Texas Gov. Perry CONSPIRES with Health Dept to Force HPV Vaccine

Dear PROVE Members, ((Parents Requesting Open Vaccine Education)  http://vaccineinfo.net

Last week we walked the halls and delivered packets to all offices in the
Texas House and Senate providing information on why the HPV vaccine
should not be mandated. Our visits were met with friendly grateful
appreciation. On Monday, some of us were at a House Public Health
Committee hearing until after midnight to support HB 1098 which would
prohibit HPV vaccine from being required and would overturn the
governor's executive order. On Wednesday, the House Public Health
Committee passed the bill with a vote of 6 to 3 and the bill is on its
way to the full House where it already has 91 joint sponsors out of 150
Representatives. Now as more journalists are using open records requests
to piece together the puzzle, the corruption is starting to become
clear - Perry was working on this mandate for months and even had the
health dept write it! Additionally, some of our friends in Congress have
just filed a bill to prohibit federal funding or other assistance to
states that mandate the HPV vaccine. Your calls and letters to your
elected officials in Texas and Congress are working! Thank you everyone
for your hard work and keep the communication with your elected
Representatives and Senators in Texas and Washington DC going! They need
to hear from you! - DR

Perry surprised by backlash to HPV order Mandate was months in the making, but few were in the loop. By Corrie
MacLaggan AMERICAN-STATESMAN STAFF Friday, February 23, 2007

In the days before his Feb. 6 State of the State address, Gov. Rick Perry
dribbled out announcements of several initiatives so they wouldn't get 
lost in bigger news the day of the speech. On Jan. 30, a disaster
contingency fund. On Feb. 1, higher education reforms. And on Feb. 2, the
mandate that schoolgirls be vaccinated against the human papillomavirus.

That turned out to be one of the most controversial initiatives of
Perry's tenure, but the governor's office never saw the backlash coming.

The next day, when the governor's executive clerk went to church, he was
unprepared for the criticism he would encounter.

"I got hammered in church this morning on the Merck thing - and it was
just Saturday," Chief Clerk Greg Davidson wrote in a Feb. 3 e-mail to
colleagues, referring to the company that makes the vaccine. "Do we have
any talking points or stats or anything that can help me fight through
Sunday. This is brutal."

This e-mail and other documents obtained by the Austin American-Statesman under Texas
open records laws reveal new details about how Texas became the first state
to require the vaccine that helps prevent cervical cancer. They show that the governor's
office had been talking about HPV with drug maker Merck for at least five
months and that the same state agency that the governor directed to implement
the executive order actually drafted the order. And they show that, as Davidson's experience
illustrates, the governor's office had simply failed to predict the firestorm.

Critics have blasted the executive order, with some saying Perry
overstepped his authority and others worrying about the vaccine itself:
that it's too new to know about long-term effects or that getting
vaccinated against the sexually transmitted virus could encourage young
girls to be promiscuous.

A House health panel led by state Rep. Dianne White Delisi, R-Temple, a
member of Perry's own Republican Party and the mother-in-law of the
governor's chief of staff, Deirdre Delisi, this week recommended that the
full chamber pass a bill that would essentially overturn Perry's mandate.

"Did we expect such an uproar?" Perry spokesman Robert Black asked
During an interview. "I think it's fair to say no. Would it have changed
(Perry's) mind if he would have known that? No. What people thought of
his order or the fact that we were the first state in the nation - for
the governor, none of that really comes into play."

Rather, it is a women's health issue, Black said.

Much of the controversy has centered on Merck, which this week suspended
efforts to lobby statehouses around the country to mandate the vaccine,
Gardasil. The company had been funneling money through an advocacy group,
Women in Government.

In Texas, some had questioned Perry's Merck ties: Mike Toomey, Perry's
former chief of staff, is one of Merck's lobbyists here, and Merck gave
$6,000 to Perry's re-election campaign. Black said that Toomey and Perry
have never discussed HPV and that "it's a bit of a red herring" since
another drug company, GlaxoSmithKline, is also developing an HPV vaccine.

However, documents show that on Nov. 7, the day Perry was re-elected, a
gubernatorial policy adviser sent an e-mail to Toomey and to Lara Keel,
both of the Texas Lobby Group, with the subject "HPV numbers." The e-mail
included projected costs of providing the HPV vaccine to low-income

In fact, the governor's office was talking with Merck representatives not
long after Gardasil was approved by the FDA in June, documents show.

In an Aug. 17 e-mail to Dr. Charles Bell, deputy executive commissioner
of the Health and Human Services Commission, gubernatorial adviser Heidi
McConnell wrote: "There is a good chance that we are going to do
something on the HPV vaccine, so (a colleague) and I met with Merck
representatives earlier this week to get an update on the vaccine."

Black said that conversations between the governor's office and Merck
"shouldn't surprise anyone. They're the ones who had the vaccine," he

When preparing to announce the executive order, Perry's staffers
apparently worried about coming across as too Merck-friendly.

On the day before the executive order was issued, in response to a draft
of the news release, the governor's assistant director of budget,
planning and policy wrote: "(T)hat first line sounds almost like a Merck

The draft was not provided to the Statesman. The governor's office has
asked the attorney general's office for an opinion on whether it may keep
HPV-related draft documents confidential, said Chelsea Thornton, the
governor's assistant general counsel.

While the governor's office was worrying about the wording of the
announcement, key lawmakers were out of the loop. State Sen. Jane Nelson,
R-Lewisville, chairwoman of the Senate Health and Human Services
Committee, told reporters Feb. 5 that she was surprised Perry hadn't
contacted her about the mandate. She called on him to rescind it, saying,
"I just don't think he thought this one through."

The same day, Brandon LeBlanc, the governor's community affairs public
liaison, wrote an e-mail to colleagues with the subject "Why the rush?"
He asked for an answer to "why we didn't let HPV vaccine run its course
in the Leg.? Preferably one I can use in public."

Even some members of the governor's staff were blindsided by the
executive order.

Ken Armbrister, a retired state senator who is the governor's new liaison
to lawmakers, was inadvertently left off the list of officials who were
to be notified ahead of time. Because Armbrister was unaware, he was
unable to alert key lawmakers to what was coming.

Perry's support of mandating the vaccine surfaced during the
gubernatorial race, though few took notice.

In September, after Democrat Chris Bell had said he favored mandating the
vaccine, the Fort Worth Star-Telegram reported that Perry spokesman Ted
Royer said: "Perry supports requiring the cervical cancer vaccine, as
long as parents retain the right to opt their children out."

At the time, perhaps because Bell and Perry agreed, "no one batted an
eye," Black said.

After Election Day, when Perry switched from campaigning to preparing for
the 2007 legislative session, he began to consider how to implement the
mandate, Black said.

State health officials could have added the vaccine to the required list
without the drama of an executive order.

But "after spending a lot of time thinking about it, talking to
folks, not the least of which was Mrs. Perry, who feels very strongly about this
issue, I think the governor felt so strongly that it was the absolute
right thing to do to protect life, that when we had an opportunity like
this to prevent a cancer in young women, that he needed to put the weight
of the entire executive branch behind it," Black said.

The executive order directs the Health and Human Services Commission to
adopt rules that mandate the vaccination against HPV for girls before
starting sixth grade.

But documents show that state health officials were the ones writing a
draft of the executive order that directs their own agency to write the

On Jan. 18, Dr. Charles Bell of the commission wrote an e-mail to a
gubernatorial adviser:

"(A)ttached is the draft Executive Order that was requested by the
Governor's Office staff. Neither my staff nor I have ever drafted such a
document so we just patterned it off the ones that we found on the
Governor's website. I hope the draft is satisfactory to edit and create
the official document."

Commission spokeswoman Stephanie Goodman said it's not surprising that
the agency drafted the order because "we know the language necessary to
implement the vision laid out by the governor's office."

The order says that beginning in September 2008, sixth-grade girls must
be vaccinated against the four strains of HPV that cause 70 percent of
cervical cancers. The shots cost $360 for the three-dose series, and it
will cost $71.7 million a year to pay for the shots for low-income
Texans, Perry spokeswoman Krista Moody said. Parents may opt not to have
their daughters vaccinated.

Three weeks after Perry issued the order, he is standing by it despite
widespread opposition from lawmakers and the social conservatives who
have traditionally backed him. Perry is trying to shape the debate into
one that's more about people with cervical cancer and less about politics
and money. On Monday, Perry introduced reporters to a 31-year-old Houston
woman who is dying of cervical cancer caused by HPV.

"This debate should be based on whether or not this state is going to do
everything it can to prevent cervical cancer in young women, to save
women's lives," Black said. "Anything else is a distraction from the real

cmaclaggan@statesman.com ; 445-3548

Additional material from staff writer Laylan Copelin.

Parental Right to Decide Protection Act (Introduced in House)

HR 1153 IH
1st Session
H. R. 1153

To prohibit Federal funding or other assistance for mandatory human
papillomavirus (HPV) vaccination programs.


February 16, 2007
Mr. GINGREY (for himself, Mr. PITTS, Mr. CARTER, Mr. GOODE, Mrs. MYRICK,
Mr. LAMBORN, Mr. GARRETT of New Jersey, Mr. BOOZMAN, Mr. WELDON of
JORDAN of Ohio) introduced the following bill; which was referred to the
Committee on Energy and Commerce



To prohibit Federal funding or other assistance for mandatory human
papillomavirus (HPV) vaccination programs.

Be it enacted by the Senate and House of Representatives of the United
States of America in Congress assembled,

This Act may be cited as the `Parental Right to Decide Protection Act'.

The Congress finds as follows:

(1) HPV, the human papillomavirus, is the most common sexually
transmitted infection in the United States. HPV types 16 and 18 cause
about 70 percent of cervical cancers. The Centers for Disease Control and
Prevention estimates that about 6,200,000 Americans become infected with
HPV each year and that over half of all sexually active men and women
become infected at some time in their lives. On average, there are 9,710
new cases of cervical cancer and 3,700 deaths attributed to it in the
United States each year.

(2) Early detection is the key to diagnosing and curing cervical cancer,
and therefore the Food and Drug Administration (FDA) recommends that all
women get regular Pap tests. The Pap test looks for cell changes caused
by HPV, so the cervix can be treated before the cells turn into cancer.
The FDA also states the Pap test can also find cancer in its early stages
so it can be treated before it becomes too serious, and reaches the
conclusion that it is rare to die from cervical cancer if the disease is
caught early.

(3) On June 8, 2006, the FDA approved Gardasil, the first vaccine
developed to prevent cervical cancer, precancerous genital lesions, and
genital warts due to human papillomavirus (HPV) types 6, 11, 16, and 18.
Gardasil is a recombinant vaccine, it does not contain a live virus, and
it is given as three injections over a six-month period. The vaccine is
approved for use in females 9-26 years of age. However, the FDA also
states that since the vaccine is new, more studies need to be done to
determine how long women will be protected from HPV. For example, the FDA
does not know if a booster is needed after a couple of years to ensure
continuity of protection.

(4) As detailed by the FDA, four studies were conducted in 21,000
women,one in the United States and three multinational, to show how well
Gardasil worked in women between the ages of 16 and 26. The study period
was not long enough for cervical cancer to develop; however, preventing
cervical precancerous lesions is believed highly likely to result in the
prevention of cervical cancer.

5) In January 2007 the Advisory Committee on Immunization Practices
(ACIP), under the Centers for Disease Control and Prevention, issued
changes to the previous childhood and adolescent immunization schedule.
The ACIP recommends the new human papillomavirus vaccine (HPV) to be
administered in a 3-dose schedule with the second and third doses
administered 2 and 6 months after the first dose. Routine vaccination
with HPV is recommended for females aged 11-12 years, the vaccination
series can be started in females as young as age 9 years, and a catch up
vaccination is recommended for females aged 13-26 years who have not been
vaccinated previously or who have not completed the full vaccine series.

(6) States historically have maintained the practice of applying
immunization recommendations to their school admittance policies so as to
protect schoolchildren from outbreaks of contagious disease. The
Association of American Physicians and Surgeons states that there is no
public health purpose for mandating HPV vaccine for schoolchildren. HPV
is a sexually transmitted disease.

(7) With at least 16 States entertaining legislation which takes the
unprecedented step in requiring young girls to obtain a vaccine for a
disease that is not spread by casual contact in order to attend school,
many organizations and associations have come out against mandatory HPV
vaccine programs.

8) The Texas Medical Association has stated that although it strongly
supports the ability of physicians to provide the HPV vaccine, at this
point, it does not support a State mandate.

(9) The American College of Pediatricians and the Association of American
Physicians and Surgeons are opposed to any legislation which would
require HPV vaccination for school attendance. They have stated that
excluding children from school for refusal to be vaccinated for a disease
spread only by intercourse is a serious, precedent-setting action that
trespasses on the right of parents to make medical decisions for their
children as well as on the rights of the children to attend school.

10) Federal funds should not be used to implement a mandatory vaccine
program for a disease that does not threaten the public health of
schoolchildren in the course of casual, daily interaction between
classmates and inserts the government into the lives of children,
parents, and physicians.


No Federal funds or other assistance may be made available to any State
or political subdivision of a State to establish or implement any
requirement that individuals receive vaccination for human papillomavirus

Dawn Richardson
PROVE(Parents Requesting Open Vaccine Education)

prove@vaccineinfo.net  (email) http://vaccineinfo.net/  (web site)
PROVE provides information on vaccines, and immunization policies and
practices that affect the children and adults of Texas. Our mission is
to prevent vaccine injury and death and to promote and protect the right
of every person to make informed independent vaccination decisions for
themselves and their family.
This information is not to be construed as medical OR legal advice.
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