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NC Department of Health and Human Services
State Laboratory of Public Health
 N.C. Public Health Home
 
 

Bioterrorism - Agents of Concern

Poxvirus

Close-up of smallpox pustules found on the thigh of a patient during the sixth day of the rash. Smallpox EM
Biofurcated Needle

Refer to the guidance titled CDC "Evaluating Patients for Smallpox". If a specimen cannot be ruled out for smallpox or other poxviruses, or if there is a suspected adverse reaction to a smallpox vaccination, contact Epidemiology On Call at (919) 733-3419 for consultation. If testing is approved, contact the BTEP Unit Duty Phone 24/7 at (919) 807-8600.

CDC "Evaluating Patients for Smallpox"

Mpox

For Suspect Mpox Clade II, specimens may be sent to NCSLPH without approval from Epidemiology.

For Suspect Mpox Clade I, contact Epidemiology On Call at (919) 733-3419 for consultation.

Mpox Specimen Collection and Shipping Guidance


SLPH Bioterrorism Information


 

NCDHHS

Updated: August 5, 2026