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tients, is probably less important for biological attack than for chemical attack. As described above, patients exposed to a true respirable aerosol may have little or no contamination externally. For most agents that are not highly infectious, simple surface decontamination of the face and nares may be sufficient. The second modification that should be considered is some sort of preparation for dealing with highly contagious or dangerous infectious patients. Fortunately, this might not be necessary for many of the agents that might be selected by the bioterrorist.

NOTES

1.  

Reprinted from Disease-a-Month, 48, Franz, D.R.; Zajtchuk, R.; Biological Terrorism: Understanding the Threat, Preparation, and Medical Response, 489–568, Copyright (2002) with permission from Elsevier.

2.  

U.S. Department of State. 1998. Report of the United States of America to the United Nations Department of Disarmament Affairs. Washington, D.C.: Department of State.

3.  

Trevan, T. 1999. Saddam’s secrets: The hunt for Iraq’s hidden weapons. London: Harper Collins.

4.  

Meselson, M., J. Guillemin, M. Hugh-Jones, et al. 1994. The Sverdlovsk anthrax outbreak of 1979. Science 266:1202–1208.



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