990. But after the terrorist attacks of Sept. 11, 2001, and the subsequent cases of anthrax sent through the mail, the government began vaccinating military personnel and many health care workers, with 1.2 million vaccinated as of March of this year.
Since then, a handful of vaccinia cases have been reported to the Centers for Disease Control and Prevention, including one, of vulvar infection in an Alaskan woman whose sex partner was a serviceman.
Dr. Inger Damon, the acting head of the disease center branch concerned with pox viruses, says I think this number of cases certainly raised our awareness and led to discussions between ourselves and the D.O.D.
An account of the case was published this week in the morbidity report. According to the report, which did not give the familys name, the boy was taken to the University of Chicago Comer Childrens Hospital on March 3.
Dr. Madelyn Kahana, the chief of pediatric intensive care medicine at the hospital, said in an interview that the child had been covered with mounds of pox that reminded her of photos of bees swarming over beekeepers. Im a veteran of 25 years of practice in the I.C.U.s, and I thought Id seen it all, Dr. Kahana said. But this was stunning to the eye.
Dr. John F. Marcinak, an associate professor of pediatrics who worked 16 hours a day with the boy, said that in the first weeks of the case, it was really touch and go.
The doctors gave the boy narcotics to render him unconscious and free of pain. They also inserted a breathing tube and put him on mechanical ventilation to counter the breathing problems that can come with heavy doses of narcotics.
Doctors worked with the disease control centers to get shipments of Vaccinia Immune Globulin Intravenous. They also used an antiviral drug, Cidofovir. That drug, which has been associated with kidney problems in some cases, may have caused another crisis in which the boys kidneys began failing aPage: 1 2 3 Related medicine news :1
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