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Warning-sign checks

Smallpox: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Get urgent public health or emergency advice if:

    • A public health authority says you were exposed to smallpox
    • You handled possible variola virus material without proper protection
    • You develop fever or a widespread rash after a confirmed exposure
    • You develop a severe illness linked to a suspected or confirmed case

    Call emergency services for severe breathing difficulty, collapse, confusion, a seizure or difficulty waking.

    Mention any suspected smallpox exposure during the call.

    Do not use public transport or enter a crowded waiting room unless emergency staff direct you to do so.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Does any of this apply?

    Book an appointment

    Smallpox is not a routine explanation for fever or a rash.

    Chickenpox, shingles, mpox, hand-foot-and-mouth disease and medication reactions are far more likely.

    Seek routine medical advice if you have a new unexplained rash, particularly if it comes with fever or you feel unwell.

    Contact the service before attending if the rash is blistering or you may have an infectious illness.

    Explain the possible exposure clearly so staff can arrange safe assessment.

The article also says

Call before going to a healthcare setting.

Every sign above is quoted from the sofidex article on Smallpox. If you are not sure, err upward — it is always reasonable to be checked.