TY - JOUR AU1 - Koplan, Jeffrey P. AU2 - Foster, Stanley O. AB - THE JOURi'l:AL OF Ii'lFECTIOUS DISEASES. VOL. 140, :'\0. 3 • SEPTEMBER 1979 The last endemic case of smallpox occurred in Organization [5], have quite different case fatality Somalia in October 1977. However, laboratory­ rates: ordi nary-discrete, < 10%; ordinary-semi con­ associated cases of smallpox have not been elimi­ fluent, 25%-50%; ordinary-confluent, 50%-75%; nated. Laboratory-associated outbreaks of small­ flat, >9W!~; hemorrhagic, almost 100