SF Hospital Staff Not Likely To Get
Smallpox Vaccine City's Department Of Health Forbidding Health
Workers From Receiving One
Mar 4, 2003 11:46 am US/Pacific
SAN FRANCISCO(AP)The city's Department of
Public Health has forbidden health workers who
have direct contact with patients from receiving
smallpox vaccinations unless they can find a way
to avoid patients.
Dr. Susan Fernyak, director city's heath
department communicable disease prevention and
smallpox planning, confirmed to the San Francisco
Chronicle that patients with HIV, cancer and skin
conditions could stand at risk of infection if
they were to come in contact with vaccinated
health workers.
The smallpox vaccine is itself an infectious agent
and there is a risk that newly immunized hospital
workers could accidentally transmit cowpox to
patients.
With a tight budget and little wiggle room for
scheduling, the city policy effectively represents
a ban on the vaccine for San Francisco General
Hospital staffers.
"We didn't want anyone who is vaccinated, and is
still infectious, to be working with patients
directly," Fernyak said. "We have a high number of
patients with HIV, with certain skin conditions,
with cancer, with transplanted organs or who are
taking immunosuppressive agents."
A few doctors and administrators have found ways
to juggle their schedules so that they can get
vaccinated and avoid patients, Fernyak said.
Tom Skinner, a spokesman for the Centers for
Disease Control and Prevention, said the risk of
bioterrorism should not be taken lightly and that
any reluctance of hospital workers to be
vaccinated could be shortsighted.
"Here's the problem: I don't think anyone knows
what an attack would look like," he said. "Would
it be one case in Middletown, USA? Or a thousand
cases at different locations? You must have people
in place to vaccinate people."
Nurse union activists say most nurses at San
Francisco General Hospital support the policy
which requires that vaccinated workers refrain
from direct contact with patients.
"If you want to get the vaccine, and you've got
vacation time on the books, go out and use it,"
said Lorraine Thiebaud, vice president of Service
Employees International Union Local 790.
Kaiser Permanente has put plans on hold to
vaccinate its first-response staffers. Dr. David
J. Witt, chair of Kaiser's infectious disease
program, told the San Francisco Chronicle that
Kaiser's doctors might be more willing to get the
smallpox vaccination than union workers because
the physicians have a better disability package.
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?"