Three Shots at Prevention: The HPV Vaccine and the Politics of Medicine's Simple Solutions Book

Acknowledgments ix

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

Index 309