State plans smallpox
vaccination
By Associated Press
Tuesday, September 24, 2002
BOSTON - Approximately 20,000 Massachusetts health workers in
emergency rooms or ambulances and specialists in skin disease will be
eligible to receive the smallpox vaccine later this year, state health
officials said.
The state Department of Public Health last week completed its plan under
a federal advisory committee's recommendation that state's offer the vaccine
to health care workers who would be the first to come into contact with
smallpox during a bioterrorism attack.
The federal government will provide smallpox vaccine at no cost to the
states. Massachusetts hospitals were expected to schedule the vaccinations
over a six- to 12-month period, starting by year's end.
The draft plan for Massachusetts is to be presented to an advisory panel
on Oct. 1, and will go to the Department of Public Health later for a final
decision.
The smallpox vaccine so far is not available to the public. The Centers
for Disease Control and Prevention reported yesterday that the government
has 155 million doses available, and expects to have enough for all 288
million Americans by the end of the year.
The vaccine contains a virus called vaccinia, not smallpox. The main risk
of the vaccinations, according to health officials, is that a small number
of people who receive it could have severe side effects; 1 in a million
cases die from the dosage.
Dr. Alfred DeMaria, director of communicable disease control at the
Department of Public Health, said the vaccine could harm people, or be
spread by infection.
"I think they (the public) are still thinking as if it is 1962 and think
vaccination is no big deal, sort of like a flu shot, when actually it is a
live vaccine virus, a little ulcer on your skin that has virus dripping from
it," said DeMaria, who helped write the state's vaccination plan.
He said the state plans to be cautious, monitoring people who initially
receive the vaccine to determine whether the virus is contained by a thick
wrap placed around the vaccination lesion.
In a briefing yesterday, federal health officials said that if the
vaccine is given to all Americans, about 300 people would probably die from
complications, and others would suffer from side effects. However they said
a smallpox outbreak would probably kill about one-third of those infected.
Although the vaccine itself is free, hospitals might incur large costs
for heightened medical attention to those vaccinated, including any
furloughs the health care workers might need.