Informing the Future Critical Issues in Health: Second Edition (2003) / Chapter Skim
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Human Security and Bioterrorism
Human Security and Bioterrorism
Pages 101-112
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From page 101... ...
e Role of Science and Technology ill Countering Terrorism, 2002 Tire September 11, 2001 terrorist attacks on tire United States, along with the subsequent deliberate spread of potent forms of anthrax bacteria through tire U.S. mail, leave mol~itizecl diverse `,O O ,, O .~.nf~>h'l'7~ng sc'`~' merit local and national responses to prevent, detect, and defenc!
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From page 102... ...
identification of clinical and biological agents ilk else environment and ire clinical samples from victims; personal protective equipment; recognizing covert exposures of a population; masscasualty decontamination acid triage procedures; availability, safety, and efficacy of drugs, vaccines, and Artier therapeutics; prevention and treatment of psycl~ological effects, and computer related tools for training and operations. Following tire events of September 11, tire National Academies initiatec} a project drawing on the experience of more than 100 dist~nguisI~eci experts Fisons a variety of felcis to help tire federal government street the complex new challenges posed by terrorism.
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From page 103... ...
Ail fire departments have personnel who are trained and equipped to work with respirators ant] protective gear (as hazardous vapors are always a part of fires)
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From page 104... ...
Specific priorities fall into tiered areas: developing vaccines ant! therapeutics treat act against bioterrorist agents; implementing a r esearch agenda that reflects current and emerging unclerstanding of bioterrorism threats; anti strengthening tile public-l~ealti~ infiastructure in order to ensure effective response to an attack.
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From page 105... ...
provides a detailed guicle for assessing both tire level of preparedness of cities tight leave participated its tile program anal flow well its officials leave managed tile program. Among its proposed tools, tile r eport lists 23 essential capabilities that any community must leave its orcler to be able to respond effectively to the wicle variety of terrorism attacIcs float it may suffer; How well each city leas clevelopec!
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From page 106... ...
found that CDC bead provided a generally complete ant! appropriate response to tire charge frosts Congress but Protect treat aciclitional research needs had become evident following tire bioterrorist events of 2001 and made recommendations about else leadership of tire overall program.
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From page 107... ...
Discovery of this potential exposure led tire Department of Defense to undertake efforts to notify military personnel of potential exposure. An ul~con~it~g report will look at tire health effects of this potential exposure among deployed Army personnel.
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From page 108... ...
Workplace Preparedness ~ Recommendation 3-4: NIOSH, the Department of Labor, and the Department of Education should erasure appropriate g~ideli'~es to protect people in a variety of work environments including response sectors, food production and distribution, and schools Research Needs · Recommendation 3-5: Federal agencies should coordinate research agendas, cooperate in funding, and award timely and sufficient funding. Ensuring Preparedness Through a Comprehensive Public Health Strategy ~ Recommendation 4-1: DHHS and the Department of Homeland Security should analyze terrorism preparedness to ensure that the public health infrastructure is prepared to respond to the psychological consequences of terrorism.
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From page 109... ...
development efforts aimed at malting available a be odder ravage of ~neclical cou~tern~easures. In tire National Defense Authorization Act for Fiscal Year 2002, Congress directed flee Secretary of Defense to contract witty tire Institute of Medicine and flee National Research Couch for a study of tire review acid approval process for new medical countermeasures in order to identify flew approaches to accelerate titan process and to identify metI~ods for assuring that new countermeasures will be safe ant!
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From page 110... ...
intentional outbreaks is an integrated broadly cartable global public health ~~etworI<. The 2003 IOM report Microbial Threats to HenitI~: Emergence, Detection, amuck Response, higI~ligl~ted tl~e value of sucks an integrated public health network wick if implementer!
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From page 111... ...
se Globe! Emerging l'~fectio`~s Surveillance and Response System (2001 ~ co'~clucles that it is well organized and comprises an app'-op~-iate response to tire thereat posed to national security by emerging infectious diseases.
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From page 112... ...
DoD should also work toward arrangements with manufacturers that ensure consistent vaccine availability by acJdressing long term commitment, predictable volumes and prices, indemnification, and intellectual property issues; and should also seek a new approach to the regulation of certain special-use vaccines that remain in Investigational New Drug status at FDA (Protecting Our Forces: Improving Vaccine Acquisition anc! Availabi/ity in the U.S.
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