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Murashige. Laura
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From: Roxanne Hampton [rhampton@co.hawaiLhLus]
Sent: Monday, October 19,20093:43 PM
To: counciltestimony@co.hawaiLhLus COUNI.r....CLERK
Subject: FW: TRO to Enjoin HHS Secretary from Distributing Vaccines under Emergency ~W~ii~lfort1AWPJl
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From: l~[mailto:mitchfine@hotmail.com]
Sent: Sunday, September 27, 20092:53 PM
To: rj sativa; rhampton@co.hawaii.hi.us
Subject: TRO to Enjoin HHS Secretary from Distributing Vaccines under Emergency Use Authorization
\~.l:.o;:.,
> Date: Sun, 27 Sep 2009 17:45:59 -0700
> Subject: Corrected for typos/TRO to Enjoin HHS Secretary from Distributing Vaccines under
Emergency Use Authorization
> From: mitchellfine@gmail.com
> To: len15@mac.com; mitchfine@hotmail.com
>
> On Sun, Sep 27, 2009 at 5:35 PM, mitch fine <mitchellfine@gmail.com> wrote:
> > Dr.
> >
> > Per Section 564 (b)(l) of the Public Health Service Act (PHSA) the
> > distribution of the A/H1N1 vaccine requires an emergency use
> > authorization (EUA) through the FDA in order to waive the current good
> > manufacturing practice requirements and/or the addition of adjuvants.
> > Under Section 564 (b)(l)(C) it appears the HHS Secretary is claiming
> > that this waiver is required under Section 319 of the PHSA because
> > there has been a determination by the HHS Secretary that H1N1 may
> > affect national security and involves a specified biological agent or
> > a specified disease or condition that may be attributable to such
> > agent(s).*** (see below for excerpt of Act) This determination also
> > appears to be founded (as required by law) on communications between
> > the HHS Secretary the CDC, Homeland Security and the NIH etc.
> >
> > There are additional requirements i.e. publication in the federal
> > register under Section 564 (h)(l), risk benefits analysis and absence of
> > alternatives as set forth in the ACT's requirement for a EUA. The law
> > is written so that after taking these factors into consideration these
> > agencies decide on the reasonable course. This is the lowest standard
> > possible and require that any TRO must be formulated with the EUA
> > requirements foremost in mind as most objections have already been
> > contemplated. From reading the law it is clearly the intent of
> > Congress to allow the HHS Secretary free action, in a declared or
> > potential homeland emergency, to balance the benefit and risks as she
> > sees fit. We would have to show willful misconduct or a preponderance of
> > evidence that what they are doing is unsafe, unreasonable and that S.;LS" I
> > there are scientifically accepted alternatives. Even then the chances Comm. No. Y 1 · <0. [.
> > for a TROIs success would be small because the ACT does not require an Ref. To: . ~
Ref. Date uL:T 2 1 ZOU3
10/19/2009
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> > evidentiary showing by the Secretary. It requires only the Secretary's
> > reasonable opinion of the "evidence".
> >
> > Here is the sample interrogatory and the only questions that would
> > most likely be deemed relevant requiring answers:
> >
> > 1) Mr. Secretary is it reasonable to claim AH1N1 exists?
> > 2) Could it be infectious?
> > 3) Could a lot of people get sick?
> > 4) Does Homeland Security think this could possibly be a threat to
> > National Security?
> > 5) Mr. Secretary in your educated opinion after looking at whatever
> > science you want to look at and talking to the heads of the industrial
> > medical complex ( I do not know if any of these conversations are
> > required to be part of the public record) do you feel that mass
> > injection of these minimally tested, unproven biological
> > products/vaccines and its adjuvants would be better for public health
> > then no vaccines?
> > 6) Is there a safer alternative to these vaccines?
> >
> > Once these threshold questions are answered as required by the EUA,
> > the snowball results we are seeing are pretty much guaranteed in the
> > face of a presumed infectious disease that could effect national
> > secu rity .
> >
> > One area I focused on was the clinical trials that Novartis is
> > currently doing in San Jose, Costa Rica at the Instituto de Atencion
> > Pediatrica (IPED) a private clinic. These trials are being condu'cted
> > by the Director of the Clinic - Adriano Arguedas Mohs.
> > ClinicalTrials.gov identifier # NCT00973700. Arguedas is also the
> > Director of pediatric care at the Institute of Medical Services,
> > University of San Jose, Costa Rica. Novartis is testing Focetria
> > formulated with MF59 adjuvant. This is a test of 784 healthy adults
> > and preliminary results show that there is a robust immune response
> > from Focetria and there do not appear to be any serious complications.
> > I could not find the actual study's ongoing results and all my
> > information comes paraphrased, most likely from a Novartis press
> > release. There also seems to be positive opinions from CHMP in Europe.
> >
> > The Secretary of HHS is no doubt using this trial to buttress his
> > opinion on the safety and efficacy of the vaccine. If this trial or
> > any current trial being performed by Novartis, Sanofi Pasteur,
> > Medimmune et.al. regarding the safety and immunogenicity of A/H1N1-
> > SOIV could somehow be questioned scientifically as spurious or
> > fraudulent and it could be shown that the Secretary is relying on that
> > trial, this could form the first step of a TRO to counter question
> > "5)" above.
> >
> > Dr. let me know if any of this helpful. If so do you or anyone on the
> > team have the means or the inclination to ferret out the bad science
> > of these trials? This is absolutely key since these ongoing trials are
> > now forming the scientific basis upon which the EUA and the entire
> > edifice of mass vaccinations is being justified by the HHS Secretary.
> > In short, if we can demonstrate that the "science" of these trials is
> > not reasonable or there is gross misrepresentation or fraud in the
> > reporting of results, we would then have a legal basis for moving
10/19/2009
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> > forward in Federal and/or State Court with a TRO to enjoin HHS and
> > Novartis et.al.from distributing the vaccine.
> >
> > In Service,
> >
> > Mitch
> >
> > ***Excerpt edited from the relevant law:
> >
> > An unapproved drug, biological product, or device may be authorized
> > for emergency use following a declaration of emergency by the
> > Secretary of Health and Human Services. Such a declaration is based
> > on one of the following...
> >
. > > A determination by the Health and Human Services Secretary that a
> > public health emergency exists that affects or has significant
> > potential to affect, national security and involves a specified
> > biological, chemical, radiological, or nuclear agent(s) or a specified
> > disease or condition that may be attributable to such agent(s).
> >
> > The Health and Human Services Secretary, through the Food and Drug
> > Administration, may then issue an emergency use authorization for a
> > particular product if, among other things, the known and potential
> > benefits of the product outweigh its known and potential risks, and
> > there is no adequate, approved, and available alternative to the
> > product. The Secretary must impose required conditions on the
> > emergency use authorization and may impose additional conditions,
> > consistent with the Food, Drug, and Cosmetic Act. For more
> > information on the emergency use authority, please see
> > http://www.fda.gov/oc/guidance/emergencyuse.html.
> >
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10/19/2009