COMMITTEE ON INTERSTATE AND FOREIGN COMMERCE HARLEY O. STAGGERS, West Virginia, Chairman JOHN E. MOSS, California JOHN D. DINGELL, Michigan PAUL G. ROGERS, Florida LIONEL VAN DEERLIN, California RICHARDSON PREYER, North Carolina 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 W. E. WILLIAMSON, Chief Clerk and Staff Director CONTENTS Statement of— Abramson, Clarence A., senior counsel, Merck & Co. Inc Ahart, Gregory J., Director, Human Resources Division, General Accoun Bailey, William O., president, Aetna Life & Casualty Biery, Richard M., M.D., on behalf of the United States Conference of City Bradford, Windell, Administrative Assistant to Dr. Millar, Bureau of State Services, Center for Disease Control, Public Health Service, Department of Health, Education, and Welfare Burnett, Michael, Supervisory Auditor, General Accounting Office Page 4 Flowers, Jesse, Supervisory Auditor, General Accounting Office Gemmell, Mike, legislative representative, National Association of County Goldbloom Irwin, Deputy Assistant Attorney General, Civil Division, De- Hagan, Charles F., general counsel, American Home Products Corp Harder, Henry U., president, Chubb & Son, Inc Hendrickson, Robert F., vice president, operations, Merck Sharp & Dohme Division, Merck & Co., Inc....... Jones, T. Lawrence, president, American Insurance Association... Jordan, William, M.D., National Institute of Allergy and Infectious Dis- eases, Department of Health, Education, and Welfare Lamb, Frederick D., vice president and legal counsel, Merrell-National 68 Meyer, Harry M., Jr., M.D., Director, Bureau of Biologics, Food and Drug Millar, J. Donald, M.D., Director, Bureau of State Services, Center for Disease Control, Public Health Service, Department of Health, Educa- 37, 96 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, Servicing carrier agreement for insurers of the manufacturers of Additional material submitted for the record by-Continued 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 committees, with attached letters dated September 21, 1977, to Congressman Waxman and February 18, 1977, to Chairman John E. Moss, Subcommittee on Oversight and Investigations. Health, Education, and Welfare Department: Attachments to Dr. Millar's prepared statement: Figure I-Percent of persons with history of receiving influenza Figure II-Influenza vaccination coverage, percent by State as of Figure III—Guillain-Barre syndrome attack rates in vaccinated Figure IV-Guillain-Barre syndrome attack rate for population Figure V-Guillain-Barre syndrome relative risks for population "Evaluation and control of vaccines for the national influenza immuni- Table 1-Tests performed on influenza vaccine loss........ 103 104 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 Testing and distribution chart by doses and week ending 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... 107 108 354 National influenza immunization program vaccine contract and insur- 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. Justice Department: 110 Attachments to Mr. Peterson's prepared statement: Claims received at Department of Justice Correspondence between Chairman Rogers and the Department of Letter dated December 13, 1977, from Irwin Goldbloom, Deputy Assis- statute Letter dated December 16, 1977, from Barbara Allen Babcock, Assistant Attorney General to Chairman Rogers re cost per claim of processing claims by the Justice Department under the swine flu 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.. Statement submitted for the record by Public Citizen's Health Research Group, Anita Johnson and Sidney Wolfe, 493 Appendix-"The Swine Flu Program: An Unprecedented Venture in Preventive Medicine," report to the Congress by the Comptroller General of the United States-June 27, 1977 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. Page 501 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. 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. |