Stephen J.LurieMD, PhD, Senior EditorIndividualAuthor
To the Editor: In their Consensus Statement
on hemorrhagic fever viruses that may be used as biological weapons, Dr Borio
and colleagues1 state, "There are no reported
cases of person-to-person or nosocomial spread of flaviviruses." At least
2 cases of nosocomial transmission of dengue (a flavivirus) have been reported
in the medical literature: one through a needlestick injury2
and the other through bone marrow transplantation.3
These events, although rare, suggest that nosocomial spread may also be possible
for a more feared flavivirus—yellow fever.
Rigau-Pérez JG. Modes of Transmission of Hemorrhagic Fever. JAMA. 2002;288(5):571. doi:10.1001/jama.288.5.571
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