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Ako kod njih dode do komplikacija, mogu se leciti protivotrovom za vakcinu; on se naziva VIG, vaccinia imuno globulin. To je ono sto je uradeno u lzraelu. Medutim, uprkos protivotrovu, ipak su se javili
ozbiljni problemi. Danas ima daleko vise Ijudi koji su inficirani HlV-om, koji imaju ek
cern, astmu, i druge probleme oslabljenog imuniteta, da bi daleko vise osoba bilo potencijalno podlozno ozbiljnim komplikacijama zbog vak
cine protiv variole. Savezni zvanicnki se zalazu da se opsta javnost vakcinise nakon
vakcinacije 10 miliona zdravstvenih radnika i nakon sto vakcina dobi
je licencu 2004. za opstu upotrebu. Nespremni da odgovore na krlzu, Novine New York Tin:,es su
24. septembra 2002. navodile sta bi se desilo ako bi ovde doslo do teroristickoq napada variolom i ako bi se pokusalo sa masovnim vakcinisanjem opste populacije:
"Nove smernice za drzave 0 masovnoj vakcinaciji protiv variole su najupecatljivije po onome sto je propusteno, Neodgovorena i cesto nedodirnuta su kriticna pttanja kao sto su tajming, troskovi, izvodljivost i brojni problemi pripremanja zdravstvenih radnika za sprovodenje vakcinacije i prenosenja planova javnosti ...
Dr Muhamed Akhter (Mohammed Akhter), izvrsni direktor Americkog udruzenja zdravstvene zastite, nazvao je plan dobrim ali je doyeo u pitanje njegovu izvodljivost. 'avo je ogroman i masovan poduhvat kakav dosad nismo videli u nasoj istoriji', rekao je dr Akhter. Kada bi do napada variolom doslo veceras, dodao je, 'drzavn' i lokalni zdravstveni odseci nikako ne bi mogli da primene plan..:
Dzonatan Taker (Jonathan B. Tucker), strucnjak za blolosko cruzje iz Vasinqtona ... je rekao, 'Pravi potencijalni problem je kako obezbediti da proces vakcinacije prode mirno i da ne dode do panike rnedu Ijudima'. G. Taker je rekao, 'Ono sto smo prosie jeseni videli u slucaju napada antraksom, koji su bili daleko manje opasni nego sto bi to bila pojava variole, bila je masovna histerija. U pogledu kampanje vakcinacije, to bi bilo veoma problematicno'...
U teoriji, tokom smrtonosne epidemije, masovna vakcinacija protiv variole rnoqla bi da zastltl puna Ijudi: Ova vakcina je jedna od malog broja vakcina koje mogu da deluju cak i ako je osoba vee inficirana. Vakcina rnoze potpuno da zastiti Ijude ako se da u roku od cetiri dana nakon izlaganja virusu.
•
Novi plan obraduje samo sveobuhvatni odgovor na pojavu zarazne bolesti, koja ubija otprilike jednu od tri zrtve. Ne razmatra vakcinisanje bilo koga pre napada iii epidemije, samo posle...
Dr Taker je dodao ... 'Nije sasvim jasno da Ii CDC iii drzave razvijaju potrebnu strategiju 0 komunikaciji kako bi se spreCila panika u slucaju epidemije'... Glavni cilj je obezbediti da se svaki Amerikanac vakcinise do kraja ove godine. Acambis, kompanija iz Kembridza, u Engleskoj, pravi 209 miliona doza vakcine za [arnericku] saveznu vladu ... Dr Akhter, iz grupe za zdravstvenu zastitu, rekao je da je jos vece pitanje ko ee iz Vasinqtona doneti odluku 0 otpocinjanju masovne vakcinacije i kako ce ta odluka biti saopstena" - New York Times, September 24, 2002.
Ne stiti od terorlstickoq napada variolom. U 3. i 4. poglavlju cete saznati zasto nijedna vakcina protiv antraksa koju bismo mogli da proizvedemo ne rnoze da nas zastiti od antraksa koji bi upotrebili teroristi. lsto vazi i za variolu. Dokumentovano je da postoji vise od hiljadu sojeva antraksa, kao i qeneticki modifikovani sojevi. Teroristickoj naciji bi takode bilo relativno lako da pripremi i razlicite sojeve variole, od kojih nijedna vakcina ne moze da stiti.
Oralna vakcina. Postoji i oralni lek za variolu, trenutno u fazi testiranja. PostojeCi lekovi za variolu zahtevaju intravenske inekcije, sto onernoqucava brzo raspodeljivanje. Navodi se da ee prvi oralni lek za variolu biti daleko efektivniji, navodno nudeci potpunu zastitu u toku 24 casa, Slede ispitivanja bezbednosti novog leka.
Medutim, treba imati na umu da je oralna polio vakcina, izbacena na trziste krajem 1950-ih, bila prva za koju se smatralo da je daleko nadrnocruja od ubrizgavanog oblika razvijenog skoro deceniju ranije. Medutim, ispostavilo se da je oralni oblik daleko opasniji! To sto kornpanija za proizvodnju lekova tvrdi da ce novi lek za variolu biti efikasniji ne znaCi da ee biti bezbedniji.
Americko misljenje, Peste imaju nedovoljno informacija 0 temi o kojoj ste upravo Citali, polovina Amerikanaca bi, sudeci po nedavnoj anketi, odabrala vakcinaciju ako bi im bila ponudena.
Predlozeni zakon 0 prinudnoj vakcinaciji Pri razmatranju ozbiljnosti vakcine protiv variole, treba imati na
umu model zakona 0 ovlascenjima u hitnim slucajevirna uqrozavanja zdravlja (Model State Emergency Health Powers Act, Section 504 (1)). Po njemu, rnoze dod dan kada arnericka vlada, pod pretnjom velikog
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