This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://info.ahrq.gov. Let us know the nature of the problem, the Web address of what you want, and your contact information.
Please go to www.ahrq.gov for current information.
Slide Presentation by Nancy Ridley
On March 3, 2003, Nancy Ridley made a presentation in the Web-Assisted Audioconference entitled Addressing the Smallpox Threat: Issues, Strategies, and Tools.
The is the text version of Ms. Ridley's slide presentation. Select to access the PowerPoint® slides (1.8 MB).
Smallpox: State Planning and Implementation
Nancy Ridley, M.S.
Massachusetts Department of Public Health
- Small geography and high density.
- 6.5 million residents.
- 351 cities and towns (essentially no counties).
- 76 acute care hospitals (with ERs).
- 7 Emergency Response Planning Regions.
Hospitals by Region
This slide shows a map of the State of Massachusetts. The map is divided into
seven regions: Region 1 West, Region 2 Central, Region 3 Northeast, Region
4a Metro North, Region 4b Metro South, Region 4c Boston, and Region 5 Southeast.
Below the State map is a listing of hospitals located in each region.
Smallpox Planning Massachusetts
- Statewide Smallpox Workgroup.
- Pre-event plan
- Phase 1 A – 7,600 hospital staff
- 100 staff X 76 hospitals.
- Phase 1 B – 2,400 community response team personnel
- 16 member teams…. Medical, EMS, 1st responders.
- 150 members X 7 regions to be vaccinated to ensure 24/7
- Phase 2 (maybe).
Smallpox Pre-Event Planning Massachusetts
Phase 1A and 1 B:
- Immunization of 10,000 volunteer HCWs, public health workers and first
- Previously vaccinated.
- Careful screening of volunteers and household contacts for contraindications.
- Extensive follow-up for adverse events.
- No furloughs.
Smallpox Pre-Event Planning Massachusetts (cont.)
- State public health response team (DPH staff).
- Multidisciplinary teams at 76 hospitals.
- 7 regional response teams.
- Capacity building
- PH nurses.
- School nurses.
- Visiting Nurses Associations.
Smallpox: Pre-Event Planning Massachusetts (cont.)
- Vaccination of DPH staff will begin February 12th.
- Phase 1 A vaccination (hospitals)
- Phase 1 B vaccination (response teams)
- 12 weeks – completion (<6 months).
- Hospital Response Teams:
- DPH vaccinates 10 core state public health staff.
- 50 additional DPH staff, plus Boston and Cambridge health department
- Once vaccine "takes" confirmed (~ March 1), these 60 vaccinees
will begin vaccinating the "vaccinators" in each of
the 76 hospitals.
- Community Response Teams:
- Vendor operated vaccination clinics.
Smallpox: Phase 2
- Eventual vaccination of all health care workers and first responders.
- Massachusetts estimate = approximately 120,000 individuals.
- No official announcement from Federal government.
- Will be based on lessons learned from Phase 1.
Smallpox: Controversial Issues
- Worker compensation (vaccinee, secondary contacts).
- Malpractice coverage.
- Health insurance coverage for side effects.
- Unions (police, fire, nurses, etc.).
Controversial Issues (cont.)
- Vaccine safety (Israel's Lister v. New York Board of Health strains).
- Safety of needles.
- Municipal v. private first responders.
- Dissemination of training materials.
- Sustainability of State bioterrorism initiatives.
Pre-Event vs. Post-Event Planning
- Plan to deal with one suspected case of smallpox in Massachusetts.
- Plan to vaccinate the entire population within 4 days regardless of
an actual smallpox case in Massachusetts.
Current as of July 2003
Preparedness Issues for the Local Level. Text Version of a Slide Presentation at a Web-assisted Audioconference. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/ulp/smpoxtele/sess1/ridleytxt.htm
Return to Audioconference