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2003 APR 16 - (NewsRx.com & NewsRx.net) -- If the U.S. government wants a successful smallpox inoculation program, it must provide money to the states and compensation to people injured by the vaccine, the Institute of Medicine says.
Congress is working toward plugging the compensation hole. Legislation is pending in both the House and Senate to aid people injured by the vaccine, which carries rare but serious side effects. But Democrats and Republicans are at odds over how generous the package should be.
Worried about a bioterror attack with smallpox, the administration is encouraging staff in public health departments, hospital workers and emergency responders to get the vaccination. In the program's first 2 months, response has been tepid.
So far, just over 25,000 people have been vaccinated. Initial estimates were that some 450,000 would get the shot within 30 days or so during the first stage, with another 10 million emergency responders offered the vaccine in stage two.
The Institute of Medicine panel, a group of experts advising the federal government on the program, suggested a variety of reasons why people are declining the vaccine: They do not consider themselves at high risk of a smallpox attack; they are confident that vaccinations could take place quickly if there were an attack; and they have concerns about transferring the live virus from health workers to patients and therefore sickening vulnerable people.
The panel singled out the issue of compensation, saying that without action, the program may never be fully implemented.
"State health departments, hospitals and individual vaccine makers have expressed concern over the past 2 months about the lack of a national compensation program to cover medical expenses for adverse reactions, time lost from work and (in the worst possible outcomes) permanent disability or death," the panel said its report, the second in a series about the smallpox vaccination program.
Source: HighBeam Research, Compensation urged in vaccine program.(in case of injuries caused by...