ACIP smallpox vaccination recommendations : summary
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ACIP smallpox vaccination recommendations : summary
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    Thursday, October 17, 2002, 05 :50 EDT (5:5 0 AM EDT) CDCHAN-00104-2002-10-17-UPD–N In June 2001, The Advisory Committee on Immunization Practices (ACIP) made recommendations for the use of smallpox (vaccinia) vaccine to protect persons who work with orthopoxviruses, to prepare for a possible bioterrorism attack, and to respond to an attack involving smallpox . This recommendation was followed in June 2002 with draft supplemental recommendations that extended the ACIP s smallpox vaccination recommendation to include people designated to respond or care for a suspected or confirmed case of smallpox. Specifically, the ACIP recommended voluntary vaccination of people serving on what subsequently have been designated as 1) “Smallpox Public Health Teams” and 2) “Smallpox Health Care Teams”. The June 2002 draft supplemental smallpox vaccine recommendations also clarified and expanded the primary strategy for control and containment of smallpox in the event of an outbreak. In September, the Centers for Disease Control and Prevention (CDC) asked the ACIP to provide additional guidance on eight smallpox vaccination implementation issues, including the scope and composition of the Smallpox Health Care Teams. The eight issues were: 1) types of healthcare workers that should included in Smallpox Health Care Teams; 2) care of the smallpox vaccination site; 3) need for administrative leave for vaccinated healthcare workers; 4) screening for atopic dermatitis as a contraindication for vaccination; 5) screening for pregnancy as a contraindication for smallpox vaccination; 6) screening for HIV infection as a contraindication for smallpox vaccination; 7) simultaneous administration of smallpox vaccines with other vaccines; and 8) vaccination of smallpox vaccinators. The ACIP 's recommendations reflect consultation with CDC's Hospital Infection Control Practices Advisory Committee (HICPAC) and DHHS's National Vaccine Advisory Committee (NVAC). The ACIP recommendations are being forwarded to HICPAC for their review and consideration on October 22 and 23, 2002. The Healthcare Infection Control Practices Advisory Committee provides advice and guidance to CDC and DHHS regarding infection control practices and strategies for surveillance, prevention, and control of health care-associated infections (e.g., nosocomial infections), antimicrobial resistance and related events in settings where healthcare is provided (e.g., hospitals, long-term care facilities, and home health agencies). In the coming weeks, the joint ACIP-HICPAC recomendations will be forwarded to CDC and DHHS for their review and consideration.
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