What You  Need to Know About Smallpox.
 

July 2003

Smallpox
Responses to Your Questions About Smallpox

The UPHS Health Care web site offers general medical information only and is not intended to provide medical advice for individual people. For personal health problems, you should seek advice from your health care professional.

AE Mica, RN, BA answered your questions about smallpox.

Netti asks:
Considering that the vaccination is a live virus, shouldn't the person being vaccinated be quarantined too?

AE Mica responds:
The vaccine used to protect against smallpox does contain live virus, but there is no need to quarantine a 'vaccinee'. The virus is located at the site of the innoculation. The vaccinated person cannot spread the virus through the air. The virus could be spread by touching the vaccination site and then touching the mouth, eyes, or non-intact skin (skin with breaks such as cuts or eczema).

The healthy person who receives the vaccination is instructed on how to protect himself and the people around him. The vaccinee is taught to keep a bandage over the site of the vaccination and to wear clothing with sleeves which cover the site until it is healed. He is taught to wash his hands carefully every time he changes the bandage and the proper way to dispose of the bandages. The vaccinee is even told how to wash his clothing and personal linens. The person receiving a smallpox vaccination who washes his hands and keeps the vaccination site covered does not present a risk to the people around him.

Clara asks:
Are there any alternative vaccinations that can be given to
persons who have eczema or dermatitis?

AE Mica responds:
While research is ongoing, at the present time the only vaccine available against smallpox is Dryvax. The CDC guidelines state that eczema and dermatitis are contraindications to receiving this vaccine. Should there be an actual outbreak of smallpox, the current recommendations would be reviewed weighing risk of complications from the vaccine against risk of the disease.



AE Mica, RN, BA works full time with Penn Travel Medicine, and has more than 20 years of nursing experience. Her scope of practice includes the administration of exotic vaccines, including the Vaccinia (Smallpox) vaccine.

 


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