Javitt Gail, Berkowitz Deena, Gostin Lawrence O
Genetics and Public Policy Center, Washington, DC, USA.
J Law Med Ethics. 2008 Summer;36(2):384-95, 214. doi: 10.1111/j.1748-720X.2008.00282.x.
In 2007, many legislatures considered, and two enacted, bills mandating HPV vaccination for young girls as a condition of school attendance. Such mandates raise significant legal, ethical, and social concerns. This paper argues that mandating HPV vaccination for minor females is premature since long-term safety and effectiveness of the vaccine has not been established, HPV does not pose imminent and significant risk of harm to others, a sex specific mandate raises constitutional concerns, and a mandate will burden financially existing government health programs and private physicians. Absent careful consideration and public conversation, HPV mandates may undermine coverage rates for other vaccines.
2007年，许多立法机构审议了要求年轻女孩接种人乳头瘤病毒（HPV）疫苗作为入学条件的法案，其中两项法案获得通过。此类强制规定引发了重大的法律、伦理和社会问题。本文认为，强制未成年女性接种HPV疫苗为时过早，因为该疫苗的长期安全性和有效性尚未确立，HPV不会对他人构成迫在眉睫的重大危害风险，针对特定性别的强制规定引发了宪法问题，而且强制规定将给现有的政府卫生项目和私人医生带来财政负担。如果缺乏审慎的考虑和公众讨论，HPV强制规定可能会降低其他疫苗的接种率。
