RE: HISTONETTERS PLEASE READ!!! RE: Smallpox protocols

From:"Smith, Allen"

If smallpox rears its unlovely head again, there will probably be a period
where old fossils who have been vaccinated (4 times in my case!) should do
all the handling of fresh tissues until the youngsters can be vaccinated.  
Does anyone know if formalin inactivates pox virus?  I'm sure the old
mercuric chloride fixatives do.

Allen A. Smith, Ph.D.
Barry University
School of Graduate Medical Sciences
    Podiatric Medicine and Surgery
Miami Shores, Florida  33161-6695 

-----Original Message-----
From: Melissa Jensen []
Sent: Saturday, January 11, 2003 7:46 PM
Subject: Re: HISTONETTERS PLEASE READ!!! RE: Smallpox protocols

Oh yes Vinnie.
----- Original Message -----
From: "Vinnie Della Speranza" 
To: ; ;

Sent: Friday, January 10, 2003 10:26 AM
Subject: HISTONETTERS PLEASE READ!!! RE: Smallpox protocols

> I hear you Tim but I have a concern and would appreciate your opinion
> about this. it is my understanding from what I've read that patients in
> the prodromal period, which can last 2-4 days and precedes appearance of
> a rash, can sometimes be infectious. we do forensic cases here. I can
> envision an individual who thinks he has the flu heading off to the
> local Eckerd's for over the coutner medication and is killed in a fatal
> car wreck. He ends up on my autopsy table as an MVA victim.
> I don't believe this scenario is outside the realm of possibilities.
> not wishing to cause anyone anxiety by bringing this up. I'm being told
> that mortuary and autopsy personnel are not among those to be
> vaccinated, at least initially, here. This may be based upon the belief
> that the Feds will assume responsibility in the event of a smallpox
> outbreak. I wonder if anyone has considered the scenario I've mentioned
> Vinnie Della Speranza
> Manager for Anatomic Pathology Services
> Medical University of South Carolina
> 165 Ashley Avenue  Suite 309
> Charleston, SC 29425
> Ph: 843-792-6353
> fax: 843-792-8974
> >>> "Morken, Tim"  01/10/03 08:31AM >>>
> Jude, and everyone else for that matter, PLEASE go to this website. It
> has a
> lot of info, including lab specimen collection. And PLEASE DO NOT EVEN
> OF DOING FROZEN SECTIONS ON SMALLPOX!!! Frozens, or even an autopsy
> would
> have to be done in an air-isolatin room - which you most likely do not
> have.
> You would also need to wear isolation suits to do frozens. Even
> specimen
> collection is done in isolation with extreme precautions.
> On this website look for "Laboratory Testing", then go to Specimen
> Collection Guidelines, Guide-D, and also read the entire "Smallpox
> Response
> Plan & Guidelines"
> Tim Morken EMT(MSA), HTL(ASCP)
> Centers for Disease Control and Prevention
> Infectious Disease Pathology
> MS-G32
> 1600 Clifton Road
> Atlanta, GA 30333
> PH 404-639-3964
> FAX 404-639-3043
> email
> -----Original Message-----
> From: Carpenter, Judith A. []
> Sent: Friday, January 10, 2003 7:29 AM
> To: 'NSH'
> Subject: Smallpox protocols
> Does anyone have an established or proposed protocol for how
> they will deal with tissues from a "suspicious case" in which the
> clinician might suspect smallpox and who at their facility will be
> vaccinated up front ?
> Our facility is working on a Bioterrorism matrix determining who needs
> up
> front
> vaccinations should a smallpox threat present itself anywhere in
> the world including the USA (our Level one).  We will be given limited
> vaccine initially.
> The plan goes from Level one ("Convincing Threat" up to Level six where
> we
> have multiple
> cases at our facility.
> We must determine who would get the limited number of vaccinations at
> Level
> one
> (once we go beyond that the state will institute their plan).
> We have chosen autopsy personnel and a few individuals in the Surgical
> Dissection area
> who might do frozen sections on suspicious cases.
> Of course anytime a case is confirmed small pox we will cease to do
> frozens
> on any
> suspicious cases and will not autopsy deceased small pox victims.
> I was asked to throw this question out to you folks to see if anyone
> else
> has a protocol
> we may learn from.
> Appreciate your help and Happy Friday-
> Jude
> Jude Carpenter, BS, HTL(ASCP)
> Chief Technologist
> FAHC Histopathology
> 111 Colchester Ave.
> Burlington, VT  05401
> (802)847-5116
> FAX(802)847-3509

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