Vaccinating the nation¡¯s 11- and 12-year-old boys will cost almost $140 million annually, but the one-time catch-up among males 13 to 21 will cost hundreds of millions more. The government generally pays for about half of all vaccinations.

The committee has become increasingly concerned about the cost effectiveness of vaccines, since the newest vaccines tend to be very expensive while protecting against diseases that affect fewer people. Vaccinating boys is cost effective when vaccination rates in girls are relatively low, which they are now. Fewer than half of girls between the ages of 13 and 17 have received at least one dose of the HPV vaccine, and fewer than a third have received all three doses.

Only about 1 percent of boys have received the HPV vaccine, even though the vaccine advisory committee has said that boys could be vaccinated against the disease if they or their parents wished.

Vaccinating homosexual boys would be far more cost effective than vaccinating all boys, since the burden of disease is far higher in homosexuals. ¡°But it¡¯s not necessarily effective or perhaps even appropriate to be making those determinations at the 11- to 12-year-old age,¡± said Kristen R. Ehresmann of the Minnesota Department of Health and a committee member.

Dr. S. Michael Marcy, a clinical professor of pediatrics at the University of Southern California and a committee member, said that the money needed to vaccinate 11- and 12-year-old boys would pay for only a few hours of the war in Afghanistan while potentially saving thousands of lives in the United States.

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Antalealine Medicines are those which remove or neutralize alkalies; such are all the acids.

Anthemidis F Lores. L. E. D. P. Chamomile Flowers. Flowers of the Anthemis nobilis. Chamomile flowers are best when single and large; the double sort, though more showy, being weaker. They spoil by keeping.

Medicinally aromatic, bitter, tonic, astringent, stomachic, and carminative, in dyspepsia, hysteria, cholic, and intermittent, in doses of 5ss to 5ij of the powder, or a tea-cupful of the infusion thrice a day. The infusion is also given ad libitum to promote the operation of emetics.

Externally it is used in fomentations and cataplasms as an emollient and discutient. It is also used in enemata for cholic and inflammation of the rectum and lower intestines.

Enters into Decoct. Anthemidis Nobilis. E. D. Ext. Anthemidis. L. E. Infus. Anthemidis. L. Decoct. Malvse Comp. L. OL Anthemidis. L.

Anthemis Cotula Et Tinctoria. P. Mayweed and Ox-eye are both

used for similar purposes to the former, though not so good. Antiaris. See Upas Antiar.

Anti-attrition. The patent specifies one part of plumbago to four parts of hogs-lard, or other grease, well mixed. Another receipt gives Jjv of camphor to ftx of hogs-lard coloured with black-lead.

Antidotes. Medicines given to counteract poisons. The best antidotes are mentioned under each of the poisonous substances.

Antihectic Draught. O. Prepared by mixing equal parts of tin and pure antimony, adding thrice the quantity of nitrate of potass, and dephlagratang it, and afterwards washing it. Dose 3j to 3ij.

Antimony, or Stibium, or Regulus of Antimony. O. A metal found in a crude state combined with sulphur, but is purified for medicinal preparations. Sec the eight following articles.

Antimonial Powder. See Pulvis Antimonialis.

Antimonial Wine. See Vinum Antimonii Tartariz.

Antimonic Acid is a peroxide of antimony in form of a white hydrate, procured by treating antimony with strong nitric acid, or nitro-muriatic acid, concentrating by heat, and pouring the solution into water. With alkalies it forms antimoniates.

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Chemical Wash-Balls. Take ftv of white oil-soap, shave or scrape it as above, and then add to it fcij of fine rice powder, ftss of white lead, and ftss of pure and unmixed subnitrate of bismuth, both in the state of fine powder. Previously to mixture with the soap shavings these powders must be put into a basin, with about Jxij of orange-flower, or myrtle, water, and Jj of essence of ambergris. When this has been well mixed, the soap shavings are to be put in, and the whole is to be well beaten two or three times every day, for several days. After the whole mass is well incorporated and stiff, it is to be made up into balls, which must be very round, and must weigh Jjss. Dry these very cleanly, on sheets of white paper, and, when perfectly hard, wrap and seal each, singly, in a separate piece of paper of the same colour.

Greek Wash-Balls. Take ftxx of fine old Joppa, or Alicant soap, cut and dried as before. Now scrape, very thin, ftvj of white oil-soap, and mix with it ftvj of fine powder, and a little Florentine irispowder, just enough to turn the colour. Proceed, in every thing else, as directed for the red marbled balls, except in using the vermilion. In the perfuming of these Greek wash-balls, use, to the above quantity of paste, only Jij of the essence of ambergris, with about 40 drops of the oil of rhodium, mixed with a quart of rose water. These wash-balls, like the others, will be ready for shaving, for the first time, in two or three days; but will not be fit for sale or use, for three months, at least, in summer, and a longer time in winter.

Marseilles Wash-Balls. Marseilles wash-balls differ from the foregoing, only, that as these are of a whitish colour, and made from Joppa soap, those are somewhat of a light brown colour, being made from Marseilles and Alicant soap, both of which retain their native bluish colour, and large marbling or veins, for a long time. Inferior Venice Balls. Cut fresh Genoa soap into pieces of at least three inches square (otherwise the balls will be too small); pare them pretty round with a common knife, and then finish by shaving neatly with the brass shaver. When properly and cleanly dried they will be ready both for sale and use.

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