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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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Published in: | Epidemiology and infection 2007-05, Vol.135 (4), p.622-633 |
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container_title | Epidemiology and infection |
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creator | BASS, S. B. RUZEK, S. B. GORDON, T. F. HANLON, A. L. |
description | 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 |
doi_str_mv | 10.1017/S0950268806007229 |
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B. ; RUZEK, S. B. ; GORDON, T. F. ; HANLON, A. L.</creator><creatorcontrib>BASS, S. B. ; RUZEK, S. B. ; GORDON, T. F. ; HANLON, A. L.</creatorcontrib><description>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<0·0001). 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 how to define an appropriate level of preparedness for a smallpox outbreak.</description><identifier>ISSN: 0950-2688</identifier><identifier>EISSN: 1469-4409</identifier><identifier>DOI: 10.1017/S0950268806007229</identifier><identifier>PMID: 16953952</identifier><identifier>CODEN: EPINEU</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>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</subject><ispartof>Epidemiology and infection, 2007-05, Vol.135 (4), p.622-633</ispartof><rights>Copyright © Cambridge University Press 2006</rights><rights>Copyright 2006 Cambridge University Press</rights><rights>2007 INIST-CNRS</rights><rights>Cambridge University Press</rights><rights>Cambridge University Press 2006 2006</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c588t-a54f3fd22d8076989e60e9cbbfd22054e52b9d76331d9df3bed342fbe517dcae3</citedby><cites>FETCH-LOGICAL-c588t-a54f3fd22d8076989e60e9cbbfd22054e52b9d76331d9df3bed342fbe517dcae3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/4617540$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0950268806007229/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768,58213,58446,72703</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18756094$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16953952$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>BASS, S. B.</creatorcontrib><creatorcontrib>RUZEK, S. B.</creatorcontrib><creatorcontrib>GORDON, T. F.</creatorcontrib><creatorcontrib>HANLON, A. L.</creatorcontrib><title>Preparedness for a smallpox outbreak: comparing metrics for assessing levels of vaccination among health-care workers by state</title><title>Epidemiology and infection</title><addtitle>Epidemiol. Infect</addtitle><description>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<0·0001). 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 how to define an appropriate level of preparedness for a smallpox outbreak.</description><subject>Biological and medical sciences</subject><subject>Bioterrorism</subject><subject>Disease outbreaks</subject><subject>Disease Outbreaks - prevention & control</subject><subject>Dosage</subject><subject>Emergency preparedness</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Health Personnel</subject><subject>Humans</subject><subject>Male</subject><subject>Microbiology</subject><subject>Population distributions</subject><subject>Population estimates</subject><subject>Public health</subject><subject>Recommendations</subject><subject>Smallpox</subject><subject>Smallpox - prevention & control</subject><subject>Smallpox Vaccine - administration & dosage</subject><subject>State hospitals</subject><subject>United States</subject><subject>Vaccination</subject><subject>Vaccination - statistics & numerical data</subject><issn>0950-2688</issn><issn>1469-4409</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><recordid>eNqFkl2L1DAUhoso7uzqDxBEgrDeVdN8NnshyKKrsOD67V1I09OZzrTNmGTG3Rt_uylTZvxAvAqc9zlv8p6cLHtQ4KcFLuSzD1hxTERZYoGxJETdymYFEypnDKvb2WyU81E_yo5DWGKMFSnl3eyoEIpTxcks-3HlYW081AOEgBrnkUGhN123dtfIbWLlwazOkHV9otphjnqIvrUTGkLqGqsdbKELyDVoa6xtBxNbNyDTu6QtwHRxkdt0C_ru_Ap8QNUNCtFEuJfdaUwX4P50nmSfXr38eP46v3x78eb8xWVueVnG3HDW0KYmpC6xFKpUIDAoW1VjDXMGnFSqloLSolZ1QyuoKSNNBbyQtTVAT7LnO9_1puqhtjBEbzq99m1v_I12ptW_K0O70HO31WleabgqGTyZDLz7toEQdd8GC11nBnCboCWmShSK_hckWDLJ5ej4-A9w6TZ-SFPQY6SSCU4SVOwg610IHpr9kwusxx3Qf-1A6nn0a9ZDx_TpCTidABOs6RpvBtuGA1dKniKzxD3cccsQnd_rTBSSM5zkfCe3IcL1XjZ-pYWkkmtx8U5_ef-5vKLsqx55OmUxfeXbeg6HxP9O8xMiauSD</recordid><startdate>20070501</startdate><enddate>20070501</enddate><creator>BASS, S. 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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 |
title | Preparedness for a smallpox outbreak: comparing metrics for assessing levels of vaccination among health-care workers by state |
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