During February and March 2010, the New York State Department of Health investigated secondary and tertiary vaccinia contact transmission from a military vaccinee to 4 close contacts. Identification of these cases underscores the need for strict adherence to postvaccination infection control guidance to avoid transmission of the live virus.
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Young, G. E., Hidalgo, C. M., Sullivan-Frohm, A., Schulte, C., Davis, S., Kelly-Cirino, C., … Blog, D. (2011). Secondary and tertiary transmission of vaccinia virus from us military service member. Emerging Infectious Diseases, 17(4), 718–721. https://doi.org/10.3201/eid1704.101316