TO NAVADMIN NAVADMIN @ AL NAVADMIN(UC) INFO CNO CNO RAAUZYUW RUEWMFU4273 3012006-UUUU--RUCRNAD. ZNR UUUUU ZUI RUENAAA4273 3012006 R 272005Z OCT 04 PSN 428943J30 FM CNO WASHINGTON DC TO NAVADMIN ZEN/NAVADMIN @ AL NAVADMIN(UC) INFO ZEN/CNO CNO BT UNCLAS SUBJ: SUBJ/RESUMPTION OF ANTHRAX IMMUNIZATIONS FOR DEFERRED PERSONNEL// PASS TO OFFICE CODES: FM CNO WASHINGTON DC//DNS// TO NAVADMIN UNCLAS NAVADMIN 239/04 MSGID/GENADMIN/CNO WASHINGTON DC/DNS/-/OCT// SUBJ/RESUMPTION OF ANTHRAX IMMUNIZATIONS FOR DEFERRED PERSONNEL// REF/A/MSG/CNO (N09) WASHINGTON DC/010012ZSEP2004// REF/B/DOC/ASD (HA)/YMD:20040728// REF/C/DOC/USD (P AND R)/YMD:20040820// REF/D/DOC/ASD (HA)/YMD:20020806// PAGE 02 RUEWMFU4273 UNCLAS REF/E/DOC/USD (P AND R)/YMD:20020806// REF/F/DOC/DEPSECDEF/YMD:20040628// REF/G/MSG/CNO (N09) WASHINGTON DC/211314ZOCT2002// REF/H/MSG/CNO (N09) WASHINGTON DC/121410ZAPR2004// NARR/REF A IS NAVADMIN 201/04 DIRECTING EXPANSION OF ANTHRAX AND SMALLPOX VACCINATION PROGRAMS. REF B IS ASSISTANT SECRETARY OF DEFENSE (HEALTH AFFAIRS), ASD (HA), DIRECTING RESUMPTION OF ANTHRAX VACCINATIONS FOR PERSONNEL PREVIOUSLY DEFERRED. REF C IS UNDERSECRETARY OF DEFENSE (PERSONNEL AND READINESS), USD (P AND R), MEMO INCREASING PRE-DEPLOYMENT ADMINISTRATION OF ANTHRAX AND SMALLPOX VACCINATIONS TO 60 DAYS. REF D IS ASD (HA) MEMO PROVIDING CLINICAL INFORMATION AND GUIDANCE RESPECTIVE TO ANTHRAX VACCINE IMMUNIZATION PROGRAM (AVIP). REF E IS USD (P AND R) MEMO DISSEMINATING AVIP ADMINISTRATIVE GUIDANCE. REF F IS DEPUTY SECRETARY OF DEFENSE (DEPSECDEF) DIRECTING EXPANSION OF AVIP. REF G IS NAVADMIN 351/02 ON RESUMPTION OF AVIP. REF H IS NAVADMIN 087/04 REQUIRING ANTHRAX AND SMALLPOX IMMUNIZATIONS STATUS REPORTS.// POC/K. BUCHANAN/LCDR/CNO N931D5/LOC:WASHINGTON DC/TEL:703-601-1716 /TEL:DSN 329-1716/EMAIL:KARI.BUCHANAN@NAVY.MIL// RMKS/1. AVIP OUTLINED IN REF A REMAINS IN FULL EFFECT. THIS PAGE 03 RUEWMFU4273 UNCLAS PROGRAM IS AMENDED TO INCLUDE THE FOLLOWING ADDITIONS PER REF B AND C. A. ANTHRAX IMMUNIZATIONS ARE TO RESUME FOR ALL SERVICE MEMBERS WHO RECEIVED THE FIRST DOSE OF ANTHRAX AT ANY TIME SINCE MAR 98 AND HAVE NOT ALREADY RESUMED THE SERIES AS OF SEP 02. THIS APPLIES TO ACTIVE DUTY PERSONNEL AND MEMBERS OF THE SELECTED RESERVES, REGARDLESS OF THEIR CURRENT GEOGRAPHIC LOCATION, DUTY STATUS, OR ASSIGNMENT, UNLESS ADMINISTRATIVELY OR MEDICALLY EXEMPTED PER REFS D AND E. B. ANTHRAX IMMUNIZATIONS FOR ALL PERSONNEL IDENTIFIED IN PARA 1A WILL RESUME EFFECTIVE IMMEDIATELY AND NO LATER THAN DEC 04 UNLESS MEDICALLY OR ADMINISTRATIVELY EXEMPT PER REFS D AND E. 2. ADDITIONAL INSTRUCTIONS: 2.A. PER REF B AND F, SERVICE MEMBERS RESUMING ANTHRAX IMMUNIZATIONS WILL CONTINUE THE DOSING SERIES WHERE THEY LEFT OFF. SERVICE MEMBERS WILL NOT REPEAT ANY DOSES ALREADY RECEIVED IN THE SERIES. THIS IS CONSISTENT WITH ESTABLISHED PRACTICES OF MEDICINE, GUIDANCE FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) ADVISORY COMMITTEE ON IMMUNIZATION PRACTICES AND IN CONSULTATION WITH THE FOOD AND DRUG ADMINISTRATION. PAGE 04 RUEWMFU4273 UNCLAS 2.B. SERVICE MEMBERS HAVING BEGUN OR RESUMED THE 6-SHOT ANTHRAX IMMUNIZATION SERIES UNDER THE CURRENT AND EXPANDED PROGRAMS WILL CONTINUE THE SERIES PER THE FOOD AND DRUG ADMINISTRATION-APPROVED DOSING INTERVAL SCHEDULE. FOR EXAMPLE, IF A MEMBER RECEIVED DOSE NUMBER 3 IN NOV 00 AND NO SUBSEQUENT DOSES, THAT PERSON WILL RESUME THE ANTHRAX IMMUNIZATION SERIES WITH DOSE NUMBER 4 AND THEN RECEIVE DOSE NUMBER 5, 6 MONTHS LATER, FOLLOWED BY SUBSEQUENT DOSES AT APPROPRIATE INTERVALS. DOSES WILL NOT BE GIVEN ON A COMPRESSED SCHEDULE AS THIS DECREASES THE VACCINE'S EFFECTIVENESS. THE INITIAL SERIES AND BOOSTERS MUST BE CONTINUED ONCE STARTED REGARDLESS OF ANY CHANGE IN GEOGRAPHIC LOCATION, DUTY STATUS OR ASSIGNMENT, UNLESS ADMINISTRATIVELY OR MEDICALLY EXEMPTED PER REFS D AND E. 3. ALL ACTIVE AND RESERVE MEDICAL RECORDS SHALL BE SCREENED FOR IMMUNIZATION COMPLIANCE IN ORDER TO ENSURE ALL PERSONNEL IDENTIFIED IN PARA 1A RECEIVE APPROPRIATE ANTHRAX IMMUNIZATIONS. A. IN ADDITION TO THE MEDICAL RECORD, ALL IMMUNIZATION DATA MUST BE ENTERED ON THE PHS-731 (YELLOW SHOT CARD) AND INTO AN APPROVED ELECTRONIC DATA SYSTEM THAT TRANSMITS TO DEERS. CURRENTLY THOSE SYSTEMS ARE THE SHIPBOARD NON-TACTICAL ADP PROGRAM (SNAP) AUTOMATED MEDICAL SYSTEM (SAMS) AND THE RESERVE AUTOMATED MEDICAL INFORMATION PAGE 05 RUEWMFU4273 UNCLAS SYSTEM (RAMIS). B. AVIP IS A COMMAND PROGRAM. COMMANDERS WILL CONTINUE TO EXECUTE THE PROGRAM ACCORDING TO GUIDANCE IN REF A AND G. UNIT COMMANDERS WILL DESIGNATE PERSONNEL TO ROUTINELY ASSESS THEIR UNIT'S IMMUNIZATION COMPLIANCE STATUS PER REF H. THESE PERSONNEL WILL LIAISON WITH MEDICAL SUPPORT TO ENSURE COMPLIANCE WITH ALL DOD DIRECTED IMMUNIZATIONS. 4. PER REF C, UNITS PREPARING FOR DEPLOYMENT MAY NOW ORDER AND ADMINISTER ANTHRAX IMMUNIZATIONS AND SMALLPOX VACCINATIONS 60 DAYS IN ADVANCE OF SCHEDULED DEPARTURE DATES FOR DEPLOYMENTS. THIS APPLIES TO AREAS CURRENTLY DESIGNATED IN REF A. RESERVE MEMBERS WILL COMPLY WITH PARA 3B OF REF A. 5. RELEASED BY VICE ADMIRAL A. T. CHURCH III, DIRECTOR, NAVY STAFF. // BT #4273 NNNN