A Bush administration intelligence review has concluded that four nations -- including Iraq and North Korea -- possess covert stocks of the smallpox pathogen, according to two officials who received classified briefings. Records and operations manuals captured this year in Afghanistan and elsewhere, they said, also disclosed that Osama bin Laden devoted money and personnel to pursue smallpox, among other biological weapons.
These assessments, though unrelated, have helped drive the U.S. government to the brink of a mass vaccination campaign that would be among the costliest steps, financially and politically, in a year-long effort to safeguard the U.S. homeland. Public health authorities in and out of government project that the vaccine itself, widely administered, could kill more Americans -- 300 is a common estimate, and some are higher -- than any terrorist attack save that of Sept. 11, 2001. It...