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<p><strong>You Are Here:</strong> <span class="crumb_link"><a href="/" class="crumb_link">AHRQ Archive Home</a> > <a href="/prep/" class="crumb_link">Public Health Preparedness Archive</a> > <a href="." class="crumb_link">Pediatric Terrorism and Disaster Preparedness</a> > Figure 4.8</span></p>
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<td height="30px"><span class="title"><a name="h1" id="h1"></a>Pediatric Terrorism and Disaster Preparedness </span></td>
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<td><div id="centerContent"><p><strong>Public Health Emergency Preparedness</strong></p> <div class="headnote">
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<p>This resource was part of AHRQ's Public Health Emergency Preparedness program, which was discontinued on June 30, 2011, in a realignment of Federal efforts.</p>
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<p>This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: <a href="https://info.ahrq.gov/">https://info.ahrq.gov</a>. Let us know the nature of the problem, the Web address of what you want, and your contact information. </p>
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<p>Please go to <a href="https://www.ahrq.gov/">www.ahrq.gov</a> for current information.</p></div>
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<h3>Figure 4.8a. Febrile Rash Illness Algorithm for Evaluating Patients Suspected of Having
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Smallpox</h3>
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<img src="pedfig4_8.gif" alt="Chart depicts algorithm. At the top of the chart, a large blue box is labeled 'Patient with Acute, Generalized Vesicular or Pustular Rash Illness'." />
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<h3>Figure 4.8b. Classification of Risk—Febrile Rash Illness Algorithm</h3>
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<p><strong> High Risk</strong> (All three major criteria)</p>
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<ul>
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<li>Febrile prodrome (1.4 days pre-rash, >101° F), <em>and</em></li>
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<li>Classic smallpox lesions, <em>and</em></li>
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<li>Same stage of development.</li>
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</ul>
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<p><strong>Moderate Risk</strong></p>
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<ul>
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<li>Febrile prodrome, <em>and</em></li>
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<li>1 other major <em>or</em> >4 minor criteria.</li>
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</ul>
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<p><strong>Low Risk</strong></p>
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<ul>
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<li>No fever <em>or</em></li>
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<li>Febrile prodrome and <4 minor criteria.</li>
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</ul>
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<p><strong><em>Minor Criteria</em></strong></p>
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<ul>
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<li>Greatest concentration of lesions on face and distal extremities.</li>
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<li>Lesions first appeared on oral mucosa/palate, face, forearms.</li>
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<li>Patient appears toxic or moribund.</li>
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<li>Lesions evolve slowly from macules to papules to pustules over days.</li>
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<li>Lesions on palms and soles.</li>
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</ul>
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<p class="size2"><strong>Source:</strong> Centers for Disease Control and Prevention. Emergency Preparedness and Response. Poster: Evaluating patients for smallpox.</p>
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<p class="size2"><strong>Note:</strong> Full protocol available at <a href="http://www.bt.cdc.gov/agent/smallpox/diagnosis/evalposter.asp">http://www.bt.cdc.gov/agent/smallpox/diagnosis/evalposter.asp</a>.</p>
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<p class="size2"><a href="pedchap4c.htm#Fig4.8">Return to Document</a></p>
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