TABLE 6.1 Summary Comparison of Options


Greatest Potential Worker Protection

Most Flexibility

Meet DOD Needs

Meet Civilian Needs

Lowest Relative Cost

Greatest Feasibility

1. Status quo

1a. Status quo with additional funding

1b. Status quo with separate civilian program

2. Cooperative governance, based at Ft. Detrick

3. SIP as a central MCM enterprise component

4. Cancel the SIP

Evaluation scale: least to most effective in meeting the objective—


In formulating responses to its statement of task, the committee discussed the implications of several possible options for the SIP program. Criteria on which these options were evaluated include

  • Worker protection. Does the option provide potential protection to researchers and others who work with hazardous pathogens?

  • Flexibility. Does the option allow the program to adapt to meet new needs and priorities?

  • Department of Defense (DOD) needs. Does the option meet the needs of military researchers and other DOD users?

  • Civilian needs. Does the option meet the needs of civilian users?

  • Cost. How expensive is the option likely to be in comparison with other options?

  • Feasibility. How feasible does implementation of the option appear to be in comparison with other options?

Four options and two suboptions are discussed in more detail below, and a comparison of them is summarized in Table 6.1

Option 1: Maintain the Special Immunizations Program in Its Present Form (Status Quo)

The current SIP provides a benchmark against which to compare the implications of possible program changes. In its current form, the SIP is operated

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