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Is bioterrorism the new threat ?
Definition of
bioterrorism.Bioterrorism can be
described as "the use, or threatened use, of biological agents to promote or
spread fear or intimidation upon an individual, a specific group, or the
population as a whole for religious, political, ideological, financial, or
personal purposes". These biological agents, with the exception of smallpox
virus, are typically found existing in nature in innumerable parts of the
world. They can be, however, be enhanced so their virulence in humans and make
them resistant to vaccines and antibiotics. (So called "weaponization") This
usually involves using selective reproduction pressure or recombinant
engineering to mutate or modify the genetic composition of the agent.
Bioterrorism agents may be disseminated by various methods, including aerosols,
through specific blood-feeding insects, or food and water chain
contamination.
The advantages of
bioterror weapons is that their deployment allows terrorists to protect
themselves and escape before any effects are detected. The most attractive
feature of bioweapons, however, maybe the tremendous psychological impact that
their use, or threatened use, would cause on the population.
The global bioterrorism
threat.The terrorist threat to the
world has changed. During the 1970s and 80s, most western governments prepared
for bombings and hijackings overseas. Today, policymakers are preparing to
defend against attacks against population and critical infrastructure targets
in their respective homelands. The worst of these threats confronting
policymakers is the terrorist use of Weapons of Mass Destruction (WMD),
especially chemical or biological weapons.
The actual probability of a large scale chemical or biological attack
remains relatively low compared to other less risky terrorist tactics such as
car bombings. However, the consequences of a large scale chemical or biological
terrorist attack would be so dire that policymakers have been compelled to
enact a number of recent initiatives for national domestic preparedness against
WMD terrorism in the US homeland.
Efforts in preventing and mitigating such attacks has
significantly intensified over the past eighteen months following increased
incidents and threats of domestic terrorism in the United States (e.g., New
York City World Trade Centre incident, the attack on the Pentagon, the
Pennsylvania incident, Tokyo subway sarin release, Oklahoma City federal
building bombing, Atlanta Centennial Park bombing). Additionally, the recent
escalation of tensions in Iraq and subsequent deployment of military troops to
the Persian Gulf region underscored the importance of force protection from
biological threats.
The global
biological warfare threat is taken seriously by national leaders. The United
States was willing to return to war against Iraq in February 1998 to preserve
the integrity and the independence of the UNSCOM inspectors such that they
would have unconditional, unfettered and unrestricted access to all suspected
sites in Iraq in their search for weapons of mass destruction. The threat is
indeed serious, and the potential for devastating casualties is high for
certain biological agents. However, either with appropriate use of medical
countermeasures already developed or either under development, many casualties
can be prevented or minimized.
There is intense concern in the West about the possibility of
proliferation or enhancement of offensive programs in countries hostile to the
western democracies, due to the potential hiring of expatriate Russian
scientists. It was reported in January 1998 that Iraq had sent about a dozen
scientists involved in BW research to Libya to help that country develop a
biological warfare complex disguised as a medical facility in the Tripoli area.
Without doubt he threat of
biological weapons being used against the West is broader and more likely in
various geographic scenarios than at any point in our history. Therefore,
awareness of this potential threat and education of our leaders and medical
care providers on how to combat it are crucial.
History of biological
warfare.The use of biological weapons
and efforts to make them more useful as a weapon have been recorded numerous
times in history. Two of the earliest, reported uses occurred in the 6th
century BC, with the Assyrians poisoning enemy wells with rye ergot, and
Solon's use of the purgative herb hellebore during the siege of Krissa. In
1346, plague broke out in the Tartar army during its siege of Kaffa (at present
day Feodosia in Crimea). The attackers hurled the corpses of those who died
over the city walls; the plague epidemic that followed forced the defenders to
surrender, and some infected people who left Kaffa may have started the Black
Death epidemic that spread throughout Europe. Russian troops may have used the
same plague-infected corpse tactic against Sweden in 1710.
On several occasions, smallpox was used as a biological
weapon. Pizarro is said to have presented South American natives with
variola-contaminated clothing in the 15th century, and the British did the same
when Sir Jeffery Amherst provided Indians loyal to the French with
smallpox-laden blankets during the French and Indian War of 1754 to 1767.
Native Americans defending Fort Carillon sustained epidemic casualties that
directly contributed to the loss of the fort to the
British.
In this century, there is evidence that during World
War I, German agents inoculated horses and cattle with glanders in the U.S.
before the animals were shipped to France. In 1937, Japan started an ambitious
biological warfare program, located 40 miles south of Harbin, Manchuria, in a
laboratory complex code named "Unit 731". Studies directed by Japanese General
Ishii continued there until 1945, when the complex was deliberately destroyed
by fire. A post World War II investigation revealed that numerous organisms had
received Japanese research attention, and that experiments had been conducted
on prisoners of war. Slightly less than 1,000 human autopsies apparently were
carried out at Unit 731, most on victims exposed to anthrax. Many more
prisoners and Chinese nationals may have died in this facility - some have
estimated up to 3,000 human deaths. In 1940, a plague epidemic in China and
Manchuria followed reported over flights by Japanese planes dropping
plague-infected fleas. By 1945, the Japanese program had stockpiled 400
kilograms of anthrax to be used in a specially designed fragmentation
bomb.
In 1943, the United States
began research into the offensive use of biological agents. This work was
started, interestingly enough, in response to a perceived German Biological
Warfare (BW) threat as opposed to a Japanese one. The United States conducted
this research at Camp Detrick (now Fort Detrick), which was a small National
Guard airfield prior to that time, and produced agents at other sites until
1969, when President Nixon stopped all offensive biological and toxin weapon
research and production by executive order. Between May 1971 and May 1972, all
stockpiles of biological agents and munitions from the now defunct U.S. program
were destroyed in the presence of monitors representing the United States
Department of Agriculture, the Department of Health, Education, and Welfare,
and the states of Arkansas, Colorado, and Maryland.
In 1972 many countries signed the Convention on the
Prohibition of the Development, Production and Stockpiling of Bacteriological
(Biological) and Toxin Weapons and on Their Destruction, commonly called the
Biological Weapons Convention (BWC). This treaty prohibits the stockpiling of
biological agents for offensive military purposes, and forbids research into
such offensive employment of biological agents. The former Soviet Union and the
government of Iraq were both signatories to this accord. However, despite this
historic agreement among nations, biological warfare research continued to
flourish in many countries hostile to the West. There were also several cases
of suspected or actual use of biological weapons. Among the most notorious of
these were the "yellow rain" incidents in Southeast Asia, the accidental
release of anthrax at Sverdlovsk, and the use of ricin as an assassination
weapon in London in 1978.
Testimony
from the late 1970's indicated that the countries of Laos and Kampuchea were
attacked by planes and helicopters delivering aerosols of several colors. After
being exposed, people and animals became disoriented and ill, and a small
percentage of those stricken died. Some of these clouds were thought to be
comprised of trichothecene toxins (in particular, T2 mycotoxin). These attacks
are lumped under the label "Yellow Rain". There has been a great deal of
controversy about whether these clouds were truly biological warfare agents:
some have argued that the clouds were nothing more than bee faeces produced by
swarms of bees.
In late April of
1979, an incident occurred in Sverdlovsk (now Yekaterinburg) in the former
Soviet Union which appeared to be an accidental release of anthrax in aerosol
form from the Soviet Military Compound 19, a microbiology facility. Residents
living downwind from this compound developed high fever and difficulty
breathing, and a large number died. The final death toll was estimated at the
time to be between 200 and 1,000. The Soviet Ministry of Health blamed the
deaths on the consumption of contaminated meat, and for years controversy raged
in the press over the actual cause of the outbreak. All evidence available to
the United States government indicated a massive release of aerosolised
anthrax. In the summer of 1992, U.S. intelligence officials were proven correct
when new Russian President Boris Yeltsin acknowledged that the Sverdlovsk
incident was in fact a large scale accident involving the escape of an aerosol
of anthrax spores from the military research facility. In 1994, Meselson and
colleagues published an in-depth analysis of the Sverdlovsk incident (Science
266:1202-1208). They documented that all of the 1979 cases occurred within a
narrow zone extending downwind in a southerly direction from Compound 19. A
total of 77 patients were identified by Meselson's team, including 66
fatalities and 11 survivors.
Before
the Sverdlovsk incident, in 1978, a Bulgarian exile named Georgi Markov was
attacked in London with a device disguised as an umbrella that injected a tiny
pellet filled with ricin toxin into the subcutaneous tissue of his leg while he
was waiting for a bus. He died several days later. On autopsy, the tiny pellet
was found and determined to contain the toxin. This assassination, it was later
revealed, was carried out by the communist Bulgarian government, and the
technology to commit the crime was supplied to the Bulgarians by the former
Soviet Union.
In August of 1991,
the first United Nations inspection of Iraq's biological warfare capabilities
was carried out in the aftermath of the Gulf War. On August 2, 1991,
representatives of the Iraqi government announced to leaders of United Nations
Special Commission Team 7 that they had conducted research into the offensive
use of Bacillus anthracis, botulinum toxins, and Clostridium perfringens
(presumably one of its toxins). This was the first open admission of biological
weapons research by any country in recent memory, and it verified many of the
concerns of the U.S. intelligence community publicly. Iraq had extensive and
redundant research facilities at Salman Pak and other sites, many of which were
destroyed during the war.
In 1995,
further information on Iraq's offensive program was made available to United
Nations inspectors. Iraq conducted research and development work on anthrax,
botulinum toxins, Clostridium perfringens, aflatoxins, wheat cover smut, and
ricin. Field trials were conducted with Bacillus subtilis (a simulant for
anthrax), botulinum toxin, and aflatoxin. Biological agents were tested in
various delivery systems, including rockets, aerial bombs, and spray tanks. In
December 1990, the Iraqis filled 100 R400 bombs with botulinum toxin, 50 with
anthrax, and 16 with aflatoxin. In addition, 13 Al Hussein (SCUD) warheads were
filled with botulinum toxin, 10 with anthrax, and 2 with aflatoxin. These
weapons were deployed in January 1991 to four locations. All in all, Iraq
produced 19,000 liters of concentrated botulinum toxin (nearly 10,000 liters
filled into munitions), 8,500 liters of concentrated anthrax (6,500 liters
filled into munitions) and 2,200 liters of aflatoxin (1,580 liters filled into
munitions).
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