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Notice to Readers: Updated Post-Event Smallpox Response Plan
and Guidelines
CDC has released an updated version of the post-event
Smallpox Response Plan and Guidelines. This is the second revision to these guidelines since they were released in November 2001.
Version 3 of the guidelines contains an important addition---the "Smallpox Vaccination Clinic Guide." This guide provides the operational and logistical considerations associated with implementing a large-scale, voluntary vaccination program as part of a multifaceted response to a confirmed smallpox outbreak. Following a confirmed smallpox outbreak within
the United States, rapid, voluntary vaccination of a large segment of the population might be required to 1) supplement
priority surveillance and containment control strategies in areas with smallpox cases, 2) reduce the at-risk population for additional intentional releases of smallpox virus if the probability of such occurrences is considered significant, and 3) address heightened public concerns about access to voluntary vaccination.
The most important component of smallpox containment is the rapid identification, isolation, and vaccination of
close contacts of infected patients and contacts of their contacts (i.e., ring vaccination). This strategy involves identification of infected persons through intensive surveillance, isolation of infected persons, vaccination of household contacts and
other close contacts of infected persons (i.e., primary contacts), and vaccination of household and other potential contacts of the primary contacts (i.e., secondary contacts).
The clinic guide will assist planning for larger-scale, post-event vaccination when exposure circumstances indicate the
need to supplement the ring vaccination approach with broader protective measures. The clinic guide describes the activities and staffing needs associated with large-scale smallpox vaccination clinics, including suggested protocols for vaccine safety monitoring and treatment. The clinic guide provides an example of a model smallpox clinic and provides samples of pertinent clinic consent forms and patient information sheets that would be used at a clinic.
The clinic guide and the Smallpox Response Plan and Guidelines, Version
3 are available at
http://www.cdc.gov/smallpox. CDC will take additional steps to increase preparedness to respond to a smallpox exposure of any magnitude, including updates to the Smallpox Response Plan and
Guidelines. Updates on infection control, in-hospital isolation
recommendations, post-event vaccination protocols, and outbreak response strategies are under way and will be posted on the CDC website.
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Health and Human Services.References to non-CDC sites on the Internet are
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endorsement of these organizations or their programs by CDC or the U.S.
Department of Health and Human Services. CDC is not responsible for the content
of pages found at these sites. URL addresses listed in MMWR were current as of
the date of publication.
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