I totally agree with the seriousness of the HPV concern and the need for vaccinating girls at an age before they are susceptible. This is no different than vaccinating for measels or mumps, where we do not ask permission of the child nor do we wait until they are old enough to make the decision themselves.
In the west (and this this thread has a very US/western centric view) I can see some mileage in your statement though I still disagree that the vaccination should be a matter for state or even federal legislation.
I believe that vaccinations should be a
choice. I'm unconvinced one can draw a
meaningful parallel between seeking the informed consent of [say] a 14 year old and that of an infant for quite obvious reasons.
I don't agree with you that there is
no difference between vaccination against an illness which may be acquired as a result of [nominally] adult sexual activity and, in the case of Measles as a single example, one which is so contagious it can be acquired at any age
without intimate contact and is the cause of perhaps 30-40 million infections and around 500,000 deaths annually - primarily in the third world. Many who survive are left with crippling disabilities. I'm not trying to diminish anything but in terms of global health considerations and mortality there's little comparison.
The one thing I totally object to is religious groups imposing their twisted sense of morality on the rest of the public through affecting public policy. The idea that an HPV vaccination should be withheld because it encourages or endorses sex is so twisted and bizarre that if it weren't absolutely cruel and deadly, it would be funny.
I agree and think I'm seeing selective word blindness in this thread (though not your post JA) where expressing reservations about a
mandatory vaccine is somehow seen as caveperson(ish), a form of moral bigotry or even simply being against the vaccine per se. For myself it's not my view that one should not be vaccinated against this or any other illness, I think the vaccine is a great thing. I saw an estimate that Cervical Cancer deaths could rise to a million a year by 2050.
I will say that as HPV (or for that matter HIV etc) become
increasingly endemic in our societies and thus it becomes almost certain as with the usual 'childhood' illneses that without vaccination only a minority would
escape infection I'm open to changing that view but I'm not quite there yet. Perhaps, if such vaccinations
were mandatory or administered at such high % rates as to render the diseases they prevent a rarity such questions would be moot, but they're not so here we are.
While I don't subscribe to the view that reduction of risk is a de facto cause of 'risky' behaviour I do think it's a little naive to
entirely separate participation in a behaviour from its possible risks. In a broader sense if one is protected from the possible results of a course of action which would otherwise be cause for circumspection
because of those risks is the likelihood of persuing it unchanged? Does anyone believe that many who don't smoke or quit for health reasons would do so [or do so again] if they were immunized against it's consequences? I don't think so.
I know most comments made in this thread in that vein have so far been largely tongue in cheek but nevertheless I'll now step back and wait while the narrow minded among us take the above paragraph as pandering to the religious right.