{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,5]],"date-time":"2022-04-05T06:49:44Z","timestamp":1649141384924},"reference-count":24,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2006,9,6]],"date-time":"2006-09-06T00:00:00Z","timestamp":1157500800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Epidemiol. Infect."],"published-print":{"date-parts":[[2007,5]]},"abstract":"<jats:title>SUMMARY<\/jats:title><jats:p>By mid-2005, less than 17% of smallpox vaccine doses distributed to American states for health-care workers (HCWs) during the CDC campaign had been used. To understand how states responded, vaccination patterns were studied. Metrics were calculated to compare the level of preparedness for a smallpox outbreak in terms of absolute numbers of HCWs vaccinated compared to the percentage of doses distributed to each state, the rate of vaccination <jats:italic>per capita<\/jats:italic> population, and the percentage of HCWs vaccinated compared to the number the CDC recommended. States were then ranked. Results showed that rankings for all four metrics were statistically different (<jats:italic>P<\/jats:italic>&lt;0\u00b70001). In addition, when ranks were assigned to quartiles, the states directly affected on 9\/11\/01 ranked lowest and states widely perceived to be at lower terror risk ranked in the top. These results underscore the need to critically examine <jats:italic>how to define an appropriate level of preparedness<\/jats:italic> for a smallpox outbreak.<\/jats:p>","DOI":"10.1017\/s0950268806007229","type":"journal-article","created":{"date-parts":[[2006,9,6]],"date-time":"2006-09-06T12:27:35Z","timestamp":1157545655000},"page":"622-633","source":"Crossref","is-referenced-by-count":2,"title":["Preparedness for a smallpox outbreak: comparing metrics for assessing levels of vaccination among health-care workers by state"],"prefix":"10.1017","volume":"135","author":[{"given":"S.\u00a0B.","family":"BASS","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.\u00a0B.","family":"RUZEK","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.\u00a0F.","family":"GORDON","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.\u00a0L.","family":"HANLON","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2006,9,6]]},"reference":[{"key":"S0950268806007229_ref023","unstructured":"23. U.S. Census Bureau. Estimated 2003 population, by state (http:\/\/www.census.gov). 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Review of the Centers for Disease Control and Prevention's Smallpox Vaccination Program Implementation: Letter Report #3. Washington, D.C.: The National Academies Press, 2003."},{"key":"S0950268806007229_ref024","unstructured":"HospitalLink.com (2005). Hospitals in each state (http:\/\/www.hospitallink.com). Accessed 1 August 2005."},{"key":"S0950268806007229_ref003","unstructured":"3. CDC. CDC Telebriefing Transcript: HHS Teleconference on Smallpox Policy (http:\/\/www.cdc.gov\/od\/oc\/media\/transcripts\/t021214.htm). Accessed 15 October 2005."},{"key":"S0950268806007229_ref009","unstructured":"9. CDC. Smallpox Vaccination Program vaccine doses shipped and released for use (http:\/\/www.cdc.gov\/od\/oc\/media\/smallpox.htm). Accessed 1 August 2005."},{"key":"S0950268806007229_ref016","unstructured":"16.\u00a0 Baker M . Testimony on behalf of the service employees international union, AFL-CIO, before the US Senate Committee on Health, Education, Labor and Pensions on the Administration's smallpox vaccination plan: Challenges and next steps. 30 January 2003 (http:\/\/www.SEIU.org). Accessed 1 August 2005."},{"key":"S0950268806007229_ref021","doi-asserted-by":"publisher","DOI":"10.1197\/aemj.10.6.599"},{"key":"S0950268806007229_ref010","unstructured":"10. CDC. Smallpox Vaccination Program status by state (http:\/\/www.cdc.gov\/od\/oc\/media\/spvaccin.htm). Accessed 1 August 2005."},{"key":"S0950268806007229_ref007","unstructured":"7. CDC. Supplemental Guidance for Planning and Implementing the National Smallpox Vaccination Program (NSVP) (http:\/\/www.bt.cdc.gov\/agent\/smallpox\/vaccination\/supplemental-guidance-nsvp.asp). Accessed 15 October 2005."},{"key":"S0950268806007229_ref020","first-page":"4","article-title":"Public health nurses' views on voluntary smallpox vaccination","volume":"35","author":"Kuula","year":"2004","journal-title":"Journal of the New York State Nurses Association"},{"key":"S0950268806007229_ref001","first-page":"1","article-title":"Vaccinia (smallpox) vaccine: recommendations of the Advisory Committee on Immunization Practices (ACIP)","volume":"50","year":"2001","journal-title":"Morbidity and Mortality Weekly Report"},{"key":"S0950268806007229_ref004","unstructured":"4. White House. President delivers remarks on smallpox (http:\/\/www.whitehouse.gov\/news\/releases\/2002\/12\/20021213-7.html). Accessed 15 October 2005."},{"key":"S0950268806007229_ref005","volume-title":"The Smallpox Vaccination Program: Public Health in an Age of Terrorism","author":"Baciu","year":"2005"},{"key":"S0950268806007229_ref008","unstructured":"8. CDC. Smallpox training (http:\/\/www.bt.cdc.gov\/agent\/smallpox\/training\/index.asp). Accessed 15 October 2005."},{"key":"S0950268806007229_ref011","volume-title":"Smallpox Vaccination: Implementation of National Program Faces Challenges","year":"2003"},{"key":"S0950268806007229_ref013","unstructured":"13. American Nurses Association. Statement to the IOM's committee on smallpox vaccination program implementation, 2002."},{"key":"S0950268806007229_ref014","unstructured":"14.\u00a0 Libbey P . Testimony on behalf of the National Association of County and City Health Officials before the subcommittee on Labor, Health, and Human Services, Education and Related Agencies, Committee on Appropriations, US Senate. Hearing on smallpox vaccination, 29 January 2003."},{"key":"S0950268806007229_ref015","unstructured":"15. National Governors Association. Statement of the National Governors Association for the Senate Labor, Health and Human Services and Education Appropriations Subcommittee on Smallpox Vaccination Funding. Senate Appropriations Committee: Senate Labor, Health and Human Services and Education Appropriations Subcommittee, 2003."}],"container-title":["Epidemiology and Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0950268806007229","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,1]],"date-time":"2019-05-01T22:57:20Z","timestamp":1556751440000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0950268806007229\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,9,6]]},"references-count":24,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2007,5]]}},"alternative-id":["S0950268806007229"],"URL":"https:\/\/doi.org\/10.1017\/s0950268806007229","relation":{},"ISSN":["0950-2688","1469-4409"],"issn-type":[{"value":"0950-2688","type":"print"},{"value":"1469-4409","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,9,6]]}}}