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March 20, 1943


Author Affiliations


JAMA. 1943;121(12):966. doi:10.1001/jama.1943.02840120068024

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To the Editor:—  During the recent outbreak of smallpox in Pennsylvania, mass prophylactic cowpox vaccination was begun in Philadelphia. I myself have had the unpleasant experience of having additional vaccinations on both thumbs, which are requiring surgical attention besides that self inoculated on my left arm. In view of this experience I think it advisable to offer the following suggestions to prevent such occurrences in other physicians who may be called on to carry out inoculations on a large scale:

  1. Adhesive strip tapes on the tips of the fingers, particularly the thumb and index finger of both hands.

  2. The use of full rubber gloves or finger cots, which are inexpensive. Should the rubber tear, additional protection will be had by the under covering adhesive tape. Rubber protection is advised in order to prevent alcoholic dehydration of the skin of the finger tips with subsequent fissuring, which renders accidental

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