The committee recommends that CDC work with the Department of Defense (DoD) to decide how adverse events that involve both the civilian and military populations will be reported.


The committee recommends that CDC gather data on the reasons why potential vaccinees are declining 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 wide range of audiences.

The committee recommends that potential vaccinees be reminded of the current compensation situation before they formally give their consent to be vaccinated.


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.


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. CDC should provide states with a target date for when CDC expects to have completed its revision of materials, data systems (adding new occupational categories, etc.), and guidelines. States that have identified a need for more vaccinated volunteers to carry

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