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File: 120396_sep96_decls54_0006.txt
Subject: RESPONSE TO THE BIOLOGICAL WARFARE BW THREAT 20 AUG 90
Unit: OTSG
Parent Organization: HSC
Box ID: BX003201
Folder Title: OPERATION DESERT SHIELD RESPONSE TO THE BIOLOGICAL WARFARE BW THREAT
Document Number: 1
Folder SEQ #: 45
effective. Rarely, penicillin-resistant strains have been recovered from fatal
human cases.
V PROPHYLAXIS
PRE-EXPOSURE
VACCINE
An alum-precipitated preparation of purified Bacillus anthracis protective
antigen (PA) has been shown to be effective in preventing or significantly
reducing the incidence of inhalation anthrax. Studies in rhesus monkeys
indicate that good protection is afforded after 2 doses (14-16 days apart) for
periods up to a year. Limited human data suggests that, after completion of the
entire 6-dose primary series (0,2,4 weeks, then 6,12,18 months), protection
against both cutaneous and inhalation anthrax is afforded. There is likely
protection after 2 doses in humans as well, but there is too little information to
draw firm conclusions. As with all vaccines, the degree of protection is
proportional to the challenge dose; vaccine-induced protection is undoubtedly
overwhelmed by extremely high spore challenge.
The vaccine is a commercially-available, licensed product manufactured
by the Michigan Department of Public Health. Limited quantities of vaccine
are currently in-stock, while additional amounts will be available for
distribution by 1 October 1990. Given projected availabilities, we recommend
administration of 2 doses, 0.5 ml subcutaneously, on days 0 and 14.
Contraindications for use are sensitivity to vaccine components (formalin, alum,
benzethonium chloride) and/or history of clinical anthrax. Reactogenicity is
mild to moderate: up to 6% of recipients will experience mild discomfort at the
inoculation site for up to 72 hours (tenderness, erythema, edema, pruritis),
while a smaller proportion ( < 1 %) will experience more severe local reactions
6 DRAFT
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Document 16 f:/Week-36/BX003201/OPERATION DESERT SHIELD RESPONSE TO THE BIOLOGICAL WARFARE BW THREAT/response to the biological warfare bw threat 20 :11229616342212
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-36
Box ID = BX003201
Unit = OTSG
Parent Organization = HSC
Folder Title = OPERATION DESERT SHIELD RESPONSE TO THE BIOLOGICAL WARFARE BW THREAT
Folder Seq # = 45
Subject = RESPONSE TO THE BIOLOGICAL WARFARE BW THREAT 20
Document Seq # = 1
Document Date =
Scan Date =
Queued for Declassification = 01-JAN-1980
Short Term Referral = 01-JAN-1980
Long Term Referral = 01-JAN-1980
Permanent Referral = 01-JAN-1980
Non-Health Related Document = 01-JAN-1980
Declassified = 22-NOV-1996