Emergency Preparedness

Kern Medical Bioterrorism Response Guide Section 2-C-1 – Smallpox

Progressive vaccinia (vaccinianecrosum)

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? Severe generalized vaccinia if the patient is toxic or has serious underlying disease; and ? Inadvertent inoculation of the eye or eyelid without keratitis. ? VIG is not indicated for the treatment of post-vaccination encephalitis and is contraindicated for keratitis. Isolation Special isolation procedures should be initiated and maintained for any suspected or confirmed case of smallpox. In the community, exposed persons should be quarantined at home, when possible. A reasonable alternative following exposure would be to require exposed contacts to check their temperature daily. Any fever above 38 ? C (100.4 ? F) during the 17-day period would suggest infection. The contact should be isolated immediately, preferably at home, until smallpox is either confirmed or ruled out.

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