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Mandatory HPV Vaccination—Reply

Lawrence O. Gostin, JD
JAMA. 2012;307(3):252-255. doi:10.1001/jama.2011.2021.
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In Reply: This collection of 3 letters in response to my Commentary vividly demonstrates the political and social divisiveness of HPV vaccination, which sets it apart from most childhood immunizations. Each letter is thoughtful, and yet all 3 letters come to distinctly different policy conclusions. Drs Gilkey and Brewer find that health system factors such as cost and enhanced access are more effective than mandates; Dr Berger and colleagues urge immediate state adoption of HPV mandates with limited opt-outs; and Drs Tomljenovic and Shaw reject HPV mandates as a flawed policy. Each letter expresses strong agreement with my view, “Above all, health policy must be driven by science,” and yet each draws different conclusions based on the available scientific evidence. How is this possible?

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References

January 18, 2006
JAMA. 2006;295(3):281-282. doi:10.1001/jama.295.3.281-a.
January 18, 2012
Lucija Tomljenovic, PhD; Christopher A. Shaw, PhD
JAMA. 2012;307(3):252-255. doi:10.1001/jama.2011.2020.
January 18, 2006
JAMA. 2006;295(3):281-282. doi:10.1001/jama.295.3.281-b.
January 18, 2012
Melissa B. Gilkey, PhD; Noel T. Brewer, PhD
JAMA. 2012;307(3):252-255. doi:10.1001/jama.2011.2018.
January 18, 2012
Lynn C. Berger, MD; Debra Blog, MD, MPH; Guthrie S. Birkhead, MD, MPH
JAMA. 2012;307(3):252-255. doi:10.1001/jama.2011.2019.
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