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