January 30, 2003
MEDIA CONTACT: Gary Stephenson
Hopkins Medicine Plans 'Low Risk, Go Slow' Approach to Vaccinating Health Care Workers Against Smallpox
In response to the U.S. Government's recommendation to vaccinate volunteer "first response" health care workers against smallpox, Johns Hopkins Medicine has adopted a "low risk, go slow" approach, decided upon after review of known scientific facts, consultation with its own experts and ethicists, as well as colleagues at the University of Maryland Medical System, the Baltimore City Health Department, and the state Department of Health and Mental Hygiene. The first volunteers at Hopkins will receive their vaccinations from the Baltimore City Health Department shortly after the City initiates its vaccination program in February.
A small group of Hopkins Hospital's volunteers will be vaccinated each month over a six to nine month period until an appropriate number up to 250 is reached. At Johns Hopkins Bayview Medical Center, the target number of volunteers is 175; at Howard County General Hospital, the target number is 100. This "Go Slow" strategy will allow vaccinations without removing a large number of workers from the hospitals at one time.
As part of the "Low Risk" strategy, all volunteers nurses, physicians, therapists, technicians, security guards or other hospital workers will not be allowed to have any contact with patients during the period they are reacting to the vaccination. The employees' vaccination sites will be monitored by the respective hospitals. If an employee becomes ill because of the vaccination, worker's compensation coverage will be provided, the employee will not have to use any paid time off, and treatment will be provided by Hopkins physicians.
"We believe these policies will enable us to protect our institutions, our patients, our employees and our employees' families while we aid the region and the nation," says Gabor D. Kelen, M.D., director of the Johns Hopkins Office of Critical Event Preparedness and Response (CEPAR) and Hopkins' Department of Emergency Medicine. The vaccination program was developed under the auspices of CEPAR.
Hopkins has spent a considerable amount of time educating its staff about the risks associated with smallpox vaccinations and stresses that this is strictly a voluntary program, Kelen emphasized.
CEPAR is the command center for Hopkins' enterprise-wide planning for, and reaction to, a catastrophe, particularly involving bioterrorism, chemical or nuclear attack. Although each component of the Johns Hopkins Health System and University maintains its own disaster plan, CEPAR sets priorities for the entire enterprise if a disaster with medical/public health consequences overwhelms one entity, or involves two or more of them. It has the authority to set policy, tap every asset of the Hopkins enterprise and to speak as the official, unified voice on behalf of all of them if such an all-encompassing calamity occurs.
The Johns Hopkins University undertook initiatives to address potential threats to homeland security long before September 11, 2001. About six years ago, the Bloomberg School of Public Health founded the Center for Civilian Biodefense, which brings together medical, public health, military, and law enforcement communities to address the threat of biological warfare. Two years ago, the Johns Hopkins Information Security Institute was founded, bringing together disciplines from computer science to political science to examine methods of increasing the security of digital information.
More than 60 years ago, The Johns Hopkins University established the Applied Physics Laboratory (APL) to oversee the assignment given by President Franklin D. Roosevelt to design an innovative air defense weapon, the proximity fuse. By the end of World War II, this fuse accounted for fully one-third of all U.S. electronics production and was recognized along with RADAR and the atomic bomb as among the key technological advances that helped win the war. The APL now comprises 2,000 scientists who continue contributing to the nation's security.
"Although Hopkins hopes a smallpox biothreat never becomes a reality, we believe preparation is the best defensive public health weapon available," Kelen says.