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http://www.msnbc.com/news/844223.asp?0dm=C19NH

Smallpox shot side effects feared
Study on volunteers finds pain, flu-like symptoms common
By Robert Bazell
NBC NEWS CORRESPONDENT
    Dec. 6 —  Tia Neeley was among the first volunteers to test the smallpox vaccine after Sept. 11, 2001. A year ago, NBC News reported on her inoculation. “My arm got pretty sore for about two days, around seven to eight days after vaccination,” Neeley said. Hers was a mild reaction, but for many it was not so easy.  


 

     
     
       
   
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Smallpox's rise and fall
Time line of a scourge
10000 B.C.
Smallpox appears in settlements in northeast Africa.
1350 B.C.
The first recorded smallpox epidemic occurs during the Egyptian-Hittite war when Egyptian prisoners unwittingly spread the virus among the Hittite population.
1000 B.C.
Variolation, an early form of smallpox inoculation, is developed in China and India. The process involved taking the pus from the pocks of someone suffering from the virus and inoculating healthy people with it. A mild case of smallpox developed, but the process granted lifelong immunity afterwards. The practice would eventually spread to Europe and the New World by the 18th century.
180
The Roman Empire is devastated by the Plague of Antonine which kills millions. The dead include Marcus Aurelius, the reigning emperor.
570
Bishop Marius of Avenches names the virus, "variola", a derivation of the Latin word for "stained." The popular term for the virus, "smallpox", won't come into use in England until the 15th century.
910
Rhazes. a Persian physician, writes the first medical description of smallpox.
1520
Two years after Spanish conquistadors arrive in Mexico, the Aztec emperor Ciutlahuac dies of smallpox. Over the next century of Spanish occupation, Mexico’s population diminishes from an estimated high of 15 to 20 million in 1518 to 1.6 million by 1620. The decimation is repeated throughout the New World as Europeans unknowingly introduce smallpox.
18th century
Smallpox kills four reigning European monarchs including Tsar Peter II of Russia and King Louis XV of France. Other notable victims include the king of Ethiopia and a Japanese emperor. By the last decades of the 18th century an estimated 400,000 Europeans die of smallpox each year.
1754-1767
Smallpox is used as a weapon when British forces distribute blankets used by smallpox patients to Native American tribes during the French-Indian war.
1774
Benjamin Jesty, a farmer from the town of Dorset in the United Kingdom, inoculates his family with material taken from the udders of cows that had cowpox, a virus similar to smallpox. Medical reports begin to appear linking smallpox immunity in those individuals with a previous case of cowpox.
1796
Edward Jenner, a British surgeon, injects the fluid extracted from a postule of a cowpox victim into a healthy child. Eventually, the word "vaccine", derived from the medical name of cowpox, "variolae vaccinae", falls into common usage. Jenner does not invent vaccination, but he does confer scientific status. By 1800, Jenner’s efforts to popularize vaccination results in vaccination campaigns throughout Europe.
1801
President Thomas Jefferson creates the National Vaccine Institute.
1803
Spain begins the first overseas vaccination program when it sends the vaccine to North and South America.
1967
World Health Organization launches global vaccination campaign against smallpox.
1972
Routine smallpox vaccination among the American public ends.
1977
Last naturally occurring case of smallpox reported in Somalia.
1980
The World Health Organization recommendeds that all countries cease vaccination and that all laboratories destroy their stocks of smallpox or transfer them to the Institute of Virus Preparations in Moscow, Russia, or the Centers for Disease Control and Prevention (CDC) in Atlanta, Ga. All countries report compliance. Soviets begin to develop smallpox as a bioweapon.
1982
Vaccine production is discontinued in the United States.
1990
U.S. military discontinues routine vaccinations.
Today
Smallpox vaccinations are generally limited to selected lab workers and military personnel.
 

Source: JAMA
Printable version



 
       OVER THE past several months, 1,500 volunteers have participated in a study to test the controversial vaccine’s safety.
       Dr. Tom Talbott, who organized one study at Tennessee’s Vanderbilt University, said scientists also want to find out how much they can dilute the vaccine and still have it work.
       Talbott said everyone who is vaccinated develops a sore on the arm where it’s injected. About a third experience swelling and redness. And about 10 percent experience flu-like symptoms.
       After receiving a smallpox inoculation, Mark Harris had a fever of 101 degrees.
       “For a period of about five to six hours, I was in a lot of pain, delirious from the fever. I had a lot of trouble just moving around,” Harris said. He even had to skip a few days of school.
       Elizabeth Forrester missed work.
       “Severe pain. Pain around the site, swelling, and it was just really kind of uncomfortable and achy,” Forrester said.
       It is not unexpected, but doctors testing the smallpox vaccine are seeing a lot of reactions in the young, healthy volunteers.
 
 
 
 
       “Somewhere around 1 in 10 people end up taking a day or two off from work or school because they just don’t really feel well,” said Dr. John Treanor of the University of Rochester.
       President Bush is expected to decide soon to inoculate 500,000 troops and 500,000 health workers. The vaccine trials show that many of them will be incapacitated temporarily, and experts warn that a handful will suffer severe side effects — even death.
What you need to know about smallpox

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       The problem is that the smallpox vaccine, which is more than 200 years old, is different from flu shots and other vaccines used today. It is made from a live virus, closely related to smallpox, which causes an infection on the arm.
       The doctors conducting the tests say they were initially worried.
       “I think it is unusual to us as physicians because we’re not used to it,” Talbott said.
       But with experience, the physicians say they are feeling more comfortable giving the vaccine. And the volunteers say the risk and discomfort are worth the chance to help protect the country from a terrifying threat.
       
       The Associated Press contributed to this report.
       
 
 

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