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Published on: March 6, 2019
Smallpox
Zack S Moore1, Jane F Seward, J Michael Lane
1Division of Pediatric Infectious Diseases, Emory University School of Medicine, 2015 Uppergate Drive NE, Atlanta, GA 30322, USA. zack_moore@oz.ped.emory.edu
Abstract:
The WHO declared smallpox eradicated in 1980. However, concern over its potential use by terrorists or in biowarfare has led to striking growth in research related to this much-feared disease. Modern molecular techniques and new animal models are advancing our understanding of smallpox and its interaction with the host immune system. Rapid progress is likewise being made in smallpox laboratory diagnostics, smallpox vaccines, and antiviral medications. WHO and several nations are developing stockpiles of smallpox vaccine for use in the event the disease is reintroduced. National and international public-health agencies have also drawn up plans to help with early detection of and response to a smallpox outbreak. These plans hinge on physicians' ability to recognise the clinical features of smallpox and to distinguish it from other illnesses characterised by rashes.
Insights
Smallpox, though eradicated, is seeing renewed research due to biowarfare concerns. Advances in diagnostics, vaccines, and antivirals are key to preparedness against potential reintroduction.
Area of Science:
- Infectious Diseases
- Immunology
- Public Health
Background:
- Smallpox was declared eradicated by the World Health Organization (WHO) in 1980.
- Concerns regarding bioterrorism and biowarfare have spurred significant research into smallpox.
- Existing knowledge gaps necessitate continued investigation into smallpox pathogenesis and host immune responses.
Purpose of the Study:
- To review recent advancements in smallpox research, including diagnostics, vaccines, and therapeutics.
- To highlight the ongoing efforts in preparedness and response strategies for potential smallpox reintroduction.
- To emphasize the importance of clinical recognition of smallpox in public health surveillance.
Main Methods:
- Review of modern molecular techniques applied to smallpox research.
- Analysis of new animal models for studying smallpox and immune interactions.
- Assessment of progress in laboratory diagnostics, vaccine development, and antiviral medications.
Main Results:
- Significant progress has been made in understanding smallpox-host immune interactions.
- Development of advanced laboratory diagnostics and novel smallpox vaccines is underway.
- Antiviral medications are being advanced for potential therapeutic use.
Conclusions:
- Despite eradication, preparedness for smallpox reintroduction is crucial.
- International and national health agencies are developing response plans and vaccine stockpiles.
- Physician awareness of smallpox clinical features is vital for early detection and response.
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