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Emerging Diseases- Slide 19
Biological Warfare (Anthrax, Q fever, Burkholderia, Ricin)
48
Geography
Undergraduate 2
12/13/2010

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Term
What is biological warfare?
Definition
Use of biological agents to:
-Sicken an army
-sicken and/or panic civilians
-Undermine food supply
-Render areas uninhabitable
Term
What is NOT the goal of biological warfare?
Definition
To kill populations
Term
What type of biological warfare was used in WWI?
Definition
Attempts to use anthrax to infect animals. Use of toxic gases
Term
What type of biological warfare was used in WWII?
Definition
Toxic gases used in European theatre
Term
When was the biological warfare banned and by who?
Definition
in 1972 by nearly all countries including USSR
Term
What is the cutaneous anthrax infection?
Definition
Skin lesions which become a black postulate. Usually heal
Outcome-fatal if organisms invade blood
Term
Anthrax by inhalation
Definition
Lung infection which leads to septicemia (infection of the blood)
Outcome-fatal
Term
Gastrointestinal anthrax
Definition
Intestinal infection caused by eating meat from an infected animal
Outcome-fatal
Term
How long is the incubation period for anthrax?
Definition
Days to weeks
Term
What are the spores associated with anthrax?
Definition
The bacteria can survive in these spores and the spores are what are ingested by humans and animals
Term
Methods of production of Anthrax
Definition
-Find source ->
Grow organism in broth
-Allow culture to age (form spores)
-Centrifuge organisms out from broth
-Wash and suspend in water
-Freeze-dry organisms-forms powder that can be suspended in air as dust.
Term
2001 Anthrax terrorist attack
Definition
It was enclosed in letter mailed to persons in Florida and in NE USA.
5 Persons died of pneumonic infection
Term
What was the anthrax strain used in the 2001 terrorist attack?
Definition
The Ames strain
They think it could have been prepared in a microbiological lab, not in the army biological weapons center
Term
What is the 2010 Bangladesh Anthrax outbreak?
Definition
Associated with Muslin feast day with lots of animal sacrifice
Term
Can antibiotic be used for anthrax?
Definition
It is susceptible to major antibiotics, but relatively easy to make it resistant.
Term
Is a vaccine effective for anthrax?
Definition
It is partially effective:
-Used in military
-Not mandatory
-Not fully FDA approved
Term
What is the bacteria associated with the bubonic plague?
Definition
Yersinia pestis-gram negative
Term
How is the bubonic plague spread?
Definition
-Spread by fleas which infest rats.
The fleas move to humans
-Pneumonic version transferred from person to person. Usually fatal
Term
Can the bubonic plague survive in soil or water?
Definition
no
Term
Can drugs be used against it?
Definition
Yes, but could be made resistant
Antibiotics
No vaccine in the US
Term
How is the bubonic plague used as biological warfare?
Definition
Contaminates water supply with animal carcasses,
Catapults,
Japan in WWII prisoners
US and Soviet Union
Term
What bacterium is associated with Q fever?
Definition
Coxiella burnetii-intracellular bacteria
-One of the most infectious agents knows
infective dose = 1 organism
Term
What are the symptoms of Q-fever?
Definition
Acute disease in 1/2 infected
Symptoms:
-malaise
-Severe headache
Term
Is Q fever treatable?
Definition
Yes, with antibiotics
A vaccine is available in limited supply to at risk individuals
Term
What are some characteristic of Ebola virus?
Definition
-Difficult to grow
-Very labile (likely to change)
-Very difficult to contain in lab
-Difficult to spread
-No vaccine but potential for one since patients do recover
Term
Why is small pox looked at as a threat for bioterrorism?
Definition
-Contagious, highly fatal
-Eradicated small pox world wide
-Two known repositories:
CDC and Russia
Virus is stable- likely to exist elsewhere
-Highly protective vaccine no longer used
Term
Why is the small pox vaccine no longer used?
Definition
-It can lead to systemic infection in immunocompromised persons.
-Younger generations are susceptible
-Older generation has some immunity from childhood vaccination
Term
What is the 1918 influenza virus?
Definition
-Recreated from viral fragments found in persons who dies during the 1918 pandemic
-Only handled under high containment
Term
What may the 1918 Influenza virus be a threat for bio terrorism?
Definition
A highly pathogenic influenza virus would be a dangerous weapon because of the rapid spread of influenza. The aggressor could immunize their own personnel.
Term
How might the poliovirus possibly be synthesized?
Definition
-A RNA sequence of poliovirus was known
-A copy DNA was synthesized using commercially available materials.
-DNA is capable of inducing a cell system to generate active poliovirus.
Term
Virus reconstruction
Definition
Destroying all stocks of virus is not sufficient to eliminate the virus
BUT
Requires a sophisticated labratory
Term
What is the Ricin Toxin? Why is it lethal?
Definition
-A toxin extracted from the castor bean.
-3 ug of inject Ricin would be lethal. More would be required to poison by ingestion
-There is NO antitoxin
Term
Black mold is caused by what fungal toxin?
Definition
Stachybotrys chartarum
Term
Where was black mold found
Definition
Katrina in New Orleans
Term
Fungal toxins info.
Definition
-They exist in grains which have remained damp after or before harvest.
-Yellow rain (unproven): Fungal toxins used in the Vietnam war?
-Russians have done extensive work on toxins such as black mold. Supplied toxins to vietnam?
Term
Why are fungal toxins like Black mold possible for Bioterrorism?
Definition
-Readily made in a simple lab, cheap
-Toxic to skin a respiratory tract
-Stable
-No vaccines
Term
What is foot and mouth disease?
Definition
Highly contagious cattle disease, cattle gains weight more slowly.
-Some mortality
Term
Why is foot and mouth disease a possibility for bioterrorism if it doesn't infect humans?
Definition
It would cause great economic impact
Term
What are plant disease?
Definition
Disease which affect major crops (wheat, soybeans, corn, and fruits).
Term
Why are plant diseases a possibility for bioterrorism?
Definition
There is a continuous race between new plant varieties and evolving plant pathogens.
Introduction of a virulent plant pathogen could disrupt food production.
Term
What contribution do drugs have in the fight against bioterrorism?
Definition
Antibiotics are stockpiled at strategic locations.
Problem: Antibiotic resistance is easily engineered.
Term
How can control over diagnosis help the fight against bioterrorism?
Definition
-Major effort to develop rapid diagnostics
-Detect environmental contamination
Term
How can containment help the fight against bioterrorism?
Definition
-Localized quarantines
-Closing of public buildings
-Person in contact with index case can be isolated, prophylaxed, immunized.
Term
Prevention of spread to fight against bioterrorism
Definition
-Accumulated small pox to immunize US population
-Other vaccines are being accumulated
Term
How many total human pathogens are there?
Definition
1415
Term
How many emerging new species have there been since 1975?
Definition
48
Term
Emerging diseases-biological consideration
Definition
-Microbial adaptation and change
-Human susceptibility
-Climate and weather
-Changing ecosystems
-Human demographics and behavior
-Human migrations
Term
Emerging diseases-Social considerations:
Definition
-Economic development and land use
-International travel and commerce
-Technology and industry
-Breakdown of public health measures
-Poverty and social inequality
-War and famine
-Lack of political will
-Intent to harm
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