Chemical and Biological Terrorism: Research and Development to Improve Civilian Medical Response

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Overview

The threat of domestic terrorism today looms larger than ever. Bombings at the World Trade Center and Oklahoma City's Federal Building, as well as nerve gas attacks in Japan, have made it tragically obvious that American civilians must be ready for terrorist attacks. What do we need to know to help emergency and medical personnel prepare for these attacks? Chemical and Biological Terrorism identifies the R&D efforts needed to implement recommendations in key areas: pre-incident intelligence, detection and identification of chemical and biological agents, protective clothing and equipment, early recognition that a population has been covertly exposed to a pathogen, mass casualty decontamination and triage, use of vaccines and pharmaceuticals, and the psychological effects of terror. Specific objectives for computer software development are also identified. The book addresses the differences between a biological and chemical attack, the distinct challenges to the military and civilian medical communities, and other broader issues. This book will be of critical interest to anyone involved in civilian preparedness for terrorist attack: planners, administrators, responders, medical professionals, public health and emergency personnel, and technology designers and engineers.
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Editorial Reviews

Journal of the American Medical Association
In his preface to the report, committee chair Peter Rosen, MD (University of California, San Diego), writes that it was not the intention of the committee "to leave the readers...with feelings of hopelessness." They largely succeed in that effort, even as they remind us that it will be impossible to prevent "ALL mortality," no matter how much money we spend or how much technology we develop. The report lays out what we can do today and what we should try to do in the near future. It forces us to contemplate the unthinkable, plan for the possible, and hope for the best.
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Product Details

  • ISBN-13: 9780309061957
  • Publisher: National Academies Press
  • Publication date: 2/12/1999
  • Edition description: New Edition
  • Pages: 304
  • Product dimensions: 6.10 (w) x 9.00 (h) x 1.00 (d)

Table of Contents

Executive Summary 1
1 Introduction 15
2 Pre-Incident Communication and Intelligence: Linking the Intelligence and Medical Communities 29
3 Personal Protective Equipment 34
4 Detection and Measurement of Chemical Agents 43
5 Recognizing Covert Exposure in a Population 65
6 Detection and Measurement of Biological Agents 78
7 Patient Decontamination and Mass Triage 97
8 Availability, Safety, and Efficacy of Drugs and Other Therapies 110
9 Prevention, Assessment, and Treatment of Psychological Effects 165
10 Computer-Related Tools for Training and Operations 174
11 Conclusions and Recommendations 184
References 195
App. A Committee and Staff Biographies 215
App. B Inventory of Chemical and Biological Defense Technology, with Gap and Overlap Analysis 221
App. C Lethal and Incapacitating Chemical Weapons 260
App. D Centers for Disease Control and Prevention List of Restricted Agents 263
Index 265
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