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21717373
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Swine Flu (2)
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Source metadata
id
21717373
sourceUrl
contentType
document
title
Swine Flu (2)
citationUrl
collections
Vernon C. Loen and Charles Leppert Files
Vernon Loen's and Charles Leppert's General Subject Files
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Legislation
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21717373
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logicalDate
1976-09-30
month
9
year
1976
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1976-03-01
month
3
year
1976
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4ad85175fe5ff356
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The original documents are located in Box 24, folder "Swine Flu (2)" of the Loen and
Leppert Files at the Gerald R. Ford Presidential Library.
Copyright Notice
The copyright law of the United States (Title 17, United States Code) governs the making of
photocopies or other reproductions of copyrighted material. Gerald Ford donated to the United
States of America his copyrights in all of his unpublished writings in National Archives collections.
Works prepared by U.S. Government employees as part of their official duties are in the public
domain. The copyrights to materials written by other individuals or organizations are presumed to
remain with them. If you think any of the information displayed in the PDF is subject to a valid
copyright claim, please contact the Gerald R. Ford Presidential Library.
Digitized from Box 24 of the Loen and Leppert Files at the Gerald R. Ford Presidential Library
ON PASSAGE
FILE
SWINE FLU IMMUNIZATION PROGRAM
[8/18/76]
YEA
NAY
PRES
NV
DEMOCRATIC
169
58
2
57
REPUBLICAN
81
25
39
OTHER
TOTAL
250
83
?
96
STATE AND PARTY REPORT
10 AUG. 1976 8:57 PN PAGE 2
ROLL NC. 638
DENOCRATIC
**CTHER**
REPUBLICAN
ALABAMA
BEVILL
YEA
BUCHANAN
YFA
FLOWERS
NAY
DICKINSON
NV
JONES (AL)
YEA
EDWARDS (AL)
NAY
NICHOLS
YEA
ALASKA
YOUNG (AK)
NV
ARIZONA
UDALL
YEA
CONLAN
NV
RHODES
YFA
STEIGER (AL)
NAY
ARKANSAS
ALEXANDER
NV
HAMMERSCHMIDT
NAY
MILLS
NV
THURNTON
NAY
CALIFORNIA
ANDERSON (CA)
YEA
BELL
YFA
BROWN (CA)
YEA
BURGENER
YFA
BURKE (CA)
NV
CLAUSEN. DON -.
YEA
BURTON, JOHN
NAY
CLAWSON, DEL
YFA
BURTON, PHILLIP
NV
GOLDWATER
NAY
CORMAN
NAY
HINSHAW
NV
DANIELSON
NV
KETCHUM
NV
DELLUMS
NAY
LAGOMARSINO
YEA
EDWARDS (CA)
NAY
MC CLOSKEY
NAY
HANNAFURD
YEA
MOORHEAD (CA)
NAY
HAWKINS
NV
PETTIS
YFA
JOHNSON (CA)
YEA
ROUSSELCT
NAY
KREBS
NAY
TALCOTT
YFA
LEGGETT
NV
WIGGINS
NV
LLOYD (CA)
YEA
WILSON, BOB
YFA
MC FALL
YEA
MILLER (CA).
NAY
MINETA
YEA
MOSS
NAY
PATTERSON (CA)
YEA
REES
NV
ROYBAL
YEA
RYAN
YEA
SISK
YEA
STARK
NAY
VAN DEERLIN
NAY
WAAMAN
NAY
WILSON, C. +.
NV
COLORADO
EVANS (CO)
YEA
ARMSTRONG
YFA
SCHROEDER
NAY
JOHNSON (CO)
YFA
WIRTH
YEA
STATE AND PARTY REPORT
10 AUG. 1976 8:57 PM PAGE 3
ROLL NO. 638
DEMOCRATIC
**OTHER**
REPUBLICAN
CONNECTICUT
CUTTER
NV
MC KINNEY
NV
DODD
NAY
SARASIN
NV
GIAIMO
YEA
MOFFETT
NAY
DELAWARE
DU PONT
NV
FLORIDA
BENNETT
YEA
BAFALIS
YFA
CHAPPELL
NV
BURKE (FL)
NAY
FASCELL
YEA
FREY
NV
FUQUA
NV
KELLY
YEA
GIBBONS
NV
YOUNG (FL)
NAY
HALEY
YEA
LEHMAN
YEA
PEPPER
YEA
ROGERS
YEA
SIKES
NV
GEORGIA
BRINKLEY
YEA
FLYNT
NV
GINN
YEA
LANDRUM
NV
LEVITAS
NAY
MATHIS
YEA
MC DONALD
NAY
STEPHENS
NV
STUCKEY
YEA
YOUNG (GA)
NV
HAWAII
MATSUNAGA
YEA
MINK
NV
IDAHO
HANSEN
NAY
SYMMS
NAY
STATE AND PARTY REPORT
10 AUG. 1976 8:57 PM PAGE 4
ROLL NO. 638
DENOCRATIC
**OTHER**
REPUBLICAN
ILLINOIS
ANNONZIO
YEA
ANDERSON (IL)
NV
COLLINS (IL)
PRES
CRANE
NAY
FARY
YEA
DERWINSKI
YFA
HALL (IL)
YEA
ERLENBORN
NAY
METCALFE
YEA
FINDLEY
NV
MIKVA
YEA
HYDE
YFA
MURPHY (IL)
YEA
MADIGAN
YEA
PRICE
YEA
MC CLORY
YEA
ROSTENKOWSKI
YEA
MICHEL
NV
RUSSO
YEA
O'BRIEN
NV
SHIPLEY
NV
RAILSBACK
YFA
SIMON
NV
YATES
YEA
INDIANA
BRADEMAS
YEA
HILLIS
NV
EVANS (IN)
YEA
MYERS (IN)
YEA
FITHIAN
YEA
HAMILTON
YEA
HAYES (IN)
YEA
JACOBS
NAY
MADDEN
YEA
ROUSH
YEA
SHARP
YEA
IOWA
BEDELL
YEA
GRASSLEY
YEA
BLOUIN
YEA
HARKIN
YEA
MEZVINSKY
YEA
SMITH (IA)
YEA
KANSAS
KEYS
YEA
SERELIUS
YFA
SHRIVER
NV
SKUBITZ
YFA
WINN
YFA
KENTUCKY
BRECKINRIDGE
YEA
CARTER
YFA
HURBARD
YEA
SNYDER
NV
MAZZOLI
YEA
NATCHER
YEA
PERKINS
YEA
LOUISIANA
BOGGS
YEA
MCORE
YFA
BREAUX
YEA
TREEN
NV
HEBERT
NV
LONG (LA)
NAY
PASSMAN
NV
WAGGONNER
NV
STATE AND PARTY REPORT
10 AUG. 1976 8:57 PM PAGE S
ROLL NO. 638
DEMOCRATIC
**OTHER**
REPUBLICAN
INE
COHEN
NAY
EMERY
YFA
ARYLAND
1
BYRON
YEA
BAUMAN
NAY
LONG (MD)
NAY
GUDE
YFA
MITCHELL (MD)
YEA
HOLT
NV
SARBANES
NV
SPELLMAN
NV
ISSACHUSETTS
BOLAND
YEA
CONTE
NV
BURKE (NA)
YEA
HECKLER (NA)
YFA
DRINAN
NAY
EARLY
NV
HARRINGTON
NAY
MOAKLEY
YEA
O'NEILL
YEA
STODDS
YEA
TSUNGAS
NAY
ICHIGAN
BLANCHARD
YEA
BROOMFIELD
YFA
BRODHEAD
NAY
BROWN (NI)
YEA
CARK
NAY
CEDERBERG
YFA
CONYERS
NAY
ESCH
NV
DIGGS
YEA
HUTCHINSON
NAY
DINGELL
NAY
RUPPE
YEA
FORD (MI)
YEA
VANDER JAGT
NV
NEOZI
YEA
OMARA
YEA
RIEGLE
YEA
TRAXLER
NV
VANDER VEEN
YEA
NNESOTA
BERGLAND
YEA
FRENZEL
YFA
FRASER
NAY
HAGEDORN
YEA
KARTH
NV
QUIE
YFA
NOLAN
NV
OHERSTAR
YEA
SSISSIPPI
BOWEN
NV
COCHRAN
NV
MONTGOMERY
NAY
LOTT
NV
WHITTEN
NV
STATE AND PARTY REPORT
10 AUG. 1976 8:57 PM PAGE 6
ROLL NO. 638
DEMOCRATIC
**CTHER**
REPUBLICAN
ISSOURI
BOLLING
YEA
TAYLOR (MO)
NAY
BURLISON (MO)
NAY
CLAY
NV
HUNGATE
NAY
ICHORD
NAY
RANDALL
YEA
SULLIVAN
YEA
SYMINGTON
YEA
NTANA
BAUCUS
NAY
MELCHER
YEA
BRASKA
MC COLLISTER
YEA
SMITH (NB)
YEA
THONE
YFA
VADA
SANTINI
YEA
W HAMPSHIRE
U'AMOURS
YEA
CLEVELAND
YEA
W JERSEY
DANIELS (NJ)
NAY
FENWICK
NV
FLORIO
YEA
FORSYTHE
NV
HELSTOSKI
NAY
RINALDO
YEA
HOWARD
YEA
HUGHES
NAY
MAGUIRE
YEA
MEYNER
YEA
MINISM
YEA
PATTEN (NJ)
YEA
RODINO
YEA
RUE
YEA
THUMPSON
YEA
w MEXICO
RUNNELS
NAY
LUJAN
NV
STATE AND PARTY REPORT
10 AUG. 1976 8:57 PM. PAGE 7
ROLL NO. 638
DEMOCRATIC
**OTHER**
REFUBLICAN
Ew YORK
ABZUG
NV
CONABLE
NV
ADDABBO
YEA
FISH
YEA
AMHRO
YEA
GILMAN
YEA
BADILLO
NV
HORTON
YFA
BIAGGI
YEA
KEMP
YFA
BINGHAM
NAY
LENT
YFA
CHISHOLM
NAY
MC EWEN
NV
DELANEY
YEA
MITCHELL (NY)
YEA
DOWNEY (NY)
YEA
PEYSER
NV
HANLEY
YEA
WALSH
NV
HOLTZMAN
NAY
WYDLER
YFA
KOCH
NAY
LAFALCE
NV
LUNDINE
YEA
MC HUGH
YEA
MURPHY (NY)
YEA
NOWAK
YEA
OTTINGER
NAY
PATTISON (NY)
YEA
PIKE
YEA
RANGEL
NAY
RICHMOND
NAY
ROSENTHAL
NAY
SCHEUER
NAY
SOLARZ
NAY
STRATTON
YEA
wulff
YEA
ZEFERETTI
YEA
ORTH CAROLINA
ANDREWS (NC)
YEA
BROYHILL
YEA
FOUNTAIN
NV
MARTIN
YFA
HEFNER
YEA
HENDERSON
YEA
JONES (AC)
NV
NEAL
YEA
PREYER
PRES
ROSE
YEA
TAYLOR (NC)
YEA
ORTH DAKOTA
ANDREWS (ND)
NV
STATE AND PARTY REPORT
10 AUG. 1976 8:57 PM PAGE 8
ROLL NO. 638
DEMOCRATIC
**CTHER**
REPUBLICAN
OHIO
ASHLEY
YEA
ASHBROOK
NAY
CARNEY
NV
BROWN (CH)
YEA
HAYS (OF)
NV
CLANCY
YEA
MOTTL
YEA
DEVINE
YFA
SEIBERLING
YEA
GRADISON
YFA
STANTON, JAMES V.
YEA
GUYER
YFA
STOKES
NV
HARSHA
YEA
VANIK
YEA
KINDNESS
YEA
LATTA
NV
MILLER (OH)
NAY
MCSHER
NV
REGULA
YFA
STANTON, J. WILLIAM YEA
WHALEN
YFA
WYLIE
YEA
OKLAHOMA
ALBERT
JARMAN
YFA
ENGLISH
YEA
JUNES (CK)
NV
RISENHOGVER
NV
STEED
YEA
OREGON
AUCOIN
YEA
DUNCAN (OR)
YEA
ULLMAN
YEA
WEAVER
NV
PENNSYLVANIA
DENT
NAY
BIESTER
NV
EDGAR
YEA
COUGHLIN
YFA
EILBERG
YEA
ESHLEMAN
YFA
FLOOD
YEA
GOODLING
NAY
GAYDOS
YEA
HEINZ
NV
GREEN
NV
JOHNSON (PA)
YEA
MOORHEAD (PA)
NV
MC DADE
YEA
MURGAN
YEA
MYERS (PA)
YEA
MURTHA
YEA
SCHNEEBELI
NV
NIX
YEA
SCHULZE
YEA
ROUNEY
YEA
SHUSTER
NAY
VIGORITO
YEA
YATRON
YEA
RHODE ISLAND
BEARD (RI)
YEA
ST GERMAIN
YEA
STATE AND PARTY REPORT
10 AUG. 1976 8:58 PN PAGE 9
ROLL NO. 638
DEMOCRATIC
**CTHER**
REPUBLICAN
SOUTH CAROLINA
DAVIS
YEA
SPENCE
YFA
DERRICK
NAY
HOLLAND
NV
JENRETTE
YEA
MANN
YEA
SOUTH DAKOTA
ABDNOR
YFA
PRESSLER
YFA
TENNESSEE
ALLEN
NV
BEARD (TN)
YFA
EVINS (TN)
NV
DUNCAN (TN)
YEA
FORD (TN)
YEA
QUILLEN
YFA
JONES (TN)
YEA
LLUYD (TN)
YEA
TEXAS
BROOKS
NAY
ARCHER
NAY
BURLESON (TX)
YEA
COLLINS (TX)
NAY
DE LA GARZA
YEA
PAUL
NAY
ECKHARUT
YEA
STEELMAN
NV
GONZALEZ
NAY
MALL (TX)
YEA
HIGHTOWER
YEA
JORDAN
YEA
KAZEN
NAY
KRUEGER
NAY
MAHON
YEA
MILFORD
NV
PICKLE
NV
POAGE
YEA
ROBERTS
YEA
TEAGUE
YEA
WHITE
YEA
WILSON, (TX)
YEA
WRIGHT
NV
YOUNG (TX)
YEA
UTAH
HOWE
NV
MC KAY
NAY
VERMONT
JEFFORDS
YEA
VIRGINIA
DANIEL. DAN
YEA
BUTLER
NV
DOWNING (VA)
NV
DANIEL. R. h.
YFA
FISHER
YEA
ROBINSON
YFA
HARRIS
YEA
WAMPLER
YFA
SATTERFIELD
NAY
WHITEHURST
YFA
STATE AND PARTY REPORT
10 AUG. 1976 8:58 PM PAGE 1
ROLL NO. 638
DEMOCRATIC
**CTHER**
REPUBLICAN
WASHINGTON
ADAMS
NV
PRITCHARD
YFA
BONKER
NAY
FOLEY
YEA
HICKS
NAY
MC CORMACK
YEA
MEEDS
YEA
WEST VIRGINIA
HECHLER (WV)
NAY
MOLLOHAN
YEA
SLACK
YEA
STAGGERS
NV
WISCONSIN
ASPIN
NV
KASTEN
YFA
BALDUS
YEA
STEIGER (WI)
NAY
CORNELL
YEA
KASTENMEIER
YEA
OHLY
YEA
REUSS
YEA
ZABLOCKI
YEA
WYOMING
RONCALIC
YEA
#
*
*
*
#
#
#
END OF REPORT
*
*
*
*
*
*
$
FILE
J
STATE AND PARTY REPORT
10 AUG. 1976 8:28 PM PAGE 1
ROLL NO. 638
S 3735
YEA-AND-NAY
CLOSED 10 AUG. 1976 8:24 PM
AUTHOR(S):
JN PASSAGE
SWINE FLU IMMUNIZATION PROGRAM
YEA
NAY
PRES
NV
DEMOCRATIC
169
58
2
57
REPUBLICAN
81
25
39
OTHER
TOTAL
250
83
2
96
STATE AND PARTY REPORT
10 AUG. 1976 8:28 PM PAGE 2
ROLL NO. 638
DEMOCRATIC
**OTHER**
REPUBLICAN
ALABAMA
BEVILL
YEA
BUCHANAN
YEA
FLOWERS
NAY
DICKINSON
NV
JONES (AL)
YEA
EDWARDS (AL)
NAY
NICHOLS
YEA
ALASKA
YOUNG (AK)
NV
ARIZONA
UDALL
YEA
CONLAN
NY
RHODES
YEA
STEIGER (AZ)
NAY
ARKANSAS
ALEXANDER
NV
HAMMERSCHMIDT
NAY
MILLS
NV
THORNTON
NAY
CALIFORNIA
ANDERSON (CA)
YEA
BELL
YEA
BROWN (CA)
YEA
BURGENER
YEA
BURKE (CA)
NY
CLAUSEN, DON H.
YEA
BURTON, JOHN
NAY
CLAWSON, DEL
YEA
BURTON, PHILLIP
NV
GOLDWATER
MAY
CORMAN
NAY
HINSHAW
NV
DANIELSON
NY
KETCHUM
NV
DELLUMS
NAY
LAGOMARSINO
YEA
EDWARDS (CA)
NAY
MC CLOSKEY
NAY
HANNAFORD
YEA
MOORHEAD (CA)
NAY
HAWKINS
NV
PETTIS
YEA
JOHNSON (CA)
YEA
ROUSSELOT
NAY
KREBS
NAY
TALCOTT
YEA
LEGGETT
NV
WIGGINS
NV
LLOYD (CA)
YEA
WILSON, BOB
YEA
MC FALL
YEA
MILLER (CA)
NAY
MINETA
YEA
MOSS
NAY
PATTERSON (CA)
YEA
REES
NV
ROYBAL
YEA
RYAN
YEA
SISK
YEA
STARK
NAY
YAN DEERLIN
NAY
VAXMAN
NAY
WILSON, C. H.
NY
COLORADO
EVANS (CO)
YEA
ARMSTRONG
YEA
SCHROEDER
NAY
JOHNSON (CO)
YEA
WIRTH
YEA
STATE AND PARTY REPORT
10 AUG. 1976 8:28 PM PAGE 3
ROLL NO. 638
DEMOCRATIC
**OTHER**
REPUBLICAN
CONNECTICUT
COTTER
NV
MC KINNEY
NY
DODD
NAY
SARASIN
NV
GIAIMO
YEA
MOFFETT
NAY
DELAWARE
DU PONT
NV
FLORIDA
BENNETT
YEA
BAFALIS
YEA
CHAPPELL
NV
BURKE (FL)
NAY
FASCELL
YEA
FREY
NY
FUQUA
NV
KELLY
YEA
GIBBONS
NV
YOUNG (FL)
NAY
HALEY
YEA
LEHMAN
YEA
PEPPER
YEA
ROGERS
YEA
SIKES
NV
GEORGIA
BRINKLEY
YEA
FLYNT
NV
GINN
YEA
LANDRUM
NY
LEVITAS
NAY
MATHIS
YEA
MC DONALD
NAY
STEPHENS
NY
STUCKEY
YEA
YOUNG (GA)
NY
HAWAII
MATSUNAGA
YEA
MINK
NY
IDAHO
HANSEN
NAY
SYMMS
NAY
STATE AND PARTY REPORT
10 AUG. 1976 8:28 PM PAGE 4
ROLL NO. 638
DEMOCRATIC
**OTHER**
REPUBLICAN
ILLINOIS
ANNUNZIO
YEA
ANDERSON (IL)
NV
COLLINS (IL)
PRES
CRANE
NAY
FARY
YEA
DERWINSKI
YEA
HALL (IL)
YEA
ERLENBORN
NAY
METCALFE
YEA
FINDLEY
NY
MIKVA
YEA
HYDE
YEA
MURPHY (IL)
YEA
MADIGAN
YEA
PRICE
YEA
MC CLORY
YEA
ROSTENKOWSKI
YEA
MICHEL
NY
RUSSO
YEA
O'BRIEN
NV
SHIPLEY
NV
RAILSBACK
YEA
SIMON
NV
YATES
YEA
INDIANA
BRADEMAS
YEA
HILLIS
NV
EVANS (IN)
YEA
MYERS (IN)
YEA
FITHIAN
YEA
HAMILTON
YEA
HAYES (IN)
YEA
JACOBS
NAY
MADDEN
YEA
ROUSH
YEA
SHARP
YEA
TOWA
BEDELL
YEA
GRASSLEY
YEA
BLOUIN
YEA
HARKIN
YEA
MEZVINSKY
YEA
SMITH (IA)
YEA
KANSAS
KEYS
YEA
SEBELIUS
YEA
SHRIVER
NY
SKUBITZ
YEA
WINN
YEA
KENTUCKY
BRECKINRIDGE
YEA
CARTER
YEA
HUBBARD
YEA
SNYDER
NV
MAZZOLI
YEA
NATCHER
YEA
PERKINS
YEA
LOUISIANA
BOGGS
YEA
MOORE
YEA
BREAUX
YEA
TREEN
NV
HEBERT
NV
LONG (LA)
NAY
PASSMAN
NV
WAGGONNER
NV
STATE AND PARTY REPORT
10 AUG. 1976 8:28 PM PAGE 5
ROLL NO. 638
DEMOCRATIC
**OTHER**
REPUBLICAN
MAINE
COHEN
NAY
EMERY
YEA
MARYLAND
SYRON
YEA
BAUMAN
NAY
LONG (MD)
NAY
GUDE
YEA
MITCHELL (MD)
YEA
HOLT
NV
SARBANES
NV
SPELLMAN
NV
MASSACHUSETTS
BOLAND
YEA
CONTE
NV
BURKE (MA)
YEA
HECKLER (MA)
YEA
DRINAN
NAY
EARLY
NV
HARRINGTON
NAY
MOAKLEY
YEA
O'NEILL
YEA
STUDDS
YEA
TSONGAS
NAY
MICHIGAN
BLANCHARD
YEA
BROOMFIELD
YEA
BRODHEAD
NAY
BROWN (MI)
YEA
CARR
NAY
CEDERBERG
YEA
CONYERS
NAY
ESCH
NV
DIGGS
YEA
HUTCHINSON
NAY
DINGELL
NAY
RUPPE
YEA
FORD (MI)
YEA
VANDER JAGT
NV
NEDZI
YEA
O'HARA
YEA
RIEGLE
YEA
TRAXLER
NV
VANDER VEEN
YEA
MINNESOTA
BERGLAND
YEA
FRENZEL
YEA
FRASER
NAY
HAGEDORN
YEA
KARTH
NV
QUIE
YEA
NOLAN
NV
OBERSTAR
YEA
#ISSISSIPPI
BOWEN
NV
COCHRAN
NY
MONTGOMERY
NAY
LOTT
NY
WHITTEN
NV
STATE AND PARTY REPORT
10 AUG. 1976 8:28 PM PAGE 6
ROLL NO. 638
DEMOCRATIC
**OTHER**
REPUBLICAN
MISSOURI
BOLLING
YEA
TAYLOR (MO)
NAY
BURLISON (MO)
NAY
CLAY
NV
HUNGATE
NAY
ICHORD
NAY
RANDALL
YEA
SULLIVAN
YEA
SYMINGTON
YEA
MONTANA
BAUCUS
NAY
MELCHER
YEA
NEBRASKA
MC COLLISTER
YEA
SMITH (NB)
YEA
THONE
YEA
NEVADA
SANTINI
YEA
NEW HAMPSHIRE
D'AMOURS
YEA
CLEVELAND
YEA
NEW JERSEY
DANIELS (NJ)
NAY
FENWICK
NY
FLORID
YEA
FORSYTHE
NV
HELSTOSKI
NAY
RINALDO
YEA
HOWARD
YEA
HUGHES
NAY
MAGUIRE
YEA
MEYNER
YEA
MINISH
YEA
PATTEN (NJ)
YEA
RODINO
YEA
ROE
YEA
THOMPSON
YEA
NEW MEXICO
RUNNELS
NAY
LUJAN
NV
STATE AND PARTY REPORT
10 AUG. 1976 8:28 PM PAGE 7
ROLL NO. 638
DEMOCRATIC
**OTHER**
REPUBLICAN
NEW YORK
ABZUG
NY
CONABLE
NV
ADDABBO
YEA
FISH
YEA
AMBRO
YEA
GILMAN
YEA
BADILLO
NY
HORTON
YEA
BIAGGI
YEA
KEMP
YEA
BINGHAM
NAY
LENT
YEA
CHISHOLM
NAY
MC EVEN
NY
DELANEY
YEA
MITCHELL (NY)
YEA
DOWNEY (NY)
YEA
PEYSER
NV
HANLEY
YEA
WALSH
NY
HOLTZMAN
NAY
WYDLER
YEA
KOCH
NAY
LAFALCE
NY
LUNDINE
YEA
MC HUGH
YEA
MURPHY (NY)
YEA
NOWAK
YEA
OTTINGER
NAY
PATTISON (NY)
YEA
PIKE
YEA
RANGEL
NAY
RICHMOND
NAY
ROSENTHAL
NAY
SCHEUER
NAY
SOLARZ
NAY
STRATTON
YEA
WOLFF
YEA
ZEFERETTI
YEA
NORTH CAROLINA
ANDREWS (NC)
YEA
BROYHILL
YEA
FOUNTAIN
NY
MARTIN
YEA
HEFNER
YEA
HENDERSON
YEA
JONES (NC)
NV
NEAL
YEA
PREYER
PRES
ROSE
YEA
TAYLOR (NC)
YEA
NORTH DAKOTA
ANDREWS (ND)
NY
STATE AND PARTY REPORT
10 AUG. 1976 8:28 PM PAGE 8
ROLL NO. 638
DEMOCRATIC
**OTHER**
REPUBLICAN
OHIO
ASHLEY
YEA
ASHBROOK
NAY
CARNEY
NV
BROWN (OH)
YEA
HAYS (OH)
NV
CLANCY
YEA
MOTTL
YEA
DEVINE
YEA
SEIBERLING
YEA
GRADISON
YEA
STANTON, JAMES V.
YEA
GUYER
YEA
STOKES
NV
HARSHA
YEA
VANIK
YEA
KINDNESS
YEA
LATTA
NY
MILLER (OH)
NAY
MOSHER
NV
REGULA
YEA
STANTON, J. WILLIAM YEA
WHALEN
YEA
WYLIE
YEA
OKLAHOMA
ALBERT
JARMAN
YEA
ENGLISH
YEA
JONES (OK)
NV
RISENHOOVER
NV
STEED
YEA
OREGON
AUCOIH
YEA
DUNCAN (OR)
YEA
ULLMAN
YEA
WEAVER
NV
PENNSYLVANIA
DENT
NAY
BIESTER
NV
EDGAR
YEA
COUGHLIN
YEA
EILBERG
YEA
ESHLEMAN
YEA
FLOOD
YEA
GOODLING
NAY
GAYDOS
YEA
HEINZ
NY
GREEN
NV
JOHNSON (PA)
YEA
MOORHEAD (PA)
NV
MC DADE
YEA
MORGAN
YEA
MYERS (PA)
YEA
MURTHA
YEA
SCHNEEBELI
NV
NIX
YEA
SCHULZE
YEA
ROONEY
YEA
SHUSTER
NAY
VIGORITO
YEA
YATRON
YEA
RHODE ISLAND
BEARD (RI)
YEA
ST GERMAIN
YEA
STATE AND PARTY REPORT
10 AUG. 1976 8:28 PM PAGE 9
ROLL NO. 638
DEMOCRATIC
**OTHER**
REPUBLICAN
SOUTH CAROLINA
DAVIS
YEA
SPENCE
YEA
DERRICK
NAY
HOLLAND
NY
JENRETTE
YEA
MANN
YEA
SOUTH DAKOTA
ABDNOR
YEA
PRESSLER
YEA
TENNESSEE
ALLEN
NV
BEARD (TN)
YEA
EVINS (TN)
NY
DUNCAN (TN)
YEA
FORD (TN)
YEA
QUILLEN
YEA
JONES (TN)
YEA
LLOYD (TN)
YEA
TEXAS
BROOKS
NAY
ARCHER
NAY
BURLESON (TX)
YEA
COLLINS (TX)
NAY
DE LA GARZA
YEA
PAUL
NAY
ECKHARDT
YEA
STEELMAN
NY
GONZALEZ
NAY
HALL (TX)
YEA
HIGHTOWER
YEA
JORDAN
YEA
KAZEN
NAY
KRUEGER
NAY
MAHON
YEA
MILFORD
NV
PICKLE
NV
POAGE
YEA
ROBERTS
YEA
TEAGUE
YEA
WHITE
YEA
WILSON, (TX)
YEA
WRIGHT
NV
YOUNG (TX)
YEA
UTAH
HOWE
NY
MC KAY
NAY
VERMONT
JEFFORDS
YEA
VIRGINIA
DANIEL, DAN
YEA
BUTLER
NV
DOWNING (VA)
NV
DANIEL, R. W.
YEA
FISHER
YEA
ROBINSON
YEA
HARRIS
YEA
WAMPLER
YEA
SATTERFIELD
NAY
WHITEHURST
YEA
STATE AND PARTY, REPORT
10 AUG. 1976 8:28 PM PAGE 10
ROLL NO. 638
DEMOCRATIC
**OTHER**
REPUBLICAN
WASHINGTON
ADAMS
NV
PRITCHARD
YEA
BONKER
NAY
FOLEY
YEA
HICKS
NAY
MC CORMACK
YEA
MEEDS
YEA
WEST VIRGINIA
HECHLER (WV)
NAY
MOLLOHAN
YEA
SLACK
YEA
STAGGERS
NY
WISCONSIN
ASPIN
NV
KASTEN
YEA
BALDUS
YEA
STEIGER (WI)
NAY
CORNELL
YEA
KASTENMEIER
YEA
OBEY
YEA
REUSS
YEA
ZABLOCKI
YEA
WYOMING
RONCALIO
YEA
Y.
*
*
*
*
*
*
END OF REPORT
*
*
*
*
*
*
*
EMBARGOED FOR RELEASE UNTIL 12:00 MOON (EDT),
Thursday, August 12, 1976
Office of the White House Press Secretary
THE WHITE HOUSE
STATEMENT BY THE PRESIDENT
I have today signed S. 3735, the "National Swine Flu
Immunization Program of 1976. II
I am gratified that the Congress has responded to this
potential public health emergency by providing, as I requested,
the assurances necessary to make possible the protection of
all Americans against this threat.
S. 3735 will permit the Federal Government to assure
appropriate liability protection for those manufacturing,
distributing and administering the vaccine and provides a
claims procedure for persons who might be injured. Extra-
ordinary Federal measures are required to implement a program
of this magnitude and I am sure that I speak for all Americans
in expressing appreciation for this Congressional action.
Scientific and medical evidence continues to support the
need for a national influenza immunization program. We have
developed a safe and effective vaccine with a very low risk
of adverse reactions. What we must do now is make it available
as soon and efficiently as possible.
I strongly reaffirm my commitment to this program and I
have directed the Secretary of Health, Education, and Welfare
to move as expeditiously as possible to insure that we keep
our original commitment of making this vaccine available to
all Americans.
######
FOR IMMEDIATE RELEASE
AUGUST 12, 1976
OFFICE OF THE WHITE HOUSE PRESS SECRETARY
THE WHITE HOUSE
REMARKS OF THE PRESIDENT
UPON SIGNING S. 3735
THE NATIONAL SWINE FLU
IMMUNIZATION PROGRAM OF 1976
THE CABINET ROOM
12:12 P.M. EDT
Secretary Mathews, Congressman Carter, Dr.
Cooper, distinguished members of the medical profession,
ladies and gentlemen:
I am deeply appreciative that the Congress, as
one of their final actions before the scheduled recess,
sent to me for signature the National Swine Flu Immuniza-
tion Program of 1976. I would like to express my deep
appreciation to the bipartisan leadership of both the House
and the Senate and responsible leaders in the committees
that had jurisdiction for their cooperation in making
certain that this legislation got to the White House in
time for us to carry forth this program.
This program will permit the Federal Government
to assure appropriate liability protection for those
who manufacture, distribute and administer this life-
saving vaccine. The program also provides a claims
procedure for those who might be injured. Scientific
and medical evidence continues to support the need for
a swine flu inoculation program. A vaccine has been
developed that is both safe and effective, with a very low
risk of adverse reactions.
I have directed the Secretary of Health,
Education and Welfare to move as quickly as possible to
make this vaccine available to all Americans. I strongly
reaffirm my commitment to this program, which will afford
millions of Americans protection against an outbreak of
swine flu this winter.
I say again, I am grateful that the Congress did
take this action so this program could continue.
END
(AT 12:14 P.M. EDT)
FOR IMMEDIATE RELEASE
SEPTEMBER 2, 1976
OFFICE OF THE WHITE HOUSE PRESS SECRETARY
THE WHITE HOUSE
PRESS CONFERENCE
OF
DAVID MATHEWS
SECRETARY OF HEALTH, EDUCATION AND WELFARE
AND
DR. THEODORE COOPER
OFFICE OF SECRETARY OF HEW
THE BRIEFING ROOM
5:40 P.M. EDT
MR. CARLSON: As you know, Secretary Mathews
and Dr. Cooper just spent about 45 minutes with the
President, bringing him up-to-date on the swine flu program,
and here to answer your questions and summarize the
meeting are Dr. Cooper and Secretary Mathews.
SECRETARY MATHEWS: We did meet with the
President, as we have done periodically. You will
recall that I appeared before you about every four to
six weeks in the process of making a report to the
President. What we are doing is accounting for the
delay that was occasioned by the problem of liability
insurance,
That necessarily forces some adjustments in
the schedule that we announced here in August of roughly
six weeks. The State associations that had geared
their programs to that schedule and announced in August
are going to have to delay the administration of the
program until the time that we get the vaccine, which
we anticipate to be in the first week of October. In
addition to that, we have been in contact with the
manufacturers to discuss their program to date and the
schedule for the delivery of the doses.
I did write the manufacturers on August 31
to indicate that the information I had about the schedule
for the availability of the doses seemed to me to be
off the pace more than it should be, and I would
appreciate, I said in the letter, if they would revise
those schedules upward.
Dr. Cooper has been in conversation with each
of the manufacturers today and they tell him that there
has been no delay -- other than for the obvious one that
we all know about -- no delay in their manufacturing or
bottling -- they use the term "flat-out" to describe their
work.
MORE
- 2 -
We thanked them for that, and we encouraged
them to consider overtime or even a faster schedule if
necessary, so that we could begin this program the first
week in October.
That, as you know, is the date when the
legislation calls for the claims system to go into
effect. Quite frankly, we would like to get delivery
on those doses beforehand. We did not anticipate there
would, even under the best circumstances, be much before
September 15. We said at the time we had the delay,
I testified on the Hill that if we got a resolution on
the date of the testimony, that it would be five to six
weeks for us to go through the bottling period.
Well, that would have run us to about September 15
anyhow. But we would like to get delivery then or as
soon thereafter as possible.
There is some hesitation, I understand, on
the part of the legal advisers to the manufacturers
because they interpret the October date to be the
permissible date for starting the program. It is our
view, and I believe it is the view of the Congress,
that is simply the date which one may file a claim under
the program. We hope that we can clarify that so that
we can get delivery.
We do now have manufactured already enough
dosage to supply the needs of the adult population at
the expected rate of use of the vaccine. A recent poll
indicates that most Americans are aware of the program.
About 56 percent have indicated that they plan to take
the shots. Another 20 percent are undecided.
Let's assume that between 70 and 80 percent
of the adult population of about 150 million poople
will want the dosage. That would mean that we would
have to have about 110 to 115 million doses. We already
have manufactured that amount.
Dr. Cooper reminds me to say in bulk form.
So, we are concerned about the delivery schedule,
we are concerned that we encourage the manufacturers and
work with them any way we can to make sure that the
schedule for delivery is as early as possible. We do
have a six-weeks delay that we discussed in July. That
was the delay that occurred then, and we do have assurances
from them that they are working, as they put it, "flat-out"
in the production and the bottling of the vaccine.
MORE
- 3 -
Q
Mr. Mathews, you said you encouraged them
to work overtime, or you said something else?
SECRETARY MATHEWS: As fast as necessary.
Q
What response did you get?
SECRETARY MATHEWS: They indicated they would
consider that. Dr. Cooper actually talked to them, but
their report to us was that they had no intention of
doing anything other than being cooperative and that
they were, to use their phrase, working flat-out in the
production and the bottling of the vaccine.
Q
And the September 15 date, as far as
they are concerned over liabilities, have their
concerns been assuaged and are they now ready to deliver,
if it is ready?
SECRETARY MATHEWS: We are not in a position
to say that.
Q
Mr. Secretary, I am wondering why you
were so surprised, as people in your Department indicated,
with their delivery schedule being so far below what
you expected? Secondly, if they are now working seven
days a week and 24 hours a day, how can they do any more?
DR. COOPER: Not all are working 24 hours
a day. Most are working seven days a week. Some have
indicated to me that they have double shifts. So, that
is not really a round-the-clock necessarily, all the
way. Every one of the manufacturers has in good faith
continued to work every day on this and have indicated to
me today that they will reassess the rate at which they
can provide the early supply.
Now, let me respond to the other part of your
question by saying we were not surprised about the total
numbers because we knew what the total numbers were when
the Secretary testified in August. What we were concerned
about was the shape of the curve of delivery of it, from
the early part, the skewing of the curve, what its
delivery would be, because there had been testimony
about whether or not -- you know, if the indemnification
legislation was passed, it would take weeks and SO on.
So, we expected the larger peak early and it was
on this regard we were somewhat concerned. The manufacturers
have indicated they are going to study the possibilities
for improving that early delivery.
MORE
- 4 -
There was the problem of October 1 for delivery.
You also have to recall in that law, as the Secretary
has pointed out, that there are certain cost responsibilities
that are involved.
Q
In that context, you are talking about
the possibility of overtime, and you do not yet have any
contracts between the drug firms and the vaccine manufac-
turers. Now, it would seem to me probably that if these
people are going to work overtime, it is going to cost
even more.
And what about this contract thing? As I
understand it, there is a controversy about what
"reasonable" profit shall be, not for the swine flu
vaccine, but for the A-Victoria, of which 45 million
doses are to be combined.
SECRETARY MATHEWS: I don't think you should
put too much literal emphasis on the word "overtime."
That is to say, we contacted them and said we really
hoped they would work at maximum effort to give us
the vaccine on a schedule that, as Dr. Cooper said,
shifted more of it toward the front than the present
profile indicated.
Now, obviously, a contract cannot be completed
until we have the price. Obviously, too, the price is
set by law to be a not-for-profit price. So, we now
have the auditors in the companies making a determination
of what that price is.
How to expedite the contract--we have indicated
to them verbally, and will indicate in writing this
week the general form of the contract. Dr. Cooper has
talked to them about the general form of the contract
in the manner of a letter of intent. They have indicated
on the basis of what they have heard about it, and they
will have a chance to see it in writing this week, that
they feel comfortable with signing that. So, we don't
anticipate the inevitable auditing that would set the
precise price to limit coming together on an agreement
on the contract.
Q
You didn't answer my question about the
"reasonable" profit of the 45 million doses.
DR. COOPER: They have verbally agreed to
accept a letter of contract, which will allow us to
continue the auditing and determination without impeding
production and bottling and delivery of the vaccine.
MORE
- 5 -
Q
In other words, they might start to deliver
even though there are no contracts?
DR. COOPER: Yes.
Q
Is delivery being held up more because of
supply or because of concern over liabilities?
SECRETARY MATHEWS: If you mean by supply is
the bulk form of the vaccine there, obviously it is there.
Q
Can they get it into vials fast enough --
but is it because of their concern over liabilities that
they won't deliver by October 1?
SECRETARY MATHEWS: Even by our estimates they
couldn't get it into vial form before about September 15
in any significant amount.
DR. COOPER: We have cleared, as a matter of fact,
the first 2 million today.
Q
Is the liability thing a real problem?
SECRETARY MATHEWS: The question of what that
October 1 date means is problematic.
Q
Well, what is your answer to them so they
can deliver?
SECRETARY MATHEWS: Our answer is that the
legislation in our judgment and the judgment of Congress
did not mean that they were prohibited from delivering before
October 1.
Q
Those numbers you gave yesterday and the
letters to the manufacturers, generally interpreted as
20.4 million doses, would be available on October 1. The
way that broke down was 5 million would be doses for the
general public and 15.4 million doses for high risk people,
which leads me to ask you this: Originally your program
was, if you had started in July and August, you were going
to vaccinate high risk people and get them out of the way,
and then vaccinate the general public. Then you blended
those two programs when you started running into delays.
What are you going to do now? Are you going to
now reassign priorities and reconfigure this program?
DR. COOPER: I think it was never the intention
that you could make it clear cut only high risk, because
the combination in the pool -- as the products, both the
A-Victoria and the swine, come off the assembly line --
it would indicate that we couldn't necessarily put them all
together at the same time, so that in an efficient way some
of the monovalent and general application could go as well
as the high risk. This reflects the same intent that we
want to make available, when it is available for, as soon
as possible, that area. That shows the emphasis.
MORE
- 6 -
Q
It would be nice to have something done in
this program in an efficient way.
My question was, are you going to put high risk
people out front?
DR. COOPER: Sure.
Q
When are you going to make these formal
announcements?
DR. COOPER: The high risk people are out front
in all the guidelines, in all the State plans. The law
says that you can't file a claim before October 1. This
has been interpreted to mean -- despite my interpretation,
or the Secretary's interpretation that we could deliver it
and get it out before that -- that in order to assure that
there is protection, that doses can't be given before that.
Q
Okay, but on October 1 or about October 1
when you start this, according to your present delivery
schedules, you are going to have three times as much bivalent
vaccine as you have monovalent vaccine. How are you going
to make sure the right people get the right vaccine at
the proper time?
DR. COOPER: Because there are criteria set out
which identify the high risk population between the State
plans and community plans, identify that those are the
people that get the bivalent vaccine first.
Q
How long will it be before the last person
in the country that wants this vaccine will be able to have
the shot?
DR. COOPER: The last adult or last child?
Q The last person that wants it. How long
before it is packaged in individual bottles and distributed
to health centers?
DR. COOPER: It is our estimate that by Christmas
and certainly by the end of the calendar year, the adult
demand -- that is, the 18 and above group -- can be met
well within the production schedule. It is the shift of
the curve that was identified earlier -- we would like it
earlier in order to make sure that we have maximum protection
available.
We feel that with the knowledge that we have right
in hand at the moment now, without any extraordinary efforts,
the total amount will allow us to conclude that the expected
adult demand can be met by Christmas. That is not to say --
suppose there was an epidemic early on, that that demand
might not go up, we would have to revise our estimate. Or
if the studies on the children are complete, we have a
larger expected demand for that. The whole thing would have
to shift by the four to six weeks that the Secretary
mentioned earlier.
MORE
- 7 -
Q
When are the children going to be able to
get all the dosage they need?
Q
What did the President ask you to do?
SECRETARY MATHEWS: The President asked me to give
him a status report on where we were. We do this, as I
say, about every four to six weeks.
Q
Did he express satisfaction or did he say
he was a little bothered by these delays?
SECRETARY MATHEWS: No, he simply asked for a
status report.
Q
Mr. Nessen said this morning at his briefing
that the President said, "It damn well better run right,"
which would indicate there was a certain amount of dissatis-
faction on his part. Did he voice any of this to you or
impart any idea that it wasn't being run right?
SECRETARY MATHEWS: None whatsoever.
Q
Is there a problem? Is it serious?
SECRETARY MATHEWS: This program has been
problematic from the time it started.
Q
Why?
SECRETARY MATHEWS: Because of about 600 different
factors that range all the way from the six weeks it took
to solve the liability problem to the question of how many
doses you could get out of an egg, to the question of what
kind of shots the children would have.
It seems to me that we are being surprised by
the obvious. A program of this magnitude in this time frame
is bound to occasion these kinds of problems. I don't see
why we are surprised that a program of this scale of this
boldness --
Q
When the President announced this program,
he said this would be the greatest mass medical experiment
in the Nation's history, or of any country. He said 200
million shots and we would beat the threat of swine flu,
and we haven't.
In Congress they say they are going back to
investigations because there is a big snafu. Is it a
snafu or isn't it?
SECRETARY MATHEWS: There is no evidence I have seen
of a snafu. Why are we surprised that a program of this
unprecedented magnitude, that has raised all of the
problems that have been raised, is a difficult one to
accomplish in this period of time?
MORE
- 8 -
Q
Are you happy and satisfied with the
program, Mr. Secretary?
SECRETARY MATHEWS: Yes, I am.
Q
You are happy and satisfied with it as it
stands right now?
SECRETARY MATHEWS: I believe that we have done a
good job of meeting the problems that are attendant to a
program of this kind.
Q
The problem, as stated by the President on
the 25th of March in his message to Congress, as I recall
it, was to start vaccinations by the first of September
and have them all completed by November. Are you satisfied --
DR. COOPER: He didn't say November.
SECRETARY MATHEWS: No. The President did say
he hoped to start and I said, some time in August, as a
matter of fact, and end up by Christmas.
Now the only difference in that schedule is
the six weeks delay that was occasioned by the liability
question. The President didn't cause the liability question.
Q
I didn't say the President did. I was
just asking you -- you say you are happy with this program
that has not met the --
Q
Is there any slowdown on the part of the
manufacturers until they get something in writing?
SECRETARY MATHEWS: We called and had a confirmation
verbally that there is not.
It seems to me the standard for judging this
program is not whether it encounters the inevitable
difficulties of a program of this newness and this magnitude.
The standard for judging it is whether it can in fact
resolve those difficulties, and I would remind you that
six weeks ago we were not even sure we could resolve some
of those difficulties.
We have done that and I think that all of the
partners, which includes not just the Federal Government,
not just the Executive Branch, but the Congress and
the manufacturers and the liability people -- we have, on
the whole, faced up to those problems.
DR. COOPER: Could I comment on that? Every
year the United States Public Health Service has recommended
influenza shots for the high risk population. A good year's
performance for the people of the high risk population who
actually take it, which may be between 25 million and 40
million, has been about 15 percent.
MORE
- 9 -
That is not a good performance. I think we have
run into some difficulties in a very large effort here,
as the Secretary has explained, but in my view it is
inevitable that we will do better this year.
I would call to your attention that already
from influenza, irrespective of the variant that we are
talking about, it has claimed in excess deaths of over
10,000 to 12,000 lives since January, already. It is
not a trivial disease.
Q
Why didn't you and the Government ask the
manufacturers to start putting the bulk vaccine in vials
as soon as it was produced instead of letting it sit in
the barrels?
DR. COOPER: That is easy. First off, we had
to have the right dose to put in the vials.
Q
You had that in July.
DR. COOPER: All right, we had it in July.
Secondly, there was some question about whether
the program would go forward at all because of the liability
question. The companies had gone through and produced
100 million doses in the bulk form with no contract or
assurance whatsoever. So, I don't think that they have been
unresponsive to our needs.
We had to agree on both the dose and subsequently
the labeling and the packaging amounts and the liability
question.
Q
But that all was done by August 1, all those
except the liability. The questions that said what the
package is going to look like and what ought to go in and
what the labeling is had been resolved. Indeed, if they
had started putting them in vials on August 1 when those
questions were resolved, we would not be facing the problem
right now of this shortfall.
SECRETARY MATHEWS: No, sir. We said then if
they did exactly what we said and we finished that program
out, it would be five to six weeks, which would be September
15.
Q
But they took two more weeks before they
started putting the stuff in vials.
SECRETARY MATHEWS: No, they testified to Dr. Cooper
verbally that they did not delay putting it in vials. We
asked them to start putting it in vials in July. We were
discussing bottling it then because that is when the
questions were raised about how can we bottle it if we
don't know the dosage or whether it is going to be a
Government or private program.
Q
They haven't put it in vials.
DR. COOPER: Not since July.
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Q
Since the day they had the labeling and
the dosage?
DR. COOPER: Well, they began the recognition
that they had the pool for bottling right after the July
period. I cannot say yes, you will have to get from
them when they began doing it in the actual packaging.
In fact, the actual packaging determination was not agreed
upon until there was an agreement about the liability and
that was signed, as you know, subsequent to that.
Q Mr. Secretary, I don't quite understand
what happens to the children. You said you cannot get
the parents inoculated until December or late December
possibly, when the flu'is already a problem around the
country.
SECRETARY MATHEWS: No, we did not say that.
Q
Well, they are the last ones. Just tell
us what the kids are going to get.
SECRETARY MATHEWS: We do not know at the present
time what the proper way is to administer the doses to
the children under 18 until we have the completion
of the tests that are underway.
We will have the completion of these tests
fairly soon. The latter part of September, I would
imagine, we would be able to make a decision about how
best to approach the children. So that means that, since
that determination won't be possible until September,
probably October, that the inoculation of the children
will come later in the fall.
Q
Will they all be inoculated in time
so that if there is a danger, they will escape the
danger?
SECRETARY MATHEWS: The flu season, the normal
pattern for the flu season, is a January-February peak
and we anticipate, we anticipated all along when we made
our announcement, that we could wind this program up
Christmas.
We have said, because of the liability
question, we have a six-weeks delay. That means that
you can add six weeks to Christmas, which means the
total program should wind up the latter part of January
or the first part of February.
Q
But you think that by the time you get
ready to inoculate the children, you will have enough stuff
to do it?
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SECRETARY MATHEWS: Yes.
DR. COOPER. Let me add that on September 8,
there will be a meeting with the proper committee of the
American Academy of Pediatrics to discuss the appropriate
dosage for what are called high risk children, which
are regularly recommended every year. These are
children that have chronic lung disease, cystic fibrosis,
chronic heart disease, probably children under immuno-
therapy for leukemia, that sort of thing. These are
recommendations.
We expect to have them, that is, a few million
children, potentially, I expect, in this country.
Q
That will be here in Washington?
DR. COOPER: No, the meeting will be in
Atlanta on September 8. The completion of the studies
on the normal children is, as the Secretary indicated,
later in September. That means at the completion of
those studies, we will then determine whether it is
appropriate to recommend the dosage in consultation
with the virologist, the immunologists and the
pediatricians.
In any case, it is likely to be not a single
shot because children immunologically do not respond
the same way as adults, and they do not respond the
same way in response to side effects. They are more
fever-sensitive and so on. That is not unusual.
As you know, even in polio, it is in divided
doses. In DPT, it is in divided doses, and the studies
going on now are oriented toward what would be the best
to offer them in divided doses.
The high-risk children recommendations will
be discussed on September 8.
Q
You say there are several million high-
risk children?
DR. COOPER: My guess would be a few million,
a few million children.
Q
What you are telling us is that you don't
even know yet whether you can give this stuff to kids,
you won't know until September?
DR. COOPER: We know we can give it. In the
first studies, we had children in it. We want to decide
on what the right schedule and dosage is so that they can
get the immunization without high fevers, and within an
acceptable level of sore arms and other effects.
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Q
Can we go back to something I tried to
ask earlier?
SECRETARY MATHEWS: Sure.
Q
You were talking about the fact it
is not surprising that you have had problems.
SECRETARY MATHEWS: Yes.
Q
The day after the press conference that
CDC held in which they compared this to the 1918 flu
epidemic, there was an influenza workshop at NIH at
which Dr. Hellman, whol is the vaccine expert, raised
the question of wasn't there a possibility of running
into the very liability problem that you ran into.
I am wondering why, when he raised this on
February 20, it was June before the thing really steamed
up?
SECRETARY MATHEWS: I think Dr. Cooper could
give you some information on that, but even as late as
the date that we had the meeting with the President, when
we had the manufacturers there, people who had the
liability problem, there was no indication that the
problem would reach the magnitude that it did.
We talked about delays in the program. The
only delay I know of, by the way, is the delay occasioned
by that liability program that lasted six weeks.
Q
Why is the program two-plus months
behind?
SECRETARY MATHEWS: It is six weeks behind.
DR. COOPER. Let me answer Judy's question.
Hellman was not the first one to raise the possibility
of the liability question. Ever since the Reyes case,
we have been concerned with all our vaccines and these
were regularly discussed.
Now, we thought that we could deal with this
in contract language in which we assigned our own
responsibilities very clearly. That did not turn out to
be acceptable. That was the reason it took SO long to
resolve it.
We first thought we could negotiate it by
contract. It was raised at that meeting by the President,
as a matter of fact -- was this going to be an issue?
Representatives of industry were there. We thought we
could negotiate this, but it did not prove out to be the
case.
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Q
But on March 31, again on Apri¹ 31,
C. Joseph Stetler, the President of the Pharmaceutical
Manufacturers Association, very specifically went into
detail about the liability issue, how legislation would
be required, indicating clearly that it could not be
done in an administrative way. This was 2-1/2 months
before you came to grips with the problem that you had
a problem.
DR. COOPER. It was not that we came to grips
with it. Dr. Stetler felt we should go the legislative
route. Some others felt we should go, other good legal
counsel, said this was a manageable proportion if we
could negotiate it in specific language and even the
companies entered into that discussion with good faith.
We always recognized that one recourse would
be the legislative route and, when it was not possible
to do it, even the Congress, when we first raised it to
them, sent us back to do it again by the administrative
route.
So, it was not at all our insensitivity to
the possibilities of solving it by legislation. It
eventually was done and not by the legislation that was
originally proposed.
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Q
If it was solved by legislation then,
Dr. Cooper, why is it we still haven't gotten contracts
signed?
Representative Rogers -- I spoke to him today --
is very much disturbed by the fact that it has been over
three weeks and still no contracts.
DR. COOPER: That is right, but that hasn't got
anything to do with the liability question. The law
requires that we not allow them to make any profit on the
swine portion and, when there is a bivalent, only on the
Victoria portion, you recall that.
Now the criteria on which you assign costs in a
program in which the manufacturers in good faith have already
spent 60 percent of their cost, requires that we send auditors
in to do the full audit at that time, and you can't do
that in one day.
Q They are trying to maximize their costs in
order to get an attractive contract; is that right?
DR. COOPER: I didn't say that. I don't have
any indication that they are trying to maximize.
SECRETARY MATHEWS: You see, what you haven't
associated is the contract problem with any delay. There
is no evidence that the manufacturers of the vaccine are
in any way not performing because they do not have a contract.
They have already produced 100-some-odd million doses
without a contract.
Q We are talking about a delivery. As
Dr. Sabin says, it doesn't do any good until it gets in
the person's arm.
DR. COOPER: Dr. Salk.
SECRETARY MATHEWS: The delivery question does
not turn on the contract issue. The delivery question
turns on the October 1 date, and its implications in the
legislation. So, it is not accurate based on any information
we have discussed here today.
Q
So, the delay is Congress' fault for
writing that in; is that right?
SECRETARY MATHEWS: I have simply said the delay
is a result of the liability problem.
Q
I don't understand your reasoning when you
say it is a six-week delay when the first injections were
to begin in July.
SECRETARY MATHEWS: No, sir, nobody said injections
were to begin in July.
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Q
In July and August for high risk people?
SECRETARY MATHEWS: We talked about August in
those conversations.
DR. COOPER: In the first discussions we indicated
that we would like to begin in late July or the first of
August.
Q Here we are, it has got to be at least two
months. If you take everything at best, you have a two-month
delay, and if you take at worst, you have a three-month
delay.
DR. COOPER: We never said the first of July.
Q
So, say two months.
DR. COOPER: We said the studies would be done
June 21. If you take the four to six weeks after that, it
is possible we could have had delivery under the best of
circumstances by late July or the first of August. So, at
the worst, it would be two months.
In realistic terms, even if we finish the studies --
and that is not their liability fault because, as the
original study showed, they were not adequate for all the
children, as you know, so more were needed. All right, so
we are really talking on an average of six weeks that set
us back, of a serious nature in delay of the States' plans.
The July to August differential was not a critical feature
and if you look at the States' submissions that was never a
critical issue in that regard.
SECRETARY MATHEWS: Nor was there any statement
that we planned to do this in July.
Q
You said July, mid-July.
SECRETARY MATHEWS: Spencer may have said that
is what he would like to do.
Q
I am a little confused about how the October 1
date in the legislation is the cause of the delivery problem.
Is it that the manufacturers don't want to deliver it
before then because, even if they did, they don't have
enough ready to deliver?
SECRETARY MATHEWS: We don't know that.
Q
They said that.
DR. COOPER: One manufacturer told me that their
storage capacity --
Q
Could you tell us which manufacturer?
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DR. COOPER: I am not trying to be coy; I am
just trying to remember which one. I am reluctant to say.
But, one manufacturer said that their storage
capacity under the proper storage conditions is limited.
When they make a certain amount and they store it, if they
could deliver it on the 20th, they could make room for
more, so that is a limitation.
Now not every company has a limitation in storage
capacity. Most of them have acknowledged that the legal
interpretation of the October 1 date is a determinant of
when they would make it available. So it depends on how
you calculate whether it is October 1 or October 2 or October
3, depending on what is available.
Now I asked them, are there any technical problems
that have changed your ability, your estimates of your
ability to put this in the context of your original
bid, which is what these percentages were originally measured
against. To my knowledge, there are no technical problems
that have been involved.
What they were saying in June -- you know, the
bids were due on June 15 to 20, something of that order --
when they were making their original estimates, is that if
they were able to get an order under full indemnification
by the end of that period, by say around June 25, they could
have met the time schedule that would have been 100 percent
of what the Secretary is talking about 74 percent.
Q Isn't there some way they can ship it in
bond or something to clear out the storage area?
DR. COOPER: Believe me, we have asked them to
look at all possibilities, to move it as fast as possible.
You know, I don't want to risk the possibility that this
season can't shift. We would like to have it as early as
possible. That is what the original plan was.
Q Have you thought of going back to Congress
and asking them to eliminate the Brock amendment from that --
DR. COOPER: I talked to Mr. Rogers today about
it and asked him what the interpretation of that was. I
think, yes, we have considered if it is necessary. Tomorrow
we expect to get, in response to the Secretary's letter --
all of them are aware of the data in the letter, all of
them have said they will make every effort today to look
at every possible way to do this.
They have verbally assented to signing a letter
contract and we hope to have some time tomorrow or the next
day their assessments of any revision of schedule that will
help us skew that curve backwards.
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You know in reality I am delighted that everybody
is now concerned whereas before everybody was saying, what
do you need it for. Now that there seems to be some
difficulty and a short supply, I am delighted that everybody
is concerned that we get it early enough. I think that is
fine, and I would be delighted to have your help in getting
it done that way.
Q
Maybe a lot of people are concerned about
the availability of the Victoria vaccine which, through
your doing, is all tied up with the swine vaccine?
DR. COOPER: The Victoria vaccine will be three
times, as you yourself have said, in greater amounts available,
and it will be available in greater amounts than originally
planned because of this program. If we can get a better
performance than that 15 percent that we got last year,
this also will be greatly to the benefit of each.
So, I am a believer in giving the Victoria
but you will be pleased to know that our estimates of the
serology of the general population shows that because
of last year's spread of Victoria over half the population
already has antibodies to Victoria. That is much less of
a problem at the present time. We think it needs to be
addressed particularly in the high risk population and all
of it will be greatly beneficial.
THE PRESS: Thank you.
END
(AT 6:17 P.M. EDT)