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The Smallpox Vaccination Program: Public Health in an Age of Terrorism
H
Agendas for Committee Information-Gathering Meetings
Meeting One
December 19, 2002
500 Fifth Street, NW
Washington, DC
Room 100
8:00 a.m.
Welcome
Harvey V. Fineberg, M.D., Ph.D., President, IOM
Brian Strom, M.D., M.P.H., Chair
8:15 a.m.
DHHS Bioterrorism Effort and the Role of the IOM Committee
William Raub, Ph.D., Deputy Director of the Office of Public Health Preparedness, Department of Health and Human Services
8:30 a.m.
Charge to the IOM
David Fleming, M.D., Deputy Director for Science and Public Health, Office of the Director, CDC
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8:45 a.m.
Centers for Disease Control Progress Report on Smallpox Immunization Program and ACIP Recommendations
Larry Anderson, M.D., Senior Advisor for Smallpox, Office of Terrorism Preparedness and Response, Office of the Director, CDC
Ray Strikas, M.D., Director, Smallpox Preparedness and Response Activity, National Immunization Program (NIP), CDC
9:30 a.m.
Discussion
10:00 a.m.
Break
10:15 a.m.
Safety System Overview
Gina Mootrey, D.O., M.P.H., Senior Research Officer, Immunization Safety Branch, NIP, CDC
11:00 a.m.
Clinical Operations/Screening Overview
Lisa Rotz, M.D., Chief of the Emergency Surveillance and Response Branch of the Bioterrorism Preparedness and Response Program, National Center for Infectious Diseases, CDC
11:45 a.m.
Lunch
12:45 p.m.
Training and Education Overview
Linda Quick, M.D., M.P.H, Medical Epidemiologist, National Immunization Program, CDC
1:30 p.m.
Communications Overview
Glen Nowak, Ph.D., Associate Director for Communication, NIP, CDC
2:15 p.m.
Smallpox Vaccination in Israel
Yehuda L. Danon, M.D., Professor of Pediatrics, Tel Aviv University and Director, Schneider Children’s Medical Center of Israel (invited)
3:00 p.m.
Break
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3:15 p.m.
Department of Defense Smallpox Experience and Update
The Honorable William Winkenwerder, Jr., M.D., M.B.A.
Assistant Secretary of Defense for Health Affairs, DoD
LTC John Grabenstein, R.P.H., Ph.D., Deputy Director for Military Vaccines at the Army Surgeon General’s Office, DoD
4:00 p.m.
Solicited Comments
American College of Emergency Physicians
American Hospital Association
American Nurses Association
Association of State and Territorial Health Officials
National Association of County and City Health Officials
4:50 p.m.
Discussion
5:30 p.m.
Public Comment
6:00 p.m.
Adjourn
Meeting Two
February 13, 2003
National Academy of Sciences
2101 Constitution Avenue, NW
Washington, DC
Lecture Room
9:00 a.m.
Welcome and Introductions
Brian Strom, M.D., M.P.H.
Committee Chair
9:15 a.m.
Overall Program Progress
Joe Henderson, Associate Director of Terrorism Preparedness and Response, CDC
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9:45 a.m.
Questions from the Committee
10:15 a.m.
Update from State Programs
Eddy Bresnitz, M.D., M.S.
State Epidemiologist/Assistant Commissioner Smallpox Vaccination Program Coordinator State of New Jersey Department of Health and Senior Services
By phone:
Kathleen Toomey, M.D., M.P.H.
Director, Division of Public Health
Georgia Department of Human Resources
10:45 a.m.
Questions from the Committee
11:00 a.m.
The Department of Defense Experience
COL John Grabenstein, R.Ph., Ph.D.
Deputy Director for Military Vaccines at the Army Surgeon General’s Office Department of Defense
11:30 a.m.
Questions from the Committee
12:00 p.m.
Lunch
1:00 p.m.
Discussion of the Pre-event Vaccination System
Vicky Kipreos, PMP
Lead IT Specialist Information Resource Management Office, CDC
1:20 p.m.
Questions from the Committee
1:30 p.m.
CDC Update—Safety System (active surveillance, etc.)
Gina Mootrey, D.O., M.P.H.
Senior Research Officer Immunization Safety Branch NIP, CDC
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1:45 p.m.
ACIP Working Group on Smallpox Vaccine Adverse Events
By phone:
John Neff, M.D.
Vice-Chair of the ACIP Working Group
2:00 p.m.
Questions from the Committee about Safety System and the ACIP Working Group
2:30 p.m.
CDC Update—Training and Education
Lynn Steele, M.S.
Senior Advisor for Education and Training Office of Terrorism Preparedness and Response, CDC
2:45 p.m.
Questions from the Committee
3:00 p.m.
Break
3:15 p.m.
CDC UpdateCommunication Strategy
Glen Nowak, Ph.D.
Associate Director for Communication NIP, CDC
3:45 p.m.
Questions from the Committee
4:15 p.m.
Smallpox Vaccine Risk Communication Activities at
Walter Reed Army Medical Center
Renata J. M. Engler, COL, MC
Chief, Allergy-Immunology Department Allergy-Immunology-Immunization Specialty Consultant to the Army OTSG
DoD Ex-Officio Representative to the National Vaccine Advisory Committee
Director, Walter Reed National Vaccine Healthcare Center
Walter Reed Army Medical Center
4:45 p.m.
Questions from the Committee
5:15 p.m.
Public Comment
5:45 p.m.
Meeting Adjourned
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Meeting Three
May 1, 2003
Academy for Educational Development
1825 Connecticut Avenue, NW, 8th Floor
Washington, DC
8:00 a.m.
Registration and Coffee
8:30 a.m.
Welcome and Opening Statement
Brian Strom, M.D., M.P.H. Committee Chair
8:45 a.m.
Overview of CDC Activities to Date
Joe Henderson, Associate Director of Terrorism Preparedness and Response, CDC
Gina Mootrey, D.O., M.P.H., Senior Research Officer, Immunization Safety Branch, NIP, CDC
9:30 a.m.
The ACIP Smallpox Vaccine Safety Working Group and the Vaccine Safety System
John M. Neff, M.D.
Director, Center for Children with Special Needs, Children’s Hospital and Regional Medical Center (Seattle, WA)
Vice Chair, Advisory Committee on Immunization Practices (ACIP) Smallpox Vaccine Safety Working Group
10:00 a.m.
Questions from the Committee
10:30 a.m.
The State Perspective
Mary C. Selecky
Secretary of Health, Washington State Department of Health and President, Association of State and Territorial
Health Officials
Gianfranco Pezzino, M..D, M.P.H.
State Epidemiologist, Kansas Department of Health and Environment and President, Council of State and Territorial Epidemiologists
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11:30 a.m.
Questions from the Committee
11:45 a.m.
Lunch
1:00 p.m.
The Local Perspective
Yvonne Madlock, MAT
Director, Memphis and Shelby County Health Department, Shelby County Government, Division of Health Services (Tennessee)
Karen Nikolai, M.P.H., M.C.P.
Program Supervisor, Immunization Services, Hennepin County Community Health Department (Minnesota)
2:00 p.m.
The Hospital/Health System Perspective
Ron J. Anderson, M.D.
President & CEO, Parkland Health & Hospital System (Texas)
Franklyn Judson, M.D.
Director of Public Health, Denver Health (Colorado)
3:00 p.m.
Questions from the Committee
3:15 p.m.
Break
3:30 p.m.
Perspective of a Hospital/Health System NOT
Participating in the Smallpox Vaccination Program
Michael Edmond, M.D., M.P.A.
Hospital Epidemiologist, Virginia Commonwealth University Health System Authority
4:00 p.m.
The Health Plan Perspective
David J. Witt, M.D.
Chair of Infectious Diseases, Northern California Kaiser Permanente
Skip Skivington, M.B.A.
National Director, Healthcare Continuity, Kaiser Permanente
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4:30 p.m.
Questions from the Committee
4:45 p.m.
Additional Committee Questions for All Speakers
5:00 p.m.
Public Comment
5:30 p.m.
Adjourn
Meeting Four
November 6, 2003
The Wyndham Washington Hotel
Vista Ballroom BC
1400 M Street, NW
Washington, DC
9:00 a.m.
Welcome and Introductions
Brian Strom, M.D., M.P.H.
Committee Chair
9:15 a.m.
HRSA Cooperative Agreement Guidance
Commander Brad Austin
Senior Program Specialist, National Bioterrorism Hospital Preparedness Program, Office of Special Programs, HRSA
9:30 a.m.
Update on National Smallpox Vaccination Program Defining Smallpox Preparedness
Joseph Henderson
Associate Director of Terrorism Preparedness and Response, CDC
Draft Smallpox Preparedness Measures
Ray Strikas, M.D., Director, Smallpox Preparedness and Response Activity, National Immunization Program (NIP), CDC
Linda J. Neff, Ph.D., Senior Epidemiologist, Smallpox Preparedness and Response Activity, National Immunization Program (NIP), CDC
10:30 a.m.
Questions from the Committee
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11:15 a.m.
Adjourn for lunch
committee lunch in private
panel lunches in 4 separate meeting rooms
State and Local Public Health (Belle Air Room)
Health Care Providers (Sherwood Room)
Health Care Institutions (Westover Room)
First Responders (Berkeley Room)
liaison lunch (Ashlawn North Room)
12:30 p.m.
Panel 1: State and Local Public Health
American Public Health Association
(Dr. Georges Benjamin)
Association of Public Health Laboratories
(Dr. Katherine Kelley)
Association of State and Territorial Health Officials
(Dr. Donald Williamson)
Council of State and Territorial Epidemiologists
(Dr. Gianfranco Pezzino)
National Association of County and City Health Officials
(Dr. Alonzo Plough)
National Association of Local Boards of Health
(Mr. Shepard Cohen)
12:45 p.m.
Questions from the Committee
1:30 p.m.
Panel 2: Health Care Providers
American Academy of Family Physicians
(Dr. Jonathan Temte)
American College of Emergency Physicians
(Dr. Jon Mark Hirshon)
American Nurses Association
(Ms. Cheryl Peterson)
National Association of Emergency Medical System Physicians
(Dr. Robert O’Connor)
1:45 p.m.
Questions from the Committee
2:30 p.m.
Break
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2:45 p.m.
Panel 3: Health Care Institutions
American Association of Health Plans
(Mr. Bob Rehm)
American Hospital Association
(Ms. Roslyne Schulman)
National Association of Public Hospitals and Health Systems
(Dr. Van Dunn)
3:00 p.m.
Questions from the Committee
3:45 p.m.
Panel 4: First Responders
International Association of Chiefs of Police
(Dr. Kris Arnold)
International Association of Fire Chiefs
(Commissioner David Fischler)
National Association of Emergency Medical Technicians
(Mr. John Roquemore)
National Association of State Emergency Medical System Directors
(Ms. Margaret Trimble)
4:00 p.m.
Questions from the Committee
4:45 p.m.
Public Comment and Discussion
5:30 p.m.
Adjourn
Meeting Five
March 29, 2004
National Academy of Sciences Building
2101 Constitution Avenue, NW
Washington, DC
Lecture Room
8:00–8:30 a.m.
Registration and Coffee
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8:30–8:45 a.m.
Welcome and Opening Statement
Brian Strom
Committee Chair
8:45–9:15 a.m.
CDC’s Next Steps for Public Health Preparedness
Dan Sosin
Associate Director for Science
Office of Terrorism Preparedness and Emergency Response
Centers for Disease Control and Prevention
Department of Health and Human Services
9:15–9:45 a.m.
Questions from the Committee
9:45–10:05 a.m.
Presentation on the Modeling Workgroup of Secretary’s Council on Public Health Preparedness
Luciana Borio
Senior Health Advisor
Office of Research and Development Coordination
Office of the Assistant Secretary for Public Health Emergency Preparedness
Department of Health and Human Services
10:05–10:25 a.m.
Questions from the Committee
10:25–10:40 a.m.
Break
10:40–11:10 a.m.
The experience of local and state public health agencies
Patrick Libbey
Executive Director
National Association of County and City Health Officials
George E. Hardy, Jr.
Executive Director
Association of State and Territorial Health Officials
11:10–11:30 a.m.
Questions from the Committee
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11:30 a.m.–12:00 p.m.
Theory and science behind scenarios, exercises, and drills—a disaster management and response perspective
Erik Auf der Heide
Disaster Planning and Training Specialist
Agency for Toxic Substances and Disease Registry
Department of Health and Human Services
12:00–12:20 p.m.
Questions from the Committee
12:20–1:20 p.m.
Lunch
1:20–1:50 p.m.
Theory and science behind scenarios, exercises, and drills—a sociological perspective
E.L. (Henry) Quarantelli
Research Professor, Founding Director
Disaster Research Center
University of Delaware
1:50–2:20 p.m.
Questions from the Committee
2:20–2:40 p.m.
Lessons learned from exercises and drills conducted by health care organizations for JCAHO accreditation
Margaret VanAmringe
Vice President for External Relations
Joint Commission on Accreditation of Healthcare Organizations
2:40–3:00 p.m.
Questions from the Committee
3:00–3:15 p.m.
Break
3:15–3:45 p.m.
Regional FEMA experience with exercises and drills
Kelvin Kelkenberg
Director, National Preparedness Division
Emergency Preparedness and Response Directorate
Department of Homeland Security
3:45–4:10 p.m.
Questions from the Committee
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4:10–4:30 p.m.
The Homeland Security Exercise and Evaluation Program (HSEEP) of the DHS Office of Domestic Preparedness
Robert Schweitzer
Exercise Program Manager
Office of Domestic Preparedness
Department of Homeland Security
Sandra Santa
Exercise Program Manager
Office of Domestic Preparedness
Department of Homeland Security
4:30–4:50 p.m.
Questions from the Committee
4:50–5:10 p.m.
Perspective of an Academic Center for Public Health Preparedness
Maggie Potter
Associate Dean and Director, Center for Public Health Practice
Principal Investigator, Center for Public Health Preparedness
Graduate School of Public Health
University of Pittsburgh
5:10–5:30 p.m.
Questions from the Committee
5:30–5:45 p.m.
Public comment
5:45 p.m.
Closing remarks
Representative terms from entire chapter:
vaccination program