-Caveat Lector-
 
----- Original Message -----
Sent: Friday, April 04, 2003 9:00 AM
Subject: Important Smallpox Vaccination Information - CARDIAC DISEASE UPDA TE

Attention to cardiac events after smallpox vaccination continues. Based on
available information, both DoD and CDC recommend that people with cardiac
conditions should not receive smallpox vaccination at this time.

DoD has updated our informational and educational products. You will find
the revisions by using the hotlinks below. Matching CDC criteria, DoD adopts
screening criteria based on multiple cardiac risk factors. These criteria
are reflected in the revised Initial Medical Notes (Screening Forms), also
with links below.

Each installation needs to actively find and replace the previous versions
with the revised versions. This especially applies to trifold brochures and
screening forms:  make new copies and discard (recycle) the outdated
versions. Installations should print own supply sufficient for use until
they receive a supply from the MILVAX Agency. We will professionally print
large quantities of trifolds, which should be available in approximately 2
weeks.

DOD INFORMATION

1) 2-Apr-03  Q&A's
Smallpox Vaccine - Cardiac Related Reactions
http://www.smallpox.army.mil/media/pdf/spQAshort.pdf

2) 2-Apr-03  Smallpox Vaccine Trifold Brochure
What you need to know about the Smallpox Vaccine
http://www.smallpox.army.mil/media/pdf/spTrifold.pdf

3) 3-Apr-03  Revised Initial Medical Note (Screening Form)
2-page format, STANDARD FORMAT
http://www.smallpox.army.mil/media/pdf/Vacciniainitial.pdf

  3-page format, OPTIONAL FORMAT
  [includes the 5 "extra" questions to help identify eczema or atopic
dermatitis
  (referred to earlier as "skin condition assessment tool")]
  http://www.smallpox.army.mil/media/pdf/Vacciniainitial3.pdf

4) 2-Apr-03  Individuals Briefing
http://www.smallpox.army.mil/media/pdf/spINDBrief.pdf

5) 2-Apr-03  Health Care Providers Briefing
http://www.smallpox.army.mil/media/pdf/spHCPBrief.pdf

6) 3-Apr-03  DOD Civilian Smallpox Vaccination Program Information Statement
& Acknowledgement Form
http://www.smallpox.army.mil/media/pdf/Smallpoxack.pdf

7) 31-Mar-03  DoD Smallpox Safety Summary
http://www.smallpox.army.mil/media/pages/SPSafetySum.asp


CDC INFORMATION

1)  31-Mar-03  Interim Smallpox Fact Sheet
Smallpox Vaccine and Heart Problems
http://www.bt.cdc.gov/agent/smallpox/vaccination/heartproblems.asp

2)  31-Mar-03  Interim Smallpox Fact Sheet
Smallpox Vaccine and Heart Problems: Information for People Who Have
Recently Received the Smallpox Vaccine
http://www.bt.cdc.gov/agent/smallpox/vaccination/cardiacrecentvaccinees.asp

3)  31-Mar-03  Vaccine Information Statement (VIS)
Smallpox Vaccine and Heart Problems: Important Interim Supplementary
Information
http://www.bt.cdc.gov/agent/smallpox/vaccination/pdf/heartproblems-vis.pdf

4)  4-Apr-03  MMWR
Update: Adverse Events Following Smallpox Vaccination --- United States,
2003
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5213a4.htm

5)  4-Apr-03  MMWR
Supplemental Recommendations on Adverse Events Following Smallpox Vaccine in
the Pre-Event Vaccination Program: Recommendations of the Advisory Committee
on Immunization Practices
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5213a5.htm


As new information becomes available on this topic, we will continue to
update our website - http://www.smallpox.army.mil. Please subscribe to our
listserv - http://www.vaccines.army.mil/email.asp to receive email notices
of major new developments.

As always, advise patients to get the care they need promptly.  And don't
forget to report adverse events in detail to VAERS (www.vaers.org).

COL John D. Grabenstein, RPh, PhD
Deputy Director for Clinical Operations
Military Vaccine Agency

www.smallpox.army.mil
Toll-free Information Service: (877)GET-VACC
mailto:[EMAIL PROTECTED]
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