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Committee on Special Immunizations Program for Laboratory Personnel Engaged in Research on Countermeasures for Select Agents; National Research Council. Protecting the Frontline in Biodefense Research: The Special Immunizations Program
Paperback: 194 pages
Publisher: National Academies Press (June 23, 2011)
Language: English
ISBN-10: 0309209242
ISBN-13: 978-0309209243

Book Description

The U.S. Army's Special Immunizations Program is an important component of an overall biosafety program for laboratory workers at risk of exposure to hazardous pathogens. The program provides immunizations to scientists, laboratory technicians and other support staff who work with certain hazardous pathogens and toxins. Although first established to serve military personnel, the program was expanded through a cost-sharing agreement in 2004 to include other govement and civilian workers, reflecting the expansion in biodefense research in recent years. Protecting the Frontline in Biodefense Research examines issues related to the expansion of the Special Immunizations Program, considering the regulatory frameworks under which the vaccines are administered, how additional vaccines might be considered for inclusion in the Program, and factors that might influence the development and manufacturing of vaccines for the Special Immunizations Program.

Contents
SUMMARY
ntroduction
The Current Context of Pathogen Research,
Categorization of Pathogens and Management of Pathogen Research,
Charge to the Committee,
Organization of the Report,
History of the Special Immunizations Program and Lessons Leaed from Occupational Immunization Against Hazardous Pathogens
Historical Pathogen and Countermeasures Research and the Origins of the Special Immunizations Program,
The History of Vaccine Production for the Special Immunizations Program,
The Role of Immunization in Research with Hazardous Pathogens and Lessons Leaed,
Lessons Leaed from the Fort Detrick Occupational Health and Safety Programs,
Findings on Laboratory Infections,
The U.S. Medical Countermeasures Enterprise and Recent Reviews and Current Operation of the Special Immunizations Program
The U.S. Medical Countermeasures Enterprise,
National Biodefense and Medical Countermeasures Priorities,
Review of Previous Reports Relevant to Biodefense Medical Countermeasures,
Recent Developments Regarding the Special Immunizations Program (2000–2010),
The Current Special Immunizations Program,
Findings and Conclusions on the Medical Countermeasures Enterprise and the Current Special Immunizations Program,
Regulations and Other Guidance Pertaining to the Development and Use of Vaccines in the Special Immunization Program
Overall Regulatory Framework for Vaccines,
Options for U.S. Licensure,
Administration of SIP Vaccines Under an Investigational New Drug Application,
Other Regulations and Guidance Offering Potential Incentives to the Developers of SIP Vaccines,
Regulatory Considerations: Looking Toward the Future,
Findings and Conclusions on Regulatory Pathways Applicable to the SIP,
New Vaccine Development and the Future Needs of the Special Immunizations Program
The Process of Vaccine Development,
New Vaccine Development and the Future Needs of the Special Immunizations Program,
The Inteational Context of the Special Immunizations Program,
Cooperation with the Veterinary Community,
Findings and Conclusions Related to Future Vaccine Needs in the Special Immunizations Program,
Potential Options for the Special Immunizations Program and for Personnel Immunization
Options for the Future of the SIP,
Conclusion on Potential Options for the SIP,
Conclusions and Recommendations
The Role of Vaccines in Protecting Research Workers,
For Which Pathogens Would It Be Highly Desirable to Have a Vaccine, and Which Pathogens Should Receive Priority Attention?,
Advantages and Disadvantages of the Use of Investigational Vaccines as They Have Been Used in the Special Immunizations Program,
accine Development and Supply Within and Beyond the Existing Special Immunizations Program,
General Observations Regarding the Role of Immunizations in the Context of Research with Hazardous Pathogens,
REFERENCES
APPENDIXES
A Committee Member Biographies
B Abbreviations and Acronyms
C Glossary
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