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Recommendations from Letter Reports #1-6

RECOMMENDATIONS FROM LETTER REPORT #1

Issues of Timing

The committee recommends that the Centers for Disease Control and Prevention (CDC) develop and communicate the criteria (e.g., types and rates of adverse reactions) that would trigger a reconsideration of the current systems in place to protect vaccinees and their contacts (e.g., the October 2002 Advisory Committee on Immunization Practices [ACIP] recommendations on contraindications, screening, care of the vaccination site, and administrative leave).

To most effectively evaluate the progress and outcomes of the first phase, the committee recommends that CDC utilize the variation in implementation by hospitals and health departments (e.g., differences in granting administrative leave, types of bandages used, different site care instructions, degree of patient contact, adverse reaction investigation) to obtain safety data, and to analyze these data before embarking on subsequent phases of the vaccination program.

Compensation for Adverse Reactions to the Smallpox Vaccine

The committee recommends that CDC and its state and local public health partners immediately work to clarify each state’s worker’s compen-



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