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May 19, 2004

Risk of Contact Vaccinia From Immunization Sites

JAMA. 2004;291(19):2313-2314. doi:10.1001/jama.291.19.2314-a

To the Editor: Dr Garde and and colleagues1 stated that "The mechanism of transfer from the vaccinee to the spouse is uncertain." They did not report, however, whether they asked about mouth-to-nipple contact from the vaccinee to the spouse. Oral shedding of virus could transmit the virus via direct mucosal contact.

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