Washington - The Department of Defense's vaccine acquisition program is
underfunded and poorly organized, limitations that put military
operations, the health of personnel and national security in jeopardy, an
Institute of Medicine panel said Friday.
The congressionally appointed panel, convened in April 2000, urged the
Pentagon in a 133-page report to make vaccine acquisition a higher
priority and create a single authority responsible for acquiring vaccines
for the military.
"Limitations in the acquisition process make the path from basic research
to the procurement and use of vaccines both inefficient financially and
cumbersome," the report said. "This approach risks the success of military
operations and the health of personnel and potentially places national
security at risk."
Infectious diseases have historically been a concern in military
campaigns, and recent threats of bioterrorism, last year's anthrax
mailings and the possibility of a U.S. attack on Iraq, which is believed
to be stockpiling biological weapons, have raised concerns about U.S.
vaccine supplies.
The panel said the biggest problems in the Department of Defense vaccine
programs are that too many agencies have overlapping responsibilities. One
part of the department purchases and maintains licensed medical products
including vaccines, while a number of different Department of Defense
agencies oversee research and development.
In addition, the department has divided its programs in a way the
committee says "makes no sense." The U.S. Army Medical Research and
Materiel Command acquires vaccines for infectious diseases, while the
department's Joint Vaccine Acquisition Program, acquires vaccines for
biological agents used as weapons.
Spokesmen for the Pentagon and Army could not be reached by phone. In an
e-mail, Department of Defense spokesman Jim Turner said: "We appreciate
the thoughtful work of the IOM on this important matter and will be
studying their recommendations carefully. In the meantime, no decisions
about the report have been made."
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"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?"