Bioterrorism and Public Health (eMedguides Series): An Internet Resource Guide

Bioterrorism and Public Health (eMedguides Series): An Internet Resource Guide

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Overview

This unique reference directs readers to the most useful web sites on biological and chemical agents. It will help government officials, cl inicians, public health professionals, and consumers alike quickly zer o in on the best sources of accurate and reliable information. The gu ide covers a range of web sites that addresses the information needs o f many different groups. For example, clinicians are alerted to which sites provide guidelines on treatments and vaccinations. Federal, lo cal, and state officials involved in either preventing bioterrorism at tacks or responding to attacks will find a multitude of sites to aid i n policy development. In addition, Bioterrorism & Public Health provi des legislators, prosecutors, and attorneys the most useful sites for their work on legal issues surrounding bioterrorism. And mental healt h professionals will discover resources to aid them in their counselin g of patients with post-traumatic stress disorder. Save hours of time searching the Internet for reliable, accurate sources of information on biological and chemical warfare! Bioterrorism and Public Health: An Internet Resource Guide features reviews of hundreds of the most reliable sites. Distinguished bioterrorism preparedness experts John G. Bartlett, M.D., Chief of the Division of Infectious Diseases at The Johns Hopkins University School of Medicine, as well as Tara O'Toole, M.D., M.P.H. and Thomas V. Inglesby, M.D., of The Johns Hopkins Center for Civilian Biodefense Strategies have assessed these reviews to ensure that you are receiving the best guidance possible. A sample of the types of sites that are profiled: *General information on bioterrorism, agricultural biowarfare, chemical warfare, and waterborne biowarfare *Diseases-anthrax, botulism, plague, smallpox, Q fever, tularemia, viral hemorrhagic fever, brucellosis, and more *Topical search tools-CDC, AMA, MEDLINEplus, National Library of Medicine *Guidelines and consensus statements -AMA, U.S

Product Details

ISBN-13: 9781563634277
Publisher: Physicians Desk Reference Inc
Publication date: 02/28/2002
Series: eMedguides Series
Pages: 305
Product dimensions: 6.01(w) x 9.01(h) x 0.69(d)

Table of Contents

1. INTRODUCTION 1
2. GETTING ONLINE 3
3. THE SCIENCE OF BIOTERRORISM: HHS PREPAREDNESS
D.A. HENDERSON, M.D.
DIRECTOR, OFFICE OF PUBLIC HEALTH PREPAREDNESS,
DEPARTMENT OF HEALTH AND HUMAN SERVICES 9
Metropolitan Medical Response System 10
National Disaster Medical System (NDMS) 11
National Pharmaceutical Stockpile 11
CDC Surveillance and Prevention Efforts 13
CDC and ATSDR Remediation Support Activities 14
Food and Drug Administration 16
National Institutes of Health 17
Conclusion 19
4. FREQUENTLY ASKED QUESTIONS:
BIOTERRORISM CONCERNS AFTER SEPTEMBER 11
THE JOHNS HOPKINS CENTER
FOR CIVILIAN BIODEFENSE STRATEGIES 23
5. FUNDING FOR BIOTERRORISM
PREPAREDNESS AND RESPONSE
RESOLUTION, U.S. CONGRESS 27
6. BIOTERRORISM PUBLIC
HEALTH ADVISORIES & GUIDELINES
CENTERS FOR DISEASE CONTROL & PREVENTION (CDC) 31
6.1 FAQs About Anthrax 31
Definition 31
History 32
Signs and Symptoms 32
Exposure 34
Testing 37
Diagnosis 39
Preventive Therapy 41
Treatment 42
Vaccine 46
Reporting 47
Response 48
Laboratory Safety 51
Worker Safety 51
Sources 56
6.2 Biological and Chemical Terrorism:
Strategic Plan for Preparedness and Response 58
Recommendations of the
CDC Strategic Planning Workgroup 59
Introduction 59
U.S. Vulnerability to Biological and Chemical Terrorism 61
Overt Versus Covert Terrorist Attacks 61
Focusing Preparedness Activities 62
Key Focus Areas 64
Partnerships and Implementation 66
Recommendations 67
Conclusion 67
6.3 Children and Anthrax: A Fact Sheet for Clinicians 79
Vaccination 80
Prophylaxis 80
Drug Recommendations For Pediatric Anthrax Cases 81
6.4 Considerations for Distinguishing
Influenza-Like Illness from Inhalational Anthrax 84
Epidemiologic Considerations 84
Clinical Considerations 85
Testing 85
6.5 Epidemiology of Bioterrorism 89
Differential Diagnosis 89
Epidemiologic Approach 90
Epidemic Curve 90
Epidemiologic Clues 91
Recommendations for Preparedness 92
6.6 Health Advisory: How to Recognize
and Handle a Suspicious Package or Envelope 94
Identifying Suspicious Packages and Envelopes 94
6.7 Health Advisory: Recommendations for
Protecting Workers from Exposure to Bacillus
anthracis in Work Sites Where Mail is Handled or Processed 97
6.8 Health Advisory: Use of Ciproflaxin
or Doxycycline for Postexposure
Prophylaxis for Prevention of Inhalation Anthrax 102
6.9 Interim Guidelines for Investigation of
and Response to Bacillus anthracis Exposures 103
Environmental Sampling 103
Closing Facilities 104
Environmental Sampling 105
Nasal Swab Cultures 105
Antimicrobial Prophylaxis 106
Closing a Facility 107
6.10 Protecting Investigators Performing Environmental Sampling
for Bacillus anthracis: Personal Protective Equipment 108
6.11 Recognition of Illness Associated
with the Intentional Release of a Biologic Agent 111
Healthcare Providers 111
Clinical Laboratory Personnel 113
Infection-Control Professionals 114
State Health Departments 114
6.12 Updated Recommendations for
Antimicrobial Prophylaxis Among Asymptomatic
Pregnant Women After Exposure to Bacillus anthracis 117
6.13 Use of Onsite Technologies for
Rapidly Assessing Environmental Bacillus
anthracis Contamination on Surfaces in Buildings 119
6.14 Vaccinia (Smallpox) Vaccine
Recommendations of the Advisory
Committee on Immunization Practices (ACIP), 2001 121
Routine Nonemergency Vaccine Use 121
Routine Nonemergency Revaccination 122
Side Effects and Adverse Reactions 122
Treatment for Vaccinia Vaccine Complications 122
Other Treatment Options for
Vaccinia Vaccine Complications 123
Consultation Regarding
Complications of Vaccinia Vaccine 123
Major Reaction 125
Equivocal Reaction 126
Surveillance 127
Prerelease Vaccination 128
Postrelease Vaccination 128
Infection Control Measures 130
Vaccinia Immunoglobulin for Prophylaxis and Treatment
of Adverse Reactions During a Smallpox Emergency 132
7. NEWS, COMMUNICATIONS,
AND INTERNET RESEARCH 135
7.1 News Sources and Bulletins 135
7.2 Conferences and Symposia 142
7.3 Literature Searches and Online Libraries 144
7.4 Topical Search Tools 145
8. GENERAL RESOURCE SITES 147
8.1 Bioterrorism 147
8.2 Chemical Warfare 151
8.3 Weapons of Mass Destruction 152
8.4 Agricultural Biowarfare 153
8.5 Waterborne Biowarfare 155
9. PUBLIC POLICY, PREPAREDNESS, AND RESPONSE 157
9.1 Public Policy Guidelines, Conventions, and Analysis 157
9.2 Public Preparedness and Response 159
9.3 Legislation and Legal Issues 171
10. CLINICAL RESOURCES ON BIOTERRORISM 175
10.1 Guidelines and Consensus Statements 175
10.2 Diagnostics 179
10.3 Therapeutics 181
10.4 Immunization and Vaccines 183
11. HEALTH AND SAFETY GUIDELINES 185
12. DISEASES 189
12.1 General Resources 189
12.2 Anthrax 189
12.3 Botulism 194
12.4 Brucellosis 196
12.5 Plague 197
12.6 Q Fever 199
12.7 Smallpox 200
12.8 Tularemia 202
12.9 Viral Hemorrhagic Fever 203
13. HAZARDOUS MATERIALS 205
14. DETECTION 209
15. DECONTAMINATION 211
16. PSYCHOSOCIAL ISSUES 213
16.1 Guidelines and Resources 213
16.2 Post-Traumatic Stress Disorder 216
17. AGENCIES, ORGANIZATIONS, AND CENTERS 219
17.1 U.S. Government Agencies and Programs 219
17.2 U.S. Military Agencies and Programs 228
17.3 Associations 238
17.4 Research and Policy Centers 247
17.5 International Agencies 254
18. PUBLIC HEALTH RESOURCES ON THE INTERNET 257
18.1 General Resources 257
18.2 Journals 257
18.3 Hotlines and Alerting Services 261
18.4 Online Texts and Tutorials 263
18.5 Mailing Lists and Discussion Forums 267
18.6 Education and Training Resources 268
18.7 Reference Resources 274
18.8 Regional Resources 277
19. GLOSSARIES 281
20. WEB SITE AND TOPICAL INDEX 283

What People are Saying About This

Jonathan E. Fielding

This very timely guide contains authoritative information culled from CDC Advisories and Guidelines as well as the most common questions and answers on all aspects of bioterrorism from agents to development of response plans. Even more valuable for many public health practitioners is the extensive, well-organized listings and succinct informative descriptions of a wide range of Web-based resources on both biological and chemical terrorism. For public health practitioners at all levels, here is quick, reliable access to the right information for our rapidly evolving needs.
— Jonathan E. Fielding, MD, MPH, Director of Public Health and Health Officer, Los Angeles Department of Health Services, Professor of Public Health and Pediatrics UCLA School of Public Health and Medicine

Christopher P. Holstege

The concept behind this book is unique. Chapter three provided a concise resource describing the various governmental programs involved with terrorism response, especially in regards to the history and purpose of each. The complete listing of websites pertaining to potential terrorist agents is impressive. My staff and I have frequented many of these sites since reviewing your book.

I certainly endorse this book as a useful, rapid reference guide.
— Christopher P. Holstege, M.D., Medical Director, Division of Medical Toxicology, Department of Emergency Medicine University of Virginia

Introduction

The sudden appearance of cases of both cutaneous and inhalational anthrax following the terrorist attacks on the World Trade Center and the Pentagon on September 11, 2001 raised for the first time the very real and frightening specter of bioterrorism on U.S. soil. Although investigators have not found any connection between the September 11 terrorists and the anthrax-laced letters, there is no question that certain individuals, whether domestic or foreign, intentionally sought to spread the deadly anthrax bacteria through the mail.

Agencies of the federal government, including the FBI and the Centers for Disease Control and Prevention, immediately moved into high gear to identify the source and potential impact of anthrax on the population at large. Little historic and epidemiologic experience existed regarding anthrax as a biological weapon, other than simulated studies and laboratory research at secret military installations in the U.S., Russia, and certain other countries, both friendly and hostile. Biological and chemical weapons of mass destruction have been on the drawing boards for many years, even in the U.S., while international commissions have sought to outlaw their existence. What the public has not been prepared for is the actual deployment of these weapons in the U.S., and the corresponding public health, social, and psychological impact of these weapons.

The purpose of this book is to bring together the extensive resources that now exist, both organizational and informational, in the bioterrorism and public health arenas. The unique focus of this book is its directory section of more than 500 Web sites covering government agencies, organizations, research centers, and clinical and public health information sources. Enhancing this content is material from the new federal Office of Public Health Preparedness, the Centers for Disease Control and Prevention, and the Johns Hopkins Center for Civilian Biodefense Studies.

We hope our readers will find this compilation useful from several points of view. General information is available on bioterrorism, including biological, chemical, agricultural, and waterborne biowarfare. Readers will also find Web sites posting the latest news and developments, along with online newsletters from federal and public health agencies related to bioterrorism and homeland security. Policymakers will find resources on public policy guidelines, conventions, analysis, and legislation, while emergency response professionals will find sections on public preparedness and response, hazardous materials, and decontamination.

Information on specific infectious diseases associated with bioterrorism will be of interest to clinicians and epidemiologists, accompanied by disease management guidelines and consensus statements. A section specific to mental health is also included. Consumer-oriented information includes guidelines for personal health and safety and disaster readiness, as well as listings of hotlines, mailing lists, and alerting services.

Finally, public health professionals will find a variety of resources covering educational opportunities, implementation of public health response plans, and conferences and symposia. Overall, we believe that this guidebook will be a useful resource for many different audiences, and that it will serve as an educational guide for the American public as we face these new challenges as a nation.
—Daniel R. Goldenson, Publisher

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