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BioTerrorism Analysis: Weaponsized Infectious Disease and Emerging Disease
Various | 3-17-03 | Bones McCoy

Posted on 03/16/2003 7:35:29 PM PST by bonesmccoy

BioTerrorism Analysis: Weaponsized Infectious Disease and Emerging Disease (A Free Republic Technical Analysis)

About five weeks ago, I started a technical thread that analyzed the space shuttle disaster which killed an international flight crew and lead to wreckage over the southwestern United States. In that thread, we had a remarkable range of technical and analytical skills which this website brought to bear. Because we are anonymous, we can pursue fact without fear of the liberals killing our careers or worse. Tonight, I seek to create a thread on a more serious national security problem, biological weapons of mass destruction and emerging infectious diseases.

The use of weapons of mass destruction had previously been limited due to the inability of other nations to build nuclear fission or fusion weapons. The construction of biological or chemical weapons may not be as technically challenging.

Subsequent to the attacks at WTC, the national security command structure has appropriately realigned US federal policy to reflect the vulnerability of our nation. Use of civilian systems as a vehicle for military-style attack and mass carnage has created significant economic damage in our nation. There is little question that the attacks of September 11, 2001, created a negative economic impact on our entire nation.

However, the negative economic impact of these attacks must be limited by the skill of the citizenry to respond. In particular, the US citizenry must not leave security up to others, we must take action ourselves in order to limit the damage of terror in our cities.

Use of agents of biological terror can create ripple effects that are more significant than the attacks of September 11, 2001. These effects will manifest in the economic impact of increased apprehension in the populace. Failure of our medical services to appropriately mobilize to react to threat will cause increased economic damage.

It is my opinion that our national leadership has not been fully briefed on the gravity of the situation.

While Tom Ridge and Tommy Thompson are making difficult decisions and working diligently to restructure our federal government in the wake of 9-11-01, it is obvious that the public health system is NOT reacting to the threat of BW use by Iraq. The slow response of public health authorities to the release of small pox vaccine by the White House is testimony to the amount of political inertia in the public health system. This inertia appears to be politically motivated. Meanwhile, the private medical system has little fiscal or economic defense against biological attack. If it were not for the President's advocacy for terrorism insurance, we would not have ANY protection whatsoever.

Response to a biological attack requires the following:
1. A confident work force that can mobilize in the face of the attack.
2. An orderly work process that can process hundreds of casualties in a few hours time.
3. Maintenance of social order to insure that civilian enterprises (both governmental and privately owned) can continue to function in the economy.

If social order can not be maintained, the economy will suffer additional damage which will ripple through our nation.


TOPICS: Anthrax Scare; Business/Economy; Constitution/Conservatism; Crime/Corruption; Culture/Society; Editorial; Extended News; Foreign Affairs; Free Republic; Front Page News; Government; Miscellaneous; News/Current Events; Politics/Elections; US: California; War on Terror
KEYWORDS: anthrax; biologicalweapon; biowarfare; botulism; hantavirus; jihadinamerica
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To: bonesmccoy; Jim Noble; TomB; Paleo Conservative
2. Economic impact of contagious diseases

I think the economic impact of contagious disease can be rationally tied to two factors: (a) the removal of active citizens from work or school and (b) the fear created by the attack or a threat thereof.

Rapid isolation of contagious people would limit the spread of the disease. It is common practice in our area for our patients to remove themselves from work or school when fevers hit. This prevents the individual from infecting as many people on subsequent days.

In tackling the fear issue, we can address these fears by pursuing immunization campaigns for viruses known to be used by terrorist nations and to having proper emergency stockpiles for necessary vaccines and antivirals.

The Bush Administration has already moved vaccines to the civilian populace (although county level health authorities have dropped the ball on the program). Tommy Thompson has also announced major vaccine research initiatives (which are vital to our national health interests).

With regards to rapid diagnosis, creation of state or county public health labs is necessary. Rapid movement of test kits from rural areas is required to build this type of system. Alternatively, technologies that permit rapid diagnosis in small clinic settings would be more valuable for both military and civilian applications.
61 posted on 03/16/2003 9:24:10 PM PST by bonesmccoy (Defeat the terrorists... Vaccinate!)
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Comment #62 Removed by Moderator

To: bonesmccoy
bump
63 posted on 03/16/2003 9:30:00 PM PST by dalebert
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To: gcochran
yes, it was valuable to have Aventis do the right thing. However, it is prudent to note that Aventis is NOT the French part of the vaccine company. Pasteur is the French part...that's why it's called "Aventis-Pasteur".

They make vaccines used in every American child. Frankly, with the exception of Glaxo Smith Kline, there are no other sources for tetanus vaccine in the USA.
64 posted on 03/16/2003 9:32:31 PM PST by bonesmccoy (Defeat the terrorists... Vaccinate!)
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To: gcochran
how does rice grow in comparison to potatoes?
Is it possible for nothern climate nations to use rice or wheat as a primary source of starch/glycogens?
65 posted on 03/16/2003 9:34:22 PM PST by bonesmccoy (Defeat the terrorists... Vaccinate!)
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Comment #66 Removed by Moderator

Comment #67 Removed by Moderator

To: Alamo-Girl
This is a Great Thread!

'ping'........for 'FR' Archieves.

68 posted on 03/16/2003 9:40:47 PM PST by maestro
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To: maestro
Thanks for the heads up!
69 posted on 03/16/2003 9:47:47 PM PST by Alamo-Girl
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To: gcochran
I've been looking for that data... do you have it?
70 posted on 03/16/2003 9:58:03 PM PST by bonesmccoy (Defeat the terrorists... Vaccinate!)
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To: maestro
MSNBC now broadcasting documentary on weaponized bubonic plague and anthrax... interviewing Ken Alibek.
71 posted on 03/16/2003 10:04:16 PM PST by bonesmccoy (Defeat the terrorists... Vaccinate!)
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To: All
MSNBC now interviewing the best doctor for this job... Dr. Henderson.
72 posted on 03/16/2003 10:04:48 PM PST by bonesmccoy (Defeat the terrorists... Vaccinate!)
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To: bonesmccoy
3. Discussion of BT attack scenarios

From AMA website:


73 posted on 03/16/2003 10:24:15 PM PST by bonesmccoy (Defeat the terrorists... Vaccinate!)
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To: sistergoldenhair
.
74 posted on 03/17/2003 3:40:43 AM PST by sistergoldenhair (Don't be a sheep. People hate sheep. They eat sheep.)
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To: bonesmccoy
Bumping for later. I work in public health education, and am currently collaborating with multiple state level directors of homeland security on the creation of public awareness and education materials for informing people about the nature of the terrorism threat and what constitutes proper emergency preparedness. While not a technical expert, I've spent a lot of time analyzing the risk communication aspects of the issue, and regularly attend live and teleconference events for public health and safety professionals. Last week, I got to hear Dr. Julie Gerberding, head of CDC, give a speech about her personal assessment of the level of the bioterrorism threat. I'll read through the thread and jump in later. Stay safe! WS
75 posted on 03/17/2003 4:31:02 AM PST by Wordsmith
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To: bonesmccoy
One quick thought. If you haven't already, I highly recommend that each reader of this thread locate and review the website of both their state public health department and state department of homeland security. If you live in a major metropolitan area, review your city health department site as well. This is usually a great place to begin getting a sense for what plans are already in place regarding official chains of communication in the event of an attack, what state level epidemiologists will do in order to quickly identify that an attack has taken place, and so on.
76 posted on 03/17/2003 4:33:32 AM PST by Wordsmith
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To: bonesmccoy
HERE’S THE SUBSTANCE OF A COUPLE OF POSTS I MADE LAST WEEK ON THIS TOPIC:

Definitely got a chill down my spine when Dr. Julie Gerberding, head of CDC, spoke today about the sleepless nights she's had worrying about a particular pathogen, or vulnerable population, or vulnerable target. She specifically mentioned anthrax a couple of times, and still speaks of the '01 anthrax attacks in the kind of tone most educated people reserve for discussions of the Holocaust.

You can seperate the public health people who are really dialed in from those who aren't pretty easily - those who are dialed in look like hell nowadays, and are a lot less patient with the leftist bunk their colleagues sometimes spew. Just about slapped a public health manager today, who started ranting about how Dubya is deploying weapons of mass destruction against minorities, weapons like socioeconomic disparities. It's scary to realize that plenty of the people drafting the bioterror emergency response plans either think like this, or are close friends with those (like this woman) who do.

AND…

The lack of media coverage of anthrax is odd. I think it’s about more than laziness, sloppy reporting, or even carefully considered attempts to avoid public panic. I think it’s because the story somehow triggers a fear response, a reluctance to acknowledge a looming threat that can’t be avoided. Something deep in many people’s psyches is preventing them from truly wrapping their mind around this story.

I was at a major public health conference the week the postal workers died from anthrax. It was very instructive to see the immediate, unscripted reaction of folks like Tommy Thompson and David Satcher. It was even more instructive to see the reactions of their underlings. To this day, at any gathering of public health professionals – especially those involved in infectious disease work – you’ll find a dedicated core readily talking of the anthrax attacks as more significant than 9/11.

It is this core that I was thinking of earlier when I wrote of those who are “dialed in”. I don’t think these people are privy to secret knowledge. It’s just that they understand the implications of what’s going on. The public health community is being asked to undergo an epic transition – to become a wing of the civil defense system, and the key element in defending against bioterrorism. You have to work with these folks to understand the kind of people we’re talking about. These aren’t military people. These aren’t even hospital staff, or EMS personnel. It’s the people who create marketing campaigns telling you to eat 7 pieces of fruit a day and wear a bike helmet, or who write impossibly dense research papers on topics like the impact of flu vaccines on immigrant mothers who have been incarcerated (seriously). Many are, to be kind, nerds. Liberal, socially-sensitive nerds.

If anyone in this country, outside of the federal leadership or justice department, was going to seriously push the issue of bioterrorism it would have to be these people, because coping with it is their job. But, due to temperament, they won’t do it. Most are not comfortable with the media. Most, to be honest, are very uncomfortable with anything vaguely connected to the military or national defense.

But these are the people who have been feverishly working for the past year on developing emergency response plans to a bioterrorism attack, building stockpiles of antibiotics and other supplies, and building communications plans where none before existed. One tiny example. If a year ago, 10 people went to 10 different city hospitals with symptoms of anthrax, it would have been days before anyone would have seen the pattern. Precious days lost. Hospitals aren’t set up to talk to each other, or to track incidents of disease across the general population. That’s the job of the public health departments. Today, though, an outbreak is much more likely to be caught early because for the first time the city health department staff knows the hospital staff, and they talk to each other. And they’re spending boatloads of money on computerized tracking and hotlines to have an early warning of an outbreak. And they’re drilling on plans that tell everyone what they need to do in the event of an emergency. It’s pretty impressive, all the more so because of the kind of work these people are used to doing.

The CDC is one of the lead agencies for this, establishing best practices and providing funding and guidance to state and local public health leaders. But, it’s up to the states to execute.

But even in this context, anthrax is talked about with hesitation. Smallpox is more likely to be discussed. That’s because of the brilliance of anthrax as a weapon – the almost instant death toll. You can plan for smallpox. Vaccination, quarantine, post-exposure vaccination, and so on. You can’t plan for anthrax. You can’t vaccinate. If it’s weaponized to be anti-biotic resistant (an easy step for a bioweaponeer, although mysteriously not done to the 2001 anthrax) you can’t do much to treat it. And, since it’s stable and easily spread, a bad guy could target a lot more folks than with smallpox. With smallpox, you’re dependent on it being spread virally. With anthrax, you can go for maximum initial exposure. Nasty. But at least all the talk about smallpox has gotten people talking seriously about bioterrorism.

A lot of research has been done on anthrax in general, and is available over the web. Including at CDC. When you couple the common general knowledge about anthrax, with the short list of details we know about the degree of weaponization of the 2001 anthrax, you get a doomsday weapon. Dr. Gerberding got huffy today at one woman, who made a little speech about the difference in the care that those on Capitol Hill received and those in the post offices received. Julie G. said that CDC hadn’t realized that the anthrax could be spread through the sorting machines, but they sure do now. It was eventually dismissed, but at one point there was serious consideration of the possibility that the old woman in CT who died of anthrax was infected by spores that FLOATED all the way from NYC or Jersey. Just the fact that this was entertained should tell you something about the degree to which this stuff could be dispersed in a city. Yes, it would be more effective inside – a mall, an office building, the subway. But it doesn’t have to be inside. And the stuff doesn’t die. It’ll get tracked all over the place, sticking to people’s clothes and everything else. A mason jar tossed on the subway tracks, another opened and stashed in a plant at the mall, and a third covertly sprinkled throughout the airport lobby – and no warning letters. By the time we knew what hit us, we’d be looking at anywhere from a 100,000 to a million dead.

If you want to learn more, I'd recommend one of the good books on bioweapons. I hear Ken Alibek's Demon in the Freezer is a good place to start. We live in interesting times.

77 posted on 03/17/2003 4:39:15 AM PST by Wordsmith
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To: tiki
As a farmer I think it would be hard to infect a crop without spraying with a crop duster ...

Think of somthing on the order or Hoof& Mouth disease, but geneticaly modified to be much more contagious and difficult to treat or vaccinate against. The same would be possible with field crops, and a simple pickup driving down country roads in the middle of the night could spread the diseases. It wouldn't be nescessary to infect entire fields to cause severe damage to the agriculture of a country. What, for instance, would be the effect on farming in your area if a new and highly virulent plant disease were to be discovered in, say, 10% of the crops in your area? A disease so virulent that it simply could not be allowed to spread no matter what the cost to agriculture? It would be like a city being quarantined because an intensly contagious strain of smallpox appeared in several thousand of it's million inhabitants. The economic damage could be done by the quarantining of the area and destroying of crops much more than the disease itself.

I'm not sure what it's like for farmers in your area, but the farmers I know locally could not financially survive any long term disruption of their business. None of the farmers I know have mentioned any extra security measures in their business.

78 posted on 03/17/2003 6:34:57 AM PST by templar
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To: templar
North Carolina and Kentucky state-level departments of homeland security consider agro-terrorism to be a huge threat, and are ahead of all other states in developing plans to address it. Both are especially interested in teaching low-income migrant farmworkers what to watch for and how to report it.
79 posted on 03/17/2003 6:40:01 AM PST by Wordsmith
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To: bonesmccoy
It would be good to see if rapid response (i.e. diagnosis in 48-72 hours for any ill person in the US).

The primary problem is certainly the initial diagnoses. All disease has certain characteristics in common. Even lethal bio agents may look exactly like the common cold when presented to a medical professional.

One way to counter this would be to ask our pharmaceutical device companies to come up with a variety of test kits that could ID the various bugs. If we can come up with aids and hepatitis kits, we can come up with just about everything.IMHO

I would be for the expenditure of tax dollars to achieve this and the companies can share the cost, as they will reap a big profit from it.

Since this idea seems so obvious, I would think they are already doing it?????

80 posted on 03/17/2003 7:06:42 AM PST by Cold Heat
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