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CBRNE
Chemical, Biological, Radiological, Nuclear, or
High-Yield Explosive Events


     BIOTERRORISM DISEASES/aGENTS: A Visual Guide for US Air Force Public Health

MEDICAL ASPECTS of CHEMICAL and BIOLOGICAL WARFARE

  Naturally Occurring Disease Smart Cards

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General Information

CBWInfo.com  The site for information about chemical and biological weapons for emergency, safety and security personnel 

CDC: Recognition of Illness Associated with the Intentional Release of a Bio. Agent
Preparedness Today - What You Need to Know (American Red Cross and CDC)
Video: "The History of Bioterrorism" CDC

CDC Category A Agents 
CDC Category B Agents 

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Links

American Red Cross
CDC - Public Health Emergency Preparedness and Response - En Español
Center for Infectious Disease Research and Preparedness (CIDRAP)
CDC - Chemical Agents

CDC - Radiation
Food and Water Security Links
Medline Plus: U.S. National Library of Medicine and NIH
The Johns Hopkins School of Medicine
U.S. Department of Health and Human Services
U.S. Department of Homeland Security
U.S. Department of Homeland Security - www.ready.gov
U.S. Department of Justice
U.S. Environmental Protection Agency
U.S. Federal Bureau of Investigation
U.S. Food and Drug Administration
World Health Organization

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Potential Bioterrorism Agents

CDC Category A Agents

Highest priority agents.  Organisms that pose a risk to national security because they can be easily disseminated or transmitted from person to person; that result in high mortality rates and have the potential for major public health impact; that might cause public panic and social disruption; and that require special action for public health preparedness.

Anthrax (Bacillus anthracis)
Botulism (Clostridium botulinum toxin)
Plague (Yersinia pestis)
Smallpox (Variola virus)
Tularemia (Franciscella tularensis)
Viral Hemorrhagic Fever (Arenaviruses, Bunyaviruses)

CDC Category B Agents

Second highest priority agents.  Organisms that are moderately easy to disseminate; that result in moderate morbidity rates and low mortality rates; and that require enhanced diagnostic capacity and disease surveillance.  

Brucellosis (Brucella species)
Epsilon toxin of Clostridium perfringens
Food safety threats (Salmonella species, Escherichia coli O157:H7, Shigella)
Glanders (Burkholderia mallei)
Melioidosis (Burkholderia pseudomallei)
Psittacosis (Chlamydia psittaci)
Q fever (Coxiella burnetii)
Ricin toxin from Ricinus communis (castor beans)
Staphylococcal enterotoxin B
Typhus fever (Rickettsia prowazekii)
Viral encephalitis (e.g. VEE, EEE, WEE)
Water safety threats (e.g. Vibrio cholerae, Cryptosporidium parvum)

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Look for the following clues that may suggest a bioterrorism event has occurred:

An unusual increase or clustering of patients presenting with unexplained illness and any of the following:
 

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Sepsis

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Pneumonia

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Flaccid muscle paralysis

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GI illness

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Bleeding disorders

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Severe flu-like illness

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Rash

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Encephalitis/meningitis
 

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An unusual or impossible pathogen for your region in a patient without a travel history to an endemic area (e.g., a case of plague in a patient that does not live in, or has not traveled to, the southwest region of the U.S.).
 

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An unusual temporal and/or geographical clustering of illness (example: persons who attended the same public event or gathering).
 

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Simultaneous disease outbreaks in human and animal populations.

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