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December 13, 2002 Today, the President announced a plan to better protect the American people against the threat of smallpox attack by hostile groups or governments:
STRENGTHENING HOMELAND SECURITY Although there is no reason to believe that smallpox presents an imminent threat, the attacks of September and October, 2001 have heightened concern that terrorists may have access to the virus and attempt to use it against the American public. Immediately after these attacks, HHS began working, in cooperation with state and local governments, to strengthen our preparedness for bioterror attacks by expanding the national stockpile of smallpox vaccine. The United States currently has sufficient quantities of the vaccine to vaccinate every single person in the country in an emergency. The smallpox vaccine, which was routinely administered to Americans until 1972, is a highly effective protection against the disease when given before or shortly after exposure to the virus. Pre-attack vaccination of Smallpox Response Teams will allow them, in the event of a smallpox attack, to immediately administer the vaccine to others and care for victims. HHS is working with states to identify health care workers and first responders to serve on Smallpox Response Teams. Pre-attack vaccination of these Smallpox Response Teams will allow them to better protect the American public against smallpox attack. The federal government is not recommending that members of the general public be vaccinated at this point. Our government has no information that a biological attack is imminent, and there are significant side effects and risks associated with the vaccine. HHS is in the process of establishing an orderly process to make unlicensed vaccine available to those adult members of the general public without medical contraindications who insist on being vaccinated either in 2003, with an unlicensed vaccine, or in 2004, with a licensed vaccine. (A member of the general public may also be eligible to volunteer for an on-going clinical trial for next generation vaccines). PREPARING MILITARY AND OVERSEAS PERSONNEL The President also announced that DOD will take steps immediately to reinstitute vaccination of certain military and civilian personnel. Those personnel who are deployed or who may deploy to certain high threat areas will be vaccinated. The State Department will also offer vaccination to certain overseas personnel. Although the vaccine is effective if administered shortly after exposure, it may not be feasible during an emergency to vaccinate overseas troops and civilian personnel. Pre-attack vaccination is therefore warranted. Vaccination of military personnel was conducted during WWI and WWII and routinely from the 1940s until 1984. Between 1984 and 1990, vaccinations were provided to many recruits entering basic training.
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