In 2007, Texas governor Rick Perry issued an executive order requiring that all females entering sixth grade be vaccinated against the human papillomavirus (HPV), igniting national debate that echoed arguments heard across the globe over public policy, sexual health, and the politics of vaccination. Three Shots at Prevention explores the contentious disputes surrounding the controversial vaccine intended to protect against HPV, the most common sexually transmitted infection.
When the HPV vaccine first came to the market in 2006, religious conservatives decried the government's approval of the vaccine as implicitly sanctioning teen sex and encouraging promiscuity, while advocates applauded its potential to prevent 4,000 cervical cancer deaths in the United States each year. Families worried that laws requiring vaccination reached too far into their private lives. Public health officials wrestled with concerns over whether the drug was too new to be required and whether opposition to it could endanger support for other, widely accepted vaccinations. Many people questioned the aggressive marketing campaigns of the vaccine's creator, Merck & Co. And, since HPV causes cancers of the cervix, vulva, vagina, penis, and anus, why was the vaccine recommended only for females? What did this reveal about gender and sexual politics in the United States? With hundreds of thousands of HPV-related cancer deaths worldwide, how did similar national debates in Europe and the developing world shape the global possibilities of cancer prevention?
This volume provides insight into the deep moral, ethical, and scientific questions that must be addressed when sexual and social politics confront public health initiatives in the United States and around the world.
|Publisher:||Johns Hopkins University Press|
|Edition description:||New Edition|
|Product dimensions:||5.90(w) x 8.90(h) x 1.00(d)|
|Age Range:||18 Years|
About the Author
Keith Wailoo is the Martin Luther King Jr. Professor of History and the founding director of the Center for Race and Ethnicity at Rutgers, the State University of New Jersey. He is the author of a number of award-winning books, including The Troubled Dream of Genetic Medicine and Drawing Blood: Technology and Disease Identity in Twentieth-Century America, both also published by Johns Hopkins. Julie Livingston is an associate professor of history at Rutgers, the author of Debility and the Moral Imagination in Botswana, and coeditor, along with Wailoo and Peter Guarnaccia, of A Death Retold: Jesica Santillan, the Bungled Transplant, and Paradoxes of Medical Citizenship. Steven Epstein is the John C. Shaffer Professor in Humanities, a professor of sociology, and a faculty affiliate in the Gender Studies Program and Science in Human Culture Program at Northwestern University. He has written several award-winning books, among them Inclusion: The Politics of Difference in Medical Research and Impure Science: AIDS, Activism, and the Politics of Knowledge. Robert Aronowitz is a professor in the Department of History and Sociology of Science at the University of Pennsylvania and the author of Unnatural History: Breast Cancer and American Society and Making Sense of Illness: Science, Society, and Disease.
Table of Contents
Introduction: A Cancer Vaccine for Girls? HPV, Sexuality, and the New Politics of Prevention xi
Vaccine Time Lines xix
I Establishing the HPV-Cancer Link xx
II The Contentious History of Vaccine Policy xxii
III Vaccine Policy: Agendas and Perspectives xxiv
IV Mandating Prevention? Legislation, Sexuality, and State Power xxvi
V States and Citizens at the Crossroads of Prevention xxviii
Part I The Known and the Unknown: Vaccination Decisions amid Risk and Uncertainty
1 The Coercive Hand, the Beneficent Hand: What the History of Compulsory Vaccination Can Tell Us about HPV Vaccine Mandates James Colgrove 3
2 Gardasil: A Vaccine against Cancer and a Drug to Reduce Risk Robert Aronowitz 21
3 HPV Vaccination Campaigns: Masking Uncertainty, Erasing Complexity Lundy Braun Ling Phoun 39
4 The Great Undiscussable: Anal Cancer, HPV, and Gay Men's Health Steven Epstein 61
5 Cervical Cancer, HIV, and the HPV Vaccine in Botswana Doreen Ramogola-Masire 91
Part II Girls at the Center of the Storm: Marketing and Managing Gendered Risk
6 Safeguarding Girls: Morality, Risk, and Activism Heather Munro Prescott 103
7 Producing and Protecting Risky Girlhoods Laura Mamo Amber Nelson Aleia Clark 121
8 Re-Presenting Choice: Tune in HPV Giovanna Chesler Bree Kessler 146
Part III Focus on the Family: Parents Assessing Morality, Risk, and Opting Out
9 Parenting and Prevention: Views of HPV Vaccines among Parents Challenging Childhood Immunizations Jennifer A. Reich 165
10 Decision Psychology and the HPV Vaccine Gretchen Chapman 182
11 Nonmedical Exemptions to Mandatory Vaccination: Personal Belief, Public Policy, and the Ethics of Refusal Nancy Berlinger Alison Jost 196
12 Sex, Science, and the Politics of Biomedicine: Gardasil in Comparative Perspective Steven Epstein April N. Huff 213
Part IV In Search of Good Government: Europe, Africa, and America at the Crossroads of Cancer Prevention
13 Vaccination as Governance: HPV Skepticism in the United States and Africa, and the North-South Divide Julie Livingston Keith Wailoo Barbara M. Cooper 231
14 Public Discourses and Policymaking: The HPV Vaccination from the European Perspective Andrea Stöckl 254
15 HPV Vaccination in Context: A View from France Ilana Löwy 270
Conclusion: Individualized Risk and Public Health: Medical Perils, Political Pathways, and the Cultural Framing of Vaccination under the Shadow of Sexuality Keith Wailoo Julie Livingston Steven Epstein Robert Aronowitz 293
Notes on Contributors 303
What People are Saying About This
"Scholars and policymakers alike will draw lasting lessons from this timely, fascinating, and engaging collection on the controversial HPV vaccine."
"Masterfully insightful and astute... This is a vital new text for undergraduate and graduate pedagogical programs focusing on the history and social-scientific analysis of health, medicine, science, technology, and society as well as a significant resource for debate within the policymaking arena and for instruction in public health and cancer prevention."