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White House's smallpox vaccination plan is a sensible approach to protecting the
nation against a possible bioterrorist attack. It will start with the two groups
that most need protection military troops and civilian health personnel who
would respond to any smallpox attack. Then it will make the vaccine available to
the general public without recommending that anyone take it. With mounting
concerns over the safety of the vaccine, and with enormous uncertainty over
whether rogue nations like Iraq or terrorist groups like Al Qaeda can launch a
smallpox strike, this step-by-step approach has much to recommend it.
The vaccine will be given first to 500,000 military service members,
including health units and troops that might be involved in military action
against Iraq. The smallpox virus would have little value as a tactical
battlefield weapon it takes 10 to 14 days before making people sick but it
could sicken and terrorize unvaccinated troops who remain in the area for some
time.
The vaccine will also be offered on a voluntary basis to some 435,000 or more
civilian health care workers and emergency responders who would be the first to
encounter contagious smallpox victims after an attack. This is a prudent step
because hospitals have historically magnified the spread of smallpox, with one
sick patient infecting others as well as the medical staff. Health and emergency
workers need vaccination for their own protection and to lessen the likelihood
that some might flee in terror from smallpox patients, just as some doctors once
refused to care for AIDS patients.
In a second phase, the vaccine will be offered to some 10 million additional
health and emergency workers. If enough accept, they could provide a sizable
group in which to assess adverse reactions.
President Bush went out of his way yesterday to discourage the public from
taking the vaccine. He stressed that there was no evidence that a smallpox
attack is imminent, and said the government was not now recommending mass
vaccination. Citizens who "insist on being vaccinated" will be accommodated,
possibly starting in late spring or summer next year.
The main protection for the public right now is a stockpile of vaccine that
could be administered to everyone after any attack. There is enough to inoculate
everyone, the president said, and the vaccine can protect people who receive it
up to four days after exposure to the virus. But there is some doubt as to how
quickly the vaccine could be distributed after an attack. Mr. Bush is right to
give well-informed citizens access to the vaccine in advance if they want it.
ALL INFORMATION, DATA, AND
MATERIAL CONTAINED, PRESENTED, OR PROVIDED HERE IS FOR GENERAL INFORMATION
PURPOSES ONLY AND IS NOT TO BE CONSTRUED AS REFLECTING THE KNOWLEDGE OR OPINIONS
OF THE PUBLISHER, AND IS NOT TO BE CONSTRUED OR INTENDED AS PROVIDING MEDICAL OR
LEGAL ADVICE. THE DECISION WHETHER OR NOT TO VACCINATE IS AN IMPORTANT AND
COMPLEX ISSUE AND SHOULD BE MADE BY YOU, AND YOU ALONE, IN CONSULTATION WITH
YOUR HEALTH CARE PROVIDER.
"A foolish faith in authority is the worst enemy of truth."
-- Albert Einstein, letter to a friend, 1901
"I know of no safe depository of the ultimate powers of the society but the people themselves, and if we think them not enlightened enough to exercise control with a wholesome discretion, the remedy is not to take it from them, but to inform their discretion by education."
-- Thomas Jefferson, letter to William C. Jarvis, September 28, 1820
"What's the point of vaccination if it doesn't protect you from the unvaccinated?"
-- Sandy Gottstein
"Who gets to decide what the greater good is and how many will be sacrificed to it?"