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PROFESSIONAL STANDARDS COMMITTEE

PROFESSIONAL STANDARDS COMMITTEE . SMALL POX. INSTITUE OF MEDICINE (IOM). REPORT ISSUED JANUARY 17, 2003 DETAILING CONCERNS OUTLINES CONCERNS INVOLVING PHASES OF VACCINATION AS AN ADVISORY BODY TO THE CDC. SPECIFIC RECOMMENDATIONS OF IOM:.

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PROFESSIONAL STANDARDS COMMITTEE

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  1. PROFESSIONAL STANDARDS COMMITTEE SMALL POX

  2. INSTITUE OF MEDICINE (IOM) • REPORT ISSUED JANUARY 17, 2003 DETAILING CONCERNS • OUTLINES CONCERNS INVOLVING PHASES OF VACCINATION AS AN ADVISORY BODY TO THE CDC

  3. 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

  4. SUGGESTION 2 • PROCEED CAUTIOUSLY • ALLOW CONTINUOUS OPPORTUNITY FOR ADEQUATE ANALYSIS OF PHASE 1 • EMBARK ON PHASE II ONLY AFTER PHASE ONE IS THOROUGHLY ANALYZED

  5. SUGGESTION 3 • PROACTIVE COMMUNICATION, TRAINING, AND EDUCATION • CUSTOMIZED FOR MANY DIVERSE AUDIENCES • INCLUDE ALL POTENTIAL VACCINEES, HEALTH CARE PROVIDERS, AND THE GENERAL PUBLIC

  6. SUGGESTION 4 • DESIGNATE ONE TRUSTED SCIENTIST AS SPOKESPERSON • SHARPEN AND EXPAND COMMUNICATION PLAN • RAPID, TRANSPARENT, AND SUSTAINED CONTACT WITH MEDIA

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

  8. SPECIFIC ISSUES IDENTIFIED (CONTINUED) • COMPENSATION • HUGE ISSUE BEING REVIEWED BY CONGRESS • CLARIFICATION OF WORKERS COMPENSATION ISSUES IN RELATION TO RELATED INJURIES AND ILLNESSES

  9. SPECIFIC ISSUES IDENTIFIED (CONTINUED) • TRANSMISSION OF VACCINIA VIRUS NEEDS TO BE ACTIVELY AND VIGOR0USLY REVIEWED

  10. 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)

  11. 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

  12. SPECIFIC ISSUES IDENTIFIED (CONTINUED) • COLLECTION OF DATA ON WHY INDIVIDUALS REFUSE VACCINATION • OPT OUT FORM • PRE-SCREEN

  13. SPECIFIC ISSUES IDENTIFIED (CONTINUED) • EVALUATION OF STATES ABILITY TO MANAGE ADVERSE REACTIONS • PRIOR TO BEGINNING VACCINATION PROCESS

  14. 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

  15. 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

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

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