Wall St. Before Main St. for H1N1 Vaccine?
Reports That CDC Set Aside Vaccine for Businesses Has Some Crying Foul
By RADHA CHITALE
ABC News Medical Unit
Nov. 5, 2009—
Despite long lines at health clinics around the country prompted by widespead shortages of the vaccine for H1N1, some on Wall Street may have made their way to the front of the line, a public health watchdog group charged Thursday.
Citizens for Responsibility and Ethics in Washington (CREW) has demanded an investigation into why the Centers for Disease Control and Prevention approved small amounts of H1N1 vaccine for distribution at 13 companies including Goldman Sachs, Citigroup and JP Morgan Chase.
CREW executive director Melanie Sloan wrote a letter to Health and Human Services Secretary Kathleen Sebelius. "Although CREW has been unable to uncover the demographic makeup of [these companies], surely it is safe to assume the vast majority of their employees are not pregnant women and children, young adults up to 24 years old, and healthcare workers," Sloan wrote. "Under these circumstances, it is the height of irresponsibility for the CDC to approve distribution of the vaccine to anywhere other than where it is most likely to be provided to those at the greatest risk."
But in a statement, Goldman Sachs said they intend to follow the CDC's vaccine guidelines. "It is important to understand that the Department of Health decides in its sole discretion who receives H1N1 vaccines -- both the amount and timing. Goldman Sachs, like other responsible employers, has requested vaccine and will supply it only to employees who qualify based on the requirements laid down by the CDC and Department of Health."
Ethics Watchdog Group Incensed By CDC's Actions
Prompted by various news reports about Goldman Sachs officials receiving H1N1 vaccines, White House Press Secretary Robert Gibbs said CDC director Dr. Thomas Frieden is writing a letter to states reiterating the importance of vaccinating priority groups.
Vaccine Supplies Already Scarce
But news that these employees may have access to scarce supplies of the vaccine comes on the heels of other reports that health clinics do not always screen out low-risk people who come with their families or on their own to receive injections.
President Obama's declaration that the H1N1 pandemic was a national emergency led many health care professionals to wonder whether publicizing guidelines on who should get the vaccine first was enough.
It might be necessary, some said, to screen interlopers actively -- and turn them away until more vaccine is available.
"It is ludicrous to leave the allocation of scarce vaccine to individual judgment and self-interest," said Arthur Caplan, professor of bioethics at the University of Pennsylvania.
The U.S. Centers for Disease Control and Prevention has not made recommendations for screening high- or low-priority cases at public clinics because it would be logistically difficult.
"We have made it clear to providers who we want vaccinated first. At the end of the day, it is up to that provider to decide who to vaccinate," said Tom Skinner, a CDC spokesman.
CDC Recommends Children, Pregnant Women Be Vaccinated First
The CDC suggests that people at high risk for H1N1 infection be first in line. They include pregnant women, young people between 6 months and 24 years of age, caretakers for infants, health care workers, and people with chronic medical conditions.
ABC News correspondents Lisa Stark, who dropped in at a vaccination clinic in Montgomery County, Md., and Lisa Fletcher, who observed several clinics around Los Angeles, Calif., reported that indeed, it appeared that most of those lining up for shots were in these priority groups.
Still, some said steps should be taken to ensure this remains the case.
"It should be clear and shouldn't be fudged: People who do not fall within the high risk groups will be turned away," said Rosamond Rhodes, a professor of bioethics at Mt. Sinai School of Medicine in New York. "This is a statement health departments and vaccine centers should make very pronounced... Unless everyone can be confident that the rules are being enforced, people will not want to comply."