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AJPH First Look, published online ahead of print Feb 5, 2009
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American Journal of Public Health, 10.2105/AJPH.2007.131656


Framing Health Matters

The Moral Justification for a Compulsory Human Papillomavirus Vaccination Program

Joseph E. Balog 1*

1 The College at Brockport, State University of New York

* To whom correspondence should be addressed. E-mail: jbalog{at}brockport.edu.


   Abstract

Compulsory human papillomavirus (HPV) vaccination of young girls has been proposed as a public health intervention to reduce the threat of the disease. Such a program would entail a symbiotic relationship between scientific interests in reducing mortality and morbidity and philosophical interests in promoting morality. This proposal raises the issue of whether government should use its police powers to restrict liberty and parental autonomy for the purpose of preventing harm to young people. I reviewed the scientific literature that questions the value of a HPV vaccination. Applying a principle-based approach to moral reasoning, I concluded that compulsory HPV vaccinations can be justified on moral, scientific, and public health grounds.

Key Words: Adolescent Health, Community Health, Ethics, Health Policy, Immunization/Vaccines, Prevention







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