121. CNN.com - Panel Considers Reinstating Smallpox Vaccines - June 19, 2002 CNN http://cnn.com/2002/HEALTH/conditions/06/19/smallpox.vaccine/index.html

MAIN PAGE WORLD U.S. WEATHER ... ABOUT US/HELP CNN TV what's on show transcripts CNN Headline News CNN International ... askCNN EDITIONS CNN.com Asia CNN.com Europe CNNenEspanol.com CNNArabic.com ... set your edition Languages Spanish Portuguese German Italian Korean Arabic Japanese Time, Inc. Time.com People Fortune EW InStyle Business 2.0 Panel considers reinstating smallpox vaccines Rhonda Rowland CNN ATLANTA, Georgia (CNN) A government advisory panel considering whether to recommend resumption of smallpox vaccinations in America heard first Wednesday from scientists who argued against reinstating mass vaccinations for the general public. Routine smallpox vaccinations were discontinued in the United States in 1972, and the disease was eradicated globally in 1980. But after the September 11 terrorist attacks, government officials began stockpiling vaccine and looking at U.S. vaccination policy because of the possible use of the virus in a biological weapon. Dr. Walter Ornstein, director of the Centers for Disease Control and Prevention's National Immunization Program, said diphtheria, measles and mumps are much more contagious than smallpox, which is not easily transmitted airborne and smallpox's obvious symptoms would key doctors into its presence quickly. The smallpox vaccine is effective even if given several days after a person is exposed to the disease. Ornstein cited data from cases of smallpox in Europe between 1955 and 1971 that showed 55 percent of those who acquired the disease did so at a hospital and another 20 percent were infected by a family member.

122. CNN.com - Bush Orders Smallpox Vaccine For Military, Himself - Jan. 30, 2004 potential biological weapons attacks, President Bush announced Friday that he is ordering some military personnel to be vaccinated against smallpox and that http://www.cnn.com/2002/HEALTH/12/13/bush.smallpox/

International Edition MEMBER SERVICES The Web CNN.com Home Page World U.S. Weather ... Special Reports SERVICES Video E-mail Services CNNtoGO Contact Us SEARCH Web CNN.com Bush orders smallpox vaccine for military, himself Bush said he will also be getting the smallpox vaccine. Story Tools VIDEO CNN's Elizabeth Cohen on the medical debate over smallpox vaccinations (December 12) PLAY VIDEO A look at Israel's smallpox vaccination program PLAY VIDEO RELATED NY faced last U.S. smallpox outbreak The vaccine what are the risks? What is smallpox and how does it spread? Vaccinated people can transmit vaccinia virus ... Smallpox FAQs THE VACCINE: The last natural smallpox case was in Somalia in 1977 Vaccine effective if given within 4 days of exposure Vaccine does not contain the smallpox virus Vaccine is made from a virus called vaccinia 15 per million vaccinated experience serious complications 1-2 people per million will die from vaccine Most Americans under 30 haven't been vaccinated 1 case is considered a public health emergency Source: CDC THE VACCINATION PROGRAM: Vaccinations for about 500,000 troops deployed in high-risk parts of the world began Friday.

123. CNN.com - Israel Gives Smallpox Vaccines -- Should U.S.? - Nov. 20, 2002 CNN http://cnn.com/2002/HEALTH/11/20/smallpox.israel/index.html

CNN Europe CNN Asia Languages Spanish Portuguese German Italian Korean Arabic Japanese On CNN TV Transcripts Headline News CNN International ... Special Reports SERVICES Video E-Mail Services CNNtoGO SEARCH Web CNN.com Israel gives smallpox vaccines should U.S.? From Elizabeth Cohen CNN Health care workers and rescuers are the first Israelis to receive the smallpox vaccine. Story Tools RELATED Interactive: What is smallpox? CNN's Elizabeth Cohen takes a look at Israel's smallpox vaccination program as the United States debates such a move. (November 20) PLAY VIDEO (CNN) For the past year, the U.S. government and health officials have been debating whether Americans should be vaccinated against the smallpox virus. Meanwhile, Israel is already doing it. In just three months, the Israeli government has gone from making the decision to nearly completing the task of vaccinating 15,000 health workers, police officers and others that would likely be first on the scene in the event of a smallpox outbreak. And the United States is watching closely, because this is one dangerous vaccine. "The authorities have tremendous interest in what's going on, in what our experiences are," said Dr. Boaz Lev, director of the Israeli Health Ministry. And the experience has been good, according to the ministry.

124. Smallpox Note All links within content go to MayoClinic.com. Diseases and Conditions. smallpox. For millennia, smallpox ravaged Europe and Asia. http://www.cnn.com/HEALTH/library/DS/00424.html

International Edition MEMBER SERVICES The Web CNN.com Home Page World U.S. Weather ... Special Reports SERVICES Video E-mail Services CNNtoGO Contact Us SEARCH Web CNN.com In association with: INFECTIOUS DISEASE Viral Illnesses Chickenpox Gastroenteritis Shingles Meningitis ... Plantar warts INFORMATION CENTERS: Pick a category Health Centers Family Health Men's Health Women's Health Children's Health Seniors' Health Working Life Pain Management Condition Centers Immune System Allergy Alzheimer's Arthritis Respiratory System Cancer Endocrine System Digestive System Heart and Blood Infectious Disease Mental Health Note: All links within content go to MayoClinic.com Diseases and Conditions Smallpox From MayoClinic.com Special to CNN.com Overview Smallpox (variola) is a contagious, disfiguring and often deadly disease caused by the variola virus. It's believed to have first appeared in northeastern Africa or south-central Asia nearly 12,000 years ago. Since then, few other illnesses have had such a profound effect on human health and history. For millennia, smallpox ravaged Europe and Asia. It also devastated entire indigenous populations in the New World, including the Incas and Aztecs in Mexico, the American Indians and the aborigines of Australia. In the 20

125. Smallpox Compensation Deal Reached CNN http://cnn.com/2003/HEALTH/04/11/smallpox.compensation.ap/index.html

126. EPO Smallpox Main This is the entry page for smallpox information by the California Department of Health Services. California Home, smallpox and smallpox Vaccination Programs, http://www.dhs.ca.gov/ps/ddwem/environmental/epo/EPOSmallpoxmain.html

California Home CDHS Home Emergency Preparedness Office (EPO) Home Page EPO Programs and Activities ... Contact us Smallpox and Smallpox Vaccination Programs A Message from the California Department of Health Services The California Department of Health Services (CDHS) is undertaking extensive preparations to protect Californians from the potential threat of smallpox, a deadly disease. In close cooperation with the federal Centers for Disease Control and Prevention (CDC) and local health departments, CDHS is implementing plans for responding to a potential outbreak of the disease. Those plans include vaccinating thousands of health care workers who would care for individuals who were exposed to smallpox, investigate any potential new cases of the disease and vaccinate others. There has not been a case of smallpox in the United States since 1949. The World Health Organization declared smallpox to be eradicated in 1980. Although the risk of a smallpox outbreak is low, the consequences of such an event would be great. Therefore, CDHS is taking responsible actions to ensure the health and safety of all Californians. Smallpox vaccinations are strictly voluntary. Because of its risks, the smallpox vaccine is not recommended for the general public at this time.

127. Bioterrorism Safety Council A public nonprofit awareness site devoted to providing up to the minute information on Anthrax, smallpox and other bioterrorist threats. We offer news, CDC Health Advisories, facts on safety, prevention, treatment of Anthrax, smallpox, West Nile and other biowarfare agents, and provide support and teaching materials to the general public on these infectious diseases. http://www.terra.es/personal5/safetycouncil/

BioTerrorism Safety Council Advice from the Experts: The Center for Disease Control's Official Health Advisory: 1.Do not shake or empty the contents of any suspicious envelope or package. 2.Place the envelope or package in a plasticbag or some other type of container to prevent leakage of contents. 3.If you do not have any container, then cover the envelope or package with anything (e.g., clothing, paper, trash can, etc.) and do not remove this cover. 4.Leave the room and close the door, or section off the area to prevent others from entering (i.e., keep others away). 5.Wash your hands with soap and water to prevent spreading any powder to your face. 6.If you are at home, then report the incident to local police. If you are at work, then report the incident to local police, and notify your building security official or an available supervisor.

128. Smallpox Information For The State Of Colorado search entire web search www.cdphe.state.co.us. smallpox. Colorado began voluntary and first responders. More smallpox information from http://www.cdphe.state.co.us/bt/smallpox/smallpox.html

Department Home About the Department Certificates Environment ... Regulations search entire web search www.cdphe.state.co.us Smallpox Colorado began voluntary smallpox vaccinations for a small number of hospital workers and public health investigators in early February of 2003. Smallpox outbreaks have occurred for thousands of years, but the disease was completely eliminated after a successful worldwide vaccination program. The last case of smallpox in the United States was in 1949. The last naturally occurring case in the world was in Somalia in 1977. Latest news Vaccination and your heart Important information for potential vaccinees Should you and your family get the smallpox vaccine? ¿Se le debe aplicar la vacuna contra la viruela a usted y a su familia? Printable fact sheets in pdf format Smallpox disease En Español In Russian Smallpox vaccination ... Bioterrorism information and training for healthcare workers and first responders More smallpox information from: The White House U.S. Centers for Disease Control and Prevention

129. Experimental Smallpox Vaccine Protects Monkeys From Dying (washingtonpost.com) Experimental smallpox Vaccine Protects Monkeys From Dying By David virus. Two monkeys were given the standard smallpox vaccine. Then http://www.washingtonpost.com/wp-dyn/articles/A48089-2004Apr27.html

thisNode = 'print/asection'; commercialNode ='technology/specials/biotech'; var SA_Message="SACategory=" + thisNode; PRINT EDITION Subscribe to NEWS OPINION ... REAL ESTATE SEARCH: Top 20 E-mailed Articles washingtonpost.com Print Edition Inside the A Section Experimental Smallpox Vaccine Protects Monkeys From Dying By David Brown Washington Post Staff Writer Wednesday, April 28, 2004; Page A06 Researchers at the U.S. Army laboratories at Fort Detrick in Frederick reported a major advance yesterday in the search for a safer smallpox vaccine. An experimental vaccine made from pieces of the live virus currently used as a smallpox vaccine protected monkeys against monkeypox, their version of the fatal illness. The protection was not absolute the animals got mildly ill and developed the characteristic pox rash but it was good enough to keep them from dying. The federal government currently vaccinates many members of the military against smallpox, a disease that was eradicated 26 years ago but that some experts believe might be used as a bioterrorism weapon. Both federal and state governments have urged hospitals to vaccinate a small number of physicians, nurses and technicians as the first step in homeland defense against the infection. Both efforts, however, have been marred by problems. The military program has experienced an unexpected number of cases of a rare complication, a heart-muscle inflammation called myocarditis. The program for health care workers has barely gotten off the ground because many people refuse to accept the small but real risks of the vaccine, which is a live virus related to smallpox that replicates in a person's body after inoculation.

130. CNN.com - A Smallpox Shot? - Dec. 16, 2002 CNN http://cnn.com/2002/ALLPOLITICS/12/16/timep.smallpox.tm/index.html

CNN Europe CNN Asia Languages Spanish Portuguese German Italian Korean Arabic Japanese On CNN TV Transcripts Headline News CNN International ... Special Reports SERVICES Video E-Mail Services CNNtoGO SEARCH Web CNN.com from: A smallpox shot? By Sanjay Gupta Story Tools President Bush has finally revealed his plans for protecting the nation against the threat of a smallpox attack, starting with vaccinations for the military, emergency medical personnel, and the Commander in Chief, but it's still not clear what the rest of us are supposed to do. Although the President is not recommending vaccinations for the general public (or his family) at this point, the Administration is known to be stockpiling enough vaccine to begin offering it to every man, woman and child by 2004. These vaccinations will be voluntary, which means we have to decide for ourselves whether the small but real risk of complications from the shot is worth the considerable risk of dying from smallpox if an outbreak occurs. It's a tricky issue because this particular vaccine is one of medicine's most dangerous. It doesn't contain the smallpox virus, but it does use a live version of a related one, called vaccinia, that can make you sick and, in rare instances, kill you. Most people just get a blister at the injection site and maybe some swelling of the arm. Others will feel tired or develop a low-grade fever; about a third will feel ill enough to miss work or school. Out of 1 million people, between 15 and 60 will develop serious complications, including encephalitis (swelling of the brain).

131. Washingtonpost.com SEARCH Top 20 Emailed Articles, HEALTH smallpox. NEWS. Politics. Archives. washingtonpost.com Health. What s Next? A container of smallpox vaccine in 1947. http://www.washingtonpost.com/wp-dyn/health/conditioncenter/smallpox/

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132. CNN.com - Elizabeth Cohen: The Smallpox Vaccine 'kit' - Sep. 23, 2002 CNN http://cnn.com/2002/HEALTH/conditions/09/23/otsc.cohen.smallpox/index.html

CNN Europe CNN Asia Languages Spanish Portuguese German Italian Korean Arabic Japanese On CNN TV Transcripts Headline News CNN International ... Special Reports SERVICES Video E-Mail Services CNNtoGO SEARCH Web CNN.com Elizabeth Cohen: The smallpox vaccine 'kit' Story Tools ATLANTA, Georgia (CNN) Smallpox hasn't been seen in the United States for decades, but federal officials are drawing up contingency plans in case terrorism brings the disease back. CNN Medical Correspondent Elizabeth Cohen joined Anchor Fredricka Whitfield with details on the latest move by health officials. COHEN : The problem is that half of the population in the United States has not been vaccinated for smallpox because we stopped vaccinating people in 1971. And even for those of us who have been vaccinated, it is not clear whether we would have any kind of protection. So the CDC has just put out their smallpox guidelines, Smallpox Vaccination Clinic Guide, it is on their Web site, and it's a plan for voluntary mass vaccinations in the event of a smallpox outbreak. The "in the event" part is very important. They are not saying, let's vaccinate everybody now like we used to in the old days. They are saying in the event of an outbreak, we may need to do a mass vaccination of everybody on a voluntary basis. They have left themselves some wiggle room. Why not just vaccinate everyone right now? The reason is that the vaccination itself can be quite dangerous. It could cause encephalitis, for example. It can even cause death. If they vaccinated the entire population of the United States, between 300 and 350 people would die.

133. AAP - Children, Terrorism Disasters Click here. Go. Biological Agents. Anthrax, smallpox, Plague, Botulinum toxin, Tularemia, Hemorrhagic fever. smallpox Frequently Asked Questions Parent Handout. http://www.aap.org/terrorism/

134. Israel No Mass Smallpox Vaccinations CNN http://cnn.com/2002/WORLD/meast/12/26/sproject.irq.israel.smallpox.ap/index.html

135. AAP - Children, Terrorism & Disasters: Smallpox AAP Policy Statement on smallpox Vaccine. AAP Responds to Questions about smallpox and Anthrax Click here. smallpox Vaccine - Click here. http://www.aap.org/terrorism/topics/smallpox.html

AAP Member Only Channel AAP Home Biological Agents Chemical Agents ... AAP Policy Statement on Smallpox Vaccine AAP Responds to Questions about Smallpox and Anthrax - Click here AAP Experts Address Smallpox Questions - Click here Smallpox Vaccine - Click here Smallpox: Frequently Asked Questions - Parent Handout - Click here CDC Telebriefing: Smallpox Vaccination Program Update - February 27, 2003 - Click here CDC Protecting Americans: Smallpox Vaccination Program - Click here CDC Smallpox Resource Kit for Health Professionals - Click here Click here ACIP Smallpox Vaccination Recommendations - Click here Click here CDC Smallpox Vaccination Clinic Guide - Click here Draft Supplemental Recommendation of the ACIP Use of Smallpox (Vaccinia) Vaccine. Approved by ACIP on June 20, 2002: Now Under Consideration by CDC and DHHS - Click here CDC Telebriefing Transcript: Smallpox vaccine - Click here CDC Poster: Evaluating Patients for Smallpox - Click here CDC Responds: Smallpox: What Every Clinician Should Know. December 13, 2001 -

136. CNN.com - U.S. Trying To Boost Smallpox Vaccine Supply - October 24, 2001 CNN http://cnn.com/2001/HEALTH/conditions/10/24/smallpox.vaccine/index.html

MAIN PAGE WORLD U.S. WEATHER ... ABOUT US/HELP CNN TV what's on show transcripts CNN Headline News CNN International ... askCNN EDITIONS CNN.com Asia CNN.com Europe CNNenEspanol.com CNNArabic.com ... set your edition Languages Spanish Portuguese German Italian Korean Arabic Japanese Time, Inc. Time.com People Fortune EW InStyle Business 2.0 U.S. trying to boost smallpox vaccine supply By Rhonda Rowland CNN Atlanta Bureau ATLANTA, Georgia (CNN) Federal health officials has asked eight pharmaceutical companies if they could deliver 250 million doses of smallpox vaccine within a year. The deadline for companies to answer was extended by a day to Thursday. "We sent out eight requests and we got 10 responses," Health and Human Services Secretary Tommy Thompson said Wednesday. "This means we'll have good negotiations and we will meet our price." MORE STORIES CDC leads battle in disease fight A letter sent to companies says "the award of any contract will be based on availability of funds." President Bush has asked Congress to set aside $509 million to develop and produce the new vaccine. The letter asks companies to provide a detailed capability statement. It says the vaccine could be delivered in increments of 50 million doses, but the full 250 million would have to be delivered in the shortest possible time, not to exceed one year. Thompson wants production to begin before the end of this year with a goal to increase the smallpox vaccine stockpile to a total of 300 million doses.

137. SEIU.ORG smallpox What Health Care Workers Need to Know. http://www.seiu.org/health/smallpox.cfm

Health Care: Nurses Hospital Employees Nursing Homes ... health care Smallpox : What Health Care Workers Need to Know SEIU Response Press Releases For Your Health Media Coverage ... Related Links For Workers Heart Risk Alert Fact Sheet Decision Tree Checklist ... FAQs Q: Should you volunteer to be vaccinated? checklist fact sheet and decision tree help you decide (*Acrobat required) , plus see our HEART RISK ALERT CDC Tries to Rewrite History of U.S. Smallpox Vaccine Debacle According to recently published statements, CDC Director Julie Gerberding says the United States "didn't actually have a [smallpox] vaccination program, we had a smallpox preparedness program." But to some vocal critics of the CDC's unworkable plan to vaccinate health care workers on a mass scale, it's all still smoke and mirrors. "This is kind of like a fantasy land," says Yale professor Edward Kaplan. Smallpox Program Unofficially Over ''The fact is, it's ceased,'' says Ray Strikas of the Centers for Disease Control and Prevention, ''not that anyone's issued an edict to say stop.'' Read more from USA Today 's front page story, posted 10/15/03

138. CNN.com - Larger Smallpox Vaccination Plan Proposed - Oct. 16, 2002 CNN http://cnn.com/2002/HEALTH/conditions/10/16/smallpox.cdc/index.html

CNN Europe CNN Asia Languages Spanish Portuguese German Italian Korean Arabic Japanese On CNN TV Transcripts Headline News CNN International ... Special Reports SERVICES Video E-Mail Services CNNtoGO SEARCH Web CNN.com Larger smallpox vaccination plan proposed Story Tools ATLANTA, Georgia (CNN) A federal advisory committee voted Wednesday to recommend vaccinating about 510,000 hospital workers against smallpox after the Bush administration suggested that its initial proposal fell short. The Centers for Disease Control and Prevention Advisory Committee on Immunization Practices voted 8-1 for the plan, which calls for hospital personnel who would deal with a biological attack such as emergency room doctors and nurses to be inoculated first. That amounts to about 100 workers per hospital in each of 5,000 hospitals in the country. The vaccine would then be offered to other health care and emergency workers paramedics, firefighters, police officers requiring between 6 million and 10 million doses. Finally it would be offered to the public. The World Health Organization declared smallpox eradicated worldwide in 1980, and the immunization programs that had led to the virus' disappearance were discontinued. Routine smallpox inoculations in the United States ended in 1972.

139. ACP Online - Bioterrorism Top. smallpox. General Information. Information for Patients on smallpox. Frequently Asked Questions about smallpox. Top. Biotoxins, Nerve Agents and Toxic Gases. http://www.acponline.org/bioterro/

Home Search Site directory Bioterrorism Home Overview Anthrax Smallpox ... Email this page Bioterrorism Resources New Releases CDC Satellite Broadcast and Webcast Mass Antibiotic Dispensing: A Primer June 24, 2004 1:00 PM - 2:30 PM ET MKSAP 13: Medical Aspects of Bioterrorism Overview General Information Psychological Resources ... FBI/Public Health Offices Overview General Information MKSAP 13: Medical Aspects of Bioterrorism The U.S. Department of Health and Human Services has announced the release of a new computer model , developed by researchers in the Department of Public Health at Weill Cornell Medical College, that will help health officials better plan large-scale antibiotic dispensing and vaccination responses to bioterrorism and large-scale epidemics. The computer model allows public health and emergency planners to estimate the number and type of staff required to operate mass prophylaxis clinics. Meeting Proceedings : Linkages of Acute Care and EMS to State and Local Public Health Programs: The Role of Interactive Information Systems for Responding to Events Resulting in Mass Injury CDC Clinician Registry: Receive regular updates on terrorism and emergency response issues targeted to clinicians.

140. Study Smallpox Vaccine Can Boost Malaria Resistance CNN http://cnn.com/2003/HEALTH/conditions/05/26/vaccine.boost.ap/index.html

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