A national survey of immunization practices following allogeneic bone marrow transplantation

Article Abstract:

Many bone marrow transplantation centers do not routinely vaccinate older children after a bone marrow transplant. People who receive a bone marrow transplant are at risk for infection and many lose their immunity to infectious diseases such as measles. A survey of 45 transplantation centers found that 97% gave children younger than 7 a DPT vaccine and 77% gave them a Hib vaccine. However, only 88% and 58%, respectively, gave these vaccines to children 7 or older. Older children were also less likely to receive the polio vaccine. Two-thirds of the centers did not give all three shots.

Care and treatment, Organ transplant recipients, Bone marrow, Bone marrow transplantation

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Impact of the 1999 AAP/USPHS Joint Statement on Thimerosal in Vaccines on Infant Hepatitis B Vaccination Practices

Article Abstract:

Many hospitals are not vaccinating newborn babies against hepatitis B even though vaccines that do not contain thimerosal are available. In July, 1999, the US Public Health Service recommended delaying vaccination so babies would not be exposed to thimerosal, which contains mercury. The policy was reversed in September, 1999, when thimerosal-free vaccines became available.

Usage, Hepatitis B vaccine, Hepatitis B vaccines

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Further Adventures of the Tubercle Bacillus

Article Abstract:

A report published in 2000 illustrates an unusual method of tuberculosis transmission. A worker at a medical waste treatment facility in Washington State contracted tuberculosis from handling contaminated medical waste. The waste came from at least three surrounding states.

Editorial, Disease transmission, Tuberculosis, Contamination, Medical wastes

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