smallpox

Smallpox

	Smallpox: What Every Clinician Should Know webcast (December 13, 2001), Centers for Disease Control and Prevention (CDC) and the School of Public Health at the University of North Carolina at Chapel Hill
	Smallpox Response webcast and slides (March 25, 2002), International Conference on Emerging Infectious Diseases (ICEID), National Center for Infectious Diseases (NCID), CDC
	Understanding the Threat of Bioterrorism webcast (February 16, 1999), Johns Hopkins Center for Civilian Biodefense Strategies, US Department of Health and Human Services, Infectious Diseases Society of America, and American Society for Microbiology
	Bioterrorism and Biodefense: Are We Ready? webcast (November 1, 2001), Alliance for Health Reform and the Forum on Technology and Innovation, Washington, DC
	Biowarfare Defense Vaccines webcast (October 23, 2001), House Committee on Government Reform, Subcommittee on National Security, Veteran Affairs, and International Relations
	Bioterrorism as a New Global Environmental Threat webcast (October 22, 2001), American Public Health Association (APHA)

Frequently Asked Questions
	What is smallpox?
	Does it occur naturally?
	Weren't the remaining stocks of the smallpox virus destroyed after smallpox was eradicated?
	Then why is smallpox being talked about now?
	Is smallpox fatal?
	How is smallpox spread?
	How fast does smallpox spread?
	Is smallpox contagious before the smallpox symptoms show?
	What are the symptoms of smallpox?
	Is there any treatment for smallpox?
	Will ciprofloxacin protect me against smallpox?
	What should be done if there is a smallpox outbreak?
	How many people would have to get smallpox before it is considered an outbreak?
	Is there a test to indicate if smallpox is in the environment like there is for anthrax?
	If smallpox is discovered or released in a building, or if a person develops symptoms in a building, how can that area be decontaminated?
	What should people do if they suspect a patient has smallpox or suspect that smallpox has been released in their area?
	What should be done to isolate someone with smallpox?
	How can we stop the spread of smallpox after someone comes down with it?
	Is a vaccine currently available?
	What should I know about smallpox?
	What is the smallpox vaccine made of?
	What is the difference between a "live vaccine" and a "killed vaccine"?
	Should I get vaccinated against smallpox?
	Should the smallpox vaccine be widely used to protect people?
	If I concerned about a smallpox attack, can I go to my doctor and request the smallpox vaccine?
	Are some people still receiving the smallpox vaccination today?
	Why are health responders being vaccinated against smallpox, but the general public is not?
	Is every American going to be vaccinated for smallpox?
	Many vaccinations are required. Why don't people get the smallpox vaccine?
	How safe is the smallpox vaccine?
	Is it possible for people to get smallpox from the vaccination?
	Is there a risk of accidental exposure to persons involved in the production of smallpox vaccine?
	What are the risks of the smallpox vaccines? Are there side effects?
	If someone is exposed to smallpox, is it too late to get a vaccination?
	If people got the vaccination in the past when it was used routinely, will they be immune?
	Is there a test to determine whether or not you have any protection from smallpox from vaccinations received years ago?
	If someone had smallpox once, are they immune? Would they need the vaccine?
	Is it possible for someone to receive the smallpox vaccine and have it not "take," i.e., work? How does someone who has been vaccinated for smallpox know that he or she is immune or that the vaccine has "taken"?
	How long does a smallpox vaccination last?
	How many people have not had the vaccination?
	Does the death rate differ for those who have been vaccinated from those who have not?
	What is the HHS/CDC smallpox plan? When will it be released? Does the plan address mass vaccination?
	If the decision is made that everyone needs to be vaccinated, how will this occur and who will pay for it?
	Are there plans to manufacture more vaccine in case of a bioterrorism attack using smallpox?
	When will additional smallpox vaccine be ready?
	Do other countries have smallpox vaccine stores?
	Are diluted doses of smallpox vaccine as effective?
	Would a more diluted smallpox vaccine be an effective booster shot?
	How soon will results be available for dilution studies on the smallpox vaccine?
	Are we expecting a smallpox attack?
	Is there an immediate smallpox threat?
	What can be done to protect people from smallpox?
	Fact Sheet on Smallpox, World Health Organization
	Smallpox: Bioterrorism agent fact sheet, Centers for the Study of Bioterrorism and Emerging Infections, St. Louis University School of Public Health
	Questions and Answers about Bioterrorism, Washington Post

Links for the General Public
	General Smallpox Information General audience information from the Centers for Disease Control and Prevention (CDC)
	Smallpox: Information for the General Public Additional information from the National Immunization Program of the Centers for Disease Control and Prevention (CDC)
	Draft Smallpox Vaccine Recommendations (June 2002) Advisory Committee on Immunization Practices (ACIP) recommendation to CDC and Department of Health and Human Services (DHHS)
	Smallpox: A Primer Introductory text by McEleney (October 2000) from the United States Air Force Counterproliferation Center
	Smallpox Summary Overview of the disease and surrounding issues from the Center for Disaster Preparedness and the Center for Outcomes and Effectiveness Research and Education at the University of Alabama at Birmingham
	The Demon in the Freezer Preston article for the layperson (July 12, 1999) from The New Yorker
	Smallpox: From Eradicated Disease to Bioterrorist Threat Bullet points on health and security topics from the Center for Nonproliferation Studies of the Monterey Institute of International Studies based upon Tucker's non-fiction book Scourge: The Once and Future Threat of Smallpox
	What is Smallpox? General information from the Mayo Clinic
	Dark Winter: A Bioterrorism Exercise Scroll towards the bottom of the website for information on a commonly-referenced fictional smallpox exercise occurring June 22-23, 2001, at Andrews Air Force Base and sponsored by the John Hopkins Center for Civilian Biodefense Strategies, the Center for Strategic and International Studies, the ANSER Institute for Homeland Security, and the Oklahoma City National Memorial Institute for the Prevention of Terrorism

Links for Lab and Health Professionals
	Detailed Smallpox Information Information directed at lab and health professionals from the CDC
	Diagnosis of Smallpox Slides from the World Health Organization (WHO)
	Draft Smallpox Vaccine Recommendations (June 2002) Advisory Committee on Immunization Practices (ACIP) recommendation to CDC and US Department of Health and Human Services (DHHS)
	Draft Annex of Biological Agents (August 2001) Scroll to p. 29-33 of the above-mentioned draft annex of Public Health Response to Biological and Chemical Weapons: WHO Guidance, 2^nd ed. by the WHO
	Smallpox and its Eradication Seminal work by Fenner, Henderson, Arita, Jezek, and Ladny (1988) from WHO
	Smallpox and Vaccinia Overview chapter by Henderson and Moss from Vaccines, 3^rded. (1999)
	Smallpox as a Biological Weapon: Medical and Public Health Management Working Group on Civilian Biodefense article (June 9, 1999) from the Journal of the American Medical Organization (JAMA)
	Smallpox and Smallpox Vaccination Topical issue (April 25, 2002) from the New England Journal of Medicine
	Biological Terrorism: Smallpox slides Comprehensive slides (August 20, 2001) from the Centers for the Study of Bioterrorism and Emerging Infections, St. Louis University School of Public Health
	Medical NBC Aspects of Smallpox slides Slides (September 13, 2000) from Medical NBC Online, associated with the US Army
	Smallpox Scroll to p. 51-55 for a brief overview for lab and health professionals from the Medical Management of Biological Casualties Handbook, 4^th ed. (February 2001) by the United States Army Medical Research Institute of Infectious Diseases (USAMRIID)
	Smallpox Chapter from the practical guide Textbook of Military Medicine: Medical Aspects of Chemical and Biological Warfare by the Chemical Casualty Care Division of the United States Army Medical Research Institute of Chemical Defense (USAMRICD)
	Smallpox Focus on pathology from the Armed Forces Institute of Pathology
	Smallpox Links to Powerpoint slides and diagnostic tools from the American College of Physicians and the American Society of Internal Medicine
	Bioterrorism: Smallpox Numerous links provided by the Center for Infectious Disease Research and Policy within the University of Minnesota
	Smallpox Continuing Education Unit 2 contact hours of Nursing CEU from Wild Iris Medical Education

Defense of Houston was made possible by the Disaster Relief and Emergency Services (DREAMS) program of the US Army based at the University of Texas Health Science Center at Houston and Texas A & M University (DoD grant no.DAMD17-98-1-8002). DREAMS physicians and scientists acknowledge with gratitude the vision, leadership, and advice of Senator Kay Bailey Hutchison, and Congressmen Tom DeLay, Ken Bentsen, Henry Bonilla, and Kevin Brady.