Publications policy and guidance

If an outbreak of smallpox were to occur, several factors could contribute to a more rapid spread of smallpox than was routinely seen before this disease was eradicated. These factors include:

Because of these factors, a single case of smallpox would require an immediate and co-ordinated public health and medical response to contain the outbreak and prevent further infection of susceptible individuals.

Following wide discussion and comment, the Interim Guidelines for Smallpox Response and Management in the Post-Eradication Era (Smallpox Plan) published in December 2002 has been updated. For ease of navigation the plan has been split into two parts. Part One outlines the pre and post-event activities that need to be, or would be undertaken, in response to a smallpox emergency. Part Two (Appendices) provides guidance on the criteria for national, regional and local health professionals, agencies, and OGDs, to assist in implementation. The appendices will continue to be updated as experience and discussions proceed.

The Plan is however, operational and would be implemented should a smallpox emergency occur. Implementation of the plan is being co-ordinated by the Health Protection Agency (HPA) regional leads.

Alert level

Alert levels have been identified to assist planning according to the actions required. There are five levels in total: no credible threat, case outside the UK, case inside the UK, outbreak occurring in the UK, large multiple outbreak, Outbreak controlled, no further cases. We are currently at alert level 0. Smallpox remains eradicated. No credible threat of a smallpox release.