Mailmen might deliver meds in next anthrax attack

"These letter carriers are being asked to put their lives on the line to help their communities," Health and Human Services Secretary Michael Leavitt said Wednesday. By ensuring they are protected first, "the carriers can be ready on short notice to take to the streets."

The project aims to overcome a big hurdle of emergency planning. The government has much drugs stockpiled in case of future bioterrorism, but few ways to get them quickly to panicked citizens. Leavitt noted that if someone possibly has inhaled anthrax, the chances of survival are best if antibiotic treatment begins within 48 hours.

The U.S. Postal Service came forward, he said. "They have people who every day walk to every house."

Those carriers could provide "a front-end quick strike," added William Raub, Leavitt's senior science counselor.

But could letter carriers successfully deliver medications to a great number of homes during an emergency, when the carriers might be mobbed? Would they be willing?

To address the first issue, test projects in Seattle, Philadelphia and Boston over the past two years paired letter carriers with police officers on holidays. Carriers volunteered to do double routes, delivering empty pill bottles along with a "This is a Test" flier explaining what was happening. In Philadelphia, 50 carriers reached about 53,000 households in eight hours, Raub said.

As for getting volunteers, the post office and its unions told the government that carriers who stepped up during this kind of emergency would need assurances that they and their families were fully protected.

That led to the idea of letting carriers store enough of the antibiotic doxycycline in their homes for them and their families. In an emergency, they could start taking the medication while the government raced in more supplies for the rest of the city that the carriers then would distribute to people's homes.

Some 700 letter carriers who deliver to 20 ZIP codes are eligible for the Minneapolis pilot project. Medical teams will screen volunteers to be sure they are appropriate candidates for a prescription of doxycycline. The carriers also would have to be physically fit enough to wear a special anthrax-protective mask while walking their mail routes.