Login | Register | Forgot your password? | Contact | Español |
Email: Password:

Medwave se preocupa por su privacidad y la seguridad de sus datos personales.
Para poder enviarle a su dirección de correo electrónico su contraseña, es necesario que ingrese su e-mail.


Letters to the editor
Medwave 2014 Oct;14(9):e6025 doi: 10.5867/medwave.2014.09.6025
Visible vaccination scars
Juan Enrique Berner, Pedro Vidal
References | Download PDF |
To Download PDF must login.
Print | A(+) A(-) | Easy read

Since Edward Jenner introduced Vaccinology in the late eighteenth century, vaccines have saved millions of lives around the world. As an example, smallpox—responsible for 8 to 20% of mortality in Europe—was eradicated decades ago, and polio is not far from the same fate. Moreover, there are vaccines available for prevention of 24 other communicable infectious diseases. This is a key factor in the increased life expectancy witnessed in the last hundred years [2].

Chile has led the region in immunization programs. The smallpox vaccine was introduced in 1887, and by 1950, the disease had disappeared in the country. In 1949, tuberculosis (Bacillus Calmette-Guerin) BCG vaccination was introduced, giving way to a free universal vaccination program that covered each and every Chilean child with BCG, MMR (measles, mumps, and rubella), and DPT (diphtheria, pertussis, and tetanus) vaccines.

Thanks to this program, Chile was the third country able to eradicate polio in 1976, and to achieve the goal of controlling measles and rubella before the end of the century [3].

It is beyond discussion that immunization programs have been of paramount importance in Chile´s outstanding child mortality rates. Chileans carry on their upper arms multiple vaccination scars. However, some scars, can become hypertrophic or even become keloids [4]. There are also reports of shoulder joint damage following vaccination [5].

The choice of the upper arm or shoulder area as a vaccination site was probably due to ease of access. However, concern about scarring in exposed body areas may be a cause for a change of vaccination site and the choice of an easier-to-conceal place. The buttocks seem a more reasonable site.

We believe that a change in the traditional site of immunization would benefit a large number of patients who one day may appreciate not having visible vaccination scars.

Notes

Conflicts of interest
The authors have completed the ICMJE uniform disclosure form, translated into Spanish by Medwave (available on request from the corresponding author), and declare not having conflicts of interest with the subject of the letter.

Licencia Creative Commons Esta obra de Medwave está bajo una licencia Creative Commons Atribución-NoComercial 3.0 Unported. Esta licencia permite el uso, distribución y reproducción del artículo en cualquier medio, siempre y cuando se otorgue el crédito correspondiente al autor del artículo y al medio en que se publica, en este caso, Medwave.

 

Authors: Juan Enrique Berner[1], Pedro Vidal[1,2]

Affiliation:
[1] Hospital Clínico Fuerza Aérea de Chile "Gral. Dr. Raúl Yazigi J.", Santiago, Chile
[2] Departamento de Cirugía Plástica, Escuela de Medicina, Pontificia Universidad Católica de Chile

Citation: Berner JE, Vidal . . Medwave 2014 Oct;14(9):e6025 doi: 10.5867/medwave.2014.09.6025

Submission date: 10/10/2014

Acceptance date: 15/10/2014

Publication date: 17/10/2014

PubMed record

Comments (0)

We are pleased to have your comment on one of our articles. Your comment will be published as soon as it is posted. However, Medwave reserves the right to remove it later if the editors consider your comment to be: offensive in some sense, irrelevant, trivial, contains grammatical mistakes, contains political harangues, appears to be advertising, contains data from a particular person or suggests the need for changes in practice in terms of diagnostic, preventive or therapeutic interventions, if that evidence has not previously been published in a peer-reviewed journal.

No comments on this article.


To comment please log in

Medwave provides HTML and PDF download counts as well as other harvested interaction metrics.

There may be a 48-hour delay for most recent metrics to be posted.

  1. André FE. Vaccinology: past achievements, present roadblocks and future promises. Vaccine. 2003 Jan 30;21(7-8):593-5. | CrossRef | PubMed |
  2. Artenstein AW, Poland GA. Vaccine history: the past as prelude to the future. Vaccine. 2012 Aug 3;30(36):5299-301. | CrossRef | PubMed |
  3. Valenzuela B. MT. Desarrollo y futuro del Programa Ampliado de Inmunizaciones en Chile. Rev Chil Infectol. 2001;18(1):31–6. | CrossRef |
  4. Coop CA, Schaefer SM, England RW. Extensive keloid formation and progression after each vaccination. Hum Vaccin. 2007 Jul-Aug;3(4):127-9. | PubMed |
  5. Bodor M, Montalvo E. Vaccination-related shoulder dysfunction. Vaccine. 2007 Jan 8;25(4):585-7. | CrossRef | PubMed |
André FE. Vaccinology: past achievements, present roadblocks and future promises. Vaccine. 2003 Jan 30;21(7-8):593-5. | CrossRef | PubMed |

Artenstein AW, Poland GA. Vaccine history: the past as prelude to the future. Vaccine. 2012 Aug 3;30(36):5299-301. | CrossRef | PubMed |

Valenzuela B. MT. Desarrollo y futuro del Programa Ampliado de Inmunizaciones en Chile. Rev Chil Infectol. 2001;18(1):31–6. | CrossRef |

Coop CA, Schaefer SM, England RW. Extensive keloid formation and progression after each vaccination. Hum Vaccin. 2007 Jul-Aug;3(4):127-9. | PubMed |

Bodor M, Montalvo E. Vaccination-related shoulder dysfunction. Vaccine. 2007 Jan 8;25(4):585-7. | CrossRef | PubMed |