R 211818Z DEC 04
FM CMC WASHINGTON DC(uc)
TO AL MARADMIN(uc)
UNCLASSIFIED//
MARADMIN 560/04
MSGID/GENADMIN/CMC WASHINGTON DC/PPO/PLN//
SUBJ/EXPANSION OF SMALLPOX IMMUNIZATION PROGRAM AND
/AUTHORIZATION TO BEGIN IMMUNIZATIONS 60 DAYS PRIOR
/TO DEPLOYMENT//
REF/A/DOC/DEPSECDEF MEMO/28JUN2004//
REF/B/DOC/USD PR MEMO/22SEP2004//
REF/C/DOC/USD PR MEMO/20AUG2004//
REF/D/DOC/DEPSECDEF MEMO/30SEP02//
REF/E/MSG/CMC WASHINGTON DC/081821Z JAN 03//
REF/F/DOC/SECDEF MEMO/27OCT2004//
REF/G/MSG/CMC WASHINGTON DC/291717ZOCT2004//
REF/H/MSG/CMC WASHINGTON DC/111800Z MAY 04//
NARR/REF A IS THE DEPSECDEF MEMORANDUM DIRECTING THE
SERVICES TO EXPAND THE FORCE HEALTH PROTECTION OF ANTHRAX
AND SMALLPOX IMMUNIZATION PROGRAMS FOR DOD PERSONNEL. 
REF B IS THE USD (PR) MEMORANDUM DIRECTING THE EXPANSION
OF ANTHRAX AND SMALLPOX IMMUNIZATION PROGRAMS FOR
EMERGENCY-ESSENTIAL AND EQUIVALENT DOD CIVILIAN EMPLOYEES. 
REF C IS USD (PR) MEMORANDUM INCREASING THE ANTHRAX AND
SMALLPOX PRE-DEPLOYMENT VACCINATION WINDOW FROM 45-DAYS
TO 60-DAYS. REF D IS DEPSECDEF MEMO, DEPARTMENT OF
DEFENSE SMALLPOX RESPONSE PLAN.  REF E IS MARADMIN 008/03,
AUTHORIZATION TO BEGIN SMALLPOX VACCINATION PROGRAM (SVP). 
REF F IS SECRETARY OF DEFENSE MEMORANDUM DIRECTING DOD TO
STOP ANTHRAX VACCINATIONS UNTIL FURTHER NOTICE.  REF G IS
MARADMIN 479/04, ANTHRAX VACCINE IMMUNIZATION PROGRAM
PAUSE. REF H IS MARADMIN 212/04, TRANSMISSION OF SAMS
IMMUNIZATION DATA TO DEERS.
1. BACKGROUND
A. PURSUANT TO REFS A, B, AND C, OSD HAS EXPANDED THE
ADMINISTRATION OF THE SMALLPOX VACCINATION PROGRAM (SVP)
INITIALLY DIRECTED IN REF D, NOW TO INCLUDE THE KOREAN
PENINSULA.  SVP GUIDANCE CONTAINED IN REF E FOR CENTCOM
AOR REMAINS IN EFFECT.
B. THIS MARADMIN DISSEMINATES GUIDANCE REGARDING EXPANSION
OF SVP FOR DOD PERSONNEL. THE PAUSE IN THE ADMINISTRATION
OF THE ANTHRAX VACCINE IMMUNIZATION PROGRAM (AVIP)
DIRECTED IN REFS F AND G REMAINS IN FORCE.
2. CMC INTENT.  IMPLEMENT THE DOD SVP AS SOON AS POSSIBLE
IOT PROTECT PERSONNEL AND PRESERVE COMBAT EFFECTIVENESS IN
THE EVENT OF A SMALLPOX ATTACK.  WHILE THE THREAT OF A
SMALLPOX ATTACK CANNOT BE QUANTIFIED, THE EARLY VACCINATION
OF OUR FORCES REMAINS THE MOST EFFECTIVE COUNTERMEASURE.
3. EXECUTION 
A. VACCINATE UNIFORMED DOD PERSONNEL ASSIGNED TO THE KOREAN
PENINSULA FOR 15 OR MORE CONSECUTIVE DAYS, OR DESIGNATED AS
EARLY DEPLOYERS (C-DAY TO C+20), AGAINST SMALLPOX.  THIS
INCLUDES ACTIVE AND RESERVE PERSONNEL THAT ARE PERMANENT,
ON TEMPORARY DUTY, OR ON ANNUAL TRAINING (AT), AND U.S.
PACIFIC COMMAND FORWARD DEPLOYED NAVAL FORCES. BEGIN
SMALLPOX VACCINATIONS FOR EARLY DEPLOYING PERSONNEL ONLY
AFTER CONFIRMATION BY APPROPRIATE OPERATIONAL HEADQUARTERS
THAT THE INDIVIDUAL OR UNIT IS LISTED ON C-DAY TO C+20 FORCE
FLOW PLANS AS DESIGNATED BY THE SUPPORTED COMBATANT
OMMANDER.
B. VACCINATE EMERGENCY-ESSENTIAL AND EQUIVALENT DOD CIVILIAN
EMPLOYEES ASSIGNED TO KOREA AGAINST SMALLPOX FOLLOWING
REQUIRED CONSULTATION PROCEDURES.
C. VACCINATE DOD CONTRACTOR PERSONNEL CARRYING OUT MISSION
ESSENTIAL SERVICES AND ASSIGNED TO KOREA.  VACCINATION FOR
THESE PERSONNEL SHALL BE A REQUIREMENT OF THE APPLICABLE
CONTRACT. 
D. OFFER VOLUNTARY VACCINATIONS AGAINST SMALLPOX TO FOLLOWING
PERSONS LOCATED IN KOREA: (1) APPROPRIATE FAMILY MEMBERS OF
DOD MILITARY PERSONNEL, (2) APPROPRIATE FAMILY MEMBERS OF
EMERGENCY-ESSENTIAL AND EQUIVALENT DOD CIVILIANS, (3) OTHER
DOD CIVILIAN EMPLOYEES AND THEIR FAMILY MEMBERS, AND (4)
NON-ESSENTIAL CONTRACTOR PERSONNEL.   
E. FOR PERSONNEL WITH ORDERS TO ANY AREA CURRENTLY DESIGNATED
FOR SVP, VACCINATIONS AGAINST SMALLPOX SHOULD BEGIN 60 DAYS
PRIOR TO SCHEDULED DEPARTURE DATE.    
F. THE SVP REMAINS A COMMANDER S FORCE HEALTH PROTECTION
RESPONSIBILITY. COMMANDERS WILL FOLLOW GUIDANCE PROVIDED IN
REFS A-E AND REF H TO PROPERLY IDENTIFY, EDUCATE, AND TRACK
MARINES, SAILORS, CIVILIANS AND FAMILY MEMBERS TO BE
VACCINATED.  COMMANDERS SHOULD REVIEW THE
 EDUCATION TOOL KIT  AND THE  QUESTION AND ANSWERS  POSTED
ON THE MILVAX WEBSITE (WWW.SMALLPOX.MIL).  REFERENCES AND
PROCEDURES ARE AVAILABLE AT WWW.VACCINES.MIL OR
WWW.HQMC.USMC.SMIL.MIL/PLN/PLN_HOME/HTM.
G. COMMANDERS MUST ENSURE PROPER PLANNING AND TRAINING TAKE
PLACE PRIOR TO ADMINISTERING SMALLPOX VACCINATIOS. 
H. WHEN NEEDED, COORDINATE WITH STATE, COUNTY, OR HOST
NATION PUBLIC HEALTH DEPARTMENTS TO EXPLAIN EDUCATIONAL AND
INFECTION-CONTROL MEASURES TO BE FOLLOWED TO PREVENT
INADVERTENT INFECTION OF CLOSE CONTACTS OF SMALLPOX
VACCINEES.
4. ADMINISTRATION AND LOGISTICS    
A. TRANSMISSION OF IMMUNIZATIONS DATA.  REF H PROVIDES
DETAILED INFORMATION ON THE PROCESS TO ENSURE THAT
IMMUNIZATIONS ARE TRACKED AND RECORDED INTO THE SHIPBOARD
NON-TACTICAL AUTOMATED PROCESSING (SNAP) AUTOMATED MEDICAL
SYSTEM (SAMS), VIA NAVY MEDICINE ONLINE (NMO) THROUGH THE
NAVAL MEDICAL INFORMATION MANAGEMENT CENTER (NMIMC) FOR FINAL
SUBMISSION INTO THE DEFENSE ENROLLMENT ELIGIBILITY REPORTING
SYSTEM (DEERS).  ACTIVITIES ADMINISTERING IMMUNIZATIONS MUST
VERIFY THAT INFORMATION ENTERED INTO SAMS IS REFLECTED IN
DEERS. THE COMMAND ADMINISTERING VACCINATION IS RESPONSIBLE
TO DOCUMENT AND ENTER INTO SAMS FOR ALL DOD MEMBERS
REGARDLESS OF HOME COMMAND.  THE IMMUNIZATIONS PROCESS IS
NOT COMPLETE UNLESS THE VACCINATIONS ARE DOCUMENTED IN DEERS. 
B. MARINE CORPS ACTIVITIES WILL CONTINUE USING LOGISTICS
GUIDANCE IN ACCORDANCE WITH THE MARINE CORPS SMALLPOX
IMPLEMENTATION PLANS IN
REF E.
C. POCS FOR THIS MESSAGE ARE:
(1) HQMC (DC PP&O)- LTCOL D. A. BETHEL OR
MR F. J. LEPE, SERVICE PROGRAM MANAGERS, (703) 695-0221
(DSN 225) AND (703) 614-5157 (DSN 224);
(2) HQMC (HS) - CDR DAVE MCMILLAN (USN), PREVENTIVE MEDICINE
OFFICER, (703) 614-4478 (DSN 224);
(3) HQMC (LPC-3) - HMC JOE PALMARES, MEDICAL LOGISTICS
(703) 695-8926 (DSN 225).
5. COMMAND AND SIGNAL. THIS MARADMIN IS APPLICABLE TO THE
MARINE CORPS TOTAL FORCE AND IS EFFECTIVE IMMEDIATELY UPON
RECEIPT. EXPIRATION DATE CANNOT BE DETERMINED.//