ADMINISTRATIVE MESSAGE ROUTINE R 241523Z DEC 03 ZYB MIN PSN 756131J23 FM CNO WASHINGTON DC//DNS// TO NAVADMIN UNCLAS //N02300// NAVADMIN 329/03 MSGID/GENADMIN/CNO WASHINGTON DC/DNS/-/DEC// SUBJ/TEMPORARILY STOP GIVING ANTHRAX IMMUNIZATIONS TO ALL DOD /PERSONNEL// REF/A/LTR/CNO (N09) WASHINGTON DC/YMD:20020628// REF/B/MSG/CNO (N09) WASHINGTON DC/211314ZOCT2002// REF/C/LTR/USD (P AND R)/YMD:20031223// NARR/REF A DEPSECDEF MEMO ON REINTRODUCTION OF THE ANTHRAX VACCINE IMMUNIZATION PROGRAM (AVIP). REF B CNO (N09) NAVADMIN ON RESUMPTION OF THE ANTHRAX VACCINE IMMUNIZATION PROGRAM. REF C IS USD (P&R) MEMO ON THE TEMPORARY SUSPENSION OF ANTHRAX VACCINE IMMUNIZATION PROGRAM.// POC/J. MITCHELL/CDR/CNO (N931D)/LOC:WASHINGTON DC/TEL:703-601-1717 /TEL:DSN 329-1717// RMKS/1. REFS A AND B PROVIDED AUTHORIZATION AND IMPLEMENTATION GUIDANCE FOR RESUMPTION OF THE ANTHRAX VACCINE IMMUNIZATION PROGRAM BASED ON THREAT ANALYSIS AND AVAILABILITY OF A SAFE, FDA-APPROVED ANTHRAX VACCINE. SINCE 1998, DOD HAS SAFELY VACCINATED OVER ONE MILLION MILITARY, EMERGENCY-ESSENTIAL CIVILIANS, AND MISSION-ESSENTIAL CONTRACTOR PERSONNEL TO PROVIDE VITAL PROTECTION AGAINST ALL FORMS OF ANTHRAX DISEASE. 2. ON DECEMBER 22, 2003, A JUDGE FROM THE U.S. DISTRICT COURT FOR THE DISTRICT OF COLUMBIA ORDERED A PRELIMINARY INJUNCTION AGAINST FURTHER ANTHRAX VACCINATIONS WITHOUT CONSENT OF THE INDIVIDUAL. THE JUDGE DID NOT RULE AGAINST THE SAFETY OF THE VACCINE, RATHER HE RULED AGAINST THE COMPLETENESS OF THE FOOD AND DRUG ADMINISTRATION'S (FDA) PROCESS TO APPROVE THE VACCINE FOR USE AGAINST INHALATION ANTHRAX. 3. IAW REF C THE FOLLOWING ACTIONS ARE DIRECTED IMMEDIATELY. A. UNTIL FURTHER NOTICE, STOP GIVING ANTHRAX VACCINATIONS TO ALL MILITARY AND CIVILIAN PERSONNEL, TO INCLUDE FAMILY MEMBERS. THIS APPLIES TO PERSONNEL NOT PREVIOUSLY VACCINATED AND PERSONNEL CURRENTLY UNDERGOING THE SIX SHOT BASIC SERIES AND ANNUAL BOOSTER. THIS APPLIES TO ALL PERSONNEL REGARDLESS OF THEIR CURRENT LOCATION. FURTHER, DO NOT IMPLEMENT VOLUNTARY VACCINATIONS VIA INFORMED CONSENT PROCEDURES AT THIS TIME. B. ENSURE ALL VACCINATIONS PREVIOUSLY ADMINISTERED ARE ACCURATELY RECORDED IN THE MEDICAL RECORD AND ELECTRONICALLY SUBMITTED TO THE DEFENSE ELIGIBILITY ENROLLMENT SYSTEM (DEERS) VIA SERVICE AUTOMATED IMMUNIZATION TRACKING SYSTEMS. C. IMPLEMENT PUBLIC AFFAIRS ACTIONS THAT INFORM ALL PERSONNEL OF THE NECESSITY OF THIS TEMPORARY SUSPENSION PENDING THE CLARIFICATION OF THE LEGAL SITUATION. INFORM ALL PERSONNEL THAT THE FOCUS OF THE LEGAL RULING IS WHETHER THE VACCINE IS PROPERLY LICENSED FOR USE AGAINST INHALATION ANTHRAX (NOT CUTANEOUS OR GASTROINTESTINAL), AND NOT WHETHER THE VACCINE IS CONSIDERED SAFE. D. COMFLTFORCOM WILL CONSOLIDATE A REPORT ON THE INVENTORY OF ALL UNOPENED VIALS OF ANTHRAX VACCINE FROM ALL MEDICAL DEPARTMENTS/ MEDICAL DEPARTMENT REPRESENTATIVES UNDER THEIR COG. BUMED MEDICAL TREATMENT FACILITIES WILL CONSOLIDATE AND REPORT THE INVENTORY OF ALL UNOPENED VIALS OF ANTHRAX VACCINE TO THE NAVAL MEDICAL LOGISTICS COMMAND (301-619-2159/DSN 343). UNOPENED VIALS WILL BE STORED IN PLACE UNTIL FURTHER INSTRUCTIONS ARE ISSUED. 4. POCS FOR THIS MESSAGE ARE CDR JAMES MITCHELL (N931D) (703-601-1717, DSN 329-1717, OR EMAIL JAMES.W.MITCHELL@NAVY.MIL) OR LCDR KARI BUCHANAN (703-601-1716, DSN 329-1716, OR EMAIL KARI.BUCHANAN@NAVY.MIL) 5. EXPIRATION DATE CANNOT BE DETERMINED. 6. RELEASED BY VADM P. A. TRACEY, DIRECTOR, NAVY STAFF.// BT NNNN