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disaster 5th 1108_5th ed 2011 - Homeland Security and Emergency ...

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firm <strong>and</strong> feels like there’s something hard inside - like a<br />

BB pellet) -- lasts about 5 days<br />

• Pustules become scabs - fever still high, next the pustules<br />

form a crust turning into scabs - lasts about 5 days -- about<br />

2 weeks after rash first appears most of the sores will be<br />

scabb<strong>ed</strong> over<br />

• Scabs fall off - takes about 6 days for all the scabs to fall<br />

off leaving a scar or dent in the skin where each scab was<br />

(most are gone about 3 weeks after early rash first<br />

appears). Person is no longer contagious when all scabs<br />

have fallen off.<br />

Treatment: There is no cure or treatment for smallpox. A vaccination within<br />

4 days of being expos<strong>ed</strong> could help stop disease but, if vaccinat<strong>ed</strong> years<br />

ago, it’s doubtful you’d be protect<strong>ed</strong> now. Many countries are stockpiling<br />

vaccine <strong>and</strong> considering vaccinations for all citizens, but many experts feel<br />

that may not be necessary yet. There are certain people who should not get<br />

the vaccine. If you do decide to take vaccination, consider boosting your<br />

immune system before getting shots -- may help your body fight any<br />

adverse reactions.<br />

If you have concerns or questions about smallpox, visit the CDC’s <strong>Emergency</strong><br />

Prepar<strong>ed</strong>ness & Response site at www.bt.cdc.gov/agent/smallpox or<br />

the Public Health Agency of Canada’s <strong>Emergency</strong> Prepar<strong>ed</strong>ness site at<br />

www.phac-aspc.gc.ca/ep-mu/smallpox-eng.php<br />

Tularemia - (also known as “rabbit fever”) is a disease caus<strong>ed</strong> by a strong<br />

bacterium, Francisella tularensis, found in wild animals <strong>and</strong> some insects<br />

(especially rabbits, hares, beavers <strong>and</strong> other rodents, mosquitoes, deerflies<br />

or ticks) <strong>and</strong> found in soil, water sources <strong>and</strong> vegetation in those critters’<br />

habitats. F. tularensis is one of the most infectious bacteria known <strong>and</strong> it<br />

doesn’t take much to cause the disease, plus it can remain alive for weeks<br />

in water <strong>and</strong> soil. Tularemia has been consider<strong>ed</strong> useful as an airborne<br />

weapon worldwide since the 1930s which is why there’s valid concern it<br />

could be us<strong>ed</strong> today in a terrorist attack.<br />

How it spreads: Tularemia is not known to spread person to person. Some<br />

wild animals carry the disease - usually because they were bitten by an<br />

infect<strong>ed</strong> bug or drank or ate from contaminat<strong>ed</strong> water or soil. Hunters <strong>and</strong><br />

people who spend a lot of time outdoors can get the disease from critters<br />

through a bite or h<strong>and</strong>ling a diseas<strong>ed</strong> carcass (skin), from eating an<br />

infect<strong>ed</strong> animal not properly cook<strong>ed</strong> or by drinking contaminat<strong>ed</strong> water<br />

(stomach), or from breathing in dust from contaminat<strong>ed</strong> soil (lungs).<br />

Signs & Symptoms: Depends on how person is expos<strong>ed</strong> to tularemia <strong>and</strong><br />

all symptoms may not occur -- all 3 usually appear in 3 to 5 days (or take<br />

100 www.itsa<strong>disaster</strong>.net or call 1-888-999-4325

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