CoG for Life Applauds Pro-Family Law Center: Speaks out Against HPV Vaccine Mandate
Note to our readers: The following letter was sent to the California Legislature from the Pro-Family Law Center in opposition to their proposed mandate for the HPV vaccine. For further information, visit their website at www.profamilylawcenter.com
January 25, 2007
California State Legislature
State Capitol
Sacramento, California 94249
Re: Opposition to AB 16
Dear Gentlepersons:
The Pro-Family Law Center opposes AB 16 proposed by California State
Assembly Speaker Pro-Tempore Sally Lieber. AB 16 would mandate California
school districts to require their female students receive an immunization to
the human papillomavirus (HPV) prior to entrance to the sixth grade.
The Pro-Family Law Center opposes this
proposed legislation on the grounds that it infringes on parental rights,
unequally protects female students over male students from HPV, and disturbs
a natural incentive for teenage students to abstain from sexual intercourse
to avoid the contraction of certain sexually transmitted infections.
Our society holds strong beliefs granting certain rights to parents with
regard to their responsibility to raise their children. Among these rights
is that of the parents to choose the proper time and place to discuss the
issue of sex with their children. When female students
receive the HPV vaccine through a series of three injections over a period
of six months, there is little doubt that rumors and discussing among the
girls and the general student population will arise on the topic of sex.
This would lead to false truths being
spread to public school students throughout California. By requiring the
HPV immunization and subsequently the discussion of sex between young public
school girls, the state infringes on the right of parents to choose when it
is appropriate to
discuss that sensitive issue with their daughter. We believe that parents
alone have such a right to decide when and how their children will be
exposed to sexual issues. The Pro-Family Law Center believes that parents
have the right to decide how to raise their children and the government
should not have the ability to supersede this right. AB 16 would do exactly
that.
The rights of the students who would be subject to vaccination under AB 16
is also an important factor in this issue. Female students are entitled to
privacy in matters concerning their body with exceptions permitted should a
compelling state interest arise. We do not believe that there is a
compelling state interest in implementing the HPV vaccination as a
requirement for public school females. If they are entitled to have an
abortion while at school and without parental notification or consent, they
are certainly entitled to make their own other health decisions.
The individual student and her family
know best when it comes to her health and well being. There are also
concerns over the religious rights of families that oppose subjecting their
children to the HPV vaccination on the grounds of it preaching immorality
and acting as a counter to abstinence. In Wisconsin v. Yoder the United
States Supreme Court upheld the rights of parents to control the upbringing
of their children per their religious beliefs over the interest of the state
in mandating education for students until a certain age. It is then the
case that the religious beliefs shared by many conservative households which
advocate abstinence rather than "safe sex" in this case through
vaccinations, should be protected over the states interest in mandating such
a vaccination that would trample the religious beliefs of such families.
There are two methods by which a student may be exempted from an
immunization requirement in a California public school. A medical exception
for students who have a licensed physician state that their health would be
negatively affected by the vaccination under California Health and Safety
Code section 120370. There is also a philosophical exception for parents to
file an affidavit stating that the immunization is against their beliefs.
This is provided by California Health and Safety Code section 120365. Thus
parents of female students required to receive the HPV vaccination may
choose to submit an affidavit to the school district explaining that the HPV
vaccination is against their beliefs and there daughter would therefore not
be required to receive the vaccine. The school district may temporarily
exclude such a student from school instruction should they find reason to
believe that the student has contracted HPV. The question then raised is
how a school district may responsibly monitor the sex lives of their
students without invading their privacy, in an effort to maintain the health
and safety of the general school population. For this reason it seems
impracticable that the HPV vaccine be included in the list of required
immunizations for entrance into public schools.
These students have the right to a free and equal education to be provided
by the state of California. It is reasonable to assume that a student and
her family may decide that she should not receive the HPV vaccine based on
her family's religious beliefs, and the family does not wish to file an
affidavit stating this, a burden placed upon them by the state to act as an
incentive for parents to follow the vaccine guidelines rather than challenge
a vaccine on religious or philosophical grounds. In this instance that
student would be deprived of her right to participate fully in the
educational process free from discrimination and harassment (California
Education Code section 201a.) The student is certainly within her rights to
refuse the vaccine and still attend public school to continue her education
and preserve her religious beliefs. The Pro-Family Law Center strongly
believes that the right of students to participate fully in the educational
process should not be violated, especially when it collides with a
vaccination requirement.
Current California Health and Safety Code section 104200 provides for the
required vaccination of public school students against a number of
contagious diseases in order to attend a public school. The current
vaccinations required are for ten diseases, six of which are spread through
the air (diphtheria, haemophilus influenza type b, measles, pertussis,
rubella, and varicella), mumps is spread by saliva transfer, poliomyelitis
(polio) is spread through contaminated water and food, tetanus is spread
through open wounds, and hepatitis B is spread through blood to blood
transfers and sexual contact. With the exception of hepatitis B, those
diseases are spread by conceivable situations at a school. Since students
spend a majority of the time at school in closely confined rooms with their
peers, it is reasonable to assume that they may contract six of the ten
diseases that are spread through the air. Saliva transfer may inadvertently
occur with the using of another peer's drink at lunch time, and contaminated
water or food is always an issue that may arise with cafeterias. The
adoption of hepatitis B to the list of vaccinations changed the notion that
vaccinations be required for students to protect them at school from
diseases and infections they may easily contract through little or no fault
of their own. The addition of hepatitis B to the list may be to protect
students' from the threat of medical institutions using non-sanitized
needles just as it protects them from unprotected sexual intercourse and
non-sanitized needles utilized by drug users. The vaccination for HPV
protects against the four types that are spread exclusively through sexual
contact however. There is no presumption that a student may innocently
contract HPV during school or in a hospital. It assumes that the student is
sexually active or will soon become sexually active.
California Health and Safety Code section 104200 also states that the state
may require any vaccinations for "Any other disease that is consistent with
the most current recommendations of the United States Public Health
Services' Centers for Disease Control Immunization Practices
Advisory Committee and the American Academy of Pediatrics Committee of
Infectious Diseases, and deemed appropriate by the department." Both the
Immunization Practices Advisory Committee (IPAC) and the California
Department of Public Health (CDPH) recommend the vaccine for HPV be
administered to girls aged 9-26. The four types of HPV that the vaccine
protects against cause 70% of cervical cancer cases and 90% of genital warts
cases. The IPAC and CDPH feel that vaccinating females in California public
schools against HPV will lead to a substantial decrease in cervical cancer
cases. There is another method to accomplish this same goal; the practice
of sexual abstinence until marriage would protect against all sexually
transmitted infections with the exception of rape.
The state already stresses abstinence as one of its means to prevent
pregnancy among minors (California Education Code section 8902b.) It would
seem more effective to stress the same preventative measures to prevent HPV
contraction as the state already does to prevent minor
pregnancies. The American College of Pediatricians released a statement on
January 22, 2007, stating their opposition to A16:
"The American College of Pediatricians is opposed to any legislation which
would require HPV vaccination for school attendance. Excluding children from
school for refusal to be vaccinated for a disease spread only by penetrating
vaginal intercourse is a serious, precedent-setting action
that trespasses on the right of parents to make medical decisions for their
children as well as on the rights of the children to attend school. In
addition, this vaccine prevents a disease which is exclusively sexually
transmitted; mandating it as early as 9 years of age places the medical
provider in an ethical dilemma. First, the administration of the vaccine
requires explanation to both the parent and the child. Parents may have
chosen not to introduce the subject of sexual activity to their nine year
olds due to their physical and emotional immaturity. Also, most 9-12 year
old children are not sexually active; many have not entered puberty. Forcing
a parent to forsake his/her better judgment and discuss this information
with the child would be inappropriate and unnecessarily intrusive."
The FDA approved vaccine for HPV has only been approved for use in females,
not males and AB 16 only mandates that female students receive the vaccine
prior to entrance into the sixth grade. This suggests that there is an
unequal protection of the health of female students over male students in
California public schools. Since the vaccine is only approved for females,
they are given an unfair advantage over males with regard to protection of
HPV. The state would mandate disadvantaging male students against HPV
protection. Both male and female students are entitled to equal treatment
in public schools and mandating a vaccination for one gender of students and
not another is inherently unequal. While there is no available vaccine to
protect male students against HPV, they are still entitled to the same
health immunizations as female students.
The intention of mandating the HPV vaccination is to protect against
cervical cancer. The HPV vaccination protects against four types of HPV
which cause 70% of cervical cancer cases. It also protects against a
majority of cases of genital warts; although this does not appear to be the
primary motivation for the implementation of the HPV vaccine, it is none the
less a significant externality. It will cause female students to believe
that they will avoid contracting genital warts by being vaccinated for HPV
and may very well cause a significant increase in sexual activity among the
female student population in California public schools. This would impair
the incentive female girls have to abstain from sexual activity with
multiple partners while still in high school.
Focus on the Family released a position statement supporting the universal
availability of HPV vaccines but opposes mandatory HPV vaccinations to
public school. They further state that "The HPV vaccines do not, in any
circumstance, negate or substitute the best health message of sexual
abstinence until marriage and sexual faithfulness after marriage." It may
be seen that Focus on the Family does not wish to restrict the widespread
availability of the HPV vaccine to protect women against contracting the
disease in the case of uncontrollable circumstances such as rape.
The Pro-Family Law Center concurs with Focus on the Family with regards to
the need to place emphasis on abstinence rather than vaccinations. We also
believe that the vaccine should not be a requirement for entrance into any
specific grade or the public school system in general. It should be made
available to students and their parents should be the ones to sign a consent
agreement for their daughters to receive the vaccination, rather than go out
of their way to prevent them from receiving it.
Most Respectfully,
PRO-FAMILY LAW CENTER
s/s RYAN FLYNN Pro-Family Law Center Legislative Analyst