D.C. Bill Would Mandate Vaccine
Wednesday, January 10, 2007
The D.C. Council opened its legislative year by introducing a bill that could make the District one of the first jurisdictions in the country to require girls younger than 13 years old to get a new nationally debated vaccine against cervical cancer.
Female students enrolling in the sixth grade would be asked to show proof of receiving the vaccine against the sexually transmitted human papilloma virus (HPV) under the bill, introduced yesterday by council members David A. Catania (I-At Large) and Mary M. Cheh (D-Ward 3).
A parent or legal guardian would have the right to "opt out" of the requirement, Catania said, but the bill does not detail under what circumstances exemptions would be permitted.
Similar proposals are pending in Kentucky and California, and several other states are also considering such legislation. A bill to require the vaccine failed last year in Michigan.
In other business during the council's first working session, Marion Barry (D-Ward 8) withdrew a motion to override the veto of his bill that would protect former criminal offenders against job and housing discrimination.
Mayor Anthony A. Williams (D), who left office last week, rejected the measure, agreeing with business and community leaders that the bill could open employers to public safety issues and unfair litigation. Although the council approved the bill 10 to 2 last month, members of the new council said the bill needed re-examination.
Catania's decision to introduce the vaccine proposal was based in part on the high incidence of cervical cancer in the District. HPV causes cancer in about 10,000 women in the country annually and kills about 3,700, according to the American Cancer Society. The national incidence rate of the disease is 8.8 per 100,000 females, and the District's rate is 13.5 per 100,000, according to the society.
Catania also said he was introducing the bill now because federal support is available for the vaccine, which costs $360 for a full three-shot series. He said children receiving Medicaid benefits and others who are uninsured or underinsured can receive free HPV vaccinations. "With January being National Cervical Cancer Awareness Month, now is the perfect time for the District to lead the nation in the fight against what is in essence a preventable disease," Catania said at the council meeting.
Reaction to the local legislation was mixed. "I think this makes perfect sense," said Stanley A. Gall of the American College of Obstetricians and Gynecologists. "There would certainly be a significant health benefit."
There were questions by some about the timing of such a requirement. Although the American Academy of Pediatrics recommends the vaccine for all girls ages 11 and 12, an adviser to the academy said he thought it was premature to recommend making it mandatory. "I think it's too early," said Joseph A. Bocchini, who chairs the academy's committee on infectious diseases. "This is a new vaccine. It would be wise to wait until we have additional information about the safety of the vaccine."
Although a number of public health organizations have promoted widespread use of the vaccine, some groups and parents fear that such requirements can infringe on parental rights and unintentionally encourage sexual activity. "That's really a decision between parents and doctors," said Iris Toyer, co-chair of Parents United for D.C. Public Schools. "I understand the intent, but a lot of discussion must be done."
"It would be one thing if the American Medical Association or the D.C. Health Department was telling me to do it," she said.