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The Swine Flu Affair: Decision-Making on a Slippery Disease (1978)

Chapter: Appendix D: Selected Documents

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Suggested Citation:"Appendix D: Selected Documents." National Research Council. 1978. The Swine Flu Affair: Decision-Making on a Slippery Disease. Washington, DC: The National Academies Press.
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Suggested Citation:"Appendix D: Selected Documents." National Research Council. 1978. The Swine Flu Affair: Decision-Making on a Slippery Disease. Washington, DC: The National Academies Press.
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Suggested Citation:"Appendix D: Selected Documents." National Research Council. 1978. The Swine Flu Affair: Decision-Making on a Slippery Disease. Washington, DC: The National Academies Press.
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Suggested Citation:"Appendix D: Selected Documents." National Research Council. 1978. The Swine Flu Affair: Decision-Making on a Slippery Disease. Washington, DC: The National Academies Press.
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Below is the uncorrected machine-read text of this chapter, intended to provide our own search engines and external engines with highly rich, chapter-representative searchable text of each book. Because it is UNCORRECTED material, please consider the following text as a useful but insufficient proxy for the authoritative book pages.

D Selected Documents 1. Sencer "action-memorandum," written March 13, 1976, dated March 18, from James F. Dickson for Theodore Cooper to HEW Secretary David Mathews. 2. Memorandum for 0MB Director James T. Lynn, written and dated March 15, 1976, from HEW Secretary Mathews. 3. Memorandum for President Ford, undated, with talking points for March 22, 1976 meeting, from Budget Director Lynn, with two attachments: Attachment A. "Uncertainties Surrounding Federal Mass Swine Influenza Immunization Program." Attachment B. The Spencer "action-memorandum" (as above). 4. CDC staff study on vaccine stockpiling, prepared in May, 1976 for use at subse- quent advisory meetings. 5. Two-page consent form for the swine flu program, as actually used, with two sec- ond pages, one for monovalent and the other for bivalent vaccine. 126

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In 1976, a small group of soldiers at Fort Dix were infected with a swine flu virus that was deemed similar to the virus responsible for the great 1918-19 world-wide flu pandemic. The U.S. government initiated an unprecedented effort to immunize every American against the disease. While a qualified success in terms of numbers reached—more than 40 million Americans received the vaccine—the disease never reappeared. The program was marked by controversy, delay, administrative troubles, legal complications, unforeseen side effects and a progressive loss of credibility for public health authorities. In the waning days of the flu season, the incoming Secretary of what was then the Department of Health, Education and Welfare, Joseph Califano, asked Richard Neustadt and Harvey Fineberg to examine what happened and to extract lessons to help cope with similar situations in the future. The result was their report, The Swine Flu Affair: Decision-Making on a Slippery Disease.

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