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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)

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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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