CDC policy options

draft versions of, 28

regarding lab workers and other specific occupational groups, 28

regarding vaccinating members of the general public, 28

CDC Public Health Performance Assessment for Emergency Preparedness, 267

Cell-culture smallpox vaccine, 47

Cellular immunity, a surrogate measure of immunity, 14

Center for Biosecurity, 15

Center for Civilian Biodefense Studies, 15

Centers for Disease Control and Prevention (CDC), xvi, 2–6, 15–16, 22–23, 25, 27–34, 42, 49, 55–71, 85–102, 111–122

constraints upon, 83

Cooperative Agreement on Public Health Preparedness and Response, 34, 294

Council on Public Health Preparedness, 99

draft policy options, 28

Evidence-Based Performance Goals for Public Health Disaster Preparedness, 99, 122, 288, 308, 318, 320, 326

Health Alert Network, 305

Hospital Infection Control Practices Advisory Committee, 29

independence of, 30

Laboratory Response Network, 307

liaison to the FBI, 297

needing to speak authoritatively as the nation’s public health leader, 82–83, 89, 95–96, 101, 114, 155, 209–210

Office of Terrorism Preparedness and Emergency Response, 99

providing guidance to state public health agencies, 207–208

public fora held by, 30

readiness indicators document, 277–283

role in providing scientific and public health reasoning for policy, 93–96

safety system guidance to states, 114, 149

Secure Data Network, 180

Smallpox Response Plan and Guidelines, 24–25, 138, 156

supporting, xvii

as a target, 318

Centers for Medicare and Medicaid Services (CMS), 270

Centers for Public Health Preparedness, 218, 286

Central Intelligence Agency, 92

Challenges in defining and assessing public health preparedness, 6, 204–210

smallpox preparedness as only one component of overall public health preparedness, 206

a standard for smallpox preparedness, 207–210

vaccination as only one component of smallpox preparedness, 205–206

Challenges in integrating public health into a broader field, 292–299

common definitions and terminology needed, 297–299

coordination issues, 292–297, 299

the Lexicon Project, 298–299

Charo, R. Alta, 344

Chemical Stockpile Emergency Preparedness Program (CSEPP), 315–316

Chemotherapy, impairment of immune systems due to, 18, 128

Cheney, Dick, 29

CHER-CAP. See Community Hazards Emergency Response Capability Assurance Program

Chickenpox, confused with smallpox, 12

China, monkeypox in, 55–56

Chronology, 4

Cidofovir, 17, 138, 142, 149, 234

Civilian smallpox vaccination program, 3, 196, 222, 226.

See also Public interest;

Vaccination of members of the general public who insist on receiving smallpox vaccine

beginning of, 15–16, 163

much smaller cohort than military, 170

policy options regarding, 28

safety of, 224–243

voluntary, 9, 48, 128, 188, 213

Clarity issues, 131

Clinician Information Line (CDC), 176, 178, 180, 230

Closing institutions, timing of, 261

CMS. See Centers for Medicare and Medicaid Services

Coates, Thomas, 344–345

Collecting data on adverse reactions, 2, 4, 113

age of existing data, 10, 19, 213

for safety, 152



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