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The Smallpox Vaccination Program: Public Health in an Age of Terrorism (2005)

Chapter: Appendix H: Agendas for Committee Information-Gathering Meetings

« Previous: Appendix G: Review of the Centers for Disease Control and Prevention’s Smallpox Vaccination Program Implementation Letter Report #6
Suggested Citation:"Appendix H: Agendas for Committee Information-Gathering Meetings." Institute of Medicine. 2005. The Smallpox Vaccination Program: Public Health in an Age of Terrorism. Washington, DC: The National Academies Press. doi: 10.17226/11240.
×

H
Agendas for Committee Information-Gathering Meetings

Meeting One

December 19, 2002

500 Fifth Street, NW

Washington, DC

Room 100

8:00 a.m.

Welcome

Harvey V. Fineberg, M.D., Ph.D., President, IOM

Brian Strom, M.D., M.P.H., Chair

8:15 a.m.

DHHS Bioterrorism Effort and the Role of the IOM Committee

William Raub, Ph.D., Deputy Director of the Office of Public Health Preparedness, Department of Health and Human Services

8:30 a.m.

Charge to the IOM

David Fleming, M.D., Deputy Director for Science and Public Health, Office of the Director, CDC

Suggested Citation:"Appendix H: Agendas for Committee Information-Gathering Meetings." Institute of Medicine. 2005. The Smallpox Vaccination Program: Public Health in an Age of Terrorism. Washington, DC: The National Academies Press. doi: 10.17226/11240.
×

8:45 a.m.

Centers for Disease Control Progress Report on Smallpox Immunization Program and ACIP Recommendations

Larry Anderson, M.D., Senior Advisor for Smallpox, Office of Terrorism Preparedness and Response, Office of the Director, CDC

Ray Strikas, M.D., Director, Smallpox Preparedness and Response Activity, National Immunization Program (NIP), CDC

9:30 a.m.

Discussion

10:00 a.m.

Break

10:15 a.m.

Safety System Overview

Gina Mootrey, D.O., M.P.H., Senior Research Officer, Immunization Safety Branch, NIP, CDC

11:00 a.m.

Clinical Operations/Screening Overview

Lisa Rotz, M.D., Chief of the Emergency Surveillance and Response Branch of the Bioterrorism Preparedness and Response Program, National Center for Infectious Diseases, CDC

11:45 a.m.

Lunch

12:45 p.m.

Training and Education Overview

Linda Quick, M.D., M.P.H, Medical Epidemiologist, National Immunization Program, CDC

1:30 p.m.

Communications Overview

Glen Nowak, Ph.D., Associate Director for Communication, NIP, CDC

2:15 p.m.

Smallpox Vaccination in Israel

Yehuda L. Danon, M.D., Professor of Pediatrics, Tel Aviv University and Director, Schneider Children’s Medical Center of Israel (invited)

3:00 p.m.

Break

Suggested Citation:"Appendix H: Agendas for Committee Information-Gathering Meetings." Institute of Medicine. 2005. The Smallpox Vaccination Program: Public Health in an Age of Terrorism. Washington, DC: The National Academies Press. doi: 10.17226/11240.
×

3:15 p.m.

Department of Defense Smallpox Experience and Update

The Honorable William Winkenwerder, Jr., M.D., M.B.A.

Assistant Secretary of Defense for Health Affairs, DoD

LTC John Grabenstein, R.P.H., Ph.D., Deputy Director for Military Vaccines at the Army Surgeon General’s Office, DoD

4:00 p.m.

Solicited Comments

American College of Emergency Physicians

American Hospital Association

American Nurses Association

Association of State and Territorial Health Officials

National Association of County and City Health Officials

4:50 p.m.

Discussion

5:30 p.m.

Public Comment

6:00 p.m.

Adjourn

Meeting Two

February 13, 2003

National Academy of Sciences

2101 Constitution Avenue, NW

Washington, DC

Lecture Room

9:00 a.m.

Welcome and Introductions

Brian Strom, M.D., M.P.H.

Committee Chair

9:15 a.m.

Overall Program Progress

Joe Henderson, Associate Director of Terrorism Preparedness and Response, CDC

Suggested Citation:"Appendix H: Agendas for Committee Information-Gathering Meetings." Institute of Medicine. 2005. The Smallpox Vaccination Program: Public Health in an Age of Terrorism. Washington, DC: The National Academies Press. doi: 10.17226/11240.
×

9:45 a.m.

Questions from the Committee

10:15 a.m.

Update from State Programs

Eddy Bresnitz, M.D., M.S.

State Epidemiologist/Assistant Commissioner Smallpox Vaccination Program Coordinator State of New Jersey Department of Health and Senior Services

By phone:

Kathleen Toomey, M.D., M.P.H.

Director, Division of Public Health

Georgia Department of Human Resources

10:45 a.m.

Questions from the Committee

11:00 a.m.

The Department of Defense Experience

COL John Grabenstein, R.Ph., Ph.D.

Deputy Director for Military Vaccines at the Army Surgeon General’s Office Department of Defense

11:30 a.m.

Questions from the Committee

12:00 p.m.

Lunch

1:00 p.m.

Discussion of the Pre-event Vaccination System

Vicky Kipreos, PMP

Lead IT Specialist Information Resource Management Office, CDC

1:20 p.m.

Questions from the Committee

1:30 p.m.

CDC Update—Safety System (active surveillance, etc.)

Gina Mootrey, D.O., M.P.H.

Senior Research Officer Immunization Safety Branch NIP, CDC

Suggested Citation:"Appendix H: Agendas for Committee Information-Gathering Meetings." Institute of Medicine. 2005. The Smallpox Vaccination Program: Public Health in an Age of Terrorism. Washington, DC: The National Academies Press. doi: 10.17226/11240.
×

1:45 p.m.

ACIP Working Group on Smallpox Vaccine Adverse Events

By phone:

John Neff, M.D.

Vice-Chair of the ACIP Working Group

2:00 p.m.

Questions from the Committee about Safety System and the ACIP Working Group

2:30 p.m.

CDC Update—Training and Education

Lynn Steele, M.S.

Senior Advisor for Education and Training Office of Terrorism Preparedness and Response, CDC

2:45 p.m.

Questions from the Committee

3:00 p.m.

Break

3:15 p.m.

CDC UpdateCommunication Strategy

Glen Nowak, Ph.D.

Associate Director for Communication NIP, CDC

3:45 p.m.

Questions from the Committee

4:15 p.m.

Smallpox Vaccine Risk Communication Activities at

Walter Reed Army Medical Center

Renata J. M. Engler, COL, MC

Chief, Allergy-Immunology Department Allergy-Immunology-Immunization Specialty Consultant to the Army OTSG

DoD Ex-Officio Representative to the National Vaccine Advisory Committee

Director, Walter Reed National Vaccine Healthcare Center

Walter Reed Army Medical Center

4:45 p.m.

Questions from the Committee

5:15 p.m.

Public Comment

5:45 p.m.

Meeting Adjourned

Suggested Citation:"Appendix H: Agendas for Committee Information-Gathering Meetings." Institute of Medicine. 2005. The Smallpox Vaccination Program: Public Health in an Age of Terrorism. Washington, DC: The National Academies Press. doi: 10.17226/11240.
×

Meeting Three

May 1, 2003

Academy for Educational Development

1825 Connecticut Avenue, NW, 8th Floor

Washington, DC

8:00 a.m.

Registration and Coffee

8:30 a.m.

Welcome and Opening Statement

Brian Strom, M.D., M.P.H. Committee Chair

8:45 a.m.

Overview of CDC Activities to Date

Joe Henderson, Associate Director of Terrorism Preparedness and Response, CDC

Gina Mootrey, D.O., M.P.H., Senior Research Officer, Immunization Safety Branch, NIP, CDC

9:30 a.m.

The ACIP Smallpox Vaccine Safety Working Group and the Vaccine Safety System

John M. Neff, M.D.

Director, Center for Children with Special Needs, Children’s Hospital and Regional Medical Center (Seattle, WA)

Vice Chair, Advisory Committee on Immunization Practices (ACIP) Smallpox Vaccine Safety Working Group

10:00 a.m.

Questions from the Committee

10:30 a.m.

The State Perspective

Mary C. Selecky

Secretary of Health, Washington State Department of Health and President, Association of State and Territorial

Health Officials

Gianfranco Pezzino, M..D, M.P.H.

State Epidemiologist, Kansas Department of Health and Environment and President, Council of State and Territorial Epidemiologists

Suggested Citation:"Appendix H: Agendas for Committee Information-Gathering Meetings." Institute of Medicine. 2005. The Smallpox Vaccination Program: Public Health in an Age of Terrorism. Washington, DC: The National Academies Press. doi: 10.17226/11240.
×

11:30 a.m.

Questions from the Committee

11:45 a.m.

Lunch

1:00 p.m.

The Local Perspective

Yvonne Madlock, MAT

Director, Memphis and Shelby County Health Department, Shelby County Government, Division of Health Services (Tennessee)

Karen Nikolai, M.P.H., M.C.P.

Program Supervisor, Immunization Services, Hennepin County Community Health Department (Minnesota)

2:00 p.m.

The Hospital/Health System Perspective

Ron J. Anderson, M.D.

President & CEO, Parkland Health & Hospital System (Texas)

Franklyn Judson, M.D.

Director of Public Health, Denver Health (Colorado)

3:00 p.m.

Questions from the Committee

3:15 p.m.

Break

3:30 p.m.

Perspective of a Hospital/Health System NOT

Participating in the Smallpox Vaccination Program

Michael Edmond, M.D., M.P.A.

Hospital Epidemiologist, Virginia Commonwealth University Health System Authority

4:00 p.m.

The Health Plan Perspective

David J. Witt, M.D.

Chair of Infectious Diseases, Northern California Kaiser Permanente

Skip Skivington, M.B.A.

National Director, Healthcare Continuity, Kaiser Permanente

Suggested Citation:"Appendix H: Agendas for Committee Information-Gathering Meetings." Institute of Medicine. 2005. The Smallpox Vaccination Program: Public Health in an Age of Terrorism. Washington, DC: The National Academies Press. doi: 10.17226/11240.
×

4:30 p.m.

Questions from the Committee

4:45 p.m.

Additional Committee Questions for All Speakers

5:00 p.m.

Public Comment

5:30 p.m.

Adjourn

Meeting Four

November 6, 2003

The Wyndham Washington Hotel

Vista Ballroom BC

1400 M Street, NW

Washington, DC

9:00 a.m.

Welcome and Introductions

Brian Strom, M.D., M.P.H.

Committee Chair

9:15 a.m.

HRSA Cooperative Agreement Guidance

Commander Brad Austin

Senior Program Specialist, National Bioterrorism Hospital Preparedness Program, Office of Special Programs, HRSA

9:30 a.m.

Update on National Smallpox Vaccination Program Defining Smallpox Preparedness

Joseph Henderson

Associate Director of Terrorism Preparedness and Response, CDC

Draft Smallpox Preparedness Measures

Ray Strikas, M.D., Director, Smallpox Preparedness and Response Activity, National Immunization Program (NIP), CDC

Linda J. Neff, Ph.D., Senior Epidemiologist, Smallpox Preparedness and Response Activity, National Immunization Program (NIP), CDC

10:30 a.m.

Questions from the Committee

Suggested Citation:"Appendix H: Agendas for Committee Information-Gathering Meetings." Institute of Medicine. 2005. The Smallpox Vaccination Program: Public Health in an Age of Terrorism. Washington, DC: The National Academies Press. doi: 10.17226/11240.
×

11:15 a.m.

Adjourn for lunch

  • committee lunch in private

  • panel lunches in 4 separate meeting rooms

State and Local Public Health (Belle Air Room)

Health Care Providers (Sherwood Room)

Health Care Institutions (Westover Room)

First Responders (Berkeley Room)

  • liaison lunch (Ashlawn North Room)

12:30 p.m.

Panel 1: State and Local Public Health

American Public Health Association

(Dr. Georges Benjamin)

Association of Public Health Laboratories

(Dr. Katherine Kelley)

Association of State and Territorial Health Officials

(Dr. Donald Williamson)

Council of State and Territorial Epidemiologists

(Dr. Gianfranco Pezzino)

National Association of County and City Health Officials

(Dr. Alonzo Plough)

National Association of Local Boards of Health

(Mr. Shepard Cohen)

12:45 p.m.

Questions from the Committee

1:30 p.m.

Panel 2: Health Care Providers

American Academy of Family Physicians

(Dr. Jonathan Temte)

American College of Emergency Physicians

(Dr. Jon Mark Hirshon)

American Nurses Association

(Ms. Cheryl Peterson)

National Association of Emergency Medical System Physicians

(Dr. Robert O’Connor)

1:45 p.m.

Questions from the Committee

2:30 p.m.

Break

Suggested Citation:"Appendix H: Agendas for Committee Information-Gathering Meetings." Institute of Medicine. 2005. The Smallpox Vaccination Program: Public Health in an Age of Terrorism. Washington, DC: The National Academies Press. doi: 10.17226/11240.
×

2:45 p.m.

Panel 3: Health Care Institutions

American Association of Health Plans

(Mr. Bob Rehm)

American Hospital Association

(Ms. Roslyne Schulman)

National Association of Public Hospitals and Health Systems

(Dr. Van Dunn)

3:00 p.m.

Questions from the Committee

3:45 p.m.

Panel 4: First Responders

International Association of Chiefs of Police

(Dr. Kris Arnold)

International Association of Fire Chiefs

(Commissioner David Fischler)

National Association of Emergency Medical Technicians

(Mr. John Roquemore)

National Association of State Emergency Medical System Directors

(Ms. Margaret Trimble)

4:00 p.m.

Questions from the Committee

4:45 p.m.

Public Comment and Discussion

5:30 p.m.

Adjourn

Meeting Five

March 29, 2004

National Academy of Sciences Building

2101 Constitution Avenue, NW

Washington, DC

Lecture Room

8:00–8:30 a.m.

Registration and Coffee

Suggested Citation:"Appendix H: Agendas for Committee Information-Gathering Meetings." Institute of Medicine. 2005. The Smallpox Vaccination Program: Public Health in an Age of Terrorism. Washington, DC: The National Academies Press. doi: 10.17226/11240.
×

8:30–8:45 a.m.

Welcome and Opening Statement

Brian Strom

Committee Chair

8:45–9:15 a.m.

CDC’s Next Steps for Public Health Preparedness

Dan Sosin

Associate Director for Science

Office of Terrorism Preparedness and Emergency Response

Centers for Disease Control and Prevention

Department of Health and Human Services

9:15–9:45 a.m.

Questions from the Committee

9:45–10:05 a.m.

Presentation on the Modeling Workgroup of Secretary’s Council on Public Health Preparedness

Luciana Borio

Senior Health Advisor

Office of Research and Development Coordination

Office of the Assistant Secretary for Public Health Emergency Preparedness

Department of Health and Human Services

10:05–10:25 a.m.

Questions from the Committee

10:25–10:40 a.m.

Break

10:40–11:10 a.m.

The experience of local and state public health agencies

Patrick Libbey

Executive Director

National Association of County and City Health Officials

George E. Hardy, Jr.

Executive Director

Association of State and Territorial Health Officials

11:10–11:30 a.m.

Questions from the Committee

Suggested Citation:"Appendix H: Agendas for Committee Information-Gathering Meetings." Institute of Medicine. 2005. The Smallpox Vaccination Program: Public Health in an Age of Terrorism. Washington, DC: The National Academies Press. doi: 10.17226/11240.
×

11:30 a.m.–12:00 p.m.

Theory and science behind scenarios, exercises, and drills—a disaster management and response perspective

Erik Auf der Heide

Disaster Planning and Training Specialist

Agency for Toxic Substances and Disease Registry

Department of Health and Human Services

12:00–12:20 p.m.

Questions from the Committee

12:20–1:20 p.m.

Lunch

1:20–1:50 p.m.

Theory and science behind scenarios, exercises, and drills—a sociological perspective

E.L. (Henry) Quarantelli

Research Professor, Founding Director

Disaster Research Center

University of Delaware

1:50–2:20 p.m.

Questions from the Committee

2:20–2:40 p.m.

Lessons learned from exercises and drills conducted by health care organizations for JCAHO accreditation

Margaret VanAmringe

Vice President for External Relations

Joint Commission on Accreditation of Healthcare Organizations

2:40–3:00 p.m.

Questions from the Committee

3:00–3:15 p.m.

Break

3:15–3:45 p.m.

Regional FEMA experience with exercises and drills

Kelvin Kelkenberg

Director, National Preparedness Division

Emergency Preparedness and Response Directorate

Department of Homeland Security

3:45–4:10 p.m.

Questions from the Committee

Suggested Citation:"Appendix H: Agendas for Committee Information-Gathering Meetings." Institute of Medicine. 2005. The Smallpox Vaccination Program: Public Health in an Age of Terrorism. Washington, DC: The National Academies Press. doi: 10.17226/11240.
×

4:10–4:30 p.m.

The Homeland Security Exercise and Evaluation Program (HSEEP) of the DHS Office of Domestic Preparedness

Robert Schweitzer

Exercise Program Manager

Office of Domestic Preparedness

Department of Homeland Security

Sandra Santa

Exercise Program Manager

Office of Domestic Preparedness

Department of Homeland Security

4:30–4:50 p.m.

Questions from the Committee

4:50–5:10 p.m.

Perspective of an Academic Center for Public Health Preparedness

Maggie Potter

Associate Dean and Director, Center for Public Health Practice

Principal Investigator, Center for Public Health Preparedness

Graduate School of Public Health

University of Pittsburgh

5:10–5:30 p.m.

Questions from the Committee

5:30–5:45 p.m.

Public comment

5:45 p.m.

Closing remarks

Suggested Citation:"Appendix H: Agendas for Committee Information-Gathering Meetings." Institute of Medicine. 2005. The Smallpox Vaccination Program: Public Health in an Age of Terrorism. Washington, DC: The National Academies Press. doi: 10.17226/11240.
×
Page 329
Suggested Citation:"Appendix H: Agendas for Committee Information-Gathering Meetings." Institute of Medicine. 2005. The Smallpox Vaccination Program: Public Health in an Age of Terrorism. Washington, DC: The National Academies Press. doi: 10.17226/11240.
×
Page 330
Suggested Citation:"Appendix H: Agendas for Committee Information-Gathering Meetings." Institute of Medicine. 2005. The Smallpox Vaccination Program: Public Health in an Age of Terrorism. Washington, DC: The National Academies Press. doi: 10.17226/11240.
×
Page 331
Suggested Citation:"Appendix H: Agendas for Committee Information-Gathering Meetings." Institute of Medicine. 2005. The Smallpox Vaccination Program: Public Health in an Age of Terrorism. Washington, DC: The National Academies Press. doi: 10.17226/11240.
×
Page 332
Suggested Citation:"Appendix H: Agendas for Committee Information-Gathering Meetings." Institute of Medicine. 2005. The Smallpox Vaccination Program: Public Health in an Age of Terrorism. Washington, DC: The National Academies Press. doi: 10.17226/11240.
×
Page 333
Suggested Citation:"Appendix H: Agendas for Committee Information-Gathering Meetings." Institute of Medicine. 2005. The Smallpox Vaccination Program: Public Health in an Age of Terrorism. Washington, DC: The National Academies Press. doi: 10.17226/11240.
×
Page 334
Suggested Citation:"Appendix H: Agendas for Committee Information-Gathering Meetings." Institute of Medicine. 2005. The Smallpox Vaccination Program: Public Health in an Age of Terrorism. Washington, DC: The National Academies Press. doi: 10.17226/11240.
×
Page 335
Suggested Citation:"Appendix H: Agendas for Committee Information-Gathering Meetings." Institute of Medicine. 2005. The Smallpox Vaccination Program: Public Health in an Age of Terrorism. Washington, DC: The National Academies Press. doi: 10.17226/11240.
×
Page 336
Suggested Citation:"Appendix H: Agendas for Committee Information-Gathering Meetings." Institute of Medicine. 2005. The Smallpox Vaccination Program: Public Health in an Age of Terrorism. Washington, DC: The National Academies Press. doi: 10.17226/11240.
×
Page 337
Suggested Citation:"Appendix H: Agendas for Committee Information-Gathering Meetings." Institute of Medicine. 2005. The Smallpox Vaccination Program: Public Health in an Age of Terrorism. Washington, DC: The National Academies Press. doi: 10.17226/11240.
×
Page 338
Suggested Citation:"Appendix H: Agendas for Committee Information-Gathering Meetings." Institute of Medicine. 2005. The Smallpox Vaccination Program: Public Health in an Age of Terrorism. Washington, DC: The National Academies Press. doi: 10.17226/11240.
×
Page 339
Suggested Citation:"Appendix H: Agendas for Committee Information-Gathering Meetings." Institute of Medicine. 2005. The Smallpox Vaccination Program: Public Health in an Age of Terrorism. Washington, DC: The National Academies Press. doi: 10.17226/11240.
×
Page 340
Suggested Citation:"Appendix H: Agendas for Committee Information-Gathering Meetings." Institute of Medicine. 2005. The Smallpox Vaccination Program: Public Health in an Age of Terrorism. Washington, DC: The National Academies Press. doi: 10.17226/11240.
×
Page 341
Next: Appendix I: Committee Biosketches »
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December 13, 2002, the president of the United States announced that smallpox vaccination would be offered to some categories of civilians and administered to members of the military and government representatives in high-risk areas of the world. The events that precipitated that historic announcement included a series of terrorist attacks during the 1990s, which culminated in the catastrophic events of 2001.

Although preparedness for deliberate attacks with biologic weapons was already the subject of much public health planning, meetings, and publications as the twentieth century neared its end, the events of 2001 led to a steep rise in bioterrorism-related government policies and funding, and in state and local preparedness activities, for example, in public health, health care, and the emergency response and public safety communities. The national smallpox vaccination program is but one of many efforts to improve readiness to respond to deliberate releases of biologic agents.

The Institute of Medicine (IOM) Committee on Smallpox Vaccination Program Implementation was convened in October 2002 at the request of the Centers for Disease Control and Prevention (CDC), the federal agency charged with implementing the government's policy of providing smallpox vaccine first to public health and health care workers on response teams, then to all interested health care workers and other first responders, and finally to members of the general public who might insist on receiving the vaccine. The committee was charged with providing "advice to the CDC and the program investigators on selected aspects of the smallpox program implementation and evaluation."

The committee met six times over 19 months and wrote a series of brief "letter" reports. The Smallpox Vaccination Program: Public Health in an Age of Terrorism constitutes the committee's seventh and final report, and the committee hopes that it will fulfill three purposes: 1) To serve as an archival document that brings together the six reports addressed to Julie Gerberding, director of CDC, and previously released on line and as short, unbound papers; 2) To serve as a historical document that summarizes milestones in the smallpox vaccination program, and ; 3) To comment on the achievement of overall goals of the smallpox vaccination program (in accordance with the last item in the charge), including lessons learned from the program.

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