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Issue Number 52             January 29, 1999

UNPROTECTED PEOPLE: stories of people who have suffered or died from vaccine-preventable diseases



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IAC EXPRESS received the following case report via e-mail from a Canadian physician describing the death of a 3-1/2-year-old boy from varicella encephalitis. At the time of his death, a vaccine against varicella was not yet available in Canada.

The physician's e-mail is reprinted as follows:

A 3-1/2-year-old boy developed chicken pox April 5, 1998. His 7-year-old brother had it at the same time. The younger child had a mild case with relatively few lesions.

Four days before admission the 3-1/2-year old became sleepy and developed a headache. Two days later he developed increasing lethargy, vomiting, drowsiness and disorientation. He was taken to our community hospital on April 11. He had a lowered level of consciousness, responding slightly to pain. The next morning he had shaking movements, probably due to acute herniation of the brain due to swelling. He became comatose, was transferred to a major medical center, and pronounced brain dead on April 13. Life support was discontinued, and he died. The autopsy confirms a diagnosis of varicella encephalitis.

At the time of his illness, varicella vaccine was not available in British Columbia.

A footnote: the mother of this child was devastated by his death.  She has refused to set foot in our hospital again because of the unbearable memories, and plans to deliver the child she is now carrying in another city.

Dr. Kirsten Emmott
Comox, British Columbia, Canada

About IZ Express

IZ Express is supported in part by Grant No. 1NH23IP922654 from CDC’s National Center for Immunization and Respiratory Diseases. Its contents are solely the responsibility of and do not necessarily represent the official views of CDC.

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Editorial Information

  • Editor-in-Chief
    Kelly L. Moore, MD, MPH
  • Managing Editor
    John D. Grabenstein, RPh, PhD
  • Associate Editor
    Sharon G. Humiston, MD, MPH
  • Writer/Publication Coordinator
    Taryn Chapman, MS
    Courtnay Londo, MA
  • Style and Copy Editor
    Marian Deegan, JD
  • Web Edition Managers
    Arkady Shakhnovich
    Jermaine Royes
  • Contributing Writer
    Laurel H. Wood, MPA
  • Technical Reviewer
    Kayla Ohlde

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