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Contents of Report
Pages 1-9

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From page 1...
... Army Medical Research and Materiel Command on the prevention of natural infectious disease threats to the military. The Committee on a Strategy for Minimizing the Impact of Naturally Occurring Infectious Diseases of Military Importance: Vaccine Issues in the U.S.
From page 2...
... The impact of the vaccines, including a reduced need to recycle trainees who missed critical training due to hospitalization, as well as savings in the costs of medical care, made the vaccines extremely cost elective. As a result of a series of decisions that were made beginning in 1984 by Food and Drug Administration regulators, the manufacturer, and DoD officials, the sole manufacturer, WyethLederIe Vaccines, ceased production of adenovirus vaccines in 1996.2 Discussions between DoD and the manufacturer between 1984 and 1996 failed to lead to a mutually acceptable agreement that would have allowed continued vaccine availability.
From page 3...
... prevent increasingly large epidemics of febrile illness that put military personnel at risk of illness and even death,9 and (b) avoid 5Top FH Jr, Grossman RA, Bartelloni PI, Segal HE, Dudding BA, Russell PK, Buescher EL.
From page 4...
... , for the Institute of Medicine Committee on a Strategy for Minimizing the Impact of Naturally Occurring Infectious Diseases of Military Importance: Vaccine Issues in the U.S. Military
From page 5...
... Copyright 2000 by the National Academy of Sciences. All rights reserved.
From page 6...
... ,, ,..,,..,^ .. / INSI~UTE OF ~EDiClNE Sho ping the Future for Health
From page 7...
... Shine is president of the Institute of Medicine. The National Research Council was organized by the National Academy of Sciences in 1916 to associate the broad community of science and technology with the Academy's purposes of furthering knowledge and advising the federal government.
From page 8...
... Wilson, M.D., Chief of Infectious Diseases, Mount Auburn Hospital, Cambridge, Massachusetts, Associate Professor of Medicine, Harvard Medical School Staff Susan Thaul, Ph.D., Study Director Karen Kazmerzak, Research Assistant Richard N Miller, M.D., M.P.H., Director, Medical Follow-up Agency Heather O'Maonaigh, M.A., Program Officer Pamela Ramey-McCray, Administrative Assistant
From page 9...
... Henderson M.D., M.P.H. of The Johns Hopkins University, appointed jointly by the Institute of Medicine and the NRC's Report Review Committee, who was responsible for making certain that an independent examination of this report was carried out in accordance with institutional procedures and that all review comments were carefully considered.


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