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Smallpox Vacinnations for everyone in US!!?
by Mercury News
01 Apr 2002
Modified: 04:18:53 PM
Well this will kill far more Americans than the terrorists could have hoped to achieve themselves. Have to see if Bush has links to Osama oh yeah thats right they do.
Considered For Entire US
By Julie Sevrens Lyons and Lisa M. Krieger
San Jose Mercury News
In a major shift in public health policy that underscores government concerns about bioterrorism, federal health officials are gathering enough smallpox vaccine to inoculate the entire country and are considering a widespread vaccination campaign.
By December, according to public health leaders in Washington D.C., the U.S. government will have more than 100 million doses of the vaccine in hand, an amount they say could be effectively diluted to make the shots available to everyone in the country. An inoculation effort using the sometimes risky vaccine would be new to millions of Americans born after the United States stopped offering the shots in 1972.
Public health leaders stressed Thursday that discussions of any vaccine campaign are preliminary, and that the decision to get the shots would be voluntary.
But the announcement represents a significant shift. Restarting vaccinations in advance of any outbreak, raised as a possibility in prominent medical journal articles and at a news conference, runs counter to current federal plans calling for using the vaccine stockpile only after an outbreak.
"There's an assumption the risks associated with the vaccine may not be worth it," said Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases. "But there might be a lot of people who feel they're willing to take that risk. It's important to hear that."
Those risks are well-documented. Smallpox is deadly, and was largely eradicated worldwide only by a massive public health effort. But the current vaccine is also dangerous, expected to cause hundreds of deaths and sicken thousands more if it is offered on a large scale.
But top government health officials said Thursday that reinstating the smallpox immunization program after 30 years is something the country must consider -- and the decision should not be made in a vacuum. Nor is the United States alone. The Russian Health Ministry said Tuesday it was also considering resuming vaccinations against smallpox.
For months, the government has been debating internally whether the public should have access to the vaccine once there are sufficient supplies, sources said.
But Thursday, the government's top health officials said the discussion should be taken to congressional hearings and town hall meetings across the nation, to get public input on a topic with sweeping implications.
"I think it would be productive and healthy to have an open dialogue," Fauci said.
The Sept. 11 attacks and the anthrax mailings have heightened worries about a bioterrorist releasing smallpox. Because many people have never been vaccinated, it would be an attractive bioweapon.
Although there is no evidence that such an attack is imminent, government officials have been seeking to secure a civilian stockpile of 286 million doses -- enough to vaccinate the entire U.S. population in the event of an outbreak.
The government already has 15.4 million doses, which can be diluted up to five times, producing 77 million effective doses, according to two studies published Thursday by the New England Journal of Medicine.
The stockpile will include a 155 million-dose order from BioReliance of Rockville, Md., and an earlier 54 million-dose order with the company, which Fauci said should all be available by year's end.
The government is also negotiating to buy at least 70 million doses recently discovered in a drug company's freezers. If that supply can be acquired quickly, and holds up to dilution, it is conceivable there will be enough vaccine for every American soon.
"Now we have to have the discussion of how aggressive we recommend vaccinating this country," said Dr. Martin Fenstersheib, Santa Clara County's health officer. "And we have to be very cautious."
While the smallpox vaccine rarely produces severe side effects, when it does, they can be fatal. People with AIDS, eczema or organ transplants would be most likely to suffer serious consequences and would be encouraged not to receive vaccination.
But even in healthy adults, headaches, fever, muscle aches, chills, nausea, fatigue and rashes are common during the first two weeks after inoculation, according to one of the new studies, carried out by researchers at Saint Louis University. While those side effects were considered minimal, a third of the more than 675 people who got the vaccine missed work, school, sleep or recreational activities because of it.
"This is a particularly dangerous vaccine compared to those we use routinely," said Dr. Edward W. Campion, senior deputy editor of the New England Journal of Medicine.
The death rate for smallpox vaccination in healthy adults is about one per million, meaning an estimated 180 people would die if all American adults were vaccinated. Many more people with compromised immune systems such as AIDS patients would also die if they received the vaccine.
While tragic, this is fewer than the number of Americans killed in car wrecks every two days. And it is far fewer than the hundreds of thousands of people who would likely die if an outbreak occurred in America and the population wasn't immunized.
"I see many benefits and small risks," said Dr. Bill Bicknell, a professor of public health at Boston University School of Public Health, who is calling for a nationwide vaccination campaign.
Every person infected with smallpox could conceivably spread the disease to as many as 20 or 30 other people, who would in turn quickly spread it to others, Bicknell said. Containing the disease by vaccinating the public only after an outbreak occurs would be chaotic, short-sighted and nearly impossible, Bicknell said.
Bioterrorism experts believe smallpox would be a weapon of choice because it is so easily spread, undetectable until days after an attack with no known cure.
While health departments across the country have been scrambling to prepare for such a possibility, only one-fourth have bioterrorism preparedness plans in place, according to Tom Milne, executive director of the National Association of County and City Health Officials.
Administering hundreds of thousands if not millions of doses on an emergency basis would be a logistical nightmare if a smallpox outbreak were to occur now. Many experts believe administering the vaccine over time on a voluntary basis would be much easier.
"We're not ready, although the degree of readiness varies from community to community," Milne said.
Contact Julie Sevrens Lyons at jlyons (at) sjmercury.com or (408) 920-5989.
Contact Lisa M. Krieger at (408) 920-5565.
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by big brother
(No verified email address)
01 Apr 2002
I thought the only two known samoles of small pox were in the cdc in the us and another lab in moscow. Why should anyone worry that that is not true.
HA HA HA