Page images
PDF
EPUB

as BII Leicht edir asmr
E A E se desfa er $222*

TGE ESSE * * * కాగా 2: Sai Naaku ne Nee 39 s gume. Is ges nderser start

2 nedes Deus se seeds I see B E D responsible for

en gaasipoesii De zade me sens bet I SI Cened about that any das very rade X - poa Doa, & pebis danos y under redes c seceras ou people a laaring in its wate oss

The cy Faso restore pebbe trust is tans into this program and Ead out a wedi Tong I Agrl Secretary camane si Dowed a napon azidon prostar. We must learn from our mistatss in the pas de ore we idazurate a new immuniston drive

I think the side fu program was the Federal Government's "Voor Dick" I think it was a great white whale that we pursued so doszed that commonsense pas lost sight of. The prgtam was a terrible waste.

We thought it would cost $:35 million, but it looks now like it will cost is er over . 53on.

We thought a national immunization program would draw us all together in a national effort. This was to be a model for future immunization programs. Instead, we squandered the precious trust the public accords us.

Do you know what could be done with a $1 billion. We would provide all poor children with dental care. We could screen por children for signs of mental retardation at an age when such a handicap is most easily treated. Can you conceive of how $1 billion could help programs for the handicapped of our Nation. Or how it could be used to modernize our veterans hospitals?

When I think what could be done with the funds we now must devote to cleaning up after the swine flu program I feel frustrated With all our expertise, why didn't we know better?

I hope we can get answers to some of these questions in this hearing, and I want to thank the chairman for calling these hear ings so that we can look into the issue of the swine flu immunization program.

Mr. ROGERS. Mr. Maquire, did you have a statement?
Mr. MAGUIRE. No, Mr. Chairman.

Mr. ROGERS. We are pleased to have as our first witnesses the representatives of the General Accounting Office, who conducted the study requested by the committee. The witnesses are Mr. Gregory J. Ahart, Director of the Human Resources Division, General Accounting Office, who is accompanied by Jesse Flowers, Michael Burnett, and Peter Oswald, supervisory auditors of the General Accounting Office.

We welcome all of you gentlemen here. Your statement will be made a part of the record in full at this point and you may proceed as desired.

COMMITTEE ON INTERSTATE AND FOREIGN COMMERCE

[blocks in formation]

HARLEY O. STAGGERS, West Virginia, Chairman JOHN E. MOSS, California

SAMUEL L. DEVINE, Ohio JOHN D. DINGELL, Michigan

JAMES T. BROYHILL, North Carolina PAUL G. ROGERS, Florida

TIM LEE CARTER, Kentucky LIONEL VAN DEERLIN, California

CLARENCE J. BROWN, Ohio FRED B. ROONEY, Pennsylvania

JOE SKUBITZ, Kansas JOHN M. MURPHY, New York

JAMES M. COLLINS, Texas DAVID E. SATTERFIELD III, Virginia

LOUIS FREY, JR., Florida BOB ECKHARDT, Texas

NORMAN F. LENT, New York RICHARDSON PREYER, North Carolina EDWARD R. MADIGAN, Illinois CHARLES J. CARNEY, Ohio

CARLOS J. MOORHEAD, California RALPH H. METCALFE, Illinois

MATTHEW J. RINALDO, New Jersey JAMES H. SCHEUER, New York

W. HENSON MOORE, Louisiana RICHARD L. OTTINGER, New York

DAVE STOCKMAN, Michigan
HENRY A. WAXMAN, California

MARC L. MARKS, Pennsylvania
ROBERT (BOB) KRUEGER, Texas
TIMOTHY E. WIRTH, Colorado
PHILIP R. SHARP, Indiana
JAMES J. FLORIO, New Jersey
ANTHONY TOBY MOFFETT, Connecticut
JIM SANTINI, Nevada
ANDREW MAGUIRE, New Jersey
MARTY RUSSO, Illinois
EDWARD J. MARKEY, Massachusetts
THOMAS A. LUKEN, Ohio
DOUG WALGREN, Pennsylvania
BOB GAMMAGE, Texas
ALBERT GORE, JR., Tennessee
BARBARA A. MIKULSKI, Maryland

[merged small][merged small][ocr errors][merged small][merged small][merged small][merged small][merged small][merged small][merged small]

W. E. WILLIAMSON, Chief Clerk and Staff Director
KENNETH J. PAINTER, First Assistant Clerk
ELEANOR A. DINKINS, Assistant Clerk
FRANK W. MAHON, Printing Editor

PROFESSIONAL STAFF
ELIZABETH HARRISON

CHRISTOPHER E. DUNNE
JEFFREY H. SCHWARTZ

WILLIAM M. KITZMILLER
BRIAN R. MOIR

MARK J. RAABE
KAREN F. NELSON

THOMAS M. RYAN
Ross D. AIN

RICHARD D. LINDSAY, M.D.
ROBERT HENLEY LAMB, Associate Minority Counsel
SUBCOMMITTEE ON HEALTH AND THE ENVIRONMENT

PAUL G. ROGERS, Florida, Chairman
DAVID E. SATTERFIELD III, Virginia

TIM LEE CARTER, Kentucky RICHARDSON PREYER, North Carolina JAMES T. BROYHILL, North Carolina JAMES H. SCHEUER, New York

EDWARD R. MADIGAN, Illinois HENRY A. WAXMAN, California

JOE SKUBITZ, Kansas
JAMES J. FLORIO, New Jersey

SAMUEL L. DEVINE, Ohio (Ex Officio)
ANDREW MAGUIRE, New Jersey
EDWARD J. MARKEY, Massachusetts
RICHARD L. OTTINGER, New York
DOUG WALGREN, Pennsylvania
HARLEY O. STAGGERS, West Virginia
(Ex Officio)

STEPHAN E. LAWTON, Counsel
ROBERT W. MAHER, Director of Research and Planning

Jo ANNE GLISSON, Senior Staff Associate
DONALD K. DALRYMPLE, Assistant Counsel

WILLIAM V. CORR, Assistant Counsel
STEPHEN J. CONNOLLY, Senior Staff Assistant

BURKE ZIMMERMAN, Research Assistant

Mark

Co. Meye

Adr Millas

Dise

tion Morri Oswal Peters

mer: Additional

Amerí

[ocr errors]

(II)

CONTENTS

Statement of

Page Abramson, Clarence A., senior counsel, Merck & Co. Inc

411 Ahart, Gregory J., Director, Human Resources Division, General Accoun ing Office

4 Bailey, William O., president, Aetna Life & Casualty

438, 487 Biery, Richard M., M.D., on behalf of the United States Conference of City Health Officers

397 Bradford, Windell, Administrative Assistant to Dr. Millar, Bureau of State

Services, Center for Disease Control, Public Health Service, Department
of Health, Education, and Welfare

37, 96 Burnett, Michael, Supervisory Auditor, General Accounting Office

4 Elsea, William R., M.D., vice president, National Association of County Health Officials (NACHO).

384 Flowers, Jesse, Supervisory Auditor, General Accounting Office

4 Gemmell, Mike, legislative representative, National Association of County Health Officials (NACHO).

384 Goldbloom Irwin, Deputy Assistant Attorney General, Civil Division, Department of Justice

68 Hagan, Charles F., general counsel, American Home Products Corp .411, 418 Harder, Henry U., president, Chubb & Son, Inc

438 Hendrickson, Robert F., vice president, operations, Merck Sharp & Dohme Division, Merck & Co., Inc....

411 Jones, T. Lawrence, president, American Insurance Association.

438 Jordan, William, M.D., National Institute of Allergy and Infectious Diseases, Department of Health, Education, and Welfare

..... 37, 96 Lamb, Frederick D., vice president and legal counsel, Merrell-National Laboratories

.411, 426 Lloyd, Douglas S., M.D., on behalf of the Association of State and Territorial Health Officials (ASTHO)

379 Markoe, Frank, Jr., vice chairman, Board of Directors, Warner-Lambert Co. (Parke-Davis)

.411, 418 Meyer, Harry M., Jr., M.D., Director, Bureau of Biologics, Food and Drug Administration, Department of Health, Education, and Welfare

37, 96 Millar, J. Donald, M.D., Director, Bureau of State Services, Center for

Disease Control, Public Health Service, Department of Health, Educa-
tion, and Welfare....

37, 96 Morris, J. Anthony, Ph. D., Greenbelt, Md

406 Oswald, Peter, Supervisory Auditor, General Accounting Office

4 Peterson, Neil R., Assistant Chief, Torts Section, Civil Division, Department of Justice

68 Additional material submitted for the record byAmerican Insurance Association: Attachments to Mr. Jones' prepared statement: Insurance proposals-alternative No. 1, 2, and 3

450 Secretary Mathews' (HEW) telex to insurance companies dated July 29, 1976

453 Swine flu vaccine program

454 Memorandum dated November 10, 1976, to each subscribing

insurer-special liability insurance and special excess liability
insurance for vaccine manufacturers, national swine flu immu-
nization program of 1976 re claims administration procedures,
proposed implementation

464 Servicing carrier agreement for insurers of the manufacturers of vaccine

469

[ocr errors]
[ocr errors]

Additional material submitted for the record by-Continued

Page
General Accounting Office, letter dated December 20, 1977, from Mr. Ahart

to Chairman Rogers re correspondence concerning the scope of study;
chronology of events and content of discussions which led to limiting the
scope of evaluation of vaccine manufacturing costs; and for delayed study
of vaccine manufacturing costs and agreement with requesting commit-
tees, with attached letters dated September 21, 1977, to Congressman
Waxman and February 18, 1977, to Chairman John E. Moss, Subcommit-
tee on Oversight and Investigations ..

28
Health, Education, and Welfare Department:
Attachments to Dr. Millar's prepared statement:

Figure 1-Percent of persons with history of receiving influenza
vaccine, United States, 1972-77

60
Figure II—Influenza vaccination coverage, percent by State as of
June 23, 1977

61
Figure III-Guillain-Barre syndrome attack rates in vaccinated

and unvaccinated groups by age, United States, October
1976-January 1977...

62
Figure IV-Guillain-Barre syndrome attack rate for population

>17 years of age, by week of onset after A/New Jersey
influenza vaccination, United States, October 1976-January
1977

63
Figure V-Guillain-Barre syndrome relative risks for population

> 17 years of age, by week of onset after A/New Jersey influenza

vaccination, United States, October 1976-January 1977.......... 64 Audit reports

350 “Evaluation and control of vaccines for the national influenza immunization program," report by Barry, et al

97
Table 1—Tests performed on influenza vaccine loss...

103
Table 2–Summary of test results on commercial influenza vac-
cines

104
Table 3—Chicken cell agglutination (CCA) test results

105 Table 4-Hemagglutinin content of A/New Jersey component of

influenza vaccines as determined by immunoelectrophoresis ...... 106 Table 5-Amount of vaccine as of December 16, 1976

107 Testing and distribution chart by doses and week ending

108
Letter dated October 4, 1977, from Chairman Rogers to Secretary

Califano re additional written questions with subsequent replies
dated October 17, and December 13, 1977....

354
National influenza immunization program vaccine contract and insur-
ance costs

66
Signing of letter contracts, with attachments pertaining to 1. tax

status of the self insurance retention fund; 2. production of "Shope"

influenza virus vaccine; and 3. waiver of cost accounting standards. 110
Justice Department:
Attachments to Mr. Peterson's prepared statement:
Claims received at Department of Justice

72
List of suits

74
Correspondence between Chairman Rogers and the Department of

Justice re status of the 28 positions funded by a supplemental
appropriation made to meet the Department's specific request for
dealing with swine flu program claims

92
Letter dated December 13, 1977, from Irwin Goldbloom, Deputy Assis-

tant Attorney General to Chairman Rogers re list of all personnel in
the Civil Division who are presently working on matters arising out
of the swine flu program

90
Letter dated December 16, 1977, from Barbara Allen Babcock, Assis-

tant Attorney General to Chairman Rogers re cost per claim of
processing claims by the Justice Department under the swine flu
statute

82 National Association of County Health Officials (NACHO), attachment to

Dr. Elsea's prepared statement: NACHO survey on selected counties'
experience with the national influenza immunization program.

392 Statement submitted for the record by

Public Citizen's Health Research Group, Anita Johnson and Sidney Wolfe,
M.D.....

493

Appendix—“The Swine Flu Program: An Unprecedented Venture in Preven- Page tive Medicine,” report to the Congress by the Comptroller General of the United States June 27, 1977

501
ORGANIZATIONS REPRESENTED AT HEARINGS
Aetna Life & Casualty, William O. Bailey, president.
American Home Products Corp., Charles F. Hagan, general counsel.
American Insurance Association, T. Lawrence Jones, president.
Association of State and Territorial Health Officials (ASTHO), Douglas S. Lloyd, M.D.
Chubb & Son, Inc., Henry U. Harder, president.
General Accounting Office:

Ahart, Gregory J., Director, Human Resources Division.
Burnett, Michael, Supervisory Auditor.
Flowers, Jesse, Supervisory Auditor.

Oswald, Peter, Supervisory Auditor.
Health, Education, and Welfare Department:

Bradford, Windell, Administrative Assistant to Dr. Millar, Bureau of State

Services, Center for Disease Control, Public Health Service. Jordan, William, M.D., National Institute of Allergy and Infectious Diseases. Meyer, Harry M., Jr., M.D., Director, Bureau of Biologics, Food and Drug

Administration. Millar, J. Donald, M.D., Director, Bureau of State Services, Center for Disease

Control, Public Health Service. Justice Department:

Goldbloom, Irwin, Deputy Assistant Attorney General, Civil Division.

Peterson, Neil R., Assistant Chief, Torts Section, Civil Division.
Merck & Co., Inc.:

Abramson, Clarence A., senior counsel.
Hendrickson, Robert F., vice president, operations, Merck Sharp & Dohme

Division.
Merrell-National Laboratories, Frederick D. Lamb, vice president and legal counsel.
National Association of County Health Officials (NACHO):

Elsea, William R., M.D., vice president.

Gemmell, Mike, legislative representative.
Warner-Lambert Co. (Parke Davis), Frank Markoe, Jr., vice chairman, Board of

Directors.
United States Conference of City Health Officers, Richard M. Biery, M.D.

« PreviousContinue »