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Table 3 Summary of parameters for 51 post-World War II Western European and North American smallpox outbreaks.

From: Transmission patterns of smallpox: systematic review of natural outbreaks in Europe and North America since World War II

 

Number of Outbreaks Identified

Median for Initial R

Median for Number of Generations

Median for Number of Total Cases

Median for Number of Deaths

Overall

51

2

1

4

1

Reporting Status

Incompletely reported

21

0

0

1

0

Reported in detail

30

2

2

13

2

Outbreak Setting

Community

11

1

1

2

1

Mixed

8

2

3

22

3

Hospital

11

12

2

20

4

Clinical Presentation of Index Case

Hemorrhagic

6

5

2

16.5

4

Atypical*

13

4

3

27

4

Typical

9

1

1

2

1

Index Case Identified as Smallpox

No

14

5

3

27.5

6

Yes

16

1

1

3

1

  1. * Atypical: index cases with a milder illness (usually seen with a previous vaccination for smallpox) or a rash not characteristic of smallpox.