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Interim Guidelines for Smallpox Response and Management in Scotland in the Post-Eradication era
Appendix 3: summary of Alert Levels and action required
Alert levels proceed in a stepwise fashion, except that level 0 may proceed directly to levels 1 or 2.
Alert Level | Circumstances | Vaccination strategy | Other Actions |
0 | Smallpox eradicated - no credible threat of a release | Small number of laboratory personnel in designated Scottish laboratory and UK Reference laboratories Regional Smallpox Diagnosis and Response Teams Network of ID physicians to act as Smallpox Diagnostic Experts
| Establish RSDRGs Establish and train RSDRTs and SDEs Distribute Diagnostic Algorithm to all clinicians Identify smallpox care centres Identify smallpox vaccination centres
|
1 | Heightened threat | | Increase number of RSDRTs and SDEs Inform all clinicians of the heightened threat and remind them of the features of smallpox and reporting systems Prepare smallpox care centres Prepare smallpox vaccination centres
|
2 | First case confirmed in UK | Vaccinate: Contacts of cases Larger number of laboratory personnel Additional Smallpox Diagnosis and Response Teams Additional Smallpox Diagnostic experts Identified healthcare and emergency Identified key workers
| Initiate Scottish and Regional Smallpox Outbreak Control Centres Activate smallpox care centres Activate smallpox vaccination centres Begin contact identification, tracing and monitoring Initiate enhanced surveillance
|
3 | Outbreak occurring in the UK | | Continue contact identification, tracing and monitoring Continue enhanced surveillance Review capacity and need for additional smallpox care and vaccination centres
|
4 | Large or multiple outbreak not controlled by ring vaccination | | |
5 | Outbreak controlled - no further cases occurring | | |
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