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Contact Vaccinia Case
From Smallpox Vaccine
By Patricia Doyle, PhD
dr_p_doyle@hotmail.com
3-2-3


Jeff - I rest my case! Didn't we say that this was going to happen? We discussed this on the air as part of the reasons to NOT have mass smallpox vaccinations. The press actually played down the contact vaccinia risk and we were only told about possible reactions to the vaccine of those taking the vaccine. I had been trying to publicize the risk to NONvaccinated people.
 
Unfortunately, I believe that this is only the beginning, i.e. if the mass innoculations of smallpox begin.
 
Tansmisison could be a simple as newly-vaccinated person touching the innoculation spot or changing the bandage then (forgetting to wash their hands) touching something then a nonvaccinated person thouches that same thing. More then likely, the nonvaccinated person then touched their eye in this case.
 
Bush's Mass Smallpox vaccination plan is a bad plan. I would have understood stockpiling vaccine, in the event of an outbreak, but not mass vaccinations before an outbreak.
 
Incidently, I see that there are now stores selling all sorts of chem/bioterrorism preparedness items. "Let the buyer beware!"
 
Patricia Doyle
 
 
From ProMED-mail
3-1-03
 
Source: New York Times - AP 1 Mar 2003 [edited]
http://www.nytimes.com/aponline/national/AP-Smallpox-Vaccinations.html</ FONT>
 
 
Patient Has Smallpox Related Infection
 
Doctors in California are trying to determine how an adult's eye became infected with the same virus used in the military's smallpox vaccination program.
 
The patient, who has not been identified, had been in close contact with someone who had been inoculated, health officials said. However, Dr. Jonathan Fielding, Los Angeles County's director of public health, said it remained unclear exactly how the patient became infected.
 
The vaccine is made with a live virus that can be spread by touching a vaccination site before it has healed or by touching bandages, clothing or other material contaminated with the live virus.
 
"We really don't know how it happened -- it could have happened in a variety of ways," Fielding said. "What's important is they had direct contact with the person, rather than this being something that was just in the air."
 
Public health officials have declined to release the patient's gender or age, but have said the patient's condition was improving.
 
It was the first known case in California linked to the national drive to vaccinate emergency health workers and military personnel.
 
In Florida, officials are investigating medical problems among 3 health care workers who became ill after receiving the vaccine. Only one appears to have had a reaction to the inoculation, with the other 2 experiencing symptoms not normally related to the inoculations.
 
(see Smallpox Vaccine Adverse Events Among Civilians --- United States, February 18--24, 2003, MMWR 28 Feb 2003. 52(08);156-157 http://www.cdc.gov/ mmwr/preview/mmwrhtml/mm5208a4.htm - Mod.MPP)
 
As of last week, 7354 people had been vaccinated in 38 states and Los Angeles and New York, which are running separate programs.
 
In the military, where more than 100 000 people have been vaccinated, there have been 5 serious reactions. All 5 men are in good condition, officials said. In most cases, the symptoms were not severe.
_____
 
ProMED-mail
promed@promedmail.org
 
As there are increasing numbers of people vaccinated with the smallpox vaccine, not unexpectedly we are beginning to see reports of some significant adverse events. This is the first mention of an adverse event occurring in a contact of a recent vaccinee in the USA (in the ProMED-mail posting Smallpox vaccination strategy - Israel (03) 20021222.6113 there is discussion about 2 cases of generalized vaccinia in contacts of recent vaccinees in Israel in 2002). In an AP newswire on 1 Feb 2003, there was mention of one case of generalized vaccinia and one case of encephalitis in military personnel vaccinated with the smallpox vaccine. The above newswire mentions there were 5 cases of serious adverse events. Anecdotally we learned of a recent male vaccinee (an infectious disease physician) who commented he was having difficulty in keeping the protective dressing on because of thick body hair preventing the adhesive from sticking. While this was mentioned in levity, the occurrence of a vaccinial opthalmic infection in a contact of a recent vaccinee should serve as a reminder of the need to ensure that protective dressings are on securely, and in the case of hirsute individuals, shaving the vaccination site and surrounding area to permit a protective dressing to adhere might be considered. - Mod.MPP
 
Patricia A. Doyle, PhD
Please visit my "Emerging Diseases" message board at:
http://www.clickitnews.com/emergingdiseases/index.shtml
Zhan le Devlesa tai sastimasa
Go with God and in Good Health

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