Preparing for Smallpox:
Post-event Smallpox Response
1
Smallpox
• Viral infection
• Person to person spread
• 30% death rate
• 1949 – Last case in US
• 1972 – Stopped routine vaccination in US
• 1977 – Last naturally occurring case in
world
2
Smallpox
• Vaccination is effective in
preventing infection if given in
advance or within 3 days of
exposure
3
Smallpox
• Recent intelligence indicates four
countries have stockpiles of the virus
– Iraq
– North Korea
– France
– Russia
4
Mass Vaccination Plan
• We must be prepared for the possibility of a
terrorist attack in which smallpox is used as a
biological weapon
• The Centers for Disease Control (CDC) has
instructed state public health agencies to
develop and be ready to implement plans to
immunize the entire population of the state in a
10-day period if such an attack were to occur
5
Mass Vaccination Plan
• Clinic demographics
– One clinic per 50,000 population, 117 clinics
statewide
– Each clinic serves 5000 patients per day
– Each clinic operates 2 shifts per day, for 10
days straight
– Each clinic staffed by over 200 people, over
100 per shift
6
Mass Vaccination Plan
• Where possible, the number of people
identified to work in clinics should be
increased by 20% with cross-trained
personnel to allow for no-shows, breaks,
surge needs and other contingencies
7
Clinic Volunteers
• 25,000-30,000 people needed to staff 117
clinics statewide
• Only 4,500 public health staff in the state
• In order to assure our ability to protect
our families and communities, we need
volunteers to work with public health
staff to operate these clinics
8
KNOX COUNTY MASS
VACCINATION PLAN
• 8 Clinics planned in Knox County
– High school sites
– Transportation, parking, security plan
– Administration plan
• Two 8 hour shifts a day (16 hour days)
• Approximately 2,000 - 3,000 volunteers
needed
• Volunteers would be vaccinated first, 9
along with their family members
Mass Vaccination Plan
– Clinic Flow
• Triage
• Forms Distribution
• Patient Education / Informed Consent
• Vaccination
• Exit Review
• Special Processes for Select Groups
– Patients with symptoms of smallpox
– Contacts to a case of smallpox
– Individuals with possible contraindications to vaccination
10
Mass Vaccination Plan
– Clinic Support Functions
• Interpreter services
• Ability of deal with medical emergencies
• Security and traffic control
• Vaccine preparation
• Supply management
• Transportation plan
• Waste disposal plan
• Media plan
11
TENNESSEE MODEL
TRAFFIC
Security Staff
TRIAGE Public Health
2 Staff
MD, NP, RN, Pharmacist
( Not Necessairly PH )
Ill Evaluation Area
2 Staff Non-Medical
( Minimum 1 MD )
Forms
Distribution
9 Staff
Special Video Video Video Video Video
Assistance Area Area Area Area Area
4 Staff
( 1 interpreter ) 3 Staff 3 Staff 3 Staff 3 Staff 3 Staff
OK to Vacc
Medical Vaccination Area Vaccination Area Contact
Screening & 1 non med non vaccinator 1 non med non vaccinator Evaluation
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN )
Counseling &
Area Vacc Area
4 Staff
7 Staff Vaccination Area Vaccination Area ( RN/Epi/
1 non med non vaccinator 1 non med non vaccinator PH Rep )
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN ) 1 Data Entry
Vaccination Area Vaccination Area
1 non med non vaccinator 1 non med non vaccinator
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN )
Clinic Administration
Supply Area 1 Manager
1 Manager Vaccination Area Vaccination Area 1 Assistant Mgr
1 Asst Mgr 1 non med non vaccinator 1 non med non vaccinator 1 Float Staff
2 Vacc Prep 2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN )
1 Float Staff
Vaccination Area Vaccination Area
1 non med non vaccinator 1 non med non vaccinator
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN ) 1 Emergency Medical
Technician
EXIT REVIEW
1 Float Staff ( RN )
2 Staff
12
TENNESSEE MODEL
TRAFFIC
Security Staff
TRIAGE Public Health
2 Staff
MD, NP, RN, Pharmacist
( Not Necessairly PH )
Ill Evaluation Area
2 Staff Non-Medical
( Minimum 1 MD )
Forms
Distribution
9 Staff
Special Video Video Video Video Video
Assistance Area Area Area Area Area
4 Staff
( 1 interpreter ) 3 Staff 3 Staff 3 Staff 3 Staff 3 Staff
OK to Vacc
Medical Vaccination Area Vaccination Area Contact
Screening & 1 non med non vaccinator 1 non med non vaccinator Evaluation
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN )
Counseling &
Area Vacc Area
4 Staff
7 Staff Vaccination Area Vaccination Area ( RN/Epi/
1 non med non vaccinator 1 non med non vaccinator PH Rep )
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN ) 1 Data Entry
Vaccination Area Vaccination Area
1 non med non vaccinator 1 non med non vaccinator
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN )
Clinic Administration
Supply Area 1 Manager
1 Manager Vaccination Area Vaccination Area 1 Assistant Mgr
1 Asst Mgr 1 non med non vaccinator 1 non med non vaccinator 1 Float Staff
2 Vacc Prep 2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN )
1 Float Staff
Vaccination Area Vaccination Area
1 non med non vaccinator 1 non med non vaccinator
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN ) 1 Emergency Medical
Technician
EXIT REVIEW
1 Float Staff ( RN )
2 Staff
13
Clinic Flow and Staff Functions
• Triage
– Screen out those individuals that may have
smallpox (fever and rash) or contacts of a
possible or confirmed case of smallpox and
separate them from the mainstream clinic
flow
14
TENNESSEE MODEL
TRAFFIC
Security Staff
TRIAGE Public Health
2 Staff
MD, NP, RN, Pharmacist
( Not Necessairly PH )
Ill Evaluation Area
2 Staff Non-Medical
( Minimum 1 MD )
Forms
Distribution
9 Staff
Special Video Video Video Video Video
Assistance Area Area Area Area Area
4 Staff
( 1 interpreter ) 3 Staff 3 Staff 3 Staff 3 Staff 3 Staff
OK to Vacc
Medical Vaccination Area Vaccination Area Contact
Screening & 1 non med non vaccinator 1 non med non vaccinator Evaluation
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN )
Counseling &
Area Vacc Area
4 Staff
7 Staff Vaccination Area Vaccination Area ( RN/Epi/
1 non med non vaccinator 1 non med non vaccinator PH Rep )
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN ) 1 Data Entry
Vaccination Area Vaccination Area
1 non med non vaccinator 1 non med non vaccinator
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN )
Clinic Administration
Supply Area 1 Manager
1 Manager Vaccination Area Vaccination Area 1 Assistant Mgr
1 Asst Mgr 1 non med non vaccinator 1 non med non vaccinator 1 Float Staff
2 Vacc Prep 2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN )
1 Float Staff
Vaccination Area Vaccination Area
1 non med non vaccinator 1 non med non vaccinator
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN ) 1 Emergency Medical
Technician
EXIT REVIEW
1 Float Staff ( RN )
2 Staff
15
Clinic Flow and Staff Functions
• Ill Evaluation Area
– Evaluate/examine triaged ill persons and provide
back-up to Medical Screeners and/or Contact
Evaluation Area and/or EMT
– Possible cases of smallpox will be referred to
hospital or other health care provider for
diagnosis/treatment
– Patients approved for vaccination will reenter
mainstream clinic flow
– Staff working in this area should be fitted for N-95
masks
16
TENNESSEE MODEL
TRAFFIC
Security Staff
TRIAGE Public Health
2 Staff
MD, NP, RN, Pharmacist
( Not Necessairly PH )
Ill Evaluation Area
2 Staff Non-Medical
( Minimum 1 MD )
Forms
Distribution
9 Staff
Special Video Video Video Video Video
Assistance Area Area Area Area Area
4 Staff
( 1 interpreter ) 3 Staff 3 Staff 3 Staff 3 Staff 3 Staff
OK to Vacc
Medical Vaccination Area Vaccination Area Contact
Screening & 1 non med non vaccinator 1 non med non vaccinator Evaluation
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN )
Counseling &
Area Vacc Area
4 Staff
7 Staff Vaccination Area Vaccination Area ( RN/Epi/
1 non med non vaccinator 1 non med non vaccinator PH Rep )
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN ) 1 Data Entry
Vaccination Area Vaccination Area
1 non med non vaccinator 1 non med non vaccinator
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN )
Clinic Administration
Supply Area 1 Manager
1 Manager Vaccination Area Vaccination Area 1 Assistant Mgr
1 Asst Mgr 1 non med non vaccinator 1 non med non vaccinator 1 Float Staff
2 Vacc Prep 2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN )
1 Float Staff
Vaccination Area Vaccination Area
1 non med non vaccinator 1 non med non vaccinator
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN ) 1 Emergency Medical
Technician
EXIT REVIEW
1 Float Staff ( RN )
2 Staff
17
Clinic Flow and Staff Functions
• Contact Evaluation Area
– One-stop shopping for the most at-risk population
– Medical screening
– Vaccination
– Register for surveillance of symptoms
– Identification of contacts
– Education and special instructions
– On-site data entry
18
TENNESSEE MODEL
TRAFFIC
Security Staff
TRIAGE Public Health
2 Staff
MD, NP, RN, Pharmacist
( Not Necessairly PH )
Ill Evaluation Area
2 Staff Non-Medical
( Minimum 1 MD )
Forms
Distribution
9 Staff
Special Video Video Video Video Video
Assistance Area Area Area Area Area
4 Staff
( 1 interpreter ) 3 Staff 3 Staff 3 Staff 3 Staff 3 Staff
OK to Vacc
Medical Vaccination Area Vaccination Area Contact
Screening & 1 non med non vaccinator 1 non med non vaccinator Evaluation
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN )
Counseling &
Area Vacc Area
4 Staff
7 Staff Vaccination Area Vaccination Area ( RN/Epi/
1 non med non vaccinator 1 non med non vaccinator PH Rep )
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN ) 1 Data Entry
Vaccination Area Vaccination Area
1 non med non vaccinator 1 non med non vaccinator
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN )
Clinic Administration
Supply Area 1 Manager
1 Manager Vaccination Area Vaccination Area 1 Assistant Mgr
1 Asst Mgr 1 non med non vaccinator 1 non med non vaccinator 1 Float Staff
2 Vacc Prep 2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN )
1 Float Staff
Vaccination Area Vaccination Area
1 non med non vaccinator 1 non med non vaccinator
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN ) 1 Emergency Medical
Technician
EXIT REVIEW
1 Float Staff ( RN )
2 Staff
19
Clinic Flow and Staff Functions
• Forms Distribution
– Put together and distribute patient forms
and information packets
– Direct patients to video area
20
TENNESSEE MODEL
TRAFFIC
Security Staff
TRIAGE Public Health
2 Staff
MD, NP, RN, Pharmacist
( Not Necessairly PH )
Ill Evaluation Area
2 Staff Non-Medical
( Minimum 1 MD )
Forms
Distribution
9 Staff
Special Video Video Video Video Video
Assistance Area Area Area Area Area
4 Staff
( 1 interpreter ) 3 Staff 3 Staff 3 Staff 3 Staff 3 Staff
OK to Vacc
Medical Vaccination Area Vaccination Area Contact
Screening & 1 non med non vaccinator 1 non med non vaccinator Evaluation
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN )
Counseling &
Area Vacc Area
4 Staff
7 Staff Vaccination Area Vaccination Area ( RN/Epi/
1 non med non vaccinator 1 non med non vaccinator PH Rep )
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN ) 1 Data Entry
Vaccination Area Vaccination Area
1 non med non vaccinator 1 non med non vaccinator
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN )
Clinic Administration
Supply Area 1 Manager
1 Manager Vaccination Area Vaccination Area 1 Assistant Mgr
1 Asst Mgr 1 non med non vaccinator 1 non med non vaccinator 1 Float Staff
2 Vacc Prep 2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN )
1 Float Staff
Vaccination Area Vaccination Area
1 non med non vaccinator 1 non med non vaccinator
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN ) 1 Emergency Medical
Technician
EXIT REVIEW
1 Float Staff ( RN )
2 Staff
21
Clinic Flow and Staff Functions
• Video Areas
– The same process takes place in staggered sessions in different
locations where the patient:
• Views educational video
• Completes informed consent
– Staff
• Run video
• Review informed consent forms
• Direct persons with all “no” checked boxes to vaccination
area
• Direct persons with any “yes” or “maybe” checked box to
either exit the clinic or to another area of the clinic for
further evaluation
22
TENNESSEE MODEL
TRAFFIC
Security Staff
TRIAGE Public Health
2 Staff
MD, NP, RN, Pharmacist
( Not Necessairly PH )
Ill Evaluation Area
2 Staff Non-Medical
( Minimum 1 MD )
Forms
Distribution
9 Staff
Special Video Video Video Video Video
Assistance Area Area Area Area Area
4 Staff
( 1 interpreter ) 3 Staff 3 Staff 3 Staff 3 Staff 3 Staff
OK to Vacc
Medical Vaccination Area Vaccination Area Contact
Screening & 1 non med non vaccinator 1 non med non vaccinator Evaluation
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN )
Counseling &
Area Vacc Area
4 Staff
7 Staff Vaccination Area Vaccination Area ( RN/Epi/
1 non med non vaccinator 1 non med non vaccinator PH Rep )
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN ) 1 Data Entry
Vaccination Area Vaccination Area
1 non med non vaccinator 1 non med non vaccinator
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN )
Clinic Administration
Supply Area 1 Manager
1 Manager Vaccination Area Vaccination Area 1 Assistant Mgr
1 Asst Mgr 1 non med non vaccinator 1 non med non vaccinator 1 Float Staff
2 Vacc Prep 2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN )
1 Float Staff
Vaccination Area Vaccination Area
1 non med non vaccinator 1 non med non vaccinator
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN ) 1 Emergency Medical
Technician
EXIT REVIEW
1 Float Staff ( RN )
2 Staff
23
Clinic Flow and Staff Functions
• Special Assistance Unit
– Patients with special needs (disability,
literacy problem, language barrier, etc) are
referred here for the same processes that
occur in the other video areas
– Interpreter(s) will be available in this area
24
TENNESSEE MODEL
TRAFFIC
Security Staff
TRIAGE Public Health
2 Staff
MD, NP, RN, Pharmacist
( Not Necessairly PH )
Ill Evaluation Area
2 Staff Non-Medical
( Minimum 1 MD )
Forms
Distribution
9 Staff
Special Video Video Video Video Video
Assistance Area Area Area Area Area
4 Staff
( 1 interpreter ) 3 Staff 3 Staff 3 Staff 3 Staff 3 Staff
OK to Vacc
Medical Vaccination Area Vaccination Area Contact
Screening & 1 non med non vaccinator 1 non med non vaccinator Evaluation
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN )
Counseling &
Area Vacc Area
4 Staff
7 Staff Vaccination Area Vaccination Area ( RN/Epi/
1 non med non vaccinator 1 non med non vaccinator PH Rep )
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN ) 1 Data Entry
Vaccination Area Vaccination Area
1 non med non vaccinator 1 non med non vaccinator
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN )
Clinic Administration
Supply Area 1 Manager
1 Manager Vaccination Area Vaccination Area 1 Assistant Mgr
1 Asst Mgr 1 non med non vaccinator 1 non med non vaccinator 1 Float Staff
2 Vacc Prep 2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN )
1 Float Staff
Vaccination Area Vaccination Area
1 non med non vaccinator 1 non med non vaccinator
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN ) 1 Emergency Medical
Technician
EXIT REVIEW
1 Float Staff ( RN )
2 Staff
25
Clinic Flow and Staff Functions
• Medical Screening and Counseling Area
– Patients with self-identified potential
contraindications to vaccination are sent to
this area if they they still desire vaccination
or need/want further counseling
– Patients may either exit clinic from this area
or proceed to vaccination area
26
TENNESSEE MODEL
TRAFFIC
Security Staff
TRIAGE Public Health
2 Staff
MD, NP, RN, Pharmacist
( Not Necessairly PH )
Ill Evaluation Area
2 Staff Non-Medical
( Minimum 1 MD )
Forms
Distribution
9 Staff
Special Video Video Video Video Video
Assistance Area Area Area Area Area
4 Staff
( 1 interpreter ) 3 Staff 3 Staff 3 Staff 3 Staff 3 Staff
OK to Vacc
Medical Vaccination Area Vaccination Area Contact
Screening & 1 non med non vaccinator 1 non med non vaccinator Evaluation
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN )
Counseling &
Area Vacc Area
4 Staff
7 Staff Vaccination Area Vaccination Area ( RN/Epi/
1 non med non vaccinator 1 non med non vaccinator PH Rep )
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN ) 1 Data Entry
Vaccination Area Vaccination Area
1 non med non vaccinator 1 non med non vaccinator
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN )
Clinic Administration
Supply Area 1 Manager
1 Manager Vaccination Area Vaccination Area 1 Assistant Mgr
1 Asst Mgr 1 non med non vaccinator 1 non med non vaccinator 1 Float Staff
2 Vacc Prep 2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN )
1 Float Staff
Vaccination Area Vaccination Area
1 non med non vaccinator 1 non med non vaccinator
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN ) 1 Emergency Medical
Technician
EXIT REVIEW
1 Float Staff ( RN )
2 Staff
27
Clinic Flow and Staff Functions
• Vaccination Area
– Multiple vaccination stations per shift
– 2 Trained vaccinators at each station
• Ideally, 1 of the vaccinators at each station is a nurse
• During any given time period, 1 vaccinator is vaccinating
while the other is dealing with paperwork and serving as a
witness. The two will trade off on a regular basis.
– 1 Non-vaccinator support person at each station to
assist in the compilation of paperwork and
distribution of vaccine site care supplies
28
TENNESSEE MODEL
TRAFFIC
Security Staff
TRIAGE Public Health
2 Staff
MD, NP, RN, Pharmacist
( Not Necessairly PH )
Ill Evaluation Area
2 Staff Non-Medical
( Minimum 1 MD )
Forms
Distribution
9 Staff
Special Video Video Video Video Video
Assistance Area Area Area Area Area
4 Staff
( 1 interpreter ) 3 Staff 3 Staff 3 Staff 3 Staff 3 Staff
OK to Vacc
Medical Vaccination Area Vaccination Area Contact
Screening & 1 non med non vaccinator 1 non med non vaccinator Evaluation
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN )
Counseling &
Area Vacc Area
4 Staff
7 Staff Vaccination Area Vaccination Area ( RN/Epi/
1 non med non vaccinator 1 non med non vaccinator PH Rep )
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN ) 1 Data Entry
Vaccination Area Vaccination Area
1 non med non vaccinator 1 non med non vaccinator
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN )
Clinic Administration
Supply Area 1 Manager
1 Manager Vaccination Area Vaccination Area 1 Assistant Mgr
1 Asst Mgr 1 non med non vaccinator 1 non med non vaccinator 1 Float Staff
2 Vacc Prep 2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN )
1 Float Staff
Vaccination Area Vaccination Area
1 non med non vaccinator 1 non med non vaccinator
2 vaccinators ( prefer 1 RN ) 2 vaccinators ( prefer 1 RN ) 1 Emergency Medical
Technician
EXIT REVIEW
1 Float Staff ( RN )
2 Staff
29
Clinic Flow and Staff Functions
• Exit Review
– Staff answer any final questions about site
care, adverse event symptoms, non-take
reporting procedures, or other issues
following vaccination
– Assures patients exit with all information
sheets and instructions
30
Other Clinic Support Staff
• Clinic Administration
– Assure smooth clinic operation
– Coordinate/communicate with regional public
health office
– Address problems as they arise
• Supply Area
– Assure all clinic workstations have access to needed
supplies
– Oversee vaccine storage and preparation
31
Other Clinic Support Staff
• EMT to deal with medical emergencies
• Float nurse to oversee non-medical
vaccinators
• Security / traffic control staff to maintain
order
32
Public Health
Regional
Director
Vaccination Clinic
Organizational Chart
County
Health
Director
Float Clinic Asst Clinic
Staff Manager
(1)
Manager (1)
(1)
Security / Administrative Medical Contact Supply
Traffic Support Team Leader Eval / Vacc Manager
Team Leader Team Leader Team Leader (1)
Security / Forms Triage Illness Medical Contact Asst Supply
Traffic Distribution Staff ( 2 ) Evaluation Screeners / Eval / Vacc Manager ( 1 )
Staff ( 22 ) Staff ( 9 ) Staff ( 2 ) Counselors (7) Staff ( 4 )
Special Video / Exit Data Entry Vaccine
Assistance Referral EMT Review Staff ( 1 ) Preparation
Staff ( 4 ) Staff ( 15 ) (1) Staff ( 2 ) Staff ( 2 )
Vaccinator Vaccinators Float
Support ( 10 ) Medical Staff ( 1 )
Staff ( 10 ) ( 10 ) Non
Security Staff
Public Health
Float
MD, NP, RN, Pharmacist RN
(1)
Non-Medical
33
Clinic Volunteers/Staff
• Should not have any contraindication to
vaccination if they are going to work in
the Illness Evaluation, Contact
Evaluation or Vaccination Areas
• Volunteers and other members of their
households will be the first to be offered
vaccination in a post-event response
34
Thank you for volunteering!
Your help will be vital to the health
and safety of our community.
35