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HRD-77-102 1 (1977-06-27)

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[swine Influenza Program]. HRD-77-102; B-1611031(2) . June 27,
1977. 11 pp.

Report to Rep. Henry A. Waxman; by Elmer B. Staats, Comptroller
General.

Issue Area: Consumer and Worker Protection* Regulation of
    B4.ological Products to Insure their Safety, Purity, Potency,
    and Efficacy (908) ; Health Programs: Early Diagnosis and
    Disease Control (1201).
Contact. Human Resources Div.
Budget Function: Health: Prevention and Control of Health
    Problems (553).
Organizaticr Concermed: Department of Health, Education, and
    Welfare.
Congressional Relevance: Rep. Henry A. Waxman.
Authority: Federal Food, Drug, and Cosmetic Act (21 U.SIC. 355).
    Public Health Service Act, as amended (42 U.S.C. 26?). P.L.
    94-380. 21 C.F.R. 601.25.

          The swine flu vaccine program was predicated on the
 conclusion by Department of Health, Education, and Welfare (HEW)
 officials that the vaccine would protect between 70% and 90% of
 those vaccinated against swine flu outbreak.
 Findings/Conclusions: This conclusion was based on a HEW review
 of antibody response data gathered during the 1976 swine flu
 vaccine trials and observations of the effectiveness of previous
 flu vaccines. Since scientists agree that experimental
 investigations involving deliberate exposure to a new virus
 strain, such as swine virus, nre very difficult to perform and
 could pose a potentially serious health hazard in the United
 States, this method was not used to determine the effectiveness
 of the swine flu vaccine. The swine flu vaccine's effectiveness
 was estimated through clinical trials that measured the
 participants' antibody level before and after recei,[ng the
 vaccine. HEW officials and other flu experts noted that
 information on possible long-term effects of flu vaccination is
 needed, but it would be diffi.ult to plan and it would probably
 not be feasible because no one knows what to lock for, As part
 of the swine flu immunization program, the Center for Disease
 control had responsibility for conducting short-term
 surveillance on vaccine recipients. In addition, the Center is
 supporting two studies i women who recieved the vaccine to
 identify unfavorable pregnancy outcomes. ISC)