To the Editor: In their discussion of the risk
of contact vaccinia spread from individuals who receive smallpox vaccine,
Dr Neff and colleagues1 only briefly discussed
the risk to patients from health care workers who have been recently vaccinated.
Scrupulous hand hygiene among vaccine recipients will be important in preventing
vaccinia transmission; however, it is not clear that this would entirely negate
the risk of transmission.
Mermel LA. Risk of Cutaneous Vaccinia From Health Care Workers Who Receive Smallpox VaccineRisk of Cutaneous Vaccinia From Health Care Workers Who Receive Smallpox Vaccine. JAMA. 2003;289(7):844–845. doi:10.1001/jama.289.7.844
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