The Smallpox Vaccination Program Public Health in an Age of Terrorism (2005) / Chapter Skim
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Executive Summary
Executive Summary
Pages 1-8
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The vaccination program is a case study at the intersection of public health and national security, two fields brought together by the threat of bioterrorism. The vaccination campaign has involved government entities (such as homeland security)
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to convene an expert committee to advise it on the implementation of a pre-event smallpox vaccination program. The committee was charged with providing "advice to the CDC and the program investigators on selected aspects of the smallpox program implementation and evaluation," including the informed consent process for recipients of smallpox vaccine; professional education and training materials; communication plans developed by CDC for public health and medical professionals and the public; state smallpox vaccination implementation plans; CDC guidelines and instruments to identify potential vaccine recipients at high risk of vaccine adverse events and complications; CDC measures to ensure the early recognition, evaluation, and appropriate treatment of adverse events and complications of smallpox vaccination; CDC plans for collecting and analyzing data on vaccine immunogenicity, adverse events, complications, and vaccine coverage; and the achievement of overall goals of the smallpox vaccination program, such as vaccine coverage rate, equity of access, and adverse reaction rates.
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The historical narrative explains the near-mythic status of smallpox among other dangerous diseases, but it also tells the hopeful story of a disease that was vanquished thanks to an effective vaccine and the coordinated and capable efforts of public health and health care workers around the world. The second chapter, "Policy Context of Smallpox Preparedness," outlines policies that predated the 2002 smallpox vaccination policy and describes key events and people that contributed to the decision to vaccinate selected groups in advance of a potential smallpox virus release.
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The committee asserts that a relationship of trust between CDC and the public health and health care communities is a critical requirement in the implementation of biopreparedness programs. The committee recognized that CDC requested IOM's guidance on the implementation of the program, not on the smallpox vaccination policy itself.
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Conclusion Recommendation Based on the lessons learned from the smallpox The committee recommends that, in collaboration vaccination program, the committee concludes that with its state and local partners and in the context a policy strategy and a mechanism are needed to of broad bioterrorism preparedness, CDC define balance the need for scientific evidence and public smallpox preparedness; set goals that reflect the health analysis with the imperatives of national best available scientific and public health security, ensuring in the process that the reasoning; conduct regular, comprehensive authoritative voice of CDC, the nation's public health assessments of preparedness at the national level leader, will be preserved. and by state; and communicate to the public about the status of preparedness efforts.
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This question went unanswered, as did the larger questions about the definition and requirements of smallpox preparedness. Based on the lessons learned from the smallpox vaccination program, the committee concludes that a policy strategy and a mechanism are needed to balance the need for scientific evidence and public health analysis with the imperatives of national security, ensuring in the pro cess that the authoritative voice of CDC, the nation's public health leader, will be preserved.
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2004. The choice of the public in public health policy and planning: the role of public judgment.
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Key Terms
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