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Volunteers Line Up to Test Limits of Protection Against Smallpox
New York Times ^ | November 3, 2001

Posted on 11/03/2001 4:09:05 AM PST by tallhappy

November 3, 2001

THE VACCINE

Volunteers Line Up to Test Limits of Protection Against Smallpox

By THE NEW YORK TIMES

ST. LOUIS, Nov. 2 — Six student volunteers became the first people to receive smallpox vaccine here today as part of a study to determine whether existing stockpiles of the vaccine can be stretched to protect more Americans from bioterrorism.

"I thought this is an amazing opportunity," said Alison Hayes, a law student at Saint Louis University. "I can be vaccinated for my own protection and have the chance to help others should there be a smallpox outbreak."

Ms. Hayes, 26, of University City, a St. Louis suburb, is part of a study at the Center for Vaccine Development at Saint Louis University School of Medicine. In two to three months, 171 people, ages 18 to 32, will receive varying strengths of the vaccine.

Smallpox, a highly contagious viral disease, was eliminated in 1980, but some terrorism experts fear that terrorists may have stockpiles.

In the United States, routine vaccination against smallpox ended in the 1970's. The government is making plans to produce enough new vaccine to immunize all Americans.

Meanwhile, the government wants to see if the existing 15 million doses of the vaccine could be diluted to deal with an outbreak. The National Institutes of Health is financing the study here and at three other locations.

Dr. Sharon E. Frey, an associate professor and the lead investigator in the Saint Louis University study, will inject volunteers with vaccine at full, one-fifth or one-tenth strength.

A similar study of 60 volunteers last year showed that 95 percent of those given full-strength vaccine were effectively immunized, compared with 70 percent of those given the one-fifth dilution. "The results with the one-to-ten solution were disappointing," Dr. Frey said.


TOPICS: Front Page News; News/Current Events
KEYWORDS:

1 posted on 11/03/2001 4:09:05 AM PST by tallhappy
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Comment #2 Removed by Moderator

To: overseer5
that's what i heard too. however there was an excellent aricle in the wsj about this...outlook didn't sound as pessimistic as that new yorker article, which still makes me shudder. i guess they think those of us who had small pox vaccinations are no longer immune.
3 posted on 11/03/2001 4:38:16 AM PST by wildwood
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To: tallhappy
It was absoute INSANITY for the US to stop our innoculation program while the acknowledged possiblilty existed for smallpox to be used as a biological weapon. Since 1977 all the CDC did was try to vanquish smoking and take our guns and tell people with AIDS to be careful, and promote the Democratic, liberal agendas. Thank you Jimmy Carter! There will be pleanty of "habitat housing" if Dark Winter occurs and we have 10 million dead.

I hope we can come from behind on this one. The trouble is that liberal health care policies left a window of opportunity where, even if we can come up with enough vaccine, the enemy will have a "use it or loose it" decision. As you can tell, I a really mad about this!

4 posted on 11/03/2001 4:57:31 AM PST by Liberty Ship
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To: tallhappy
The caveat is that only two nations have the smallpox virus and if either decides to use it as a weapon, they would probably alter it so that the current vaccine is ineffective.
5 posted on 11/03/2001 5:00:20 AM PST by Ada Coddington
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To: Ada Coddington
Unlikely- you don't create a new form without also creating a cure for it- because in the case of smallpox, it WILL come back to your own nation, and you want to make sure that doesn't happen. Such engineering, if feasible, would take years to both develop the disease varient and the vaccine to use against it.

There is no need to engineer a different batch since the vaccine has not been used in decades and the disease as-is is still so nasty.

6 posted on 11/03/2001 5:26:41 AM PST by piasa
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To: Liberty Ship
The Republicans had ample chance to reverse it and change the policy; they didn't. This wasn't on anyone's Serious Radar. Can you imagine the pre-9/11 ridicule had GWB even mentioned the issue during his campaign? I might add that there is STILL ample ridicule out there for the idea that we all need to be vaccinated against smallpox. "Chicken Little" graphics have been posted many a time here on FR for this idea as well as any other suggestion that the terrorists continue to hatch new plans.

In short, there are thousands of things that may be blamed quite reasonably upon the liberals alone. I don't think this is one of them. (And JEC was as conservative a Democrat as he could be; his errors don't even come CLOSE to measuring up against WJC's total insanity.)
7 posted on 11/03/2001 7:32:04 AM PST by ChemistCat
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To: Ada Coddington
That is probably only the forlorn hope, not the reality. The fact is that while we apparently secured our supply according to plan, the Russians definitely did not and their money problems make me pretty certain that somebody sold some smallpox. Some is all it would have taken.
8 posted on 11/03/2001 7:33:58 AM PST by ChemistCat
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To: Ada Coddington; piasa
The caveat is that only two nations have the smallpox virus and if either decides to use it as a weapon, they would probably alter it so that the current vaccine is ineffective.

Unlikely- you don't create a new form without also creating a cure for it- because in the case of smallpox, it WILL come back to your own nation, and you want to make sure that doesn't happen. Such engineering, if feasible, would take years to both develop the disease varient and the vaccine to use against it.

There is no need to engineer a different batch since the vaccine has not been used in decades and the disease as-is is still so nasty.

The Soviets had a massive program to develop smallpox as a strategic weapon deliverable by ICBMs and intercontinental bombers. They used an extremely virulent strain of the virus isolated in India in 1967. According to Ken Alibek, the defector who ran the Soviet biological weapons program, they produced over 20 tons of this virus between 1980 and 1991. The program was abandoned just as the Soviets were trying to develop genetically engineered versions that would be even more lethal.

With so much virus produced, it would be naiive to assume that there were no scientists or lab technicians who might have stolen some samples. Also, it is possible that there are misplaced or unlabelled vials of smallpox located in research laboratories.

Actually, there is a need for a new vaccine. Although the current vaccine is effective, it has a lot of side-effects. This is the reason that WHO recommended that nations stop the routine vaccination of their populations after the disease was declared erradicated. By eliminating these vaccinations, we now have a large population that has no resistance at all to the disease, especially people under 30. This makes smallpox a potential biological weapon.

The vaccina virus vaccine is 205 years old. There have been lots of advances in immunolgy in that time. Why do we expose people to the live virus, for the first exposure to the vaccine? Why not a killed vaccine or a synthetic vaccine? If a vaccine could be produced that is much safer, we could routinely vaccinate everyone in childhood. If our population were not vulnerable no one would have the incentive to smallpox against us.

The current problem with the potential use of smallpox as a biological weapon should serve as a warning for the future. The WHO wants to eradicate other diseases such as polio. It would be a great thing if polio were eradicated, but I would not want to eliminate the routine vaccination of children.

9 posted on 11/03/2001 7:45:17 AM PST by Paleo Conservative
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To: Ada Coddington
The caveat is that only two nations have the smallpox virus and if either decides to use it as a weapon, they would probably alter it so that the current vaccine is ineffective.

Very doubtful.

And any nation that could alter it in such a manner would most likely not be the one involved here, ie Iraq and Al Qaeda.

10 posted on 11/03/2001 10:35:27 AM PST by tallhappy
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To: Paleo Conservative
Actually, there is a need for a new vaccine. Although the current vaccine is effective, it has a lot of side-effects.

This is not an accurate thing to say. Side effects are less than are caused by most prescribed drugs.

11 posted on 11/03/2001 10:38:28 AM PST by tallhappy
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To: tallhappy
In the event of Iraqi smallpox being dumped on us, I think the risk of about 100 or so deaths in the US from immunization side effects would be *well worth the risk.* Besides, some epidemiologists have been looking into a smallpox outbreak in England at the turn of the century. Those who had been vaccinated as children, but who never had "boosters" (i.e. it had been 10 years since their last immunization) did NOT get as sick on the whole as those who had never been vaccinated. I wish I had a link to the article that discussed this old study, because it was a departure from the normal "doom and gloom" scenario that's been in the press these weeks.

It MAY be that those of us who had the full series of immunizations as kids may have some partial immunity. This could mean we would get less sick, or might be more resistant to even catching it at all. This could become important if smallpox does appear before enough doses of vaccine are available for the entire US public. I for one would be willing to forgo a vaccine for my unimmunized children.

12 posted on 11/03/2001 12:27:59 PM PST by ikanakattara
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To: tallhappy
This is not an accurate thing to say. Side effects are less than are caused by most prescribed drugs.

Most prescribed drugs are taken by a small subset of the population who are already ill, whereas vaccinations are usually taken by the whole population usually when well. Assuming a death rate of 1:1,000,000 (the historical rate for the existing vaccine) vaccinating everyone in the wolrd would kill 6,000 people (more than died in the World Trade Center). There are also inflamations of the brain that can cause permanent brain damage. If there were a deliberate release of smallpox, the risks of the current vaccine would be justified. Also, the smallpox vaccine does not give permanent immunity to the disease, making additional vaccinations neccessary in order to maintain adequate antibody levels. I have not seen statistics on complications from initial vaccinations versus boosters.

The statistics about complications are old because no country has routinely vaccinated against smallpox in over twenty years. The only population in this country that gets vaccinated today is the military, and they tend to have a fairly young and healthy population to start with. The general population in this country includes a considerable number of people with compromisede immune systems who in the past would not even still be living but today are able to. These include AIDS patients, cancer chemotherapy patients, organ transplant recipients, etc.

13 posted on 11/03/2001 1:00:06 PM PST by Paleo Conservative
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To: Paleo Conservative
It's simple, you don't have to be vaccinated.
14 posted on 11/03/2001 1:47:58 PM PST by tallhappy
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To: ikanakattara
Yes. I've been saying since this came up that the kids should be immunized first. Even without a booster, those immunized do have some protection (if not a lot). You cited studies that have observed this.

The ones caught in the middle I guess are the ones born 1972 and after, people say 18 to 19 or so.

Small Pox bump.

By the way, I read that the Chinese were immunizing their army at their west border for small pox in preperation for a potential bio-attack.

15 posted on 11/03/2001 1:52:16 PM PST by tallhappy
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To: tallhappy
And any nation that could alter it in such a manner would most likely not be the one involved here, ie Iraq and Al Qaeda

Iraq and Al Qaeda do not, as far as we know, possess the virus. They would have to obtain it from one of the two countries either by purchase, stealing or gift.

16 posted on 11/03/2001 2:12:59 PM PST by Ada Coddington
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To: ChemistCat
Chemist, what are you my conscious? As usual when a Freeper responds to one of my posts, there is more than a grain of truth in the reply.

Both Regan and Bush could have moved to reverse the stupidity of the Carter administration at the CDC. But they didn't. They did no further harm, either, as far as I an tell. However, Clinton came in and "compounded the felony."

Here is a link CDC to an article I wrote in 1985 (During Reagan). I revised it in 1993, during Clinton, then touched it up and posted it after 9/11. With the help of the internet, at least people can see it. (I was paid a couple of kill fees by national publications in my attempt to get it out before.)

The point is that liberal reforms, promoted by liberal agendas under Democratic administrations left our defenses down on this issue. And, yes, you are correct, Republicans did not do a darn thing to fix it! But when I think of all the agendas that are promoted "for the children," this negligence makes all the liberal pleas ring pretty hollow.

Thanks as always for your reply.

17 posted on 11/03/2001 2:27:40 PM PST by Liberty Ship
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To: Liberty Ship
...when I think of all the agendas that are promoted "for the children," this negligence makes all the liberal pleas ring pretty hollow.

Oh my word, yes. But I wouldn't have thought it particularly important before 9/11, myself. Now that I know more, I'm scared for my kids, and anyone who is NOT is not paying attention.

It's not going to be Democrats who make my decisions! I'm going to pull the kids out of school if smallpox shows up anywhere, and we're going to hole up here in the house with our stored food & stored water (just in case) and that will be that. I won't be having my surgery, we won't be going anywhere, and we'll ride it out. But even that is no guarantee--my husband will have to keep going to his job at a high school unless they're bright enough to cancel THAT too. (Any high school could coordinate a home-study program for its students in an emergency. Most kids have internet access at home, and nearly 100% have a phone.)

I don't see these issues being discussed. I'm going to start a thread; Liberty would you join in too?
18 posted on 11/03/2001 4:10:27 PM PST by ChemistCat
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To: ChemistCat
Sure, if I saw a thread I would throw my two cents in.

Regarding smallpox here is a link to the excellent biowarfare site at John Hopkins. Biodefense If you go there, click on the information on Dark Winter, especially the Lessons Learned section.

Last summer they ran a high level drill based on the surfacing of 20 cases of smallpox in Oklahoma at the beginning of "December." Using a script and computer modeling -- Sam Nunn was acting as president -- the team did the best they could with the 12.5 million doses of vaccine available. The scenario ended at the beginning of "February" with one million dead, 3 million active cases, and a 4-6 week delivery time on more vaccine.

The ONLY defense against this is to have had everyone vaccinated BEFORE the threat. But if you do that, the threat will never materialize and the bureaucrats will not be able to justify the expense. This is what happened to Sencer with the Swine flu innoculation; Carter set the pattern when he fired him.

19 posted on 11/03/2001 8:24:05 PM PST by Liberty Ship
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To: tallhappy; *Smallpox List
Index bump. To search for smallpox articles, click here: Smallpox List. Please ping all articles relating to smallpox to the list.
20 posted on 11/06/2001 6:34:40 AM PST by Dixie Mom
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