CDC Guidance for Post-Event Smallpox Planning

Posted January 23, 2012 by Johnny2x in Science

I’m not sure what got me thinking about this subject but here is the CDC guidelines for a smallpox outbreak.

I was looking for a featured image to go with this article, I googled smallpox images…DON’T EVER DO THIS! Nightmares for weeks now. I will spare you the images but they are truly horrible.

HYR is here to save your life! and post funny videos too but your life!

This is a case where really life can be much more terrifying then the movies.

CDC Guidance for Post-Event Smallpox Planning

Described below are the likely stages of a smallpox outbreak and the critical responses required by state and local public health agencies. This information is intended as a context to aid state and local planners in developing a post-event smallpox plan. The activities listed may occur in the context of many other activities in collaboration with a wide range of federal, state, and local agencies, organizations, elected officials. In some circumstances smallpox outbreak response activities may be placed under decision making structures outside of normal public health authorities, including the lines of command and control specified by the National Response Framework, if it is activated. Planners should review the of the National Response Framework, Emergency Support Function 8 (ESF-8) and its state and local equivalents to understand how responsibilities will be divided between public health and emergency management agencies if a significant public health threat occurs.

1. Isolation, and treatment of cases – Suspected and confirmed cases will need to be quickly moved to facilities that provide appropriate health care and isolation to prevent additional spread of smallpox.

2. Diagnosis – Rapid preliminary diagnosis can be based on clinical characteristics of the illness with sequential laboratory confirmation at state (Laboratory Response Network (LRN)) laboratories and confirmation of the diagnosis at CDC.

3. Vaccination of public health and healthcare response personnel and first responders in affected communities – A large number of public health personnel, e.g., public health and law enforcement personnel and first responders, will be needed to control the outbreak, and healthcare workers will be needed to diagnose, manage, and treat cases are likely to be exposed to smallpox cases as part of their work responsibilities. These individuals must be vaccinated as soon as possible after the first case is confirmed. For additional information on prioritization of health care workers for vaccination, see ACIP Smallpox Vaccination Recommendations, October 21, 2002.

4. Surveillance for new cases – It will be important to quickly and efficiently diagnose new cases to ensure that the ring vaccination program (below) will quickly control the outbreak.

5. Containment Activities that would include:

a. Contact and contact of contact tracing – Identification of contacts of smallpox cases (contact with cases beginning with the initial symptoms (fever)) and household contacts of these contacts will need to be identified, vaccinated and isolated if they develop illness. Contacts of cases should be vaccinated as soon as possible to maximize the effectiveness of post exposure vaccination and minimize the number of new cases. (With a highly suspicious clinical case of smallpox this can be done while diagnostic confirmation is being done). It will also be important to track patient movement (where they have been) after onset of symptoms and identify all possible contacts of the case.

b. Vaccination and monitoring of contacts – Post exposure vaccination may prevent or ameliorate disease and vaccination may protect from additional exposures from other contacts that develop smallpox. Contacts are monitored for illness to ensure that they can be isolated to prevent transmission to others and given appropriate medical care, if they develop smallpox.

c. Community vaccination – It may be necessary to vaccinate all persons in exposed communities in addition to contacts and household contacts of contacts.

6. Epidemiologic investigation – Any potential linkages between the patients (review travel history for 2-3 weeks prior to symptom onset) must be identified to determine if there is a common source for exposure and to determine if any additional persons may have been exposed to the initial source (so they can be traced and evaluated for illness or watched for illness onset). If that person is ill, isolate and vaccinate their contacts in the manner described above to ensure that all who need to be included in the ring vaccination program are included.

7. Large Scale vaccination – A decision may be made by public health officials and/or political leaders to offer vaccine to all persons within the city, county or state. Although smallpox vaccine is not currently licensed, plans should be developed with the assumption that the vaccine will have been licensed by the time a smallpox event occurs or that emergency provisions will be enacted so that smallpox vaccine can be administered without adherence to an investigational new drug protocol.

8. Information Management – Detailed information will be needed on an ongoing, real-time basis to inform policy makers, health officials, clinic managers, and the public about the status of smallpox response activities. Data must be analyzed and shared continuously to enable managers at all levels to identify and resolve problems, evaluate progress toward program objectives and redirect the activities, as necessary.

9. Communications – To address public questions, minimize false rumors and misinformation, and reassure the public that the public health system is responding effectively, it is imperative that public health officials acknowledge the seriousness of a smallpox outbreak and provide accurate, timely information to the public through the media.

The rest of the guidelines found here

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About the Author


John created the just because he cares about each and everyone of you. He likes science, technology, movies, and music. He also likes long walks in the park but only at night and in most dangerous park he can find AND he discovered the internet while playing in his back yard as a child. Some of this is true and some of it is not.


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