Details - Public Health Image Library(PHIL)

ID#:

7729

Caption:

Photographed in 1975, during Bangladesh’s Smallpox Eradication Campaign, this girl who had received a prior vaccination, displayed what is referred to as a modified smallpox reaction. Modified means that the disease ran a more rapid clinical course, when compared to the evolution of ordinary-type, or unmodified smallpox. The rash evolved to crusting scabs in about 10 days, rather than the 14 days, or more, seen in ordinary smallpox. In addition, there are usually fewer lesions than with ordinary smallpox, and they may be atypical. There is also less of a fever during the rash phase. However, the prodrome, or symptoms that forewarn the onset of the frank disease, may be as severe as with ordinary smallpox. See PHIL 7739, for another view of this girl’s condition.