Decision Making for Bioterror Preparedness: Examples from Smallpox Vaccination Policy
Decision making for bioterror preparedness involves estimating the consequences of different attack scenarios paired with alternative preparedness and response policies, and selecting an appropriate strategy to minimize deaths, disease, and costs to society. Smallpox vaccination policy provides an excellent case study of these concepts in action. We review both the smallpox vaccination policy debate in the United States circa 2002, and the successful use of operations research methods to influence policy in this arena.
Key wordsBioterrorism Smallpox Vaccination policy Decision analysis
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- Miller, J., S. Engelberg, and W. Broad (2001). Germs. Simon and Schuster, New York.Google Scholar
- Alibek, K. (1999). Biohazard. Random House, New York.Google Scholar
- Fenner, F., D.A. Henderson, I. Arita, Z. Jezek, and I.D. Ladnyi. (1988). Smallpox and its Eradication. World Health Organization, Geneva.Google Scholar
- Tucker, J.B. (2001). Scourge: The Once and Future Threat of Smallpox. Atlantic Monthly Press, New York.Google Scholar
- Centers for Disease Control and Prevention (2001). CDC Interim Smallpox Response Plan and Guidelines, Draft 2.0. Centers for Disease Control and Prevention, Atlanta, GA.Google Scholar
- Kaplan, E.H., D.L. Craft, and L.M. Wein (2002). Emergency response to a smallpox attack: the case for mass vaccination. Proceedings of the National Academy of Sciences of the USA, 99, 10395–10440.Google Scholar
- Institute of Medicine (2002). Scientific and Policy Considerations in Developing Smallpox Vaccination Options. National Academies Press, Washington, DC.Google Scholar
- Zelicoff, A.P. (2002). An epidemiological analysis of the 1971 smallpox outbreak in Aralsk, Kazakhstan. In J.B. Tucker and R.A. Zilinskas (Eds.) The 1971 smallpox epidemic in Aralsk, Kazakhstan, and the Soviet Biological Warfare Program. Occasional Paper No. 9, Monterey Institute of International Studies, Center for Nonproliferation Studies, Washington, DC, 12–21.Google Scholar
- Altaian, L.K. (2002). Smallpox proposal raises ethical issues. New York Times, June 22, A9.Google Scholar
- Broad, W.J. (2002). U.S. to vaccinate 500,000 workers against smallpox. New York Times, July 7, 1.Google Scholar
- Siegel-Itzkovitch, J. (2002). Should only infected people be vaccinated? Jerusalem Post, July 28, 9.Google Scholar
- Centers for Disease Control and Prevention (2002). Smallpox vaccination clinic guide. Centers for Disease Control and Prevention, Atlanta, GA.Google Scholar
- Stevenson, R.W. and S.G. Stolberg (2002). Bush lays out plan on smallpox shots; military is first. New York Times, December 14, A1.Google Scholar
- Kaplan, E.H. and L.M. Wein (2002). Smallpox eradication in west and central Africa: surveillance-containment or herd immunity? Epidemiology, 14, 1–4.Google Scholar
- Sa’ar, R. (2002). Ministry presents smallpox crisis plan. Ha’aretz, October 18, 1.Google Scholar
- National Public Radio (2002). Profile: smallpox preparedness of Israel and the U.S. All Things Considered, November 1, http://www.npr.org/programs/atc/transcripts/2002/nov/021101.northam.html, Accessed December 7, 2002.
- Bicknell, W.J. and K.D. Bloem. Smallpox and bioterrorism: why the plan to protect the nation is stalled and what to do. Cato Institute: Briefing Paper #85, September 5, 2003.Google Scholar