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Smallpox was an infectious disease caused by either of two virus variants, ''Variola major'' and ''Variola minor''. The disease is also known by the Latin names ''Variola'' or ''Variola vera'', derived from ''varius'' ("spotted") or ''varus'' ("pimple"). The disease was originally known in English as the "pox"〔 or "red plague";〔La Belle Compagnie. "(Medieval Diseases )". Accessed 28 Jan 2013.〕 the term "smallpox" was first used in Britain in the 15th century to distinguish variola from the "great pox" (syphilis). The last naturally occurring case of smallpox (''Variola minor'') was diagnosed on 26 October 1977. Infection with smallpox is focused in small blood vessels of the skin and in the mouth and throat before disseminating. In the skin it results in a characteristic maculopapular rash and, later, raised fluid-filled blisters. ''V. major'' produced a more serious disease and had an overall mortality rate of 30–35 percent. ''V. minor'' caused a milder form of disease (also known as alastrim, cottonpox, milkpox, whitepox, and Cuban itch) which killed about 1 percent of its victims.〔 Long-term complications of ''V. major'' infection included characteristic scars, commonly on the face, which occur in 65–85 percent of survivors. Blindness resulting from corneal ulceration and scarring, and limb deformities due to arthritis and osteomyelitis were less common complications, seen in about 2–5 percent of cases. Smallpox is believed to have emerged in human populations about 10,000 BC.〔 The earliest physical evidence of it is probably the pustular rash on the mummified body of Pharaoh Ramses V of Egypt. The disease killed an estimated 400,000 Europeans annually during the closing years of the 18th century (including five reigning monarchs),〔J. N. Hays (2005). "''(Epidemics and pandemics: their impacts on human history )''". ABC-CLIO. p.151. ISBN 1-85109-658-2〕 and was responsible for a third of all blindness.〔〔"(Smallpox and Vaccinia )". ''National Center for Biotechnology Information.''〕 Of all those infected, 20–60 percent—and over 80 percent of infected children—died from the disease. Smallpox was responsible for an estimated 300–500 million deaths during the 20th century.〔(【引用サイトリンク】title=UC Davis Magazine, Summer 2006: Epidemics on the Horizon )〕〔(How Poxviruses Such As Smallpox Evade The Immune System ), ScienceDaily, February 1, 2008〕 As recently as 1967, the World Health Organization (WHO) estimated that 15 million people contracted the disease and that two million died in that year.〔 After vaccination campaigns throughout the 19th and 20th centuries, the WHO certified the global eradication of smallpox in 1979.〔 Smallpox is one of two infectious diseases to have been eradicated, the other being rinderpest, which was declared eradicated in 2011. == Classification == There were two clinical forms of smallpox. Variola major was the severe and most common form, with a more extensive rash and higher fever. Variola minor was a less common presentation, and a much less severe disease, with historical death rates of 1 percent or less.〔(【引用サイトリンク】title=CDC Smallpox )〕 Subclinical (asymptomatic) infections with variola virus were noted but were not common.〔 In addition, a form called ''variola sine eruptione'' (smallpox without rash) was seen generally in vaccinated persons. This form was marked by a fever that occurred after the usual incubation period and could be confirmed only by antibody studies or, rarely, by virus isolation.〔 抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』 ■ウィキペディアで「smallpox」の詳細全文を読む スポンサード リンク
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