In answer to BoTox's questions putting aside the war on words (e.g. semantics) that has erupted. By the end of 2003,
the CDC recommended that vaccination be given only to personnel on a designated smallpox response team......... not the public and not all 13.5+++ million health care, social service, police and fire personnel in the country. Oh yes, and lab workers working in smallpox labs or working with cow or monkey or other pox viruses.
You should not volunteer for, or be removed from a smallpox response team if you have any of the following
contraindcations which has been updated December, 2003 (last month) by the CDC.
By the time you get the end of
the list it takes in more than half the country. The only reason to ignore these contraindications is if you are
exposed or there is an outbreak which could expose you. Right now we have neither of those possibilities extant.
This means that unless you are a member of a special smallpox response team, free of contraindications and
there is no outbreak or exposure to smallpox then you should NOT get the vaccine. That includes the majority of
health care workers....who, if they were exposed, have anywhere from 4 to 7 days to obtain protectionpost-exposure. There are two contagious periods, one early called the prodromal phase and the other later which is when infection can occur as a result of contact with infected fluid from a pox lesion. This virus does survive on fomites such as clothing and bedding.
In fact anybody, if they are exposed should get the vaccine. But no, there is no basis for premptively vaccinating
millions of health care workers, fire and police at this time.
Wyeth's DryVax(tm) btw, any remaining in stock like the 14 millions vials which was to be diluted X10 was set to expire in November and December, 2003 based on batch number.
The administration tried to get this all
out on the street and into people before this happened. The failed campaign to do this started in January 2003. Hopefully the new vaccine should be available shortly. This will be a good thing and relieve a lot of concerns over the old one which included potency, expiration and the admixture of several different older antibiotics within the vaccine itself.
There were plenty of good reasons to wait: a new and better and safer vaccine, the absence of a documented
threat, the absence of an outbreak or exposure to the virus, and numerous serious as well as play-it-safe contraindications. I am
glad Hoyt thinks someone allergic to polymixinB has a trivial contraindication but all he has his is opinion.
Informed experts working for the CDC, FDA and NIH who have studied this problem say otherwise.
FROM THE CDC:
The smallpox vaccine can NOT give you smallpox.
The vaccine is not a shot like other vaccines.The needle is pricked into the skin a number of times in a few seconds (usually in the upper arm).The pricking is not deep, but will cause one or two small drops of blood to form.The place on the skin where the vaccine is given is called the "vaccination site."
Getting the vaccine—
before exposure will protect most people from smallpox (the vaccine is about 95% effective). up to 3 days after exposure can prevent the disease or at least make it less severe.
4-7 days after exposure can still make the disease less severe and decrease the chance of death.
Smallpox vaccine protects people from getting smallpox for 3 to 5 years. Protection from severe illness and death can last 10 years or more.
WHY GET VACCINATED NOW?
Smallpox vaccine protects people from smallpox.
SOME people should get the vaccine because they work with smallpox or related viruses in laboratories.
Others are being offered the vaccine so they can assist in responding to a smallpox outbreak. Smallpox virus is kept in two approved laboratories in the United States and Russia.There is concern that terrorists may have obtained the smallpox virus and could use it as a weapon. If this happened, many people could become ill and many could die.
The U.S. needs teams of health care providers and others to be vaccinated so they can respond quickly if a smallpox attack happens.These teams will do many things to help control a smallpox outbreak, including quickly vaccinating people who have been exposed to the disease.
WHO SHOULD GET SMALLPOX VACCINE AND WHEN?
When There is NO Smallpox Outbreak—
You should get the smallpox vaccine if you—
Are a lab worker who works with smallpox or viruses like it.
Are a member of a smallpox response team. When There IS a Smallpox Outbreak—
You should get the smallpox vaccine if you—
Are directly exposed to smallpox virus.
If there is a smallpox outbreak, public health experts will say who else should get the vaccine.
Vaccinated persons may need to get the vaccine again at least every 3-10 years, depending on their risk of exposure to smallpox or related viruses.
WHO SHOULD NOT GET SMALLPOX VACCINE, OR SHOULD WAIT?
When There is NO Smallpox Outbreak—
You should NOT get the smallpox vaccine if you—
Have Skin Problems
People with skin problems are at risk of developing rashes which can be severe if they get the smallpox vaccine.
Anyone who has atopic dermatitis (often called eczema) or had it in the past, should not get the smallpox vaccine.
Anyone who has Darier's disease (a skin disease that usually begins in childhood) should not get the smallpox vaccine.
Anyone who has a skin problem that has made many breaks in the skin (such as an allergic rash, bad burn, impetigo, psoriasis, pityriasis rosea, poison oak, poison ivy, chickenpox, shingles, herpes, or very bad acne) should not get the vaccine now.They should wait until the skin heals before getting the smallpox vaccine.
Have Immune System Problems
Rarely, when a person with a weakened immune system gets the smallpox vaccine, their vaccination site does not heal. Instead, it spreads to other parts of the body.This reaction can be life-threatening.Anyone with a weakened immune system should NOT get the smallpox vaccine, including anyone who:
Has HIV/AIDS, primary immune deficiency disorders, humoral (antibody) immunity problems (such as agammaglobulinemia or lack of normal antibodies), or other diseases that affect the immune system.
Has lupus or another severe autoimmune disease that weakens the immune system.
Has leukemia, lymphoma, or most other cancers.
Is taking cancer treatment with radiation or drugs, or has taken such treatment in the past 3 months.
Is taking, or has recently taken, drugs that affect the immune system.These include high-dose steroids (for 2 weeks or longer within the past month), some drugs for autoimmune disease, or drugs taken for an organ or bone marrow transplant.
Have Heart Problems
Smallpox vaccination may cause heart inflammation that can be mild to life-threatening. It is not known who is at risk for this problem.As a precaution, anyone who has been told by a doctor that they have a heart condition should NOT get the smallpox vaccine, even if they feel well.This includes anyone who has:
Known heart disease, such as past heart attack or angina (chest pain caused by lack of blood to the heart).
Congestive heart failure
Cardiomyopathy (heart muscle becomes enlarged and does not work as well as it should)
Stroke or transient ischemic attack (a "mini-stroke" that causes stroke-like
symptoms, but no lasting damage)
Chest pain or shortness of breath with activity (such as walking up stairs)
Other heart conditions that require the care of a doctor
In addition, anyone with 3 or more of the following risk factors should NOT get the
smallpox vaccine:
Have been told by a doctor that you have high blood pressure.
Have been told by a doctor that you have high blood cholesterol.
Have been told by a doctor that you have diabetes or high blood sugar.
Have a first degree relative (for example, mother, father, sister or brother) who had a heart condition before the age of 50.
Smoke cigarettes now
Are Pregnant or Breastfeeding
Babies of mothers who have been vaccinated while pregnant or during the month before they become pregnant can get a very rare but serious infection from the vaccine.
Do NOT get the smallpox vaccine if you are pregnant, think there is a chance you are pregnant, or think you might become pregnant within 4 weeks after vaccination.
Sexually active women are encouraged to take a pregnancy test before getting the vaccine.The test should be done the day their vaccination is scheduled. But be aware that even the best tests may not detect early pregnancies (those less than 2 weeks).
Take steps to prevent pregnancy during the month before and the month after vaccination:
Do not have sex, or
Use effective birth control every time you have sex. Effective birth control methods include male or female sterilization, hormonal methods (such as birth control pills, implants, patches or injections) and intrauterine devices (IUDs). Condoms and the use of spermicide with diaphragms, sponges, or cervical caps are also acceptable methods, although they are less effective. Do NOT rely solely on the rhythm or ‘natural family’ planning method.
Do NOT get the smallpox vaccine if you are breastfeeding. Follow this advice even if you are pumping and then bottle-feeding breast milk. It is not known if smallpox vaccine virus or antibodies can be passed to babies through breast milk.
Other Reasons—Do NOT Get the Smallpox Vaccine if You—
Are very allergic to polymyxin B, streptomycin, chlortetracycline, neomycin, or latex.
Had a bad reaction the last time you got the smallpox vaccine.
Are using steroid drops in your eyes.
Are moderately or severely ill the day of your vaccination appointment.Wait until you are better before getting the smallpox vaccine.
You should NOT get the smallpox vaccine if you live with or have close physical contact with anyone (such as a sex partner) who—
Has any of the skin problems listed above.
Has any of the immune system problems listed above.
Is pregnant or may become pregnant within 4 weeks of your vaccination.
The smallpox vaccine may pose a similar risk to them.
Smallpox vaccine is not routinely recommended for anyone under 18 years of age or for older people. People age 65 or older who do not have any of the conditions listed above should talk to their health care provider before getting the vaccine.
If There IS a Smallpox Outbreak—
These restrictions may not apply. Public health experts will say who should get the vaccine at that time.
Note: The above information can be found on the previously cited CDC website(s) or linkable from their smallpox homepage.
http://www.bt.cdc.gov/agent/smallpox/vaccination/needtoknow.asp
It is in the public domain. The same information appears on several different pages within this site, for the public and for health care workers, in the vaccine compensation section and elsewhere. It permeates most of the most recent discussions on this topic. As I said before this information is unprecedented for any other vaccine in existence and represents a unique situation which the pro-vaccination at any cost lobby should ignore. They would be wise to direct their attention to fanatical anti-vaccination proponents where other types of vaccines are concerned or at least follow the CDC and FDA policies on smallpox.