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February 7, 1931


Author Affiliations

Rochester, Minn.

JAMA. 1931;96(6):460. doi:10.1001/jama.1931.02720320060026

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To the Editor:  —I have noted the following statement in the review of the Handbook of Pediatric Procedure by Smyth:The methods given for smallpox vaccination are the multiple puncture and the intradermal methods. No mention is made of the scratch method, which is undoubtedly by usage and general acceptance the standard method for vaccination.Permit me to call attention to the reports by Dr. J. P. Leake in Public Health Reports (42:221 [Jan. 28] 1927) and by Dr. Charles Armstrong in The Journal, March 10, 1928, p. 738. Both of these men are eminent authorities on the subject of smallpox vaccination and both write with the approval of the United States Public Health Service. Both recommend the multiple puncture method as the method of choice for smallpox vaccination. Dr. Armstrong brought forward evidence indicating that the scratch method was by no means a method of choice. The multiple

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