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Pugno PA, McPherson DS, Schmittling GT, Kahn NB Jr. Results of the 2001 National Resident Matching Program: family practice.

18, 22 In a mass immunization campaign with a target coverage of 75, 25-fold more of the population would be vaccinated; this would increase the risk for exposure among high-risk unvaccinated individuals. Although the 1968 study reports cases of indirect adverse events, including 61 patients with eczema vaccinatum, of whom 1 died, no appropriate denominator is available to allow us to determine the risk for an indirect adverse event. 18 We are unaware of any data that would permit us to predict the risk for developing an indirect adverse event after exposure. However, without careful screening to minimize close contact with recent vaccine recipients, all individuals who have eczema or who are immunocompromised may be at risk for indirect adverse events. This highlights the importance of careful prevaccination screening efforts in a mass vaccination campaign. Our calculations evaluate only one-time vaccination.

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