I read with interest your recent report
that Florida will begin vaccinating first responders against smallpox ("Low
turnout feared for smallpox shots plan," April 25). As an infectious disease
physician in Wisconsin who has helped administer the program locally and who has
seen several severe vaccine complications, I believe it is an unwise decision.
The cost and resource issues are
well-known and do not need to be reiterated. What is more important is the
significant health risk of the vaccine. The Centers for Disease Control and
Prevention noted 45 serious complications, including 10 confirmed or probable
cases of myocarditis (heart inflammation) and four heart attacks, two fatal,
among the 33,444 civilians vaccinated so far. That is a risk of 1 in 740, which
is far and above any risk we would consider acceptable for a medical treatment.
In La Crosse we have seen a severe case
of myocarditis requiring intensive care unit admission and a fatal illness
possibly linked to the vaccine. The current vaccine is a live virus, which
causes complications in unpredictable ways. Ironically, safer vaccines exist and
have been used in the past in other countries; they are currently being
investigated for approval in the U.S.
The program nationally has been rather
unsuccessful, with less than 10 percent participation of the target group of
health workers. The serious complications and lack of adequate compensation for
illness have kept recipients away in the absence of an actual smallpox outbreak.
Why any state would want to build upon this failure by expanding the program is
anyone's guess. The result is predictable: more vaccine complications, and
possibly more deaths, for no discernible gain
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"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?"