To: thecabal
2,644 posted on
02/12/2004 3:43:57 AM PST by
Cindy
To: Cindy; All
Good FYI info from NW_AZ_Granny. File for reference: > Subject: PRO/EDR> Smallpox vaccination and > breastfeeding > > > SMALLPOX VACCINATION AND BREASTFEEDING > ************************************** > A ProMED-mail post > > ProMED-mail is a program of the > International Society for Infectious Diseases > > > Date: Wed 11 Feb 2004 > From: ProMED-mail > Source: Reuters Health, Tue 10 Feb 2004 [edited] > > > > Breastfed baby exposed to smallpox vaccine virus > ------------------------------------------------ > Breastfeeding women who live with someone who has > been recently vaccinated > against smallpox should take extra precautions to > prevent their infants > from being exposed to the virus used in the vaccine, > according to a new > report [Garde V, Harper D, Fairchok MP. Tertiary > contact vaccinia in a > breastfeeding infant. JAMA 2004; 291: 725-7, 11 Feb > 2004 > ]. > Doctors at the > Madigan Army Medical Center in Tacoma, Washington, > have documented the case > of a breastfed infant who was exposed to vaccinia > virus, which is used as > the smallpox vaccine. > > The baby's mother had not been vaccinated against > smallpox but her husband, > a soldier, was given the vaccine soon before the > baby developed symptoms. > The Centers for Disease Control and Prevention (CDC) > already recommends > that women who are breastfeeding should not receive > the smallpox vaccine, > but there are no guidelines against vaccination of > other people living in > the same household. > > Transfer of the vaccinia virus within a household > remains "extremely rare," > according to Dr Mary P Fairchok, but she said this > case demonstrates the > need for extra precautions in households where a > child is breastfeeding. > About 10 days after the husband was inoculated, his > wife developed blisters > on her nipples. Shortly after, a blister was seen on > the baby's upper lip. > Testing showed that vaccinia virus was the cause of > the lesions for both > the mother and the child. > > "This case showed us that breastfeeding women living > with vaccine > recipients should be very careful about possible > contact," Fairchok told > Reuters Health. "They should always wash their hands > prior to nursing, > probably not do the laundry of the vaccine > recipient, and potentially not > sleep in the same bed or have other intimate contact > until after the > vaccine scab has fallen off," Fairchok said. If a > breastfeeding woman who > lives with a recently vaccinated person develops > painful sores on her > breasts, Fairchok said, she should hold off on > breastfeeding until seeing a > health care provider to make sure that the sores are > not due to infection > with the vaccine virus. > > The Washington physician noted that the infant in > the report recovered > well, but she could have ended up with scarring or, > if the infection had > spread to her eyes, with vision loss. After being > monitored in the hospital > for 12 days, the child was discharged. > > Vaccinia virus is related to smallpox virus and > produces immunity to > smallpox. Smallpox vaccination can cause severe side > effects, including > brain damage and even death, in a small percentage > of people, particularly > children and people with weakened immune systems. > But even if individuals > who are at high risk of side effects are not given > the vaccine, there are > fears that they might be infected by vaccinia virus > that is shed by others > during the weeks after vaccination. "The vaccine has > been on the whole very > safe, with very few accidental household transfers," > Fairchok said, but > taking a few precautions may minimize the small risk > that a child will > become infected. > > The parents of the baby who was exposed to vaccinia > virus seemed to take > all the appropriate steps to prevent transmission of > the virus. After being > vaccinated in early May 2003, the baby's father > reported following all > precautions to prevent the spread of vaccinia virus, > including keeping the > vaccination site covered. However, the wife did do > all of the family's > laundry, so she could have been exposed through > contact with infected > clothes, towels, or bed linens Based on this case, > Fairchok and her > colleagues advise that the CDC amend its guidelines > to recommend that > vaccine recipients not share a bed with a > breastfeeding mother and that > they do their own laundry. Also, women who are > breastfeeding should be > reminded to always wash their hands before nursing, > the authors of the > report recommend. > > [byline: Merritt McKinney] > > -- > ProMED-mail > > > [An additional reason for restraint in the use of > smallpox vaccine. - Mod.CP] > > [see also: > 2003 > --- > Smallpox vaccination adverse events - USA (12) > 20030712.1716 > Smallpox vaccination, adverse events - USA > 20030301.0515 > Smallpox vaccination, adverse event monitoring - USA > 20030206.0324 > 2002 > --- > Smallpox vaccination hazards (03) > 20021017.5571 > Smallpox vaccine hazards > 20020817.5080 > Smallpox vaccine, criticism of choice - UK > 20020730.4892 > Smallpox vaccine, ACIP recommendations - USA (02) > 20020621.4560] > > ..................cp/pg/sh > > *##########################################################* > ProMED-mail makes every effort to verify the > reports that > are posted, but the accuracy and completeness > of the > information, and of any statements or > opinions based > thereon, are not guaranteed. The reader assumes all > risks in > using information posted or archived by > ProMED-mail. ISID > and its associated service providers shall not > be held > responsible for errors or omissions or held liable > for any > damages incurred as a result of use or reliance upon > posted > or archived material. > ************************************************************ > Visit ProMED-mail's web site at > . > Send all items for posting to: > promed@promedmail.org > (NOT to an individual moderator). If you do not > give your > full name and affiliation, it may not be > posted. Send > commands to subscribe/unsubscribe, get > archives, help, > etc. to: majordomo@promedmail.org. For assistance > from a > human being send mail to: > owner-promed@promedmail.org. > ############################################################
2,661 posted on
02/12/2004 5:46:40 AM PST by
Calpernia
(http://members.cox.net/classicweb/Heroes/heroes.htm)
To: All
NEWS..RECAP AND UPDATES...
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2,990 posted on
02/13/2004 4:09:51 AM PST by
Cindy
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