaccinated before they come into contact with HPV is responsible health and fiscal policy that has the potential to significantly reduce cases of cervical cancer and mitigate future medical costs" (Office of the Governor, 2007). Governor Perry believed it was his obligation to safeguard the public health and safety, while many parents in this deeply conservative state were outraged by what they perceived as a governmental intrusion into a private family matter. The human papillomavirus (HPV) is the collective name for a group of over 100 viruses, 30 of which are sexually transmitted. HPV is spread during sexual activity by skin-to-skin contact and not by the exchange of bodily fluids. HPV is responsible for genital warts. Most HPV infections occur without any symptoms and go away without any treatment. But a strong link has recently been established between HPV and cervical cancer. The American Cancer Society (ACS) estimates that in 2007 over 11,000 women in the United States will be diagnosed with cervical cancer and more than 3,600 will die from this malignancy (ACS, 2006). Hispanic women develop cervical cancer twice as often as Caucasians, and African American women about 50% more often than non-Hispanic white women (ACS, 2006) The Centers for Disease Control and Prevention (CDC) estimates at least 50% of sexually active men and women will contract HPV during their lifetime (ACS, 2006). In the United States each year, 6.2 million people are newly infected with HPV, and as many as half of them are aged 15-24 years (CDC, 2004). The pharmaceutical giant Merck recently developed a vaccine for HPV. The new vaccine, called GardasilⒸ, was approved by the Food and Drug Administration on June 8, 2006, for girls and women aged 9 to 26. It protects against two HPV strains believed responsible for about 70% of cervical cancer cases, and two other strains that cause 90% of genital wart cases. The vaccine is given by intramuscular injection in three doses over a six-month period and costs about $360 for the full series (CDC, 2006). The HPV vaccine is recommended for 11-12-year-old girls, but can be given to girls as young as nine. There is no U.S. federal law requiring HPV immunization. State laws regulate immunizations for school and childcare facilities (CDC, 2006). In October 2007, the British government announced all girls 12 years of age and older would be vaccinated free of charge (U.K. Department of Health, 2007). Similar programs are planned for several Canadian provinces (O'Brien, 2007).
In the public debate that followed, a number of important arguments in favor of the vaccination order were made.
Most statements below are derived from the CDC (2006).
Though the recommended age for girls to be vaccinated may seem young, it is due to the fact that it is
best for girls to be vaccinated before becoming sexually active.
• Children in the public school system are required to be vaccinated for other diseases such as diphtheria,
polio, tetanus, and hepatitis. Head-lice checks are still common. The HPV vaccination requirement is no
different.
HPV is the most common sexually transmitted disease in the United States.
* Studies have found the vaccine to be nearly 100% effective in preventing diseases caused by the four
HPV types covered by the vaccine.
• The FDA has approved the HPV vaccine as safe and effective. This vaccine has been tested in over 11,000
females (ages 9-26 years) around the world. These studies have shown no significant adverse effects.
• At least 50% of sexually active people will get HPV at some time in their lives. Every year in the United
States, 6.2 million people get HPV. HPV is most common in young women and men who are in their
late teens and early 20s. Approximately 20 million people are currently infected with HPV.
The American Cancer Society estimates that in the United States each year over 9,700 women will be
diagnosed with cervical cancer and 3,700 women will die from cervical cancer.
• The use of prophylactics during intercourse does not guarantee that HPV will not be transmitted.
Condoms do not cover the entire genital area. They leave parts of the sensitive anatomy uncovered, and
contact between these areas can transmit HPV (National HPV & Cervical Cancer Prevention Resource
Center, 2008).
• HPV can be contracted from one partner, remain dormant with no evident indications of infection, and
then later be unknowingly transmitted to another sexual partner, including a spouse. This can lead
to accusations of infidelity and destroy relationships and marriages (National HPV & Cervical Cancer
Prevention Resource Center, 2008).
Transcribed Image Text:In the public debate that followed, a number of important arguments in favor of the vaccination order were made. Most statements below are derived from the CDC (2006). Though the recommended age for girls to be vaccinated may seem young, it is due to the fact that it is best for girls to be vaccinated before becoming sexually active. • Children in the public school system are required to be vaccinated for other diseases such as diphtheria, polio, tetanus, and hepatitis. Head-lice checks are still common. The HPV vaccination requirement is no different. HPV is the most common sexually transmitted disease in the United States. * Studies have found the vaccine to be nearly 100% effective in preventing diseases caused by the four HPV types covered by the vaccine. • The FDA has approved the HPV vaccine as safe and effective. This vaccine has been tested in over 11,000 females (ages 9-26 years) around the world. These studies have shown no significant adverse effects. • At least 50% of sexually active people will get HPV at some time in their lives. Every year in the United States, 6.2 million people get HPV. HPV is most common in young women and men who are in their late teens and early 20s. Approximately 20 million people are currently infected with HPV. The American Cancer Society estimates that in the United States each year over 9,700 women will be diagnosed with cervical cancer and 3,700 women will die from cervical cancer. • The use of prophylactics during intercourse does not guarantee that HPV will not be transmitted. Condoms do not cover the entire genital area. They leave parts of the sensitive anatomy uncovered, and contact between these areas can transmit HPV (National HPV & Cervical Cancer Prevention Resource Center, 2008). • HPV can be contracted from one partner, remain dormant with no evident indications of infection, and then later be unknowingly transmitted to another sexual partner, including a spouse. This can lead to accusations of infidelity and destroy relationships and marriages (National HPV & Cervical Cancer Prevention Resource Center, 2008).
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