Governors seek
access to smallpox vaccine

By Ralph Z. Hallow
THE WASHINGTON
TIMES
DANA POINT, Calif. — The Bush administration has come under fire
from the governor of South Dakota, who says that the government needs to
be more aggressive in making its smallpox vaccine stockpile available to
the public in anticipation of a terrorist attack.
With military action against Iraq looming on the horizon, Gov. Bill
Janklow at a meeting of Republican governors asked Health and Human
Services Secretary Tommy G. Thompson why the federal government has not
begun sending at least a part of its smallpox vaccine stockpile to the
states to begin inoculations immediately in advance of expected
terrorist attacks.
Mr. Thompson told the governors that the vaccine stockpile was for
use in the event of an attack, not in anticipation of such an attack.
Mr. Thompson, a former Wisconsin governor, said that much of the
smallpox vaccine was awaiting federal approval for use, and that the
earliest delivery to the states would be December 2003.
The governors, assembled for the Republican Governors Association's
(RGA) annual conference this weekend, shared their security concerns
with Mr. Thompson.
As a war with Iraq looms and with it heightened expectations of
terrorism against the United States, the RGA showed its concern by
devoting the opening plenary session to preparations for dealing with
terrorist attacks.
Mr. Thompson urged the governors to get their plans for
immunization against smallpox to him as soon as possible. "We're going
to be able to immunize every man, woman and child in America, usually on
a voluntary basis, but there has to be a plan.
"You can imagine, if we do go to war in Iraq, and there is some
kind of smallpox epidemic, all of you are going to be held responsible
if you are not prepared," Mr. Thompson warned.
But Mr. Janklow, who is leaving the governorship and won election
to the U.S. House on Nov. 5, said, "All of us here were made aware of
the crash basis on which the administration decided to move on
smallpox."
He said 70 percent of the people exposed to the smallpox virus in
the event of a bioterror attack will contract the disease, and 30
percent will die. There is no cure after the first three to five days,
unless the vaccination is administered.
Without mentioning Iraq, Mr. Janklow said the Bush administration
is privy to information about what countries possess stockpiles of the
smallpox virus and might use it against the United States.
"You know where it is, you know who has it," he told several
representatives of the Bush administration. "And you've created 290
million doses of smallpox vaccine on a crash basis. Now the rhetoric is
going around about how people don't want it."
Mr. Janklow said the quicker the federal government "moves to make
it available, the more surprised you'll be how many places there are in
America where most of the people will get the shots."
Mr. Janklow argued that the time to give the vaccine should be
before, not after, a bioterrorist attack.
Mr. Thompson responded by saying that one reason for the delay in
administering vaccines is that the government has 75 million doses not
yet licensed by the Food and Drug Administration.
He said that some of the side effects of the vaccine include
inflammation of the brain, physical disfigurement and even death.
"This vaccine is very potent, and in order to do this," Mr.
Thompson said, "we have to get an antidote. We have some of it, not
enough, but will have enough shortly."
He said the president has to make a decision about "how to
vaccinate — all the health care workers, the first responders, police
and firemen — or everybody who wants to get it."
"But right now we do not have a licensed vaccine, and it is our
position that we'd like to have the FDA approval, the safety approval,
before those vaccines are given out to the American public."
He said 80 percent of the governors already had forwarded
bioterrorism spending plans to Washington and received a share of the
$1.1 billion his department set aside for help in bioterrorism defense.
"And we'll get another $1.5 billion, as soon as Congress
appropriates the money," Mr. Thompson said.
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