A Citizen's Guide to Terrorism Preparedness and Response:

By ACSH Staff — Sep 01, 2003

Chemical, Biological, Radiological, and Nuclear

Editors: Ashlee Dunston,

Gilbert L. Ross, M.D.,

Elizabeth M. Whelan, Sc.D., M.P.H.

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Introduction

The attacks of September 11, 2001 taught three important lessons about international terrorists: 1) They stop at nothing. No act of violence is too terrible for them to contemplate and no weapon is too horrible for them to use. 2) They like the dramatic. They did the unthinkable by turning passenger jets into missiles and attacking some of the best-known buildings in the world. 3) They intend mass casualties. They selected targets that were not only prestigious but also heavily populated.

The events of September 11th also taught another vital lesson that is, the importance of information and preparedness. If citizens knew then what they know now, many more lives would have been spared. But who was to know that terrorists were planning to attack us?

Today we do not lack for information about the nature of the terrorist threat. We know, for example, that terrorists are seeking to acquire weapons of mass destruction (WMD) i.e., chemical, biological, radiological, and nuclear and, if successful, might attempt to use them against the United States.1 We also know, from the cases of anthrax caused by contaminated mail in 2001, the risks and effects of the intentional use of biological agents as weapons of fear.

It is not the purpose of this guide to assess the credibility of any specific terrorism threat; that is best left to those defense and intelligence experts who possess the relevant knowledge and expertise. Our aim instead is health-related: to educate the public about the health hazards of these weapons and to offer suggestions as to how people might protect themselves.

Facts often mitigate fear. Therefore, in the course of this discussion, we separate myths from realities as to the different chemical, biological, radiological, and nuclear weapons and distinguish between real and imagined risks. It is with such knowledge and information that people can elect prudence over paranoia. We also offer guidance on such questions as to whether or not individuals should receive the smallpox vaccination. Our hope is that this guide will help people make informed choices about their health and safety in light of potential terrorist dangers.

Table of Contents
Introduction

Weapons of Mass Destruction

Methods of Attack

Chemical Agents

Blister (or Vesicant) Agents

Blood Agents

Choking (Lung or Pulmonary) Agents

Nerve Agents

Biological Agents

Category A Diseases

Anthrax

Botulism

Plague

Smallpox

Tularemia

Viral Hemorrhagic Fevers

Food- and Waterborne Illness

Cholera

Cryptosporidiosis

Escherichia coli

Salmonellosis

Shigellosis

Typhoid Fever

Radiological and Nuclear Threats

Radioactivity and Radiation Exposure

Radiological Contamination

"Dirty Bombs"

Small Nuclear Devices

Dealing with WMD Emergencies

Chemical/Biological Emergencies

Radiological/Nuclear Emergencies

Sheltering in Place

Indications of a WMD Attack

Personal Counter-Terrorism Precautions: Facts Vs. Myths

Hand Hygiene

Mail Handling

Cipro

Protective Masks

Potassium Iodide (KI)

Flu Shots

Emergency Supplies Kit

Family Emergency Planning

Should You Get the Smallpox Vaccine?

Psychological Preparedness and Response

Psychological Reactions to Stressful Events

Management of Fears: Known and Unknown

Maintaining an Appropriate Perspective

Public Policy Recommendations

Contact Information

Emergencies

Chemical/Biological Information

Nuclear/Radiation Information

Appendix A (Chemical Agents)

Appendix B (Biological Agents)

Appendix C (Chemical Terrorism Preparedness)

References

Index

Related Links
New Yorker's Guide to Terrorism Preparedness and Response: