Preparedness for a smallpox outbreak: comparing metrics for assessing levels of vaccination among health-care workers by state

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...

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Bibliographic Details
Published in:Epidemiology and infection 2007-05, Vol.135 (4), p.622-633
Main Authors: BASS, S. B., RUZEK, S. B., GORDON, T. F., HANLON, A. L.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Bioterrorism
Disease outbreaks
Disease Outbreaks - prevention & control
Dosage
Emergency preparedness
Female
Fundamental and applied biological sciences. Psychology
Health Personnel
Humans
Male
Microbiology
Population distributions
Population estimates
Public health
Recommendations
Smallpox
Smallpox - prevention & control
Smallpox Vaccine - administration & dosage
State hospitals
United States
Vaccination
Vaccination - statistics & numerical data
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Summary: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 per capita 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 (P
ISSN:0950-2688
1469-4409
DOI:10.1017/S0950268806007229