Resources for Bio-terrorism
1. The CDC hosts the official federal website for medical, laboratory and health professionals:
2. Recommendations from the CDC Strategic Planning Workshop entitled: Biological and Chemical Terrorism: Strategic Plan for Preparedness and Response have been published in MMWR Vol 49, No RR04;1 04/21/2000. The plan contains recommendations to reduce U.S. vulnerability to biological and chemical terrorism --- preparedness planning, detection and surveillance, laboratory analysis, emergency response, and communication systems. It can be found at the following website:
3. The Chemical Casualty Care Division of U.S. Army Medical Research Institute of Chemical Defense (USAMRICD) has prepared a Field Management of Chemical Casualties Handbook. The purpose of this handbook is to provide some answers and suggestions for providing health service support to chemical casualties. It is intended to provide concise, supplemental reading material for attendees of the Field Management of Chemical Casualties Course. This handbook can be found at the following website:
The following are additional resources that discuss the treatment of casualties of biological warfare:
4. CDC Facts about Anthrax, Botulism, Pneumonic Plague and Small Pox.
5. PubMed ID: 10050177 IDIS Article #419856
Anonymous: Drugs and vaccines against biological weapons. Med Lett Drugs Ther. 1999 Feb 12; 41(1046):15-6.
6. PubMed ID: 9244332 IDIS Article #389093
Franz DR, Jahrling PB, Friedlander AM, McClain DJ, Hoover DL, Bryne WR, Pavlin JA, Christopher GW, Eitzen EM Jr. Clinical recognition and management of patients exposed to biological warfare agents. JAMA 1997 Aug 6;278(5):399-411
Concern regarding the use of biological agents--bacteria, viruses, or toxins--as tools of warfare or terrorism has led to measures to deter their use or, failing that, to deal with the consequences. Unlike chemical agents, which typically lead to violent disease syndromes within minutes at the site of exposure, diseases resulting from biological agents have incubation periods of days. Therefore, rather than a paramedic, it will likely be a physician who is first faced with evidence of the results of a biological attack. We provide here a primer on 10 classic biological warfare agents to increase the likelihood of their being considered in a differential diagnosis. Although the resultant diseases are rarely seen in many countries today, accepted diagnostic and epidemiologic principles apply; if the cause is identified quickly, appropriate therapy can be initiated and the impact of a terrorist attack greatly reduced.
7. There are a lot of people who will try to use fear to initiate false attacks or hoaxes. The CDC has prepared a website to alert people about some of these false attacks.