AAA EFFORTS. WEBSITE INCLUDING COMMENTS PROVIDED TO THE IO

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PROFESSIONAL STANDARDS COMMITTEE

• SMALL POX

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INSTITUE OF MEDICINE (IOM)

• REPORT ISSUED JANUARY 17, 2003 DETAILING CONCERNS
• OUTLINES CONCERNS INVOLVING PHASES OF VACCINATION
  AS AN ADVISORY BODY TO THE CDC

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SPECIFIC RECOMMENDATIONS OF IOM

• HIGHLIGHT UNIQUE NATURE OF SMALLPOX VACCINATION
  PROGRAM
• PART OF A PUBLIC HEALTH COMPONENT OF A NATIONAL
  BIOTERRORISM PREPAREDNESS POLICY
• NEED FOR SCIENCE BASED POLICY

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SUGGESTION 2

• PROCEED CAUTIOUSLY
• ALLOW CONTINUOUS OPPORTUNITY FOR ADEQUATE
  ANALYSIS OF PHASE 1
• EMBARK ON PHASE II ONLY AFTER PHASE ONE IS
  THOROUGHLY ANALYZED

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SUGGESTION 3

• PROACTIVE COMMUNICATION, TRAINING, AND EDUCATION
• CUSTOMIZED FOR MANY DIVERSE AUDIENCES
• INCLUDE ALL POTENTIAL VACCINEES, HEALTH CARE
  PROVIDERS, AND THE GENERAL PUBLIC

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SUGGESTION 4

• DESIGNATE ONE TRUSTED SCIENTIST AS SPOKESPERSON
• SHARPEN AND EXPAND COMMUNICATION PLAN
• RAPID, TRANSPARENT, AND SUSTAINED CONTACT WITH
  MEDIA

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SPECIFIC ISSUES IDENTIFIED

• UNKNOWN RISK/BENEFIT
• CDC NEEDS TO COMMUNICATE WHAT WOULD TRIGGER A
  RECONSIDERATION OF METHODS USED TO PROTECT
  VACCINEES AND THEIR CONTACTS

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SPECIFIC ISSUES IDENTIFIED (CONTINUED)

• COMPENSATION
• HUGE ISSUE BEING REVIEWED BY CONGRESS
• CLARIFICATION OF WORKERS COMPENSATION ISSUES IN
  RELATION TO RELATED INJURIES AND ILLNESSES

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SPECIFIC ISSUES IDENTIFIED (CONTINUED)

• TRANSMISSION OF VACCINIA VIRUS NEEDS TO BE
  ACTIVELY AND VIGOR0USLY REVIEWED

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SPECIFIC ISSUES IDENTIFIED (CONTINUED)

• VOLUNTARY PARTICIPATION
• NEEDS TO BE HIGHLIGHTED
• CONSENT FORMS MUST HIGHLIGHT RISK/BENEFIT
• CONSENT FORMS MUST HIGHLIGHT ADVERSE REACTION
  COMPENSATION (OR LACK THEREOF)

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SPECIFIC ISSUES IDENTIFIED (CONTINUED)

• COMPREHENSION OF PROGRAM CONSENT
• NEED TO REVIEW VACCINEES ABILTY TO UNDERSTAND
  CONSENT FORM
• REVISE FORM FOR TARGET POPULATION BEING IMMUNIZED
  IF NEEDED

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SPECIFIC ISSUES IDENTIFIED (CONTINUED)

• COLLECTION OF DATA ON WHY INDIVIDUALS REFUSE
  VACCINATION
• OPT OUT FORM
• PRE-SCREEN

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SPECIFIC ISSUES IDENTIFIED (CONTINUED)

• EVALUATION OF STATES ABILITY TO MANAGE ADVERSE
  REACTIONS
• PRIOR TO BEGINNING VACCINATION PROCESS

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AAA EFFORTS

• WEBSITE INCLUDING COMMENTS PROVIDED TO THE IOM
  AND RESOURCE SITES
• AAA WILL NOT RECOMMEND THAT MEMBERS PARTICIPATE
  (OR NOT) BASED UPON THE PROGRAM BEING VOLUNTARY
  AND HIGHLY INDIVIDUALIZED

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AAA PROGRESS

• LAST WEEK WE PARTICIPATED IN THE SECOND MEETING
  OF THE IOM LIASION COMMITTEE ON SMALLPOX
  VACCINATION
• EMS AND OTHER FIRST RESPONDERS VOICES CLEARLY
  HEARD

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AAA RESOURCES

• WEBSITE LINKS
• AAA HOMELAND SECURITY AND BIO-TERRORISM TOOL KIT
• CDC
• IAFC
• IOM
• WWW.SMALLPOX.ARMY.MIL