I see that Sujatha has already published a post on Texas governor Rick Perry’s order to make vaccination with Gardasil mandatory for 11-12 year girls in Texas. Many other states are considering a similar move. I nearly fell off my chair at the breakfast table yesterday morning when I read on the front page of the Houston Chronicle that Texas governor Rick Perry is at the forefront of this campaign.
The pros and cons of vaccinating girls with Gardasil are still under consideration. I don’t think that the state of Texas or any other governmental agency ought to make the vaccine mandatory at this stage. Although the efficacy of the vaccine has proved to be nearly 100% in clinical trials, its long term effect on the health of women is not known. My own considered opinion is that the vaccine should be made freely available. Insurance should be required to pay. Those without insurance should be subsidized. But the decision to vaccinate (or not) should be left to parents, as of now. Many parents of young girls have naturally reacted with some alarm at Governor Perry’s high handedness – some because of moral concerns(?) and others due to health related issues.
More than the debate over whether the vaccine should or should not be mandatory, the question that intrigued me was why our otherwise conservative and generally vacuous governor took this bold and drastic step which flies in the face of what his conservative base thinks of the vaccine. Halfway through the report, I got the answer that cleared up my fog of confusion – Perry’s erstwhile chief of staff is now a lobbyist for Merck, the pharmaceutical company that manufactures Gardasil. Whoops! One sure fire way to boost sales and ensure an undying cash cow for a drug manufacturer is to make a pharmaceutical product mandatory. And here I was, puzzled and pleasantly surprised that Governor Goodhair had suddenly become a champion of women’s health and had acted solely on an uncharacteristic progressive impulse of ensuring their well being. Silly me!
Acting on an issue that is stirring controversy in the Legislature, Gov. Rick Perry on Friday made Texas the first state to require girls to get a new vaccine for a sexually transmitted virus that causes cervical cancer.
The executive order, which would apply to all girls entering sixth grade next year, prompted surprise and relief from one lawmaker who didn’t think her bill requiring the same would have passed. But it so angered many social conservatives who have consistently backed Perry that they suggested money and political ties to the vaccine’s manufacturer were behind the decision.
Perry’s office insisted that protecting girls ages 11 and 12 against the human papilloma virus was a public health issue, not politics.
"Requiring young girls to get vaccinated before they come into contact with HPV is responsible health and fiscal policy that has the potential to significantly reduce cases of cervical cancer and mitigate future medical costs," Perry said in a press release.
"This is ‘follow the money’ if I’ve ever seen it," said Cathie Adams, president of Texas Eagle Forum.
"There’s no health emergency for cervical cancer. The only emergency is in the Merck board room," said Dawn Richardson of Parents Requesting Open Vaccine Education, a vaccine information group.
The vaccine, known as Gardasil, is manufacturered by Merck and was approved by the Food and Drug Administration in June. It is only effective if administered before infection; the Centers for Disease Control and Prevention recommends it for females ages 11 to 26.
Big push by Merck
Mike Toomey, former chief of staff to Perry, is a lobbyist for Merck. The pharmaceutical company has donated $6,000 to Perry since 2005 and $38,000 to legislative leaders and lawmakers. Merck spokesman Ray Kerins downplayed the company’s role in Perry’s order, saying "we’re working in all 50 states to achieve the widest vaccination possible…."
By the way, why is the vaccine being aimed only at girls? Gardasil is a vaccine against the human papilloma virus (HPV), not cervical cancer. Although only girls are at risk of developing cervical cancer when infected with HPV, boys too get infected by the virus and can spread it to their sexual partners. Should yet another onerous burden of responsible sexual behavior be borne just by young women? The report on Gardasil says:
….A recent study found that 90 percent of cervical cancer cases could be eliminated if boys and girls got the vaccine. If only girls get it, just more than three quarters of cases would be eliminated. (italics mine)








