Posted on 02/11/2003 7:56:54 AM PST by Dave S
Dark Smallpox Winter
Ask a Bush Administration official privately about the chances of another terror attack on the U.S., and the answer invariably is 100%. That's only one of the reasons it's troubling that health-care unions and many hospitals are resisting precautionary vaccination for smallpox.
The Bush smallpox vaccination program was supposed to be completed by the end of this month, yet so far only 700 of 500,000 emergency workers have received shots. Two of the nation's largest health-care unions are actually urging members to refuse vaccinations until the feds cough up special "compensation." (They are the Service Employees International Union and the American Federation of State, County and Municipal Employees.) And any number of hospitals have refused to let first-responders take part in the first phase of the smallpox plan, partly because they say it will cost too much.
These outfits should spend a few minutes reading some of the bioterror documents that have influenced Administration decisions. One in particular noted recently by Defense Secretary Donald Rumsfeld is an account of "Dark Winter," a war game hosted by the Johns Hopkins Center for Civilian Biodefense Strategies in 2001. Its name certainly fits the outcome.
Dark Winter posed a realistic scenario in which 3,000 people were initially infected with smallpox -- possible with just 30 grams (a little over one ounce) of weaponized virus. It assumed each person infected 10 others -- a conservative estimate given that there has never been an outbreak in such a dense, mobile, unvaccinated population as today's U.S.
In the simulation, 12 members of the National Security Council are informed that smallpox has broken out: 20 cases confirmed in Oklahoma, with reports of more in Georgia and Pennsylvania. (They will later discover it was released in three shopping malls.) They are told the facts: Smallpox has a 30% fatality rate, there is no treatment, and it spreads from person to person. The country maintains just 15.4 million doses of vaccine.
The NSC chooses to vaccinate only essential personnel and anyone who has had contact with the infected, a strategy known as ring vaccination. By six days into the epidemic, 2,000 cases have been reported in 15 states, with 300 deaths. The disease spreads to Britain, as well as Canada and Mexico, which demand U.S. vaccine serum. Only 1.25 million doses remain, and their distribution becomes violent.
International borders are closed, and food shortages follow. In many states the public health system is overwhelmed and care deteriorates. Civil liberties are suspended: Schools close, some public gatherings are forbidden, states limit travel. Drug companies can't make more vaccine for five weeks.
By 13 days in, 16,000 cases are reported in 25 states -- 14,000 in the past 24 hours alone. One thousand people have died and 10 countries have outbreaks. The vaccine is gone, the economy is faltering and residents are fleeing infected areas. A panicked public demands forcible quarantine of victims and their contacts, though by this time that has become logistically impossible.
Then comes the blackmail. Newspapers receive a letter demanding the removal of U.S. forces from Saudi Arabia and the Persian Gulf within a week. The letter threatens a new smallpox attack, combined with anthrax and the plague, if the U.S doesn't comply. It contains a genetic fingerprint matching the smallpox strain, proving its veracity.
Dark Winter's simulation ends at this point, though by the time the virus runs its course the U.S., in a worst-case scenario, faced three million cases and one million deaths. Much of what the country values -- civil liberties, world power, economic security, access to health care, equal treatment under the law -- has been damaged along the way.
The point here isn't to scare people . . . well, maybe it is; 15 months after the anthrax attacks, bioterror is a real threat. Protecting against smallpox in advance may make it less likely that an enemy would resort to its use. Dark Winter also underscores how vulnerable U.S. society will remain even with precautions, meaning that the best homeland defense continues to be taking the battle to terrorists abroad and to the states that harbor them.
As for union objections, the Bush Administration is preparing a compensation fund for anyone injured by the vaccine. But keep in mind that emergency workers already have insurance and worker's comp, and that health-care workers are already exposed to unusual risk of germs and illness as part of their daily lives.
No homeland defense plan will work without the cooperation of all Americans, especially its leading institutions. The unions and public-health officials resisting smallpox vaccination will have a lot to answer for if there is an attack and Americans remain unprepared.
Rice. And a water purifier.
Not a problem. I was speaking of the Garand.
Be Seeing You,
Chris
That was then, this is now. We have something like 150 million doses available now, and more every day.
Don't panic, people. We can handle smallpox if it comes. Most people over age 35 or so who got the vaccination should have at least partial immunity. We have enough vaccine for them and everyone else, or soon will. There is a lag between exposure and disease onset and the vaccine can be given during this time.
Muslim wackos would be crazy to use smallpox as a weapon. It would run like wildfire through their own countries as well as the rest of the Turd World. The West, on the other hand, would suffer less than in the influenza epidemic of 1918.
-ccm
You probably have enough duct tape and drop cloth, but better get some more.
Be aware that the last time the world really had to deal with smallpox was in the '60's. (BTW, the last known incident of smallpox early in the '70's in Eastern Europe, was a traveler infected after a trip to IRAQ,, who spread it to 7 other people in the hospital. 300,000 people were vaccinated in the area.) Anyway, medicine has advanced a bit and there is an IV treatment for smallpox. It's one of the medicines used to treat AIDS patients. Another interesting tidbit is that the US military stopped routine smallpox vaccines after immune compromised personnel started dying from the vaccine. Hidden cases of AIDS were the cause. At that time, in the early eightees, routine testing was not a practical solution.
BTW, for many of us, who were vaccinated against smallpox as youngsters, the risk of side effects from a booster is reduced from 30/million to 1/150 million.
You've got that right. If one member of my family even gets sick, my lifelong goal will be to carry as many bugs to Mecca as possible... even if I have to crawl there.
Shoot a crow.
Newcastle Quarantine/Emergency area
Then comes the response ... Riydah, Mecca, Medina, Qom and other ME cites are incinerated by the US in retaliation for the attack.
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