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Autoimmune Patients Need to Be Aware of Smallpox Vaccine Risks (October

2002)

As the federal government makes plans for potential widespread smallpox

vaccination, experts are cautioning that those with dysfunctional immune

systems may be at higher risk of side effects from the vaccine itself, as

well as exposure to those who have just had the vaccine. The smallpox

vaccine contains vaccinia, which is a live a virus that is similar to the

smallpox virus. It is exposure to the vaccinia that creates immunity to

smallpox. In a small percentage of people - mainly children and those with

weakened immune systems - receiving the smallpox vaccine can cause severe

and even fatal side effects, including brain damage. There is also a small

chance that high-risk individuals who have not themselves received the

vaccine can contract vaccinia by being exposed to those who have recently

had the vaccine and are " shedding " the virus.

In studies of smallpox vaccination from the 1950s-60s, there were from 2 to

6 cases of what's known as " contact vaccinia " for every 100,000 people

receiving the vaccine. Currently, however, with the population under 30

never having been vaccinated for smallpox, these people are likely to shed

vaccinia for longer periods, increasing the risk of contact vaccinia to

those around them. There are also more people who are immunologically

compromised, and are therefore at higher risk.

According to the CDC, there are several key risk factors that when present,

advise against non-emergency smallpox vaccination:

History or Presence of Eczema or Other Skin Conditions: Because of the

increased risk for a complicated called eczema vaccinatum, the smallpox

vaccine should not be given to persons with eczema of any degree, those with

a past history of eczema, those whose household contacts have active eczema,

or whose household contacts have a history of eczema. Persons with other

acute, chronic, or exfoliative skin conditions (e.g., atopic dermatitis,

burns, impetigo, or varicella zoster [herpes]) might also be at higher risk

for eczema vaccinatum and should not be vaccinated until the condition

resolves.

Pregnancy: Live-viral vaccines are contraindicated during pregnancy;

therefore, the vaccine should not be given to pregnant women.

Altered Immunocompetence / Suppressed Immunity: Smallpox vaccine is not

recommended for people with immunodeficiency diseases and among those with

immunosuppression (e.g., as occurs with leukemia, lymphoma, generalized

malignancy, solid organ transplantation, cellular or humoral immunity

disorders, or therapy with alkylating agents, antimetabolites, radiation, or

high-dose corticosteroid therapy (which is common in some autoimmune

diseases.) Persons with immunosuppression also include hematopoietic stem

cell transplant recipients who are less than 24 months posttransplant. Also

people whose household contacts have such conditions should not receive the

vaccine.

Other groups not advised to receive the vaccine include:

* Persons Infected with HIV

* Infants and Children

* Persons with Allergies to Vaccine Components , including polymyxin B

sulfate, streptomycin sulfate, chlortetracycline hydrochloride, and neomycin

sulfate. Persons who had had allergic reactions to any of these antibiotics

should not be vaccinated.

SOURCES: Journal of the American Medical Association 2002;288:1901-1904,

Vaccinia (Smallpox) Vaccine Recommendations of the Advisory Committee on

Immunization Practices (ACIP), 2001, Centers for Disease Control and

Prevention,Morbidity and Mortality Weekly Report

Source: http://www.thyroid-info.com/autoimmune/smallpox.htm

Carol

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I want to move! Maybe to Canada, or switzerland! Any where but here!

Donna

> > Smallpox epidemic: Predicted or planned?

> > There are more than 65 known biological warfare agents. The

choice

> > of smallpox for biological warfare is curious since the disease

is

> > one of the least virulent.

> > So, why smallpox? Unlike other biological warfare options, there

is

> > a vaccine for smallpox. Smallpox vaccine is the most dangerous

of

> > all vaccines—stockpiles of which have been in storage since the

> > World Health Organization declared the world free of smallpox in

> > 1980.

> >

> >

> > Variola, vaccinia—what is smallpox?

> > " Variola " is the virus associated with the natural form of

smallpox

> > affecting humans. The virus used in the vaccine to create

immunity

> > to variola is called the " vaccinia " virus and is cultured in

> > diseased material taken from cows.

> > Jenner is the pioneer of modern vaccinations and is

credited

> > with the first " successful " smallpox vaccine in 1796. Jenner's

work

> > capitalized on the " fear " of smallpox. For this he is revered in

> > some circles and reviled in others (see page 2).

> > By 1900, Dr. of Texas had already established

that

> > controlling malaria-carrying mosquitoes with mosquito-eating

bats

> in

> > Central America effectively controlled malaria. Dr.

then

> > began looking at bedbugs and their relationship to variola. His

> > research determined that variola was spread by bedbugs and is

> > complicated by poor sanitation and malnutrition. He also

determined

> > that the smallpox vaccine containing the vaccinia virus did not

> > create immunity to variola in at least 80 percent of cases (see

> page

> > 3).

> >

> > http://www.vaclib.org/news/smallpoxalert.htm

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