Informing the Future Critical Issues in Health: Second Edition (2003) / Chapter Skim
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in tire Waite of anthrax infections and cleatl~s that resulted fi-om bioterrorism in fall 2001. Congress requested tire study because of concerns raised about tire safety and efficacy of tire antI~rax vaccine widen tire Department of Defense (DoD)
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Within mottles of tire report's release, DoD reintroduced its Anthrax Vaccine l~nn~unization Program, beginning wield those service members co~siclered to be at Weigher risk and essential to tile accomplisI~me~t of military missions. As part of tile civilian response to bioterrorism concerns, tire Department of Heath and Human Services (DHHS)
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old r eclucing e~lviro'~l~ental barriers: developing reposits Blat lay out a strategic directio~ for a particular area within tire framework of tire Quality Chasm r eport; designing demonstration ideas or tools and tecl~iques, which aid in il~pleme~ti~g that strategic direction; and fostering collaborations between tire IOM acid aiders wire are working to redesign tile health system. Tire following upcoming and released reports and convening activities reflect tire b~-eadtI~ and diversity of issues that must be facet!
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ati'~g Goveran~ent Roles ill l~nproving Health Care Quality (2003J tire IOM recommends treat tire federal government use a multi-prong approach inclucling rewarcling I~igl~ quality providers wizen Riley purchase health care services leveraging their regulatory power to establish clinical clata reporting requirements; using their own health care delivery systems e.g. tire VA (Department of Veterans Affairs)
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en? icnis Codex (FCCJ project is an activity of tire IOM's Foot!
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National Center for- Infectious Diseases 1994 and 1998 strategic plans to acIdress tire thereat of emerging infections nationally. The lOM report is credited also as tire catalyst for tire National Security Council s charge to tile Committee on International Science Engineering and Technology (CISET)
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Tire report's recommendations propose a range of actions neecieci to keep pace with our microbial competitors and to define meaningful and sustainable solutions. Specific guiclance is provictecl to improve and entrance domestic and global public health capacity, infectious disease reporting and surveillance systems, workforce education, and the availability and development of effective countermeasures to clisease.
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guidelines. Over tire vast eight years tire IOM leas implemented an expanded system for determining the RDAs ant!
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Sponsors of tire report, including tire U.S. Departments of Agriculture a'~d of Healths ant!
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report adverse events. Tire Secretary s Advisory Committee for Human Research Protections will acicI'ess a number of tire committees recommendations ant!
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Other organizations also are evaluating tire reports ant! ~ietern~ining tl~ei'.
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Tile significance assessment addresses such considerations as the burden of tile health risI |
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CDC charged tire IOM witty provicling guidance on flow to best implement tile President's policy regarding pre-event smallpox vaccination acicIressing tire following Piglet areas: tile informer! consent process, contraindications screening, the system in place to assess tire safety profile of tire smallpox vaccine, gwiclance for tile treatment of vaccine complications, professional training programs CDC is developing, tire communications efforts, and guidance CI)
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Additionally, tire April 2003 General Accounting Office report assessing tire progress of tire smallpox vaccination program compared recommendations macle in tire IOM reports witty CDC's implementation of the program, and identified areas of tire program that needed improvement.
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In tire new report, The Future of t/~e Pub/ic's Health in the 21st Ce'~h''Ay, tile committee examines Motif tire governmental component of tire public I~ealtl~ system and tire potential contributions of Oliver sectors and entities. Tire report reviews tire nation's public Stealth capabilities and presents a comprehensive framework for how the government public health agencies, worI |
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The American Public Healths Association is developing a convener project which will include an annual forum at tire annual APHA meeting to report Ott tire progress made to implement recommendations. Act e~tI~usiastic reception by the American College of Preventive Medicine led to adoption of a strongly worded resolution by tire American Meclical Association to advance tire role of the physician in public health and re-constitute tire medicine-public health initiative.
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a new untlergracluate MPH program based on tire proposed framework and recon~mendations of tire Who Will leveed the Public Healthy? report.
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Further, CDC, FDA, professional health organizations, academia, health care clelivery systems, ancl industry shock expand efforts to decrease the inappropriate Else of anti~nicrobials in human medicine. (Microbial Threats to Health: Emergence, Detection, anc!
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