March 11, 2003
In Seattle, the health department is belatedly scrambling to control an alarming surge in STDs. "We would have been on this faster and more effectively if I could have put a critical mass of infectious disease people on this rather than on smallpox," said Alonzo Plough, director of the Seattle-King County Department of Public Health.
About half of 539 health departments surveyed "deferred, delayed or canceled" more traditional projects such as flu vaccinations for the elderly, STD clinics, and check-ups for low-income children, according to a National Association of County and City Health Officials report released last month.
Michael Osterholm, director of the University of Minnesota's Center for Infectious Disease Research and Policy, said it is common for public health departments to shift staff and priorities during crises. "The issue here is that it not last for months and months," he said. "Then it becomes more of a problem." CDC officials overseeing the smallpox campaign sympathize with their local partners. Almost all of the 350 people in CDC's immunization division are assigned to the smallpox program, said Director Walter Orenstein.
03.10.03; Ceci Connolly
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