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Appendix D: Review of the Centers for Disease Control and Prevention’s Smallpox Vaccination Program Implementation Letter Report #3
Pages 195-202

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From page 195...
... Gerberding: The Committee on Smallpox Vaccination Program Implementation is pleased to offer you our third letter report in a series of brief reports providing advice to the Centers for Disease Control and Prevention (CDC) on the implementation of the pre-event smallpox vaccination program.
From page 196...
... The committee also will discuss screening and follow-up issues relevant to the continuation of the vaccination program, and answer specific questions asked by CDC and its partners at the May 1, 2003, committee meeting. GENERAL COMMENTS The committee reiterates its high regard for CDC and its partners and the remarkable amount of work completed in the national smallpox vaccination program, especially in the context of additional strain on all resources caused by the emergence and spread of Severe Acute Respiratory Syndrome (SARS)
From page 197...
... These fact sheets should clearly explain the provisions of the legislation and protections enacted and refer potential vaccinees to additional information sources, such as their own state health department. CONSIDERATIONS FOR NEXT STEPS IN THE VACCINATION PROGRAM It is imperative that before continuing to expose individuals to a vaccine that is effective, but not without some risks, the national and state programs determine what level of pre-event vaccination is needed for preparedness.
From page 198...
... The committee recognizes that it is important for states to finish the vaccination of volunteers to complete health care and public health response teams according to state plans. However, in reiteration of its previous recommendations, the committee recommends CDC facilitate the efforts of states that wish to pause to evaluate the process and outcomes of their vaccination efforts to date and plan for next steps before deciding whether and when to begin vaccination of new personnel.
From page 199...
... There also are tasks to be addressed on an ongoing basis and that also are significant to smallpox preparedness in general: · The establishment of communication and collaboration with other partners (e.g., first responders, security personnel, health care and hospital systems, community-based health care providers) ; · The revision by state and local programs of response plans that lay out clear roles and activities for teams responding to a potential event; and · The need for strategic planning and reconciliation of the smallpox vaccination program with other bioterrorism programs and other public health priorities.
From page 200...
... occurred when health care and public health response teams were trained and vaccinated as part of what has previously been called "phase I" of the pre-event vaccination plan. As the committee has learned (ASTHO, 2003; Judson, 2003; Madlock, 2003; Selecky, 2003)
From page 201...
... State programs might benefit from more specific guidance about the time frame for which they should aim. The committee also noticed that the final enhanced capacity described in Focus Area B corresponds to one of the ingredients of smallpox preparedness identified in our phone discussions with local and state programs ("working links between health department staff and key individuals and organizations engaged in health care, public health, and law enforcement")
From page 202...
... 2003a. Review of the Centers for Disease Control and Prevention's Smallpox Vaccination Program Implementation: Letter Report #1.


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