TY - JOUR T1 - MAndatory hpv vaccination AU - Gilkey MB, Brewer NT Y1 - 2012/01/18 N1 - 10.1001/jama.2011.2018 JO - JAMA SP - 252 EP - 255 VL - 307 IS - 3 N2 - To the Editor: Mr Gostin's Commentary questioned whether mandates for human papillomavirus (HPV) vaccination are effective enough to risk alienating the public.1 Data in studies he cites address this matter. In the 2 places that have adopted mandates, Virginia and the District of Columbia, coverage remains modest. Compared with 49% of female adolescents nationwide, just 54% of those in Virginia and 58% of those in the District of Columbia had received 1 or more doses of HPV vaccine by 2010 according to medical records.2 Existing mandates include generous opt-out provisions that, in the case of the District of Columbia, more than 40% of parents used to circumvent the policy. SN - 0098-7484 M3 - doi: 10.1001/jama.2011.2018 UR - http://dx.doi.org/10.1001/jama.2011.2018 ER -