By
Sandra Jontz, Stars
and Stripes
European edition, Thursday, January 30, 2003
WASHINGTON — Two military members recently showed
“significant adverse effects” to the smallpox vaccine, though
the symptoms are not life-threatening, defense officials said.
One of the two patients began showing the adverse signs over
the weekend and the other on Tuesday, Army Lt. Col. John
Grabenstein, deputy director for military vaccines, said
Wednesday during a health conference.
Because the two cases are being reviewed, he declined to
provide information such as the patients’ sexes, ages, whether
they are deployed overseas or serving in the United States,
active duty or guard or reserve, or give a general description
of the side effects and what type of medical treatment the two
are receiving.
However, once their case reviews are complete, which should
occur within the next few days, Grabenstein said much of that
kind of information would be made public, to include being
posted on the Defense Department’s official smallpox Web site:
www.smallpox.army.mil .
“We want the whole story correct the first time,” he said.
Since President Bush ordered on Dec. 13 a mandatory smallpox
vaccination program that eventually will tap roughly 500,000
troops, about 3 percent of those vaccinated have lost one or
more days at work or reported side effects such as fever or
malaise, Grabenstein said. There have been no reported deaths.
To date, roughly 3,000 military health-care workers have
gotten the vaccine. The number in the operational force is not
releasable to the public, he said.
However, both the Center for Disease Control and Prevention
and the Food and Drug Administration are updated weekly on the
number and health status of vaccinated troops.
Targeted troops include those on emergency response teams,
troops deployed to the front battle lines, and those living in
high-risk areas of the globe. For security reasons, the
high-risk areas are not being publicly identified.
It has been reported that troops deployed to the Middle East
region have been vaccinated.
Side effects from the vaccine range from flulike symptoms to,
in extreme cases, death. Experts have estimated that one to four
people out of every million vaccinated could die from the
vaccine.
In the past, about 1 in 1,000 vaccinated people experienced
reactions that were serious, but not life-threatening, according
to the Web site. Most reactions involved the spread of vaccine
virus elsewhere on the body.
The vaccine is made from a live virus, and if the inoculation
site is touched, and people touch another part of their body, it
can spread.
Historically, roughly 30 percent of those exposed to the
disease die.
And while the program is mandatory, some servicemembers with
health conditions will be exempt, including those with
compromised immune systems (such as those who are HIV positive),
skin conditions like eczema, cancer patients, and women who are
pregnant or breastfeeding.
Servicemembers who are HIV positive can still serve; however,
they are not deployable.