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The book was coordinated by Chantal Bismuth, Professor of Medicine who has acted as an advisor for the Minister of Health in France and is an international consultant in toxicology. Her co-editor, Patrick Barriot, is an anaesthetist with operational experience in the Paris Fire Brigade and the 11th division of Paratroops who is now responsible for the department of ‘Biological risks from new technologies’. The authors are representative of the doctors who would have to deal with the human casualties of warfare or a terrorist attack. They review all weapons of mass destruction, both chemical and biological, including the use of bacteria, anthrax and viruses such as variola and influenza. In each case, they describe the pathogenic agent, the human consequences, organizational aspects of care for the victims and best practice for treatment. As one author reports, “The infections caused by potential biological warfare agents are seldom taught in the course of medical studies and the majority of physicians never encounter these types of pathology in their daily professional practice. Since its eradication, people are not trained to recognize smallpox or to make the differential diagnosis between anthrax and bronchitis.” Other chapters cover the effects of nuclear weapons and radiation on humans as well as the features of Gulf War syndrome. An important chapter deals with the organization of medical responses to chemical or biological attack: “Planning, equipping, and training responder services are the best responses to the dispersion of chemical and biological agents.”
The book addresses all those involved in the security of the civilian population, the organization of rescue services and the treatment of victims.
Foreword (Pierre-Marie Gallois).
Preface (Chantal Bismuth).
About the Translator.
List of Contributors.
1. Ambiguous Concepts and porous borders (Patrick Barriot and Chantal Bismuth).
2. Introduction to Chemical Weapons (Patrick Barriot and Chantal Bismuth).
3. Chemical Weapons (Chantal Bismuth).
4. Chemical Terrorism and Cyanide (Arnaud Delahaye and Frédéric Baud).
5. Why Chemical Weapons were not Used During World War II and the use of Such Weapons by Terrorists (Robert L. Maynard and Timothy C. Marrs).
6. Toxins (Patrick Barriot).
7. Gulf War Syndrome (Chantal Bismuth and Andreas Schaper).
8. Organizational Aspects of the Management of Large Numbers of Victims During a Chemical or Biological Accident (David J. Baker Caroline Telion and Pierre Carli).
9. Hospital Management of Chemical Incident Victims (Frédéric Baud and Bruno Mégarbane).
10. Non-conventional Counter-Terrorism (Chantal Bismuth and Stephen W. Borron).
11. Introduction to Biological Weapons (Patrick Barriot and Chantal Bismuth).
12. Clinical Approach to Pathogenic Agents (Patrick Barriot).
13. Variola (smallpox) (Patrick Barriot).
14. Influenza and Pneumonitis (Patrick Barriot).
15. Anthrax (Patrick Barriot).
16. Biotechnologies: Protection or Threat (Patrick Barriot).
17. Nuclear and Radiological Weapons (Patrick Barriot).
18. The Effects of Nuclear and Radiological Weapons on Humans (Patrick Barriot).
19. Chinks in the Armor (Patrick Barriot and Chantal Bismuth).
Postscript (Vladimir Volkoff).
Appendix: Questions and Answers (Patrick Barriot).