1. Smallpox Vaccination Campaign: A Federal Perspective William Raub, Ph.D. Deputy Assistant Secretary Office of Public Health Emergency Preparedness Department of Health and Human Services

2. SMALLPOX: THE #1 BIO- THREAT Highly lethal Readily communicable Few people have effective immunity No established treatment US enemies believed to have variola virus

3. SCOPE OF CURRENT SMALLPOX VACCINATION CAMPAIGN Program is entirely voluntary. Stage 1 – Epidemiological response teams Stage 2 – Other health care workers; public safety personnel Stage 3 – Private citizens who “insist”

4. RATIONALE FOR CURRENT APPROACH Vaccine highly effective but can provoke serious adverse effects Offer vaccination opportunity to those with highest occupational risk US prepared to vaccinate widely in response to actual smallpox outbreak

5. MAJOR ISSUES ASSOCIATED WITH VACCINATION PROGRAM Logistics and costs of Stage 2 Absence of guaranteed compensation for vaccine-related injuries