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BUSH TO ANNOUNCE PLAN FOR SMALLPOX VACCINATIONS
By Elizabeth Cohen and Ann Curley
Tuesday, November 26, 2002
WASHINGTON (CNN) -- President Bush is expected to announce a plan in the
next few weeks to protect 500,000 health workers by vaccinating them against
smallpox, an administration source said.
Under the White House plan, that program will be followed by a second wave
of vaccinations for 7 million to 10 million more health workers,
firefighters, police and first responders.
The vaccine also would be made available to the public, through voluntary
participation in clinical trials, but the government would not recommend
that anyone besides health workers and first responders take the vaccine,
the official said.
Ever since the September 11, 2001, terror attacks, President Bush has been
weighing the potentially devastating effects of a possible smallpox
bioterror attack versus the sometimes lethal side effects of the vaccine.
The administration has consulted with health officials across the world to
make what has been described as an anguished decision about whether -- and
whom -- to vaccinate.
"There's no question that the president feels the concern, the anguish.
That's why it's taken so long [to make the decision]," said the
administration official, who spoke to CNN only on condition of anonymity.
"He wanted to understand the issue and get advice from many people. This is
not an easy decision to make. At the end of the day, we could kill some
The official added: "On the other hand, if we're not prepared, how do you go
back and look in the mirror and say, 'We could've vaccinated people and been
better prepared, but we didn't want to stand up to a tough decision.'"
Smallpox kills one in every three people it infects, and most survivors are
The source said Bush was shown photographs of people who had complications
from the vaccine, as well as pictures of those with smallpox.
According to health officials, one or two people will die out of every 1
million people vaccinated. An additional 15 people per 1 million people
vaccinated for the first time will suffer life-threatening complications.
Scores more will fall sick, with fevers and swollen lymph nodes.
The contagious disease killed more than 15 million people a year in the
1950s. In the last century alone, smallpox claimed the lives of 500 million
Public health experts have said the decision to vaccinate is one of the
toughest public health decisions a president has ever faced, and the
discussions have taken a toll on those involved.
"I have been agonizing over this and lost sleep over this ... People will
die," the official said.
Asked what it will feel like when the first reports of people dying as a
result of the vaccine come in, this source said, "I'm going to feel
horrible, but you have to balance this as a national security issue."
Under the vaccination plan, the administration will first make the vaccine
available to 200 to 250 people at each of the nation's 5,000 hospitals. But
the administration expects only half of the nation's hospitals to
participate because of the risks involved with the vaccine itself. In
addition, individuals may also decide the vaccine isn't worth the risk.
The total number vaccinated in that first round is expected to be about a
half-million people, the official said. People in that group would be those
at the greatest risk of occupational exposure, such as emergency room
workers, infectious disease specialists and intensive care workers.
The second round would be available to 7 million to 10 million first
responders -- health care workers, firefighters, police and other emergency
Members of the general public who wish to receive the vaccine could
participate in clinical trials. The administration official said authorities
don't believe there is a sufficient risk at this time of a smallpox attack
to warrant recommending a general vaccination for the public.
What could happen
The Department of Health and Human Services has asked all 50 states to
submit a mass vaccination plan by December 1, to be used in case of an
actual smallpox attack.
The fact a vaccine plan is to be implemented for the first time in two
decades seems to underscore the concern of a potential smallpox bioterror
Although smallpox was eradicated in 1980, intelligence officials have said
they believe Iraqi President Saddam Hussein has stores of the virus. An
attack on the United States could be devastating because vaccinations
stopped in 1972. About half of all Americans have never been vaccinated, and
those who were vaccinated are believed to now have limited immunity if any.
What would happen if a major smallpox outbreak hit in the United States?
The administration official said if there were a large number of cases, the
government would then recommend that every person eligible in the nation get
the vaccine. (About 30 million to 40 million people would be ineligible for
the vaccine if they have any of a variety of pre-existing conditions,
ranging from pregnancy to cancer to eczema.)
"We have enough vaccine for every man, woman and child right now, with some
to spare," the official said.
Some U.S. health officials are in Israel, where the government is at the end
of vaccinating 15,000 health workers and first responders. Israel is sharing
its findings with U.S. health officials, and so far there have been no
reports of severe consequences.
However, unlike the U.S. plan, the Israelis are giving the vaccine only to
those who had previously been vaccinated -- people who doctors say are less
likely to suffer consequences from the vaccine.
* The last natural smallpox case was in Somalia in 1977.
* Vaccine effective if given within 4 days of exposure.
* Vaccine does not contain the smallpox virus.
* Vaccine is made from a virus called vaccinia.
* 15 per million vaccinated experience serious complications.
* 1-2 people per million will die from vaccine.
* Most Americans under 30 haven't been vaccinated.
* 1 case is considered a public health emergency.
PREVIOUS NHNE NEWS LIST ARTICLES:
PROPOSAL TO TEST SMALLPOX VACCINE IN YOUNG CHILDREN (11/7/2002):
PENTAGON HAS SMALLPOX PLAN FOR TROOPS (11/7/2002):
FORCED VACCINES HAUNT GULF VETS (11/7/2002):
FEDS PUSHING TOXIC ANTHRAX DRUG? (10/30/2002):
GI GUINEA PIGS (10/30/2002):
AN EPIDEMIC OF AUTISM (10/19/2002):
VACCINATED PEOPLE CAN TRANSMIT VACCINIA VIRUS (10/17/2002):
ANCIENT & ALTERNATIVE REMEDIES FOR BIOTERRORISM (10/12/2002):
PENTAGON PLANS SMALLPOX SHOTS FOR UP TO 500,000 (10/12/2002):
SMALLPOX VACCINE GUIDELINES READIED (9/23/2002):
SMALLPOX OUTBREAK: WHAT TO DO (8/20/2002):
DOUBTS OVER SMALLPOX VACCINES EMERGE (7/30/2002):
TWO ARTICLES: MMR VACCINATIONS CONNECTED TO AUTISM (8/10/2002):
CONGRESSMAN CALLS FOR CRIMINAL PENALTIES AT VACCINE MERCURY HEARINGS
U.S. TO VACCINATE 500,000 WORKERS AGAINST SMALLPOX (7/7/2002):
LIVING WITHOUT VACCINATIONS (12/8/2001):
LEADING DOCTORS' GROUP OPPOSE MANDATORY VACCINATIONS (11/4/2001):
SMALLPOX VACCINATION 101:
NATIONAL VACCINE INFORMATION CENTER (NVIC):
DR. CLASSEN'S VACCINE SITE:
VACCINE INFORMATION AND AWARENESS (VIA) WEB SITE:
CONCERNED PARENTS FOR VACCINE SAFETY:
ANTHRAX VACCINE INFORMATION:
DR. TIM O'SHEA'S THEDOCTORWITHIN.COM:
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