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Below are the first 10 and last 10 pages of uncorrected machine-read text (when available) of this chapter, followed by the top 30 algorithmically extracted key phrases from the chapter as a whole.
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OCR for page 30
APPENDIX
Committee on Smallpox Vaccination Program Implementation
SUMMARY OF RECOMMENDATIONS
. _ .
REVIEW OF THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S
SMALLPOX VACCINATION PROGRAM IMPLEMENTATION
Letter Report #2
OVERARCHING ISSUES: PREPAREDNESS AND EVALUATION
A Focus on Preparedness
The committee recommends that CDC work with states to decide what more is needec} to achieve
smallpox preparedness, if anything. Further, given the routine turnover in personnel, each state
should evaluate what it needs to maintain this preparedness.
A Need for Evaluation
The committee recommencis that CDC comprehensively evaluate the program and its outcomes
in order to improve its implementation and to protect the vaccinees and the public.
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PROGRAMMATIC ISSUES
Communication
The committee recommencis CDC revisit and communicate to the public the program's
objectives in view of state-level realities, and provide a preliminary perspective on the national
ant! state success in reaching those objectives. The CDC should continue to support, as well as
build on the experience of state ant! local health departments who are developing their
communication strategies about state and local program implementation.
The committee recommends that CDC and its state and local partners develop communications
strategies that:
I. Provide adequate quality ant! quantity of information.
2. Are timely.
3. Reassure the public that efforts are in progress to protect them in the event of a smallpox
attack.
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OCR for page 31
The committee recommencis CDC develop and offer journalists training materials and
opportunities specifically (lesigne(1 for the media, explaining the program's clinical components,
providing the best available scientific evidence, and dedicating staff experts to provide technical
support to media representatives.
Training and Education
The committee recommends that all print materials addressed to a diverse audience (e.g., the
public) should be easily read ant! understood by all members of that audience. Also, all
communication materials in other languages should be culturally appropriate.
The committee recommencis that eclucational and training materials be tested for ease of
comprehension with samples representing a cross-section of the sex, race, ethnicity, and level of
education.
Data to Assess Vaccine and Program Safety
The committee recommends that a data field be acIded to PVS to indicate which version of the
Pre-Vaccination Information Packet was provident to the vaccines, in order to document what
information was given to the vaccinee prior to consent.
The committee recommends that CDC consider adding a data field to HSVMS to indicate
whether a serious adverse event occurred or whether a VAERS report was filed (understanding
that more complete information about circumstances surrounding the adverse event will be
entered into VAERS and the Active Surveillance System).
i
The committee recommends that CDC work to ensure that a qualified health professional
monitors, conducts a "take" reading, ant! provides a regular vaccination site inspection for each
vaccinee in the program, ant! enters the relevant data into the appropriate smallpox vaccination
program (lata system.
..
. -
The committee recommends that whenever the ACIP working group issues
finclings/recommenciations to the ACTP and through it to the Director of CDC, it carefully
consider concurrent release to the public, and do so if it would be in the interest of transparency
ant} maintaining the public's trust in the program.
The committee recommencis that CDC be very clear about what types of adverse events will be
reported to the public and when.
The committee recommends that the vaccination report webpage use categories that correspond
to the categories presented in the MMWR adverse event reports.
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OCR for page 32
The committee recommends that CDC report on a regular basis how effective screening practices
have been at identifying contraindications (e.g., pregnancy, HIV status, eczema or atopic
dermatitis prior to vaccination.
The committee recommends that CDC work with DoD to decide how adverse events that involve
both the civilian and military populations will be reported.
Compensation
The committee recommencis that CDC gather data on the reasons why potential vaccinees are
clecTining vaccination, and document the extent to which lack of compensation is identified as a
barrier, among other possible barriers (e.g., uncertainty surrounding risk of smallpox, fear of
transmitting virus to contacts, extent to which local programs are encouraging vaccination).
The committee recommends that the compensation language be easy to read and understandable
to a wicle range of audiences.
The committee recommencis that potential vaccinees be reminded of the current compensation
situation before they formally give their consent to be vaccinated.
Funding
The committee recommends that this inquiry be broad in scope, and include not only cost to
local and state health departments, but also the financial impact on the provision of other
essential public health services, the costs incurred by participating hospitals, and estimates of
costs of expanding the vaccination program to additional health care and public health workers,
and emergency first responders.
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Representative terms from entire chapter:
adverse event
