This case study is centered upon the recent debate concerning the decision by Texas Governor Rick Perry to mandate the compulsory vaccination of girls in the Texas public school system against the human papillomavirus (HPV) prior to entering the sixth grade. The interrupted case method is particularly appropriate for this subject with the case…

Stresses the need for increased federal, state, and local support for child immunizations resulting from the alarming increases in the incidence of rubella and other infectious diseases, and endorses the Standards for Pediatric Immunization Practices recently published in the "Journal of the American Medical Association." (MDM)

Describes Pennsylvania's comprehensive child day care and early childhood development training system, focusing on the Early Childhood Education Linkage System (ECELS) and its immunization initiative. The initiative was established to improve the overall immunization status of all children in child day care in the state. (MDM)

Considers state and national policies directed toward the homeless. Problems with policies for immunization and vaccination requirements, transportation, parent participation, domestic violence, and home schooling are discussed. Alternative solutions that may be more conducive to the education of the homeless are offered. (SLD)