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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
FRED B. ROONEY, Pennsylvania
JOHN M. MURPHY, New York
DAVID E. SATTERFIELD III, Virginia
BROCK ADAMS, Washington

W. S. (BILL) STUCKEY, JR., Georgia
BOB ECKHARDT, Texas

RICHARDSON PREYER, North Carolina
JAMES W. SYMINGTON, Missouri
CHARLES J. CARNEY, Ohio
RALPH H. METCALFE, Illinois
GOODLOE E. BYRON, Maryland
JAMES H. SCHEUER, New York
RICHARD L. OTTINGER, New York
HENRY A. WAXMAN, California
ROBERT (BOB) KRUEGER, Texas
TIMOTHY E. WIRTH, Colorado
PHILIP R. SHARP, Indiana

WILLIAM M. BRODHEAD, Michigan

JAMES J. FLORIO, New Jersey

ANTHONY TOBY MOFFETT, Connecticut
JIM SANTINI, Nevada

ANDREW MAGUIRE, New Jersey

MARTIN A. RUSSO, Illinois

SAMUEL L. DEVINE, Ohio

JAMES T. BROYHILL, North Carolina
TIM LEE CARTER, Kentucky
CLARENCE J. BROWN, Ohio
JOE SKUBITZ, Kansas
JAMES M. COLLINS, Texas
LOUIS FREY, JR., Florida
JOHN Y. MCCOLLISTER, Nebraska
NORMAN F. LENT, New York
H. JOHN HEINZ III, Pennsylvania
EDWARD R. MADIGAN, Illinois
CARLOS J. MOORHEAD, California
MATTHEW J. RINALDO, New Jersey
W. HENSON MOORE, Louisiana

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244, 316

244

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Gray, Burton J., vice president for administration, Wyeth Labora-
tories, Division of American Home Products - - -

Greenberger, Marcia, attorney, Women's Rights Project, Center for
Law and Social Policy.

Greiner, Kenneth A., vice president, Johnson & Higgins...
Hagan, Charles F., general counsel, American Home Products Corp--

2, 145, 286
244, 329

Statement of-Continued

Page

Huck, John L., senior vice president, Merck & Co., Inc.-
Husovsky, Ivan, president, Merrell-National Laboratories, Division

of Richardson-Merrell, Inc..

109, 244

Jarman, Brian, senior vice president, American Home/National Union

of the American International Group...

39, 244 244

Johnson, Anita, Public Citizens' Health Research Group..
Katz, Henry, general counsel, Home Insurance Co...
Keyes, George, Continental Insurance Cos.__.

134, 226

244

244

244

Kingham, Richard F., counsel, Merck & Co., Inc.--.
Koehnen, James, president, American Reinsurance Co..
Krause, Richard M., M.D., Director, National Institute of Allergy and
Infectious Diseases, National Institutes of Health, Department of
Health, Education, and Welfare___.

244

145, 286

316, 320

244

Lamb, Frederic D., vice president and general counsel, Merrell-
National Laboratories, Division of Richardson-Merrell, Inc.--
Lenz, Henry P., executive vice president, Home Insurance Co.---
Markoe, Frank, Jr., executive vice president and general counsel,
in behalf of Parke, Davis & Co., a subsidiary of Warner-Lambert
Co
109, 113, 244, 316, 324
Marks, Susan, law student intern, Women's Rights Project, Center for
Law and Social Policy-

340

Meriwether, W. Delano, M.D., Director, national influenza immun-
ization program, Department of Health, Education, and Welfare 2, 145,
286

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

Welfare..

2, 145, 286

Mitchell, Hon. Parren J., a Representative in Congress from the State
of Maryland......-

Murphy, Joseph F., executive vice president, Continental Insurance
Cos....

Patton, Mark R., vice president, American Reinsurance Co...
Pickett, George, M.D., director, San Mateo County, Calif., Public
Health and Welfare Department, on behalf of the American Public
Health Association_.

Randall, Albert G., M.D., M.P.H., director, Houston, Tex., City
Health Department, on behalf of U.S. Conference of City Health
Officers..

Reiss, Robert C., senior vice president and manager, Commercial
Casualty Department, Chubb & Son, Inc..

75

244

244

81

120, 131

Rogers, David, M.D., health officer, Calvert County, Maryland
Health Department, on behalf of National Association of County
Health Officials...

84

120, 131

Rogers, William P., counsel, Merrell-National Laboratories, Division
of Richardson-Merrell, Inc. - .

39, 40 316

Ross, Charles N., counsel, Wyeth Laboratories, Division of American
Home Products__

Russell, B. P., chairman and chief executive officer, Crum & Forster
Insurance Co

244

Sabin, Albert B., M.D., distinguished research professor of Bio-
medicine, Medical University of South Carolina_
Salk, Jonas, M.D., director, Salk Institute for Biological Studies..
Seal, John R., M.D., Deputy Director, National Institute of Allergy
and Infectious Diseases, National Institutes of Health, Department
of Health, Education, and Welfare..

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Sencer, David J., M.D., Director, Center for Disease Control, De-
partment of Health, Education, and Welfare _ _
Shaw, Daniel L., Jr., M.D., vice president for medical affairs, Wyeth
Laboratories (a division of American Home Products Corp.)--
Simon, Leroy, senior vice president, Prudential Insurance Co....
Taft, William H., IV, General Counsel, Department of Health,
Education, and Welfare...

109

244

2, 145, 244, 286

Timm, Dr. Eugene, Parke Davis & Co., a subsidiary of Warner-
Lambert Co..

Warneke, Paul, counsel, Warner-Lambert Co..

316

109

Wolfe, Sidney, M.D., director, Public Citizen's Health Research
Research Group--.

134

Additional material submitted for the record by:

American Academy of Pediatrics, Department of Government Liaison,
Robert G. Frazier, M.D., executive director, letter dated June 30,
1976, to Chairman Rogers with enclosures..

American Home Products Corp., prepared statement of July 23,
1976, of Charles F. Hagan, general counsel
American Hospital Association, Pennsylvania House bill No. 2354 and
California Assembly bill No. 1135 re medical personnel liability.
American Insurance Association:

Articles from Business Week:

"The Troubled Professions," August 16, 1976_

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"A Reshaping of American Medicine," August 16, 1976...
Memorandum dated August 10, 1975, from Mr. Cheek to Mr.
Hyde re swine flu vaccine manufacturers insurance program__
Center for Law and Social Policy, exhibits to Ms. Greenberger's
prepared statement:

Exhibit A-Important information about swine influenza (flu)
vaccine (consent form)...-

Page

352

268

123

101

107

100

345

Exhibit B-Supplementary material-September 1, 1976, im-
portant information from the U.S. Public Health Service about
swine flu and Victoria flu vaccines.

347

Exhibit C-FDA consumer memo-Current and useful informa-
mation from the FDA on swine flu vaccine__

348

Chubb & Son, Inc.:

Special liability insurance policy for manufacturers of vaccine for
national swine flu immunization of 1976----

335

Swine flu coverage.

331

Federation of American Hospitals, Michael D. Bromberg, director, national offices, letter dated June 28, 1976, to Chairman Rogers, with resolution attached...............

351

9

Health, Education, and Welfare Department:

Analysis of vaccine stockpile option, Center for Disease Control.
Article Delineation of responsibilities of the Government and
the contractor_..

Correspondence between William H. Taft IV, General Counsel
for HEW and Leon Ulman, Acting Assistant Attorney General,
Department of Justice re authority under Public Law 92-266--
Cost and profit criteria for the procurement of swine flu vaccine__
Funding analysis and recommendations national influenza im-
munization program_.

Influenza vaccine availability (200 CA).

Information form "important information about swine and
victoria influenza (flu) vaccine (bivalent)-July 15, 1976".
Letter dated July 1, 1976, from William H. Taft IV, General
Counsel, to Chairman Rogers re potential liability of partici-
pants in the national influenza immunization program.
Letter dated October 22, 1976, from Dr. Cooper to Chairman
Rogers re testimony of Marcia Greenberger of Center for Law
and Social Policy -

"Liability for vaccine-related injuries: public health considera-
tions," report by Thomas E. Baynes, Jr., Assistant professor
of law, Nova University Law Center.
Mailgram dated September 3, 1976, from James W. Fowinkle,
M.D., commissioner of health, State of Tennessee and presi-
dent, Association of State and Territorial Health Officials to
President Ford re concern over unavailability of vaccine_-_.
President's news conference of July 19, 1976, swine flu immuni-
zation program----

Summary of swine influenza outbreak, Fort Dix, N.J.-January-
February 1976___

Table I.-Constitutional reactions-all vaccines-
Table II.-A/NJ-reactions (day 1) 100 CCA..

Jordan, William S., Jr., M.D., professor, University of Kentucky,
Albert B. Chandler Medical Center, letter dated July 12, 1976, to
Chairman Rogers with enclosure__

196

205

311

36

301

221

27

315

155

288

146

308

154

155

354

Additional material submitted for the record by-Continued
Merck & Co., Inc.:

Letter dated June 30, 1976, from Mr. Huck to Chairman Rogers re
production estimates and schedule; costs and prices; considera-
tions related to use of vaccine at various age levels; and liability Page
coverage_

Letter dated July 12, 1976, from Mr. Huck to Chairman Rogers
re testimony of Dr. Sidney Wolfe, Health Research Group----
Letter dated September 17, 1976, from Mr. Hendrickson to Chair-
man Rogers re availability schedule__

Prepared statement, July 23, 1976, of John L. Huck, senior vice
president...
Merrell-National Laboratories, Division_of_Richardson-Merrell, Inc.:
Correspondence between Frederic D. Lamb, vice president and
counsel, and Dr. Sencer, HEW Center for Disease Control re
meeting to discuss the implications of litigation of vaccine-
associated injuries___.

Prepared statement, July 23, 1976.
Scheduled delivery.

Telegram dated August 13, 1976, from John L. Williams, con-
tracting officer, Procurement and Grants Office, Department
of Health, Education, and Welfare re confirmation of changes
in technical requirements---

118

119

318

272

47

268

323

322

New Jersey Department of Health, report of Joanne E. Finley, M.D.,
M.P.H., State Commissioner of Health.
Public Citizen's Health Research Group:

34

Letter dated July 15, 1976, from Dr. Wolfe to Chairman Rogers
re correction of an error in testimony..

143

Studies with inactivated influenza vaccines purified by zonal
centrifugation...

232

Sabin, Albert B., M.D., distinguished research professor of bio-
medicine, Medical University of South Carolina:
Attachments to Dr. Sabin's prepared statement:

Table 1.-Antibody response of different age groups to dif-
ferent swine influenza vaccines

U.S. population 1974 (by age) -
Memorandum dated July 12, 1976, from Dr. Sabin to Chairman
Rogers re proposal for a "National program for settlement of
claims resulting from federally recommended vaccinations".
South Florida Hospital Association, Inc., Ivan O. Harrah, executive
director, letter dated June 14, 1976, to Chairman Rogers---
Warner-Lambert Co., prepared statement, July 23, 1976, of Frank
Markoe, Jr., executive vice president and general counsel..

Appendix:

54

54

63

350

270

"A Proposal for the HEW Secretary's Task Force on Compensation
of Injured Research Subjects," by Eli P. Bernzweig_.
"Anatomy of a Decision: How the Nation Declared War on Swine
Flu," by Philip M. Boffey-

430

438

Final Report Pursuant to Contract No. 200-75-0413, Center for
Disease Control__

404

Legal and Regulatory Perspectives on Biological Research in Human
Population.

417

359

443

"Liability in Preventive Medicine," a review and analysis of trends,
primarily those related to vaccination practices---
"Pollard Sees Products Liability as Industry and Society Crisis,"
from the National Underwriter, May 21, 1976-
Report from the American Law Division, Library of Congress, Con-
gressional Research Service to Congressman Henry Waxman_re
Proposed Legislation Exempting Manufacturer's of Swine Flu
Vaccine from Liability Arising Out of Immunization Programs".
Swine Flu Vaccination Campaign: The Scientific Controversy
Mounts," by Philip M. Boffey..

"The Swedish No-Fault Patient Compensation Program: Provisions
and Preliminary Findings," by Eva D. Cohen and Samuel P.
Korper, from the Insurance Law Journal, N. 637... -
"Wisconsin Legislature Provides Liability Coverage for a New Jersey
Flu Immunization Program," news release from the State Medical
Society of Wisconsin, June 14, 1976---

456

433

447

432

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