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Related Experiment Videos

Mass smallpox immunization program in a deployed military setting.

William A Gibson1

  • 1SAUSHEC Emergency Medicine Residency Program, Wilford Hall Medical Center, 18105 Beargrass Court, San Antonio, TX 78258, USA. wgibson@satx.rr.com

The American Journal of Emergency Medicine
|July 20, 2004
PubMed
Summary
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A mass smallpox vaccination program for over 6,000 troops in a forward-deployed location was successful, showing a high vaccine take rate and minimal impact on military operations. This study highlights the feasibility of large-scale immunizations during high-tempo operations.

Area of Science:

  • Military Medicine
  • Vaccinology
  • Public Health

Background:

  • Elevated bioterrorism concerns prompted mass smallpox immunization programs for military and civilian first-responders.
  • Previous smallpox immunization programs' complication rates were used for comparison.
  • Maintaining military readiness during mass immunization in forward-deployed locations is critical.

Purpose of the Study:

  • To assess the operational impact of a mass smallpox immunization program in a forward-deployed military setting.
  • To identify lessons learned from the screening and immunization process.
  • To evaluate vaccine take rates and complication data.

Main Methods:

  • Prospective observational study of 6,002 active-duty troops immunized over 4 weeks.

Related Experiment Videos

  • Data collected from Air Force Complete Information Tracking Application (AFCITA) and Global Expeditionary Medical System (GEMS).
  • Main Outcome Measures included eligibility, vaccine take rate, serious/life-threatening complications, and lost workdays.

    • Main Results:

    • 94% of 6,739 screened individuals were eligible for vaccination.
    • Vaccine take rate was 98.6% per Centers for Disease Control and Prevention (CDC) criteria.
    • 0.55% of immunized individuals lost workdays; 2.6% required medical visits.

    Conclusions:

    • Mass smallpox vaccination programs can be effectively administered in forward-deployed military settings.
    • High-tempo military operations do not preclude successful mass immunization.
    • Minimal operational impact was observed, demonstrating program feasibility.