MILVAX - Smallpox

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BROCHURES

INFO PAPER

Smallpox is a serious, contagious, and sometimes fatal infectious disease. There is no specific treatment for smallpox disease, and the only prevention is vaccination. The name smallpox is derived from the Latin word for “spotted” and refers to the raised bumps that appear on the face and body of an infected person.

Training

DoD Smallpox Vaccination Training

10 Sep 12

This is an 8 module online course designed to satisfy the DoD approved smallpox training requirement for medical personnel administering smallpox vaccinations.

Smallpox Cold Chain Management

08 Nov 10

The purpose of this module is to provide an overview of the proper distribution and cold chain management procedures for ACAM2000® smallpox vaccine. PLEASE NOTE: The content of this module is the same as the content of the Cold Chain Management module in the DoD Smallpox Vaccination Training curriculum.

Smallpox Healthcare Provider's Briefing

11 Apr 08

Training for vaccinators on the DoD Smallpox Program, including safety and pre-vaccination screening

Policies

MEDCOM Participation in ACAM2000 Smallpox Vaccine Post-Licensure Safety Surveillance and Research Requirements PDF 30 Oct 08

Author: Thresher

Department of Defense Participation in ACAM2000 Smallpox Vaccine Post-Maketing Research Requirements PDF 15 Apr 08

Author: Casscells

Update to Clinical Policy for the Department of Defense Smallpox Vaccination Program PDF 01 Apr 08

Author: Casscells

Coast Guard Smallpox Vaccine Program (SVP) PDF 03 Mar 08

Author: Tedesco

Transition to ACAM2000 Smallpox Vaccine PDF 31 Jan 08

Author: Loftus

Change in Policy for Pre-Deployment Administration of Anthrax and Smallpox Vaccines PDF 10 Sep 07

Author: Chu

Smallpox Immunization Program Safety - Remain Vigilant PDF 30 Mar 07

Author: Loftus

Service Messages

BUMED PDF 23 Sep 08

UPDATE TO CLINICAL POLICY FOR DOD SMALLPOX VACCINATION

ALNAV PDF 27 Feb 08

TRANSITION FROM CURRENT DRYVAX SMALLPOX VACCINE TO ACAM2000 SMALLPOX VACCINE

ALARACT PDF 14 Feb 08

DOD'S TRANSITION TO ACAM2000 BRAND OF SMALLPOX VACCINE

ALCOAST PDF 30 Jan 08

COAST GUARD SMALLPOX VACCINE PROGRAM UPDATE - TRANSITION FROM DRYVAX TO ACAM2000

ALMAJCOM PDF 18 Oct 07

CHANGE IN POLICY FOR PRE-DEPLOYMENT ADMINISTRATION OF ANTHRAX AND SMALLPOX VACCINATIONS

MILPER PDF 15 Oct 07

PRE-DEPLOYMENT ADMINISTRATION OF ANTHRAX AND SMALLPOX VACCINES

ALNAV PDF 12 Oct 07

CHANGE IN POLICY FOR PRE-DEPLOYMENT ADMINISTRATION OF ANTHRAX AND SMALLPOX VACCINES

Questions & Answers


Smallpox Policy
Smallpox Threat
Smallpox – The Disease
Smallpox in the Environment
Smallpox – Vaccine Description
Smallpox – Vaccine Effectiveness
Smallpox Vaccine – Safety
Smallpox Vaccine – Cardiac Related Reactions
Questions and Answers for Household Members and Community Members
Healthcare Workers
How To Administer Smallpox Vaccine
Treating Complications of the Smallpox Vaccination
Evidence of Immunity and Vaccination – Response Interpretation
Vaccination Site Care
Linen Precautions For Hospital Workers and Institutional Settings After Smallpox Vaccination

20 Feb 08

Sample Q&A: Smallpox – Vaccine Description

Who received smallpox vaccination in the past?

Smallpox vaccination of US military forces dates back to 1812. Smallpox vaccine has been given to millions of Americans, including Service members during World War I, World War II, and into the 1980s.

In the United States, routine vaccination against smallpox ended around 1972 in most places. Military smallpox vaccination programs continued longer. In 1984, routine military vaccinations were limited to recruits entering basic training. Between 1984 and 1989, some service members were immunized but not others. In 1990, the Department of Defense discontinued routine vaccination of recruits.

Between December 2002 and January 2008 more than 1.4 M Service members received smallpox vaccination.

Images

ACIP Guidelines Recommendations for Using Smallpox Vaccine in a Pre-Event Vaccination Program 04 Apr 03 Supplemental Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the Healthcare Infection Control Practices Advisory Committee (HICPAC) Vaccinia (Smallpox) Vaccine 22 Jun 01 Recommendations of the Advisory Committee on Immunization Practices (ACIP)	Adverse Events When Pregnancy Is Discovered After Smallpox Vaccination - Smallpox Vaccine in Pregnancy Registry PDF 26 Jun 12 Information Paper Intra-Venous Vaccinia Immune Globulin (IV-VIG) PDF 03 Jun 11 Information Paper Progressive Vaccinia in a Military Smallpox Vaccinee --- United States, 2009 22 May 09 MMWR Pericarditis-Myocarditis Evaluation Tables PDF 24 Apr 09 Vaccine Healthcare Center Vaccine Healthcare Centers Network (VHC) 14 Aug 08 For specialized immunization consultation and care. ACAM2000 Vial Stopper Raw Material Content PDF 14 Mar 08 Latex-free Stopper Information Letter Smallpox Vaccine in Pregnancy Registry Flyer PDF 13 Nov 07 Did You Receive the Smallpox Vaccine While Pregnant?
Brochures Smallpox Training Brochure PDF 26 Oct 11 Information on DoD Online Smallpox Vaccination Training Smallpox Trifold Brochure PDF 21 Jun 11 Brochure explaining smallpox vaccine and the Smallpox Vaccination Program Medication Guide - ACAM2000™ PDF 01 Oct 09 Smallpox (Vaccinia) Vaccine, Live Substitutes for the VIS per CDC guidelines (effective 1 Jan 2012) Smallpox Vaccine Household Contacts Brochure PDF PPT 15 Jan 09 Somebody in Your Household Just Got Vaccinated Against Smallpox: What should you do? Smallpox Vaccine in Pregnancy Registry Flyer PDF 13 Nov 07 Did You Receive the Smallpox Vaccine While Pregnant? Smallpox Vaccine Pets Brochure DOC PDF 12 Sep 07 After you get the Smallpox Vaccine: Protecting pets and other animals. Centers for Disease Control - Normal Reactions 16 Sep 03 Smallpox Vaccination and Adverse Events Training Module (expansion of information found on CDC's 16-panel color brochure)	Clinical Smallpox and Smallpox Vaccine Literature Review PDF 01 Jan 12 Compiled by the MILVAX Agency Vaccinia Virus Infection After Sexual Contact with a Military Smallpox Vaccinee --- Washington, 2010 02 Jul 10 MMWR Laboratory-Acquired Vaccinia Virus Infection --- Virginia, 2008 31 Jul 09 MMWR Progressive Vaccinia in a Military Smallpox Vaccinee --- United States, 2009 22 May 09 MMWR Smallpox Pre-Vaccination Information Packet 13 Mar 09 Newly Licensed Smallpox Vaccine to Replace Old Smallpox Vaccine 29 Feb 08 MMWR Pregnancy Discovered After Smallpox Vaccination - IV-VIG PDF 25 Jan 08 Information Paper
Consumer Smallpox Vaccination: Patient Education 30 Nov 07 Centers for Disease Control and Prevention FDA Approves New Smallpox Vaccine 04 Sep 07 FDA Consumer Update - ACAM2000	DHB Recommendations DoD Immunization Program for Biological Warfare Defense - 2007-01 26 Feb 07 Recommendations of the Defense Health Board (DHB) DoD Immunization Program for Biowarfare Defense 22 Aug 05 Recommendations of the Armed Forces Epidemiological Board (AFEB) DoD Immunization Program for Biological Warfare Defense 18 Jun 04 Recommendations of the Armed Forces Epidemiological Board (AFEB) Periodic Report - DoD Smallpox Vaccination Program Evaluation PDF 17 Feb 04 Recommendations of the Armed Forces Epidemiological Board (AFEB) Sentinel Case Review 09 Feb 04 Recommendations of the Armed Forces Epidemiological Board (AFEB) Draft Clinical Policy Guidance - Smallpox Vaccinations 04 Oct 03 Recommendations of the Armed Forces Epidemiological Board (AFEB) DoD Immunization Program for Biological Warfare Defense 20 Jun 03 Recommendations of the Armed Forces Epidemiological Board (AFEB)
Featured Chest Pain following Smallpox Vaccine 25 Apr 12 A case review of myopericarditis in service members following vaccination with the smallpox vaccine.	Forms VAERS Smallpox Pregnancy Supplement PDF 19 Jul 12 Supplemental Form for Smallpox Vaccine in Pregnancy Registry Smallpox Vaccine Screening Form PDF 08 Jan 10 2-page format, STANDARD FORMAT Smallpox Vaccine Take Check Medical Note PDF 23 Jul 09 Follow-Up Note for Standard "Take-Check" Visits Smallpox Vaccine Sick Call Medical Note PDF 23 Jul 09 Follow-Up Note for Sick Call Evaluation of Patients [pre position this form at ERs and troop medical clinics] Initial Competency Assessment: Smallpox Vaccine Administration PDF 07 Mar 08 MILVAX Agency Initial Competency Assessment: Smallpox Vaccine Reconstitution PDF 07 Mar 08 MILVAX Agency Smallpox Vaccine Screening or Medical Note Continuation Page PDF 07 Feb 08 Smallpox Vaccination Continuation Note CHRONOLOGICAL RECORD OF MEDICAL CARE
Immunization University Initial Competency Assessment: Smallpox Vaccine Administration PDF 07 Mar 08 MILVAX Agency Initial Competency Assessment: Smallpox Vaccine Reconstitution PDF 07 Mar 08 MILVAX Agency	Information Paper When Pregnancy Is Discovered After Smallpox Vaccination - Smallpox Vaccine in Pregnancy Registry PDF 26 Jun 12 Information Paper Intra-Venous Vaccinia Immune Globulin (IV-VIG) PDF 03 Jun 11 Information Paper Prospective Safety Surveillance Study of Newly Licensed Smallpox Vaccine PDF 05 Jun 08 Information Paper Pregnancy Discovered After Smallpox Vaccination - IV-VIG PDF 25 Jan 08 Information Paper Smallpox Disease and Smallpox Vaccine PDF 10 Jan 08 Information Paper
Package Insert Vaccinia Immune Globulin Intravenous (Human) (VIGIV) (Cangene) PDF 01 Jan 10 Package Insert - Immune Globulin ACAM2000 (Acambis) 01 Sep 09 Package Insert - Vaccine	Planning Documents COAST GUARD SMALLPOX VACCINE PROGRAM (SVP) 03 Mar 08 Author: Tedesco COMMANDANT INSTRUCTION M6230.10 Implementation Instructions for Transition to ACAM2000™ in the Department of Defense Smallpox Vaccination Program PDF 23 Jan 08 Software/Application: Maxi-Vac Computer Program 14 Oct 05 Free program for planning optimal large-scale smallpox vaccination clinics CDC Smallpox Response Plan and Guidelines 16 Sep 03 (Ver. 3.0) This document outlines the public health strategies that would guide the public health response to a smallpox emergency and many of the federal, state, and local public health activities that must be undertaken in a smallpox outbreak. CDC Recommendations PDF 04 Apr 03 Recommendations for Using Smallpox Vaccine in a Pre-Event Vaccination Program Supplemental Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the Healthcare Infection Control Practices Advisory Committee (HICPAC) [MMWR 2003;52(RR-7):1-20.] Military Medical Exemption Codes for Smallpox (Vaccinia) PDF 18 Dec 02 Vaccination in a Non-Emergency Situation DoD Smallpox Response Plan PDF 29 Sep 02 (Ver. 3.1) This publication provides implementing instructions and accompanying planning guidance to Department of Defense activities to prepare for and respond to a smallpox outbreak. Send us your suggestions for improving the DoD Smallpox Vaccination Program or the DoD Smallpox Response Plan
Related Links Biomedical Advanced Research and Development Authority (BARDA) 27 Apr 12 Department of Health and Human Services FDA/CBER 16 May 11 Food and Drug Administration (FDA) Center for Biologics Evaluation and Research (CBER) Smallpox Information Army Medical Materiel Agency (USAMMA) 16 Jun 09 Smallpox Vaccine Information Vaccine Healthcare Centers Network (VHC) 14 Aug 08 For specialized immunization consultation and care. American Academy of Family Physicians 05 Feb 08 Smallpox Immunization American Academy of Pediatrics 05 Feb 08 Smallpox Information Centers for Disease Control and Prevention 05 Feb 08 Smallpox	Storage & Handling Smallpox Cold Chain Management PPT PDF 08 Nov 10
Supply & Logistics (MMQC) MMQC-11-1492 22 Jul 11 UPDATED DEPARTMENT OF DEFENSE (DOD) SMALLPOX VACCINE BROCHURES MMQC-10-1678 15 Nov 10 ACAMBIS, INC / SANOFI-PASTEUR BIOLOGICS CO / CENTERS FOR DISEASE CONTROL & PREVENTION (CDC) / DILUENT LOT # DV01C01 FOR ACAM 2000 SMALLPOX (VACCINIA) VACCINE, LIVE / URGENT PHARMACEUTICAL NOTIFICATION MMQC-08-1181 09 May 08 SUBMITTING EXECUTIVE SUMMARY AND DESTRUCTION DOCUMENTS FOR EXPIRED OR COMPROMISED ANTHRAX AND SMALLPOX VACCINE / INFORMATION BULLETIN MMQC-07-1381 27 Dec 07 INTRA-VENOUS VACCINIA IMMUNE GLOBULIN (IV-VIG) / DEFINE PROCEDURES FOR ORDERING IV-VIG	Toolkit Smallpox and Smallpox Vaccine Literature Review PDF 01 Jan 12 Compiled by the MILVAX Agency Smallpox Trifold Brochure PDF 21 Jun 11 Brochure explaining smallpox vaccine and the Smallpox Vaccination Program Smallpox Healthcare Provider's Briefing PPT PDF 15 Nov 10 Training for vaccinators on the DoD Smallpox Program, including safety and pre-vaccination screening Smallpox Vaccination Training 17 Jul 09 This is an 8 module online course designed to satisfy the DoD approved smallpox training requirement for medical personnel administering smallpox vaccinations. Smallpox Vaccine Household Contacts Brochure PDF PPT 15 Jan 09 Somebody in Your Household Just Got Vaccinated Against Smallpox: What should you do? Smallpox Individual's Briefing PPT PDF 09 Oct 08 Important information on smallpox for the vaccinee Initial Competency Assessment: Smallpox Vaccine Administration PDF 07 Mar 08 MILVAX Agency
Top Resources Smallpox and Smallpox Vaccine Literature Review PDF 01 Jan 12 Compiled by the MILVAX Agency Smallpox Trifold Brochure PDF 21 Jun 11 Brochure explaining smallpox vaccine and the Smallpox Vaccination Program Smallpox Healthcare Provider's Briefing PPT PDF 15 Nov 10 Training for vaccinators on the DoD Smallpox Program, including safety and pre-vaccination screening Smallpox Vaccine Household Contacts Brochure PDF PPT 15 Jan 09 Somebody in Your Household Just Got Vaccinated Against Smallpox: What should you do? Smallpox Individual's Briefing PPT PDF 09 Oct 08 Important information on smallpox for the vaccinee Smallpox Vaccine Pets Brochure DOC PDF 12 Sep 07 After you get the Smallpox Vaccine: Protecting pets and other animals. Smallpox Information Pamphlet DOC PDF 14 Jan 04	Vaccine & VIG Info Intra-Venous Vaccinia Immune Globulin (IV-VIG) PDF 03 Jun 11 Information Paper Pharmaceutical Customer Notification (ACAM2000 Diluent) PDF 11 Apr 11 FDA Medication Guide - ACAM2000™ PDF 01 Oct 09 Smallpox (Vaccinia) Vaccine, Live Substitutes for the VIS per CDC guidelines (effective 1 Jan 2012) Vaccine Deployment Guidance - ACAM2000 PDF 24 Mar 08 ACAM2000 Vial Stopper Raw Material Content PDF 14 Mar 08 Latex-free Stopper Information Letter ACAM2000 Expiration Chart PDF 29 Feb 08 Conversion table detailing 17 months expiration dating from date of shipment Dryvax/ACAM2000 Comparison Chart PDF 11 Jan 08
Videos Last case of variola major smallpox (02:12) 08 Apr 10 The College of Physicians of Philadelphia D.A. Henderson discusses the last wild case of variola major Last case of variola minor smallpox (02:56) 08 Apr 10 The College of Physicians of Philadelphia D.A. Henderson discusses the last case of naturally occurring variola minor, a less severe form of smallpox, which occurred in Somalia in 1976 Around The Services (1:11) 30 Jan 09 Smallpox Study	VIS Medication Guide - ACAM2000™ PDF 01 Oct 09 Smallpox (Vaccinia) Vaccine, Live Substitutes for the VIS per CDC guidelines (effective 1 Jan 2012)

Library

Progressive Vaccinia in a Military Smallpox Vaccinee --- United States, 2009 May 2009 Author(s): Centers for Disease Control and Prevention Publication: MMWR 2009 / 58(Early Release);1-4 Subject: Vaccine-Safety Disease: Smallpox	Phenotype of atopic dermatitis subjects with a history of eczema herpeticum Jan 2009 Author(s): Beck LA, Boguniewicz M, Hata T, Schneider LC, Hanifin J, Gallo R, Paller AS, Lieff S, Reese J, Zaccaro D, Milgrom H, Barnes KC, Leung DYM Publication: Journal of Allergy and Clinical Immunology Subject: Disease Disease: Smallpox
Clinical and Immunological Response to Attenuated Tissue-Cultured Smallpox Vaccine LC16m8 Mar 2009 Author(s): Saito T, Fujii T, Kanatani Y Publication: JAMA. 2009;301(10):1025-1033 Subject: Vaccine-General Disease: Smallpox	Persistence of Vaccinia at the Site of Smallpox Vaccination Jan 2008 Author(s): Cummings JF, Polhemus ME, Hawkes C, Klote M, Ludwig GV, Wortmann G Publication: Clinical Infectious Diseases 2008; 46:000–000 Subject: Vaccine-Safety Disease: Smallpox