Michael White and Tania
Branigan
Tuesday July 30, 2002
The Guardian
The government last night came under renewed pressure to justify its choice
of vaccine to protect 60 million Britons against the threat of a smallpox
attack by terrorists, after US scientists cast fresh doubt on the efficacy
of the Lister vaccine purchased in response to September 11.
Ministers have insisted that their purchase was based on expert advice
within the Department of Health with outside assistance, including the
Ministry of Defence.
But national security considerations have prevented the health secretary,
Alan Milburn, being able to justify the decision scientifically in the face
of claims that the contract to provide 20 million jabs went to Powderject
because its boss, Dr Paul Drayson, gave £100,000 to the Labour party.
With the Bush administration purchasing 200 million doses of the rival
EM63 vaccine, developed by the Soviet Union in the 1950s in its
narrowly-successful effort to avoid a smallpox epidemic being spread by a
traveller from India, the pressure to explain Whitehall's decision
intensified yesterday.
Steve Prior, a senior scientist at the reputable Potomac Institute in
Washington, told the Times that trials in the US had suggested that the EM63
vaccine stands up to the most likely threat - a smallpox virus developed
from the Indian strain and known as the "battle strain" - better than the
Lister vaccine in the kind of epidemic conditions which homeland defence
planners believe the west faces from states like Iraq.
As the most feared possible assailant, Iraq is assumed to have the battle
strain virus from old Soviet stockpiles. It was the only source left outside
the US after smallpox was officially eradicated in 1980. The Lister strain,
Dr Prior claimed, is better at protecting populations where smallpox has
already been wiped out. The point is disputed.
The World Health Organisation and independent scientists told the
Guardian earlier this year that the different vaccines were equally
effective in countering different strains of smallpox. Department of Health
sources stressed last night, as they did throughout the controversy over the
£28m Powderject contract - and Dr Drayson's two £50,000 donations - that
they acted on scientific and military advice. "Our problem is that we cannot
really talk about our reasons."
But Dr Ian Gibson, Labour MP for Norwich North and a microbiologist who
chairs the Commons science committee, complained last night that too much
unwarranted secrecy still surrounded the British decision. "There is no
scientific evidence I have seen that one strain is better than the other.
The American strain is probably better trialed, but it's all shrouded in
secrecy. We don't know if the DoH or the MoD made the decision."
Dr Gibson's campaign to find out more is based on scientific curiosity,
not a hunch that ministers were guided by a party donation. "The decision
could have been taken on Rule Britannia grounds that it's a British strain,"
he admitted.
The Lister vaccine has been used before in Britain and across Europe,
meaning that doctors and medical experts are more experienced in
administering it and dealing with side-effects than they would be in
handling the alternative. It is thought that one of the reasons the US chose
the rival version was that it was the kind that had used in America in the
past.