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מועדון חוקרים - ינואר 2017


התייחסות לחיסון הפפילומה בחברה רב תרבותית: סקס, אתיקה, מתמטיקה ופרקטיקה

מציגים:

ד"ר ברוך ולן וד"ר עמית הופרט – מכון גרטנר

מוזמנים לדיון: ד"ר ליזה רובין – משרד הבריאות ואוניברסיטת חיפה

ד"ר יעקב ידגר – מדעי המדינה, אוניברסיטת בר-אילן





 

לצפיה במצגת של ברוך ולן לחצו כאן

לצפיה במצגת של עמית הופרט לחצו כאן

 

On the Implications of Desexualizing Vaccines against Sexually Transmitted Diseases: Health Policy Challenges in a Multicultural Society
Baruch Velan(a) and Yaacov Yadgar(b)

 

Abstract

This paper discusses the implications of varying approaches to the implementation of vaccination programs against sexually transmitted diseases, caused by Hepatitis B Virus (HBV) and Human Papilloma Virus (HPV). Specifically, we consider two vaccination trajectories marked by differences in the way the sexual context of the risk is communicated to the public. These trajectories fluctuate between full accounts of the sexual nature of the infection and attempt to desexualize the vaccine. Desexualization can be achieved by withholding information of sexual context, blurring information, and distancing the age of vaccination from the age of sexual debut. The paper also discusses the potential advantages and disadvantages of these varying trajectories. Desexualization may be advantageous, from the point of view of promoting public and personal health, in the case of people who believe that HPV vaccination leads to increased promiscuity, people who believe that protection against STD is not relevant to their children, and people not comfortable discussing the sexuality of their children. On the other hand, desexualizing may be disadvantageous in the case of children to parents who tend to express passiveness towards vaccination, parents who attribute importance to sex education, and teenagers with homosexual orientations. We offer an ethical analysis of vaccine desexualization, which reveals a complex interplay of considerations related to utility, causation of harm, duty of transparency, right to know, and right not to know. This analysis suggests that the moral merits of applying desexualization are questionable. Lastly, based on a sociopolitical consideration of the matter, we argue that decisions on vaccine desexualization can have implications on the interrelationships between the various social groups and subgroups composing a certain population, and may highlight intercultural schisms. All this suggests that shaping the sexual framework of vaccination programs bears implications far beyond the practical considerations of vaccine promotion.

 

(a) The Gertner Institute for Epidemiology and Health Policy Research; Sheba Medical Center. Tel Hashomer, Ramat-Gan, Israel
(b) Department of Political Studies; Bar-Ilan University; Ramat-Gan, Israel

 

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