Israel Begins Vaccinating Health Workers for Smallpox
By SERGE
SCHMEMANN
ERUSALEM,
Aug. 16 — With concerns mounting that an American attack on Iraq
could provoke some form of retaliatory strike against Israel, the
Health Ministry has begun vaccinating about 1,500 health workers
against smallpox, a spokesman said today.
The spokesman, Ido Hadari, stressed that the vaccinations were a
preliminary measure, involving those who, if Israel decided on
broader measures, would be charged with administering the vaccine to
others.
He said the security cabinet would meet on Wednesday to discuss
whether to extend the vaccinations to "first responders": police
officers, soldiers, emergency medical personnel and hospital workers
who would be involved in an immediate response to a biological
attack. These could number as many as 150,000.
The vaccinations, he said, began early last month. About 700
people have received them, and about 800 more are scheduled. "If in
the future, Israel will decide to vaccinate people, they will be the
ones to do the vaccination, so it's wise to know that they are
already vaccinated," Mr. Hadari said.
They could also, he said, provide vaccinated plasma — "vaccine
immune globulin" — which can be used to protect people who cannot
take the regular vaccine, like pregnant women and people with
compromised immune systems.
Other health precautions are being taken or are under
consideration. Israel's Atomic Energy Committee has said that iodine
tablets offering limited protection against radiation will be given
soon to people living near Israel's two nuclear reactors. The agency
linked the measure to the possibility of a radiation leak, but the
Israeli news media has been full of speculation about what Iraq
might do if it came under an American attack, which Israel considers
increasingly likely.
Yediot Ahronot, a mass circulation tabloid, for example, devoted
its first four pages on Thursday to the biological, chemical or
radioactive agents that Iraq could launch at Israel, including
smallpox, Ebola, anthrax and radioactive "dirty bombs."
Though the United States and other countries are also intensely
studying the possibility of biological and chemical attacks, the
threat is far more immediate in Israel. During the 1991 Persian Gulf
war, Iraq responded to American-led attacks by firing a total of 39
Scud missiles at Israeli cities.
They were armed with conventional explosives and caused little
damage, but Israel, concerned about the possibility that they might
be charged with chemical or biological agents, distributed gas
masks.
With the Bush administration openly weighing a military operation
to eliminate the Iraqi leader, Saddam Hussein, the tension is
palpable. The most dire speculation has been that Israel, which is
known to have developed a nuclear weapon but formally denies having
done so, would launch a nuclear strike against Iraq if it came under
attack.
So far, the government has sought to avoid worsening the fears by
toning down public discussion of the threats. But the smallpox
vaccinations, and reports that Israel's Home Front Command intends
to include iodine tablets with the gas mask kits that it already
distributes, have made clear that serious preparations are under
way.
The Israeli military has also confirmed it is deploying a second
battery of Arrow missiles, which destroy incoming missiles by
exploding in their path, in the center of the country.
Smallpox, a lethal and highly contagious disease, was declared
eradicated in 1980 by the World Health Organization, but small
quantities of the smallpox virus were retained in depositories in
the United States and the former Soviet Union. Though there is no
evidence that Iraq has the virus, intelligence officials have been
unable to preclude the possibility.
The intensity of the concern was made clear this week when Aryeh
Eldad, the head of the team advising the Health Ministry on
epidemiological control, resigned to protest the ministry's
rejection of his recommendation to immediately inoculate the entire
population.
The health minister, Nissim Dahan, said on Wednesday that Israel
had stockpiled enough vaccine to inoculate the population within a
few days. Officials said Mr. Eldad's position was a minority
opinion, but they acknowledged that his resignation could force the
government's hand.
If Israel does decide on mass vaccination, officials said, the
national health system, with its network of clinics, should be able
to swiftly accomplish it.
"Following Sept. 11, we have prepared ourselves for any scenario,
including that of smallpox," Mr. Dahan told Israel Radio. "The
Health Ministry is making every effort to complete the inventories
of all the medications needed to vaccinate the population. The
moment that we receive such an order, the population of the state of
Israel can be vaccinated within a few days."
Edward H. Kaplan, a specialist of management sciences and public
health at Yale who has been working on responses to bioterror
attacks and who recently visited Israel, noted that it has a
"distinct organizational advantage" over the United States, since
most civilian doctors are also reserve military officers. He said he
was told that in the event of an attack, the response would be
coordinated by a joint team from the Health Ministry and the army.
Mr. Kaplan said Israel had rejected "ring vaccinations" — a plan
considered by the United States — in which people would be
vaccinated in a ring around a known infection. If the Israelis
determine a need, he said, they will vaccinate everyone.
Israeli Troops Raze 2 Homes
JERUSALEM, Aug. 16 (Reuters) — Israel destroyed two homes today
that they said belonged to families of Palestinian militants. The
Israeli Army said soldiers blew up the home of Iyad Sawalha near the
West Bank city of Tulkarm because of his hand in planning a bus
bombing in June near the northern town of Megiddo that killed 17
people. Mr. Sawalha is believed to be in hiding.
Troops also razed the house of Morad Abu Asal in Anabta, near
Tulkarm. The army said Mr. Abu Asal carried out a January suicide
attack in Taibeh, an Arab village in northern Israel, that wounded
two security officials.
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