Biohazard warfare: Alibek, a Russian Scientist, says that there were twenty tons of liquid smallpox kept on hand at Soviet military bases; it was kept ready for loading on bio-warheads on missiles targeted on American cities. "They said our vaccines might not protect us," Malinoski says. "It suggested that they had developed viruses that were resistant to American vaccines."
IMMEDIATELY QUARANTINE / ISOLATE ALL INDIVIDUALS WHICH HAD CONTACT WITH THE PATIENT!
Smallpox was an infectious disease unique to humans, caused by either of two virus variants, Variola major and Variola minor. It is thought to have killed more people than any other infectious disease, including the Black Death of the Middle Ages. It is estimated that it killed 400 million people in just the 20th century. Extreme case of smallpox is called Black pox. The overall case-fatality rate for ordinary-type smallpox is about 30%. Death usually occurs between the tenth and sixteenth days of the illness.
Symptoms: Smallpox localized in small blood vessels of the skin and in the mouth and throat. The rash comes up all at once. In the skin it resulted in a characteristic maculopapular rash and, later, raised fluid-filled blisters. The initial or prodromal symptoms are similar to other viral diseases such as influenza and the common cold: fever of at least 38.5 °C (101 °F), muscle pain, malaise, headache, nausea and vomiting and backache often occur. The skin gives off gases. It's a sickly odor, like rotting flesh.
In a case of black pox, variola shocks the immune system so that it can't produce pus. Small blood vessels were leaking and breaking in his skin, and blood was seeping under the surface. His skin had developed large areas of continuous bruises. (purple spot) Fatal smallpox, Blackpox, can destroy the body's entire skin -- both the exterior and the interior skin that lines the passages of the body.
Transmission: Transmission occurs through inhalation of airborn variola virus, usually droplets expressed from the oral and nasal of an infected person, physical contact, and physical contact of bedding or clothing. Smallpox is highly contagious. It is most contagious during the first week of the infection. It may continue to be contagious until the scabs from the rash fall off. It tends to go around until it has infected nearly everyone.
A rising tide of smallpox typically comes in fourteen-day waves -- a wave of cases, a lull down to zero, and then a much bigger wave, another lull down to zero, then a huge and terrifying wave. The waves reflect the incubation periods, or generations, of the virus. Each wave or generation is anywhere from ten to twenty times as large as the last, so the virus grows exponentially and explosively, gathering strength like some kind of biological tsunami. This is because each infected person infects an average of ten to twenty more people. "The way air travel is now, about six weeks would be enough time to seed cases around the world. Dropping an atomic bomb could cause casualties in a specific area, but dropping smallpox could engulf the world."
Prevention: To control the spread of the virus, people who have been diagnosed with smallpox and everyone they have come into close contact with need to be quarantined and/or isolated immediately.
Smallpox vaccination within three days of exposure will prevent or significantly lessen the severity of smallpox symptoms in the vast majority of people. Most people today have no immunity to smallpox. The vaccine begins to wear off in many people after ten years. Humanity was largely immune to smallpox in the 1960s because of vaccinations but this is not the case today. NO ONE has be vaccinated since smallpox was declared eradicated in 1977 except for certain medical personnel and Military Troops. (2014-1977= 37 years) A single case of smallpox anywhere on earth would be a global medical emergency.
Those who recover from smallpox generally have lasting immunity against subsequent infection.
IMMEDIATELY QUARANTINE THE PATIENT!
Treatment of smallpox is primarily supportive, such as wound care and infection control, fluid therapy, possible ventilator assistance, and keeping the person from becoming dehydrated. Complications of smallpox arise most commonly in the respiratory system and range from simple bronchitis to fatal pneumonia. Antibiotics have no effect on a virus.
Care should be taken to sanitize all linen, work surfaces which have come into contact with the diseased. The room should be negative pressured, i.e., a fan blowing air out the window (exhaust fan) and not into the house. The care taker should wear rubber gloves and mask. The patient should also wear a mask and drink plenty of fluids. Care should be taken not to touch your face, mouth, nose, or eyes until you have been sanitized after caring for the patient. (See Sick Room Procedures)
Classic major (most prevalent type) kills one out of three people (33%) if they haven't been vaccinated or if they've lost their immunity. Classic minor kills about 35-70% and Black pox, thus far, is 100% fatal.