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生产天花疫苗的计划仍继续(下)
http://www.100md.com 2001年11月6日 好医生
     &nbps;&nbps;&nbps;&nbps;In addition to vaccine manufacturing, researchers are also conducting studies to see if antiviral drugs used to treat other infections might be effective as second-line backups in the case of a smallpox emergency. Scientists are testing cidofovir, a drug originally developed to treat cytomegalovirus infectious in AIDS patients, said Dr. Anthony Fauci, the director of the National Institutes of Allergy and Infectious Diseases.

    &nbps;&nbps;&nbps;&nbps;But local officials cautioned that Congress must also give high priority to state and local health departments as it considers emergency spending of up to $20 billion in the coming weeks.

    &nbps;&nbps;&nbps;&nbps;"With smallpox, all the vaccine in the world isn't going to do any good without the capacity to distribute and administer vaccine locally," said Dr. Anita Barry, the communicable disease control director for the Boston Public Health Commission in Massachusetts.

    &nbps;&nbps;&nbps;&nbps;"And one thing is very clear: the current levels of staffing, planning and preparedness at the local level are not enough, even in cities that have initiated bioterrorism preparedness," she said.

    &nbps;&nbps;&nbps;&nbps;Barry stressed that local departments are not prepared to help doctors identify smallpox, while few have plans for how they will handle the surveillance, treatment and quarantine of potentially massive numbers of patients.

    &nbps;&nbps;&nbps;&nbps;In Boston, "we currently have one infectious disease physician and a few nurses," said Barry, who called on Homeland Security Director Tom Ridge to establish a commission of local health authorities to coordinate with federal officials on bioterrorism preparedness.

    &nbps;&nbps;&nbps;&nbps;Lawmakers were sympathetic, noting that their proposals will spend between $2.3 billion and $3.1 billion on bioterrorism preparedness. Local health departments represent the "front lines" of any future bioterrorist attack, said Sen. Robert C. Byrd, a West Virginia Democrat who chairs the Appropriations Committee.

    &nbps;&nbps;&nbps;&nbps;"If you put it in military terms, our troops are poorly trained, our radar is out of date, and we're low on ammunition," said Sen. Tom Harkin (D-IA), the health subcommittee chairman.

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