Bioterrorism

ABSTRACT. There is an increasing threat that chemical and biological weapons will be used on a civilian population in an act of domestic terrorism. Casualties among adults and children could be significant in such an event. Federal, state, and local authorities have begun extensive planning to meet a chemical-biological incident by developing methods of rapid identification of potential agents and protocols for management of victims without injury to health care personnel.  Because children would be disproportionately affected by a chemical or biological weapons release, pediatricians must assist in planning for a domestic chemical-biological incident.  Government agencies should seek input from pediatricians and pediatric subspecialists to ensure that the situations created by multiple pediatric casualties after a chemical-biological incident are considered.  This statement reviews key aspects of chemical-biological agents, the consequences of their use, the potential impact of a chemical-biological attack on children, and issues to consider in disaster planning and management for pediatric patients.
AAP Policy Statement March 2000  Chemical-Biological Terrorism and Its Impact on Children

AAP  web site Children Terrorism & Disaster

The importance of Family Meals during times of stress

Helping Children After a Disaster

AAP Policy Statement (The Pedestrians role in Disaster Preparedness)

SMALLPOX
Currently, international concern is heightened regarding the potential use of smallpox (variola) virus as a bioterrorism agent.  Because of these concerns, ACIP has developed recommendations for vaccinia (smallpox) vaccine regarding the potential use of smallpox virus as a biological weapon.

MMWR Recommendations and Reports on Smallpox Vaccine

Anthrax

MMWR Use of Anthrax Vaccine in the United States

Laboratory Protocols 

Hand-Held Immunoassay tools

North Dakota State Alogrithm

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