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Any infectious agents or toxic chemical could in theory be engineered for deliberate use as a weapon. Experts in this field believe that anthrax, botulism, plague, tularemia, and smallpox are the pathogens most likely to be used. It is suspected that weaponized smallpox already exists, and with advances in knowledge about the disease it is suspected it may be simple to alter the virus code in such a way that the disease, if used strategically, would blow past present vaccinations. In most cases there will not be advance warning of a biological attack, so the first indications will in most cases be the patients you see in doctor's offices, public or school health settings, or in your local emergency room.  For this reason nurses, physicians, paramedics and emt's need to become extremely familiar with all aspects of medical management of chemical or biological casualties. 

 

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Interesting Articles:

  • Preparing for the Mahdi - Recently, the leaders of six nations, including the United States and Great Britain , met to discuss Iran ’s restarting its nuclear research program. To quote Secretary of State Condoleezza Rice , Iran ’s actions “crossed the threshold....”

  • Yes, This Is About Islam - "This isn't about Islam." The world's leaders have been repeating this mantra for weeks, partly in the virtuous hope of deterring reprisal attacks on innocent Muslims living in the West, partly because if the United States is to maintain its coalition against terror it can't afford to suggest that Islam and terrorism are in any way related...

  • Islam: A False Religion - The biggest scam in Islam, especially Shi’a Islam is perhaps the notion of “Taqqiyeh”, an immoral tactic to lie for a good cause and later retract your words. (The belief that the end justifies the means) Islam is all about schemes, war and violence...

  • Photo Gallery - Learn about the true nature of Islam and the threat to all non-Islamic nations from this photo gallery. After reading some of the above articles plus reviewing this photo gallery nurses will have a much clearer understanding of the need to study all they can about the medical management of nuclear, chemical, and biological casualties.

Selected Sites & Resources
This list of resources is highly selective and does not include every web site related to these topics. If you would like to add a resource click here.

  • AAP-Children, Terrorism, and Disasters-Extensive resources related to biological and chemical agents, disaster planning, teacher, parent and community resources to help deal with both physical and psychological aspects of terrorism on children.
  • American College of Physicians Bioterrorism Resources- Plague, Tularemia and Viral Hemorrhagic Fevers information, as well as categorized resources dealing with smallpox and anthrax.
  • Anthrax Overview-pdf slide set.
  • Anthrax Vaccination Immunization Program- Recent news and articles, information about anthrax and the vaccine, information and education tools to assist teaching about anthrax, and links to other sites.
  • Bioterrorism Course- As a public service and to aid in the war against terrorism, ABQAURP is offering this free Bioterrorism CE course to all Health Care Professionals. This course is designed as an overview of Bioterrorism and Biological Weapons of mass destruction. This course is approved for 1.2 Nursing CEU credit.
  • Bioterrorism Preparedness and Response Program, (CDC)-Comprehensive information about biological agents, threats, news, resources, developments,  and emergency response. 
  • Bioterrorism Information and Resources- Extensive resources on disease manifestation, differential diagnosis, and management, as well as contact information for a bioterrorist emergency, current guidance for interacting with law enforcement and slide sets and teaching tools. [Infectious Diseases Society of America]
  • Bioterrorism Readiness Plan- A Template for Healthcare Facilities-Serves as a reference document and initial template to facilitate preparation of bioterrorism readiness plans for individual institutions. Free download.
  • CDC Mass Trauma Preparedness and Response- This site is designed to provide information and tools to help the public, public health professionals,and clinicians prepare for and respond to a large scale natural disaster or a terrorist attack.
  • Deliberate Release Guidance For Health Professionals- The term "deliberate release" refers to any intentional spread of a biological or chemical agent, such as might occur in a biowarfare or bioterrorist incident. This site provides cardinal signs, clinical tips, diagnosis & treatment information for biological and chemical agents.
  • Disaster Preparedness and Response for Nurses- Free online case study from the American Red Cross and the Honor Society of Nursing
  • FDA- Information about food safety, anthrax vaccine, advice for citizens, resources for professionals about specific organisms, public health response, and counterterrorism..
  • FEMA- Plans, services, hiring, and post-disaster help info from agency managing preparation, response, and recovery in the event of natural disasters
  • If You Hear Hoofbeats...-Helpful 1 page teaching tool from the Minnesota Department of Health.
  • Medical Management of Biological Casualties- US Army Medical Research Department's handbook on the identification, care, concerns & treatment modalities of chemical & biological casualties. Readable via Word or PDF- a must know in this age of terrorism.
  • Medical NBC Online- Provides a comprehensive online learning and reference source for medical NBC, (nuclear, biological and chemical warfare agent) information.
  • Mental Health Effects of Terrorism-NIMH information about mental disorders that may be related to or affected by exposure to violence or traumatic events.
  • MMWR Terrorism Preparedness Compendium- Articles dealing with bioterrorism for public health emergency preparedness & response.
  • National Pharmaceutical Stockpile-The mission of CDC's National Pharmaceutical Stockpile (NPS) Program is to ensure the availability and rapid deployment of life-saving pharmaceuticals, antidotes, other medical supplies, and equipment necessary to counter the effects of nerve agents, biological pathogens, and chemical agents.
  • Public Health Image Library- Select "Photographs" and then search by name of disease to obtain images of smallpox, anthrax or other agents.
  • Recognizing Biological Agent Related Illness-MMWR article for health care providers, clinical labs, and others professionals on Recognition of Illness Associated with the Intentional Release of a Biologic Agent
  • Red Cross Disaster Resources- Disaster preparedness information, resources, and checklists for natural disasters or terrorist events are available on the site.
  • Risk of a Deliberate Release of Smallpox Virus; Its Impact on Virus Destruction- (Johns Hopkins) - Smallpox poses the most serious threat to the civilian population and so deserves special consideration. None of the other potential agents combine the attributes of a high case-fatality rate and an ability to spread from person to person throughout the population in any part of the world. [Jan 99]
  • Smallpox: An Attack Scenario- The following scenario is intended to provoke thought and dialogue that might illuminate the uncertainties and challenges of bioterrorism and stimulate review of institutional capacities for rapid communication and coordinated action in the wake of an attack.
  • Smallpox Vaccination and Adverse Events Training Module- Up-to-date information for medical professionals on the smallpox vaccine, the method of vaccination and the spectrum of normal and adverse vaccination reactions.
  • Smallpox: What Every Clinician Should Know-Interactive program to train clinicians on the recognition, diagnosis, treatment, and prevention of smallpox; CME, CNE, CHES, and CEU credit available.
  • Tennessee Nurses Association Bioterrorism Resources- Excellent sources of up-to-date bioterrorism information.
  • Treatment of Biological Warfare Agent Casualties-Describes the threat, mode of delivery, identification, and treatment of biological warfare agents.
  • University of Alabama at Birmingham- Provides resource information and continuing education about rare infections and potential bioterrorist agents. Excellent photos of effects of smallpox and anthrax.
  • What to do in an emergency-Health care professionals should contact their local and/or state health department. This link takes you to emergency notification procedures for use by health officials and healthcare providers
  • WHO: Preparedness for Deliberate Epidemics- Measures and resources available from the WHO as they strive towards global public health response to natural occurrence, accidental release or deliberate use of biological, chemical agents, or radionuclear material that affect health.
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