More on FORCED VAX

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" Massachusetts and other states have laws allowing authorities to force

mass vaccination to stem outbreaks of smallpox or some other highly

contagious disease. But the federal government has no enforceable way of

guaranteeing widespread vaccination, even as it prepares to spend billions

of dollars to increase vaccine stockpiles and beef up the public health

infrastructure.'

http://dailynews./h/nm/20011105/hl/vaccination_1.html

November 5 5:25 PM ET

Expert: Federal Law Needed on Smallpox Vaccination

By Todd Zwillich

WASHINGTON (Reuters Health) - Public health officials must have the

authority to quarantine and forcibly vaccinate the entire population--with

the help of the military if needed--in the event of a smallpox attack on

the US, a bioterrorism expert said Monday.

Massachusetts and other states have laws allowing authorities to force mass

vaccination to stem outbreaks of smallpox or some other highly contagious

disease. But the federal government has no enforceable way of guaranteeing

widespread vaccination, even as it prepares to spend billions of dollars to

increase vaccine stockpiles and beef up the public health infrastructure.

``You can't have a patchy response. There has to be compulsion'' to

vaccinate in the event of the attack, said Dr. D. Prior, the

research director at the National Security Health Policy Center.

``Each state has different laws and that's one of the problems,'' he said.

The government is in the process of procuring 300 million smallpox vaccine

doses, enough for every person living in the US. Officials from the Centers

for Disease Control and Prevention (CDC) say that they have no plans to

institute mass vaccination because there is currently no identifiable

threat of a smallpox attack.

Smallpox vaccination used to be routine, but regular inoculations were

stopped in 1972. About 40% of the US population has never been vaccinated

and lacks immunity to the disease, which is fatal in about one third of cases.

Authorities currently plan to deal with any possible smallpox outbreak by

vaccinating in a widening circle around a newly discovered case. Such a

practice is useful with a relatively fixed population, but would

essentially be useless as unsuspecting citizens carry the virus onto planes

traveling across the country, Prior said.

Dr. Anita Barry, the communicable disease control director for the Boston

Public Health Commission in Massachusetts, told a Senate subcommittee last

Friday that states needed the authority to confine infected persons to

their homes for quarantine.

Federal law gives the US Surgeon General the authority to vaccinate and

quarantine individuals to protect the public health. ``But he has no means

of enforcing it,'' Prior said.

A spokesman for Senate Health, Education, Labor, and Pensions Committee

Chair Kennedy (D-MA) said that federal law on mass vaccination is

not part of the bioterrorism bill lawmakers are expected to consider soon.

``We've heard the issue but we've done nothing with it,'' said spokesman

Manley.

Military planners are currently mulling whether or not they should have a

role in enforcing mandatory mass vaccinations or quarantines in the event

of a highly contagious biological attack, said Edgar H. Brenner, the

co-director of the Inter-University Center for Legal Studies in Washington.

Brenner told reporters that he had discussed the potential plans with

high-ranking military officials. ``They had no answer yet,'' he said. But

Pentagon spokesman could not confirm the conversations Brenner

mentioned or that officials are discussing such plans.

Prior acknowledged that the potential for federally enforced mandatory

vaccinations could arouse anti-government sentiments in some sectors of the

American public. Any mass-vaccination policy would also have to take into

account the vaccine's side effects. Historically, the smallpox vaccine

caused serious reactions in about 1 in every 4,000 persons and death in

about 4 per 1 million.

``The debate has to take place, and the public has to be involved,'' he said.

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Sheri Nakken, R.N., MA

Vaccination Information & Choice Network, Nevada City CA & UK

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