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Appendix A: Summary of Recommendations
Pages 35-38

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From page 35...
... :~ The committee recommends that CDC and the Department of Health and Human Services support all efforts, some of which might be administratively or legislatively bold and creative, to bring this issue of compensation for smallpox vaccine adverse reactions including those reactions that occur despite nonnegligent manufacture and administration of the vaccine- to speedy resolution. Workforce Issues Resulting from Vaccination The committee recommends that during phase I, CDC assess the effects of the current situation regarding administrative leave, disseminate the analysis widely, and before phase II begins, decide whether the ACIP recommendation needs to be reassessed.
From page 36...
... The committee recommends that CDC consider using the blood-donation opt-out and informed consent processes as models for the pre-event smallpox vaccination program. Reasons for Declining Vaccine The committee recommends that CDC collect data on the reasons why potential vaccinees choose not to be vaccinated.
From page 37...
... CDC Safety System Guidance to States The committee recommends CDC evaluate each state's capacity for managing adverse reactions before indicating that a state is ready to begin vaccinations. Focus Areas of Training and Education The committee recommends that CDC expand the scope of their training and education regarding the identification, treatment, and reporting of serious adverse reactions to all clinicians.
From page 38...
... Therefore, the responsibility of CDC is to deliver clear, consistent, and science-based public health communications. The committee recommends that CDC identify a single "voice" for the national vaccination program, a credible individual with a strong scientific background and an experienced communicator who can serve as the key CDC spokesperson.


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