Changes

Merck manufactures the HPV vaccine and sells it for $360 ($120 per shot in a three-shot series).  Its package insert explains the limitations of the vaccine and describes its testing for safety and efficacy.<ref>http://www.merck.com/product/usa/pi_circulars/g/gardasil/gardasil_pi.pdf</ref>

Merck manufactures the HPV vaccine and sells it for $360 ($120 per shot in a three-shot series).  Its package insert explains the limitations of the vaccine and describes its testing for safety and efficacy.<ref>http://www.merck.com/product/usa/pi_circulars/g/gardasil/gardasil_pi.pdf</ref>

The cost for buying and administering the three-dose vaccine is about $500 per child.  Accordingly, the cost of vaccinating 100 children will be about $50,000. The average age of diagnosis of cervical cancer is 48 years old, meaning that infection took place many years earlier. There is not yet a clear plan in place for funding this vaccine.   

The cost for buying and administering the three-dose vaccine is about $500 per child.  The average age of diagnosis of cervical cancer is 48 years old, meaning that infection took place many years earlier. There is not yet a clear plan in place for funding this vaccine.   

Alternative means of protection against cervical cancer include abstinence (most effective), and early detection via pap smear (effective if done regularly, but only ''detects'' infection or precancerous changes.  It does not ''prevent'' infection, but can prevent progression from infection to cancer). <ref>http://www.cdc.gov/std/HPV/STDFact-HPV.htm#cancer</ref>. Condoms have been shown to reduce the risk of HPV transmission but are insufficient to eliminate the risk entirely<ref>http://content.nejm.org/cgi/content/full/354/25/2645</ref> <ref> Report to Congress 2004: Prevention of Genital Human Papillomavirus Infection, Centers for Disease Control and Prevention, Gerberding, J.L., M.D., M.P.H. (January 2004): pp. 3-4. </ref>

Alternative means of protection against cervical cancer include abstinence (most effective), and early detection via pap smear (effective if done regularly, but only ''detects'' infection or precancerous changes.  It does not ''prevent'' infection, but can prevent progression from infection to cancer). <ref>http://www.cdc.gov/std/HPV/STDFact-HPV.htm#cancer</ref>. Condoms have been shown to reduce the risk of HPV transmission but are insufficient to eliminate the risk entirely<ref>http://content.nejm.org/cgi/content/full/354/25/2645</ref> <ref> Report to Congress 2004: Prevention of Genital Human Papillomavirus Infection, Centers for Disease Control and Prevention, Gerberding, J.L., M.D., M.P.H. (January 2004): pp. 3-4. </ref>

The [[Association of American Physicians and Surgeons]], the Texas Medical Association and the American Academy of Pediatrics do not support making this vaccine mandatory.

The [[Association of American Physicians and Surgeons]], the Texas Medical Association and the American Academy of Pediatrics do not support making this vaccine mandatory.