"This report outlines recommendations for postexposure interventions to prevent infection with hepatitis B virus, hepatitis C virus, or human immunodeficiency virus, and tetanus in persons wounded during bombings or other events resulting in mass casualties. Persons wounded during such events or in conjunction with the resulting emergency response might be exposed to blood, body fluids, or tissue from other injured persons and thus be at risk for bloodborne infections. This report adapts existing general recommendations on the use of immunization and postexposure prophylaxis for tetanus and for occupational and nonoccupational exposures to bloodborne pathogens to the specific situation of a mass-casualty event. Decisions regarding the implementation of prophylaxis are complex, and drawing parallels from existing guidelines is difficult. For any prophylactic intervention to be implemented effectively, guidance must be simple, straightforward, and logistically undemanding. Critical review during development of this guidance was provided by representatives of the National Association of County and City Health Officials, the Council of State and Territorial Epidemiologists, and representatives of the acute injury care, trauma and emergency response medical communities participating in CDC's Terrorism Injuries: Information, Dissemination and Exchange (TIIDE) project. The recommendations contained in this report represent the consensus of U.S. federal public health officials and reflect the experience and input of public health officials at all levels of government and the acute injury response community." - p. 1

recommendations of the Centers for Disease Control and Prevention (CDC) ; prepared by Louisa E. Chapman, Ernest E. Sullivent, Lisa A. Grohskopf, Elise M. Beltrami, Joseph F. Perz, Katrina Kretsinger, Adelisa L. Panlilio, Nicola D. Thompson, Richard L. Ehrenberg, Kathleen F. Gensheimer, Jeffrey S. Duchin, Peter H. Kilmarx, Richard C. Hunt. "The material in this report originated in the Coordinating Office for Terrorism Preparedness and Emergency Response, Rich Besser, MD, Director; the National Center for Immunizations and Respiratory Diseases, Anne Schuchat, MD, Director; the National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, Kevin A. Fenton, MD, PhD, Director; the National Center for Preparedness, Detection, and Control of Infectious Diseases, Rima Khabbaz, MD, Director; the National Center for Injury Prevention and Control, Howard Frumkin, MD, Director, Division of Injury Response, Richard Hunt, MD, Director; and the National Institute for Occupational Safety and Health, John Howard, MD, Director." - p. 1 Includes bibliographical references.

Guidelines and Recommendations