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Volume 17, Number 4—April 2011
Dispatch

Secondary and Tertiary Transmission of Vaccinia Virus from US Military Service Member

Gregory E. YoungComments to Author , Christina M. Hidalgo, Ann Sullivan-Frohm, Cynthia Schulte, Stephen Davis, Cassandra Kelly-Cirino, Christina Egan, Kimberly Wilkins, Ginny L. Emerson, Kimberly Noyes, and Debra Blog
Author affiliations: Author affiliations: New York State Department of Health, Buffalo, New York, USA (G.E. Young, C.M. Hidalgo, A. Sullivan-Frohm); New York State Department of Health, Albany, New York, USA (C. Schulte, S. Davis, C. Kelly-Cirino, C. Egan, K. Noyes, D. Blog); Centers for Disease Control and Prevention, Atlanta, Georgia, USA (K. Wilkins, G.L. Emerson)

Main Article

Table

Cases of laboratory-confirmed secondary and tertiary transmission of vaccinia virus from US military service member, New York, USA, 2010*

No.† Transmission
type Age, y/sex Exposure
 Illness
 Underlying risk factors VIG Duration of lesions, wk
Date Source Type Onset Location of lesions
1 Secondary 26/M Feb 27 Military vaccinee Wrestling Mar 1 Face, neck, chest None No ≈3
2 Secondary 24/M Feb 27 Military vaccinee Wrestling ≈Mar 1 Face, neck, chin, eye None No‡ ≈3
3 Tertiary 25/M Mar 5 Case-patient 1 Wrestling Mar 7 Chest, trunk, arm Mild eczema No ≈7
4 Tertiary 29/F After March Case-patient 1 Household Mar 9 Face, mandible, nostril None Yes ≈3

*VIG, varicella immune globulin.
†Case-patient no.
‡Use of VIG not indicated; treated with trifluridine ophthalmic solution (3).

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References
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Page created: July 25, 2011
Page updated: July 25, 2011
Page reviewed: July 25, 2011
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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