A panel of specialists advising the government on smallpox
vaccinations yesterday recommended offering the immunization to
an estimated half-million emergency room workers, doctors,
nurses, respiratory therapists in intensive care units, and x-ray
technicians. The government usually follows vaccine
recommendations from the panel, which advises the CDC, but
President Bush has gotten several proposals, including offering
the vaccine to up to 10 million health and emergency workers, or
to all Americans before any attack occurs. The panel said workers
should be asked whether they are pregnant or infected with HIV
before receiving the vaccine. Both conditions can increase the
risk of adverse reactions to the smallpox vaccine, which experts
consider the most dangerous of all immunizations. The panel,
which continues its meeting today in Atlanta, did not require
that workers be tested for HIV or pregnancy before being
vaccinated. The panel recommended that vaccination recipients
place a strip of gauze covered by a bandage over the vaccine
injection sore because the immunization contains a live virus
that can spread elsewhere on the body and to other people.
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