Smallpox Presentation



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US Smallpox Vaccination

  • Center for Food Security and Public Health Iowa State University - 2004
  • Terrorist threats upon US real
  • Bush recommends vaccinating healthcare and military personnel
    • December 2002
  • Jan 2003, CDC ships vaccine and needles to the states
  • Nov 2003, 38,908 civilians in 50 states and 526,677 military vaccinated

Who Should Not Get the Vaccine?

  • Center for Food Security and Public Health Iowa State University - 2004
  • Eczema or atopic dermatitis
  • Skin conditions
    • Chickenpox, herpes, psoriasis, shingles
  • Weakened immune system
    • Transplant, chemotherapy, HIV, others
  • Pregnant women
  • Less than 18yr.
  • Breastfeeding mothers
  • If exposed, get vaccine no matter what

Adverse Vaccine Reactions

  • Center for Food Security and Public Health Iowa State University - 2004
  • Prior to 2003 vaccination campaign
  • For every 1 million people vaccinated
    • 1,000 serious reactions
    • 14-52 life-threatening reactions
    • 1-2 deaths
  • Vaccinia immune globulin (VIG)

Serious Vaccine Reactions

  • Center for Food Security and Public Health Iowa State University - 2004

Life Threatening Vaccine Reactions

  • Center for Food Security and Public Health Iowa State University - 2004
  • Progressive vaccinia (vaccinia necrosum)
    • Ongoing skin infection
    • Common in immunocompromised
    • Virus continues to grow
    • Vaccinia immune globulin necessary
      • Without it = death

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