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Dr. Matlin's letter was referred to the U. S. Army Surgeon General's Office, and Col. Arthur P. Long, Chief of the Preventive Medicine Division, replied as follows:
To the Editor:—
Dr. Matlin's note published in GP is essentially in accord with smallpox vaccination practice as outlined in TB Med 144 and as currently presented at the Army Medical Service School. Throughout the publication the Army stresses the fact that no vaccination should be considered to be completed until it has been interpreted and the type of reaction recorded on the immunization recorded. Medical officers are instructed as to the importance of reading vaccinations two or three days after they are administered and at the end of one week if no reaction is observed at the first reading. The fact is stressed that the patient's word as to the presence of a reaction is not acceptable as evidence of a "take."
Long AP. SMALLPOX VACCINATION-Reply. JAMA. 1959;169(8):849. doi:10.1001/jama.1959.03000250066019
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