The intent of this paper is to provide military commanders andsupervisors with pertinent clinical facts and information about anthrax andAnthrax Vaccine, Adsorbed in a single source document, written in layterms, to serve as a working reference for use to educate those within theirchain of command. Due to time and space limitations, this paper is notintended to be an exhaustive review.6 Reviews and discussions of theevidence related to the risk of the use of anthrax as a biological weaponand the policy decision to vaccinate Defense Department personnel arebeyond the scope of this paper, which focuses instead on clinical issuesrelated to the vaccine.7The paper will present a brief review of anthrax, including adescription of the causative organism and how it causes disease inhumans, along with a review of the history of the vaccine and itsmanufacturer. Next, the paper will provide an overview of the medicalliterature to address safety, efficacy, side effects, and complications fromvaccination, followed by the major points of controversy found in themedia, on information world-wide-web sites, and in Congressionaltestimony. Then, the paper will attempt to bring the controversy intoperspective, examining several of the arguments of those opposed tovaccination against anthrax, followed by presenting some conclusions andrecommendations. The research methods employed for this paper includea review of the peer-reviewed medical literature, medical textbooks, pressreleases, and internet world-wide-web sites presenting information andopinions both for and against vaccination.
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