smallpox vaccine gone awry

Nurses General Nursing

Published

hi kids!

in my area where i live, a young toddler and his mother have contracted vaccinea virus from his father, who received a smallpox vaccine before being deployed.

his father is in the army.

i am wondering a couple of things:

1) do you remember the post 911 scare that we all went through, and we as first responders were being told by the government/homeland security that we should all receive the smallpox vaccine?

2) how many of you were wary of that mandate?

3) how many of you went ahead and received the vaccine?

4). did you have any adverse reaction, or mild reaction?

5) after reading this story, do you think the benefits outweigh the risks?

6) how much do you think you know about vaccines, whether pneumoccocal, hpv vaccine, or hepatitis b, or influenza?

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chicago toddler, mother get rare infection from father's smallpox vaccination

provided by: canadian press

mar. 17, 2007

chicago (ap) - a two-year-old boy and his mother have contracted a rare, life-threatening infection from his soldier father's smallpox vaccination, according to a published report.

the boy developed a virulent rash over 80 per cent of his body earlier this month after coming in contact with his father, who had been vaccinated before he was to be deployed overseas by the u.s. army, the chicago tribune reported saturday.

http://www.cbc.ca/cp/health/070317/x031702a.html

------------------------------------------------------------------------now...the mother also had reaction....but there's no indication by this story or any others, that she had eczema....so how did she contract this disease....possibly through sexual or close physical contact???

doesn't this make you wonder if this stuff is truly safe?

Specializes in Me Surge.

The vaccination site is to be covered with an occlusive dressing. If the dressing came loose or something the virus could have shed. Those with eczema shouldn't take or be exposed to anyone having taken the vaccine. The vaccine is not made form smallpox but made from vaccinia (related to other pox viruses). The ecxema viccinatum can also occur if person is immune compromised.

Can we leave this discussion strictly to the OP outlined questions?

This could be an interesting thread, however it seems to have been highjacked by "individuals" who think this nursing forum is their own personal soapbox for venting their political woes.

Specializes in Me Surge.

Unfortunately, Weaponized smallpox is not 'locked in a vault'. Tons of it were produced the Soviet Union. Literal tons not figurative. There is no accounting of this weaponized smallpox. There are those with the desire to cause harm, and the money to accomplish it. It could happen. All vaccines are risk versus benefit. And actually there were some pretty strict guidelines about who could receive the vaccine. I don't know about the military guidelines though.

The conspiracy theories are very fun to listen to, however, I dont think this is really the place to bash those who make the educated choice to join the military and fight for the freedoms you are currently enjoying. This is a nursing forum and however much social issues are a part of nursing, I would like to read about how this particular vaccine has affected others without having to read posts bashing "big brother."

And this particular theory of yours is not a fact re: the topic, but your own political opinion.

They lure unsuspecting highschool kids with big promises. I'm very supportive of our troops, the whole situation is very sad and desperate over there, where the locals will blow themselves up, or behead their enemy. These young people of ours deserve better. As far as vaccines, they are mandatory in the military, they don't have the freedom of choice about their healthcare that every American citizen, every patient, deserves.

REGARDLESS of your opinion and/or experiences...... None of the facts/beliefs you have stated have anything to do with the thread topic.

Now, a question for those whose replies will not be filled with propaganda....

Small pox vaccines were not available when I was growing up, so I have very little knowledge of the care of those vaccinated. Is the vaccine given today the same vaccine that my mother 50-60 years ago? Were the same instructions given back then that are given now? Were they kept covered back then? I can only imagine that a young child would have trouble keeping the patch on for several days... especially rowdy kiddos. TIA.

Specializes in NICU, Infection Control.

Please stay on topic. Which is interesting, by the way, regardless of the politics.

If someone can find a peds nsg textbook from the 60's/70's, it might cover this topic. Anybody got an aunt/mother who was/is a nurse and kept her textbooks??

I seem to remember my mother carrying my sisters around a lot--they were VERY unhappy after the 1st vaccination. You got more than one, after the 1st series, any more didn't bother you that much (@ least per my memory). They did itch, sometimes.

As a navy "brat", everytime we went from Hawaii to the mainland, or vice versa, we got every vaccination available. Smallpox, DPT, Typhoid fever, Tetorifice...Polio (after Salk vaccine came out in '54).

When polio came out, we were in Hawaii, and they weren't going to get it before polio "season" started--it had a higher incidence in the summer. Every dependent had to go to the dispensary for gamma globulin shots, HUGE ones, in each cheek. Ouch, ouch ouch!!

do you recall a patch being placed over the blister? (Am I correct on that... it causes a blister?)

Specializes in NICU, Infection Control.

It did cause a blister that crusted over, if I remember correctly, you weren't supposed to cover it up.

Just found this on the CDC site:

http://www.bt.cdc.gov/agent/smallpox/vaccination/needtoknow.asp

Specializes in NICU, Infection Control.

These are the pictures of the blister:

day-4-21.gif

Towards the bottom of the page, it lists care of the blister (they say to cover it loosely), how to NOT give it to anyone else, side effects and adverse reactions. There are lots of them.

That was a great website. Thx. I wonder why it is that it can transmit the virus(?) while it has a scab, even if it not oozing. Sounds pretty hard to care for the site. I just cant imagine a child being able to follow those rules. I remember getting mosquito bites when I was a kid and no matter how much my mom yelled at me not to scratch, I would scratch it like heck when she wasnt looking:)

Specializes in Vents, Telemetry, Home Care, Home infusion.

per vaccine education center, children's hospital of pa:

about 30 percent of people infected with smallpox will die from the disease.

= 3 out of every 10 would die of this disease

growing up in 50's and 60's, i remember my friend's siblings dying from childhood diseases prior to vaccines being developed. many nurses + doctors today have never been through that experience and wouldn't recoginze early signs or how to treat because vaccination programs so successful.

as with anything in life, there are pro's and con's. some people half listen to advice given in exam rooms or read vacination leaflets now provided.

those of us immunized wore a bandaid over the vaccination site. second vaccination left scare that 45 yrs latter barely noticeable.

what is smallpox?

how do you catch smallpox?

smallpox is spread from one person to another by large droplets from the mouth and throat of people who have the disease. smallpox virus is spread by coughing, sneezing, or talking. contact with an infected person must be fairly close (within about 6 feet) in order for spread to occur.

does the smallpox vaccine have side effects?

the smallpox vaccine initially causes a red, raised bump at the site of inoculation that progresses to a blister and eventually a scab. the scab then separates from the skin about two weeks after inoculation.

mild side effects from the vaccine include fever and swelling of the lymph node in the armpit near the site of inoculation. about 70 percent of people given the vaccine will have fever greater than 100°c. the fever usually begins about four days after inoculation.

severe side effects following administration of the smallpox vaccine do occur but are relatively uncommon.

  • about five of every 10,000 people given the vaccine will inadvertently transfer the virus from the site of inoculation to another site (usually the eyelid, face, nose, mouth, genital, or rectum). inadvertent inoculation can cause swelling, tenderness and rash at the site of transfer.
  • about two of every 10,000 people given the vaccine will develop a generalized rash that spreads to the body. the generalized rash occurs more commonly in people with eczema.
  • about one of every 100,000 people who get the smallpox vaccine will develop an infection of their brain called encephalitis.
  • about one of every 25,000 people given the vaccine will develop inflammation of the heart muscle (myocarditis) or inflammation of the membrane that surrounds the heart (pericarditis) or both.
  • about one of every 1,000,000 people given the smallpox vaccine will develop a severe progressive form of the disease that is often fatal. these people usually have severe immunologic deficits prior to receipt of the vaccine.

how long does immunity to smallpox last?

the smallpox vaccine was discontinued for routine use in the united states in the early 1970s. so, most people in this country younger than 30 years of age have never been vaccinated against smallpox. but what about people over 30? does immunity to smallpox last 30 years or longer?

the best study to answer this question was performed in england in the early 1900s. an outbreak of smallpox affecting more than 1,000 people occurred in liverpool between 1902 and 1903. people infected with smallpox were divided into two groups: those who got smallpox vaccine in infancy and those who did not. the fatality rate for 30- to 49-year-olds was 3.7 percent in the vaccinated group and 54 percent in the unvaccinated group. for those older than 50 years of age, the fatality rate was 5.5 percent in the vaccinated group and 50 percent in the unvaccinated group (cohen, j. smallpox vaccinations: how much protection remains? science 2001;294:885).

therefore, smallpox vaccine protected against disease caused by smallpox, even 50 years after vaccination.

do the benefits of the smallpox vaccine outweigh its risks?

no. smallpox infections no longer occur in the world. currently, the risks of the vaccine clearly outweigh its benefits. however, if smallpox infections were to occur again in the united states, the relationship between vaccine risks and benefits would change dramatically.

http://www.chop.edu/consumer/jsp/division/generic.jsp?id=75753

compare those se to 3/100 odds of dying from this illness, that is why vaccination recommend when bioterrorism highly possible as in overseas military service in active war zone.

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