This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Related articles  • Similar articles in JAMA  Topic Collections  • Pregnancy and Breast Feeding  • Alert me on articles by topic

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

To the Editor: In their Brief Report of a tertiary contact vaccinia of a breastfeeding infant, Dr Garde and colleagues¹ correctly stated that "there is no [US Centers of Disease Control and Prevention] recommendation against vaccination of other family members when there is a breastfeeding infant in the home." It should be noted, however, that the initial Department of Defense (DoD) Smallpox Vaccination Program (SVP) memorandum from November 26, 2002, stated that "Minimizing close physical contact with infants less than one year of age is prudent until the scab falls off."² The initial DoD screening for potential vaccine recipients excluded service members living with individuals with several skin diseases and immune suppression but not infants younger than 1 year. The Dryvax package insert recommends against vaccination of nursing mothers and infants younger than 1 year but does not exclude immunization of other family members.³

Following adverse cardiac events in other . . . [Full Text of this Article]

LCDR David Lesser, MC, USN
david.s.lesser@med.navy.mil
Department of Family Practice
Pensacola Naval Hospital
Pensacola, Fla

RELATED ARTICLES

Risk of Contact Vaccinia From Immunization Sites
Harrison G. Weed
JAMA. 2004;291(19):2314.
EXTRACT | FULL TEXT  

Risk of Contact Vaccinia From Immunization Sites—Reply
Vinaya Garde, David Harper, and Mary P. Fairchok
JAMA. 2004;291(19):2314-2315.
EXTRACT | FULL TEXT  

Tertiary Contact Vaccinia in a Breastfeeding Infant
Vinaya Garde, David Harper, and Mary P. Fairchok
JAMA. 2004;291(6):725-727.
ABSTRACT | FULL TEXT