Yopaz said:
Actually, antivirals MIGHT be effective, but they don't know for sure.
Yes, that's what I said (or at least was trying to say). If the trends observed in the murine model in the study I linked accurately extrapolate to humans (which obviously is the hope), then cidofovir would provide effective treatment for smallpox. But hopefully we'll never know for sure.
It's hardly a cure once the disease has been allowed to present itself it's too late for a vaccine.
How do you define a 'cure' then? While you're right that post exposure vaccination doesn't help patient zero, it would certainly be advantageous to any number of people exposed to that patient during disease incubation.
Also how quickly do you think doctors are to recognize a disease that is extinct considering that there are several less dangerous diseases that present similar symptoms?
Depends on the circumstances. If there's been a containment breach at the CDC, or if one of the NIH/FDA workers exposed to those vials was taken ill, almost immediately. In some implausible bio-terrorism event? Probably longer.
By similar diseases to you mean other poxviruses? Which can successfully be treated with antivirals? So if the predictions are accurate, there's no problem, as the same drugs will prove effective against smallpox as well.
You also have to wait for the vaccine to be made, distributed and administered.
Only 2/3 there actually, apparently they have already stockpiled smallpox vaccine, so you'd only need to wait for distribution and administration, which wouldn't be slow once the pox was identified.
It's even a possibility that the classic vaccines aren't as useful now as they were before due to these changes. Making vaccines theoretically easy, but in the real world it is not.
Very unlikely, remember smallpox has been extinct in the wild for 35 years. The only surviving viral sample have been in storage since, so the virus hasn't been replicating and therefore hasn't had the opportunity to evolve the sort of changes you're talking about here. The smallpox virus couldn't evolve a way out of the vaccine during the 20 year eradication campaign, so I doubt it will have managed it subsequently, while in storage.
Ultimately, a smallpox outbreak wouldn't be pleasant, and people would almost certainly die. But it wouldn't be the apocalypse and the virus would be brought to heel again, after all, we've already done it once.