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October 2, 2008

Green card applicants required to get HPV vaccine

By ANABELLE GARAY Associated Press Writer

An expensive cervical cancer vaccine is now needed by young female

immigrants before they can become legal U.S. residents, a requirement that

immigration advocates say is unfair.

Federal officials recently added the Gardasil vaccine to a list of

vaccinations that immigrants must have before they can obtain green cards.

The cervical cancer vaccine is required of females ages 11 to 26.

The vaccine protects against the sexually transmitted human papillomavirus,

or HPV, which causes cervical cancer and genital warts. But the vaccine is

one of the most expensive and controversial, primarily because it is given

at a young age.

Gardasil, given in three shots over a six-month period, costs about $400.

That puts an added burden on green card applicants already paying more than

$1,000 in fees and hundreds of dollars for mandatory medical exams,

advocates say.

" This is a huge economic, social and cultural barrier to immigrants, " said

Tuyet Duong, and attorney at the Asian American Justice Center in

Washington.

Gardasil, the only cervical cancer vaccine on the market, was approved in

2006 for girls and women ages 9 to 26. Last year, an advisory committee to

the Centers for Disease Control and Prevention recommended the vaccine for

girls beginning at 11 or 12, when they are getting other vaccines and before

they begin having sex.

For U.S. citizens, the committee's recommendations serve as guidance to

states, but only Virginia thus far has added Gardasil to the vaccines

required for schoolchildren. Immigrants need it because a 1996 change to the

nation's immigration laws required anyone seeking permanent residency to get

all the vaccinations recommended by the committee.

" What surprised us the most is that this requirement is for immigrant girls

and women, but not for the general population of natural born citizens, "

said Aron of the Center for American Progress, a liberal think tank

in Washington.

The change, which was effective July 1, could affect tens of thousands of

immigrants annually. More than 200,000 females ages 10 to 29 were granted

permanent resident status each of the past two fiscal years, according to

U.S. Citizenship and Immigration Services.

A spokeswoman said the government agency must enforce the requirement.

" It's in the law. We don't have the authority to hold off on the

requirements, " said Rhatigan.

Immigrants can seek a waiver on religious or moral grounds. However,

Rhatigan said the person seeking the waiver would have to oppose vaccination

in general, not just one vaccine in particular.

Other required vaccines include routine childhood vaccines such as measles,

mumps, and chickenpox. The other new vaccines required are for rotavirus,

hepatitis A, meningitis and shingles for those older than 60.

Dr. Jon Abramson, who chaired the CDC's Advisory Committee on Immunization

Practices, said the panel never intended to require Gardasil for immigrants

and wasn't aware its recommendation would become mandatory.

" This is an unintended consequence, " Abramson said. " We didn't even know

about the law. "

Abramson, head of the pediatrics department at Wake Forest University School

of Medicine, said he supports Gardasil for its potential benefits to women

and girls, but believes it should be optional.

Merck & Co. spokeswoman Amy Rose said the drug company, which makes

Gardasil, wasn't aware of the requirement until after the rule took effect.

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On the Net:

Immigration services: http://www.uscis.gov