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REPLY

Smallpox Vaccination Risks and Public Policy

right arrow J. Michael Lane, MD, MPH, and Joel Goldstein, MD

6 January 2004 | Volume 140 Issue 1 | Page 67


IN RESPONSE:

We appreciate Dr. Cooper's letter and agree with him completely. Exhalation of variola virus is reduced by wearing a simple surgical mask (1). We erroneously extrapolated that datum into use of an N95 respirator. In addition to Dr. Cooper's points, the edema and facial distortion of patients with smallpox make N95 respirators impractical.


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From Atlanta, GA 30307; and The Children's Clinic; Morrow, GA 30260.


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1. Downie AW, Meiklejohn M, St Vincent L, Rao AR, Sundara Babu BV, Kempe CH. The recovery of smallpox virus from patients and their environment in a smallpox hospital Bull World Health Organ. 1965;33:615-22. [PMID: 4285461].[Medline]

About Letters
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The Editors welcome submissions for possible publication in the Letters section. Authors of letters should:

•Include no more than 300 words of text, three authors, and five references

•Type with double-spacing

•Send three copies of the letter, an authors' form signed by all authors, and a cover letter describing any conflicts of interest related to the contents of the letter.

Letters commenting on an Annals article will be considered if they are received within 6 weeks of the time the article was published. Only some of the letters received can be published. Published letters are edited and may be shortened; tables and figures are included only selectively. Authors will be notified that the letter has been received. If the letter is selected for publication, the author will be notified about 3 weeks before the publication date. Unpublished letters cannot be returned.

Annals welcomes electronically submitted letters.


Related articles in Annals:

Reviews
Evaluation of 21st-Century Risks of Smallpox Vaccination and Policy Options
J. Michael Lane AND Joel Goldstein
Annals 2003 138: 488-493. [ABSTRACT][Full Text]  

Letters
Smallpox Vaccination Risks and Public Policy
Brian W. Cooper
Annals 2004 140: 67. [Full Text]  




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