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GAO-04-215R 1 (2003-12-01)

handle is hein.gao/gaobaamjs0001 and id is 1 raw text is: I Accountability * Integrity * Reliability United States General Accounting Office Washington, DC 20548 December 1, 2003 The Honorable Susan M. Collins Chairman Committee on Governmental Affairs United States Senate Subject: Smallpox Vaccination: Review of the Implementation of the Military Program Dear Chairman Collins: On December 13, 2002, in response to growing concern that a terrorist or hostile regime might have access to the smallpox virus and attempt to use it against the American people, the President announced the formation of the National Smallpox Vaccination Program. The program has two components-one responsible for vaccinating civilians and another responsible for vaccinating military personnel. The Centers for Disease Control and Prevention (CDC) is responsible for implementing the civilian component of the National Smallpox Vaccination Program. The Department of Defense (DOD) is responsible for implementing the military component of the program. Because the National Smallpox Vaccination Program is the nation's first large-scale bioterrorism defense program, you asked us to assess the implementation of the program in order to aid the development of future programs. In April 2003, we reported on the implementation of the civilian component of the National Smallpox Vaccination Program.' In this report, we describe (1) how DOD implemented its smallpox vaccination program and (2) the steps DOD took to facilitate the implementation of the program. To describe how DOD implemented its smallpox vaccination program and the steps it took to facilitate the implementation of the program, we reviewed DOD's planning guidance for the program, implementation plans related to the program, training for vaccinators, and educational materials for vaccinees. We also reviewed CDC guidelines and documents related to the civilian program that were used in the military's smallpox vaccination program. We interviewed Army, Navy, Air Force, and Marine officials and reviewed written responses to our questions provided by the 'U.S. General Accounting Office, Smallpox Vaccination: Implementation of the National Program Faces Challenges, GAO-03-578 (Washington, D.C.: Apr. 30, 2003). GAO-04-215R Military Smallpox Vaccination Program

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