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Chemical and Biological Terrorism Research and Development to Improve Civilian Medical Response (1999) / Chapter Skim
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From page 265...
... Index A Acceptable exposure limit, 37, 52, 56 Acetylcholinesterase (AChE) , 60-61, 113, 115, 146, 148, 169 See also Cholinesterase Acoustic detectors, 53, 55, 57, 58, 59, 84, 256-257 Acquired immune deficiency syndrome, see Human immunodeficiency virus Adenosine 5'-triphosphate, 87 Advance Lightweight Chemical Protection program, 38 AEL, see Acceptable exposure limit Aeromedical Isolation Team, 26 Aerosols and vapors, 2, 22, 162 atropine, 113 biologic agents, 137, 138, 140, 146, 152, 154 covert exposure, 41 decontamination, 106 detection and measurement, 44, 45, 4751, 56, 86-87, 88-89, 226, 227 personal protective equipment, 35, 38 vesicants, 122, 123 see also Respirators Aged persons, 103, 108 Agency for Toxic Substances and Disease Registry, 75-76, 101 265 Agriculture chemicals industry, 39, 116 crop contamination, 22 AIDS, see Human immunodeficiency virus Aircraft, see Unmanned aerial vehicles American Psychiatric Association, 171, 250 American Psychological Association, 171, 250 American Red Cross, 167, 171, 250 American Society for Testing and Materials, 35 Aminophenones, 127 Aminopyridines, 151, 242 Amyl nitrite, 125, 241 Analyte 2000, 93 ANL, see Argonne National Laboratory Anthrax, 9, 10, 21, 69, 72, 79, 83, 89, 107, 131, 132, 133-136, 147, 162, 191, 192, 244 Antibiotics, see Drugs, antibiotics Antibodies, 9, 134-135, 191 assay probes, 81-82, 84 monoclonal antibodies, 10, 61, 62, 81, 82, 119, 122, 144, 149, 152, 157, 158, 162, 192, 242 see also Immunoassays; Vaccines Antibody fragments, 10, 85-86, 93, 149, 152, 154, 162, 192 Anticholinesterase compounds, 5, 44, 60-61, 118
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From page 266...
... , 72, 76 see also Cyanide Bolivian hemorrhagic fever, 146 Botulism, 9, 10, 21, 76, 83, 131, 148-152, 162, 163, 192, 245, 258 Breathing apparatus, see Masks, filtering; Respirators Brucellosis, 11, 21, 72, 136-137, 163, 193, 245 Bubblers and impingers, 89-90 Butyrylcholinesterase, 118, 121, 122, 242 C Calcium chelators, 124 Canadian Bacterial Disease Network, 69, 232 Capillary gas chromatography, 61 Carbamates, 115 Carboxyesterase, 122 CBDCOM, see Chemical Biological Defense Command CBIRF, see Chemical Biological Incident Response Force CBMS, see Chemical Biological Mass Spectrometer CBNP, see Chemical and Biological Nonproliferation Program C/B-RRT, see Chemical/Biological Rapid Response Team CBWCA, see Chemical and Biological Weapons Control Act of 1991 CCHP, see Crimean Congo hemorrhagic fever CCP, see Crisis Counseling Assistance and Training Program Center for Mental Health Services, 167 Centers for Disease Control and Prevention (CDC) , 26, 37, 190 biological agents, 30, 149
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From page 267...
... , 144,145,146, 148-149, 152, 153, 156 communications requirements, 32, 33, 185, 189 computer tools, 175-176,178,191, 193, 194 cyanide, 125 diarrhea, 68,113,153, 156 inventory of resources, 233, 255, 257 nausea, 138, 152 nerve agents, specific, 114,116 psychological impacts, 166,169,173 respiratory effects of agents, 40, 107, 113, 125, 134, 145, 152, 153 side effects, 115,116,121,128,131,142, 150 triage and, 107 urinanalysis, 60, 61, 62, 72, 231 vesicants, 122, 127 veterinary medicine, 72, 73 vomiting, 113,138,141,152,153, 156 see also Assays Clothing decontamination, 8, 98, 99,109,191 gloves, 4, 35, 36, 41, 98, 102, 106, 147 gowns, 4, 36, 41, 106, 147 hoods, 38, 39, 40-41, 142 personal protective equipment, general, 4, 13, 34, 35, 38, 41, 223-225 phosgene, 123 CNS, see Central nervous system Colorimetric sensors, 45, 54, 56, 60-61, 79, 83, 84, 226-231, 256 paper detectors, 45, 54, 55, 57, 226, 228 Combating Terrorism (PDD-62)
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From page 268...
... 268 Communications, 3-4, 29-33,189,190-191, 193, 232 computer applications, 12, 75-76,174, 175-176, 183 covert exposure response, 68, 71, 75-76, 77 DoD hotline, 26-27 Emerging Infections Program (CDC) , 68 infrastructure protection, 18 intelligence military, information, 34, 21, 24, 28, 29-33, 41, 121, 158, 174175, 183, 187, 189 Internet, 20, 71 poison control centers, 74-75, 76 research recommendations, 4, 32, 34, 189, 190-191 triage and, 107 see also Epidemiological approaches Computer applications, 3,12,174-183 atmospheric dispersion models, 179 182, 183, 193, 194 clinical diagnoses, 175-176,178,191, 193, 194 communications, 12, 75-76,174,175-176, 183 cost factors, 183 databases, 20, 30, 69, 73-74,175-176,194 inventory of resources, 221-259, 257, 259 detection and measurement, 8, 58, 73 74, 76-77, 175-176, 177-178 DNA chips, 80-81, 234 education and training, 3,174-183,191, 193, 194 emergency response personnel, 174-175, 176-177, 183 Internet, 20, 71 inventory of computer resources, 252 253 research recommendations, 12, 182-183, 193-194 urban areas, 180,182 Convulsions, see Seizures and anticonvulsants Corticosteroids, 157 Cost factors, 2-3, 22, 28,187 computer applications, 183 decontamination, 99,103,104,105, 106 detection and measurement, 6, 46, 4751,57,59,63,64,87,96,183 drug treatments, 111,116,135 INDEX personal protective equipment, 39 vaccines, 131,133, 154 Council of State and Territorial Epidemiologists, 71, 73 Covert exposures of population, 3, 22, 41, 44, 65-77, 175 CDC role, 7, 8, 41, 66-71, 73-74, 77 communications, 68, 71, 75-76, 77 computer tools, 8, 58, 73-74, 76-77,175176, 177-178 funding, 7, 67 local preparedness, 65, 67-68, 70-71, 77 medical personnel, 6-7, 66, 67, 68 research recommendations, 7-8, 77 state-level preparedness, 7, 65, 67-68, 70-71, 77 see also Detection and measurement of agents Crimean-Congo hemorrhagic fever, 147 Crisis Counseling Assistance and Training Program, 11, 167 Critical Incident Stress Debriefing, 11, 168, 170 Crop contamination, 22 Crowd control, 105,177, 262 CSEPP, see Chemical Stockpile Emergency Preparedness Program CSTE, see Council of State and Territorial Epidemiologists Cyanide, 21,125, 261 detection and measurement, 5, 44, 55, 60, 63-64, 128 drug treatment, 10,125-127, 128-129 163, 191, 192, 241, 259 Cyclone samplers, 89 Cyclosarin, 61 D DARPA, see Defense Advanced Research Projects Agency Databases, 20, 30, 69, 73-74,175-176,194 inventory of resources, 221-259, 257, 259 Data Elements for Emergency Department Systems, 69 Decontamination, 8-9, 19, 24, 91, 97-107, 108-109, 156, 185 cleaning agents, 98, 99-100,103-104,106, 122, 242-243; see also "showering" infra
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From page 269...
... INDEX clothing, 8, 98, 99, 109, 191 computer applications for, 174, 178, 182, 183, 193, 194 cost factors, 99, 103, 104, 105, 106 defined, 97 DoD, general, 105, 240, 258 drugs, antidote use and, 113, 114, 124 electronic technologies, 106-107 emergency response personnel, decontamination of, 99, 102 eyes, 106, 122-123 hospital facilities, 5, 6, 8, 100-106 inventory of products, 239-240, 258 mass, 104-106 medical personnel, 5, 6, 8, 100-103, 106 personal protective equipment, 36 psychological aspects of, 9, 102, 105, 107, 108, 109, 191 research recommendations, 8-9, 102-104, 105, 108-109, 191 showering, 8, 98, 99, 100, 104, 109, 122, 191 standard operating procedures, 8, 19, 24, 98-103, 105, 108-109, 191 technical, 97-99, 103 types of, 98, 99 Defense Advanced Research Projects Agency, 94, 133, 145, 148, 158, 160, 161, 234, 236-237, 244, 248, 249, 252 Defense Against Weapons of Mass Destruction Act of 1996, 17 Defense Authorization Act (FY97) , 17 Defense Protective Service, 76 Defense Special Weapons Agency, 180, 253 Dengue fever, 132, 146, 147, 245, 258 Deoxyribonucleic acid, 74, 77, 80-81, 82, 92, 122, 136, 141, 146, 159, 160, 234, 235, 236, 237, 246 Department of Defense, 26-27 Chemical/Biological Rapid Response Team, 26 DARPA, 94, 133, 145, 148, 158, 160, 161, 234, 236-237, 244, 248, 249, 252 decontamination, 105, 240, 258 Defense Protective Service, 76 Defense Special Weapons Agency, 180, 253 detection technology, 46, 58, 90, 94, 232, 255, 256 drugs, antidotes, 113 funding, 17, 105 269 Global Emerging Infections Surveillance and Response System, 69 hotline, 26-27 inventory of resources, 232, 255, 256, 257 vaccines, 133, 134, 136, 143, 146, 154 see also terms beginning u.s., specific agencies Department of Energy, 17, 94, 171, 180, 181, 255, 256, 258 Department of Health and Human Services, 1, 25 funding, 17 psychological impacts of attack, 171 vaccines, 136, 143 see also Office of Emergency Preparedness Department of Justice, 17 Department of Veterans Affairs, 26, 250 Detection and measurement of agents, 3, 5 6, 18-19, 24, 26-27, 103, 185, 188, 190 acoustic, 53, 55, 57, 58, 59, 84, 256-257 aerosols and vapors, 44, 45, 47-51, 56, 86-87, 88-89, 226, 227 biological agents, 66-71, 78-96, 234-238, 255 chemical agents, 5-6, 43-64, 226-231, 256-257 computer tools, 8, 58, 73-74, 76-77, 175 176, 177-178 cost factors, 6, 46, 47-51, 57, 59, 63, 64, 87, 96, 183 cyanide, 5, 44, 55, 60, 63-64, 128 DoD, general, 46, 58, 90, 94, 232, 255, 256 emergency response personnel, 43, 44 45, 57, 59, 64, 190 environmental, 6, 86-95, 178, 190, 226, 229, 230, 231, 234, 255 fluorescence techniques, 72, 81, 82, 84, 85, 90, 92, 93-95, 236, 238 inventory of resources, 226-231, 234-238, 255-257 local authorities preparedness, 56-57 military personnel vs civilians, 13 nerve agents, 5, 44, 47-51, 53, 55, 56, 58, 60-62, 226-231 paper detectors, 45, 54, 55, 57, 226, 228 point detection, 91-95 powered air purifying respirators, 37
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From page 270...
... , 121, 126, 129, 152, 160-161 FDA, 113, 116, 118 hospitals, 111, 117, 121, 125, 130 vesicants, 9, 10, 123-125, 158, 162, 164, 191, 192, 242-243, 259 INDEX topical skin Protestants, 123, 124, 156158, 242 see also specific drugs Drugs, general, 1, 4, 9-11, 24, 110-164 administration methods, 10, 115, 121 122, 123, 135, 142, 162, 193 central nervous system, 113, 114, 115, 117, 118, 121, 137, 169 cost factors, 111, 116, 131, 133, 135, 154 funding, 140-141, 153, 160, 258 investigational new drugs, 110, 111-112, 131, 132, 139, 146, 147, 149, 153, 156, 188, 258, 259 legislation, 18 military personnel vs civilian, 13 nerve agents, 9, 10, 113-122, 162, 191, 192, 241-242, 259 prophylactic, 111, 115, 116-120, 121, 124, 129, 134; see also Vaccines regulatory approval, 28; see also Food and Drug Administration research recommendations, 9, 10-11, 111, 121-122, 126-127, 136, 143-144, 146, 148, 152, 153, 154, 158, 161 164, 191-193 seizures and anticonvulsants, 9, 11, 63, 113, 114, 115, 121, 122, 125, 144, 162, 191, 192 side effects, 115, 116, 121, 128, 131, 142, 150 see also Vaccines; specific drugs DSWA, see Defense Special Weapons Agency E Eastern equine encephalomyelitis, 144, 145, 246, 258 Ebola virus, 16, 132, 133, 146, 147, 148, 258, 263 Edgewood Research, Development and Engineering Center (U.S.
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From page 271...
... , 7, 67 69 Emerging Infectious Disease Initiative, 257 EMS, see Emergency Medical Service Environmental Protection Agency, 17, 35, 170, 173, 180, 230, 256 Enzyme-linked immunosorbent assay (ELISA) , 61, 62, 72 271 Epidemic Intelligence Service, 70 Epidemiological approaches, 11, 26, 66, 70, 189, 190-191 CDC, 7, 26, 66-69, 73-74,190-191 computer tools, 175-176 education on, 70,190 inventory of resources, 232, 245, 257 recommendations, 7 state-level, 4 see also Centers for Disease Control and Prevention; Covert exposure of population ERDEC, see Edgewood Research, Development and Engineering Center Eyes decontamination, 106, 122-123 mustard, 122-123 protection, 4, 36, 41, 106, 147 F Fab, see Antibody fragments FABS, see Force-amplified biological sensor FDA, see Food and Drug Administration Federal Bureau of Investigation, 17-18, 236 Federal Emergency Management Agency, 11,17,18,25,27,102,167,170 Federal government role, general, 3, 4, 33 see also Funding; Legislation; specific departments and agencies Federation of American Scientists, 71 FEMA, see Federal Emergency Management Agency Fiber-optic evanescent wave guide, 85, 94 Fingerprinting/gene sequencing, 74, 77, 9596, 191, 235 First responders, see Emergency response personnel Flame photometry, 52 Fluorescence techniques, 72, 81, 82, 84, 85, 90, 92, 93-95, 236, 238 Food and Drug Administration, 28,188, 232, 237, 255 biologic agent drug treatments, 131, 132, 139, 146, 147, 149, 153, 157, 161 cyanide drug treatments, 129 investigational new drugs, 110, 111-112, 131, 132, 139, 146, 147, 149, 153, 156, 188, 258, 259
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From page 272...
... , 6, 61, 86,190 Gas chromatography tandem mass spectrometry (GC-MTMS) , 61, 62 GB, see Sarin GD, see Soman Genetics, 89-90, 160 DNA, 74, 77, 80-81, 82, 92,122,136,141, 146, 159, 160, 234, 235, 236, 237, 246 gene sequencing/fingerprinting, 74, 77, 95-96, 191, 235 genetic engineering of pathogens, 21 pathogen gene mapping, 18 reverse transcriptase, 92 RNA, 74, 77, 80, 81, 92,122,144,145 146, 159, 160, 234 see also Immunoassays Gentamicin, 139 Global Emerging Infections Surveillance and Response System, 69, 232, 257 Global Infectious Disease and Epidemiology Network, 76,175, 232, 257 Global NBC Emergency Response Technology Program, 38 INDEX Global Public Health Intelligence Network, 69 Global Surveillance Program, 69 Gloves, 4, 35, 36, 41, 98, 102, 106, 147 G nerve agents, 47-51, 56, 58, 62, 115, 231, 261 see also Sarin; Soman; Tabun Gowns, 4, 36, 41, 106, 147 Gulf War, see Persian Gulf War H Hantaan virus, 147 Hazardous materials, general, 4, 5-6, 18-19, 27-28 Hazardous substances emergency events surveillance system, 66, 75 Hazard prediction and assessment capability, 180 Hazmat teams, 4, 5, 6, 8, 23, 25, 36, 43, 4445,57,59,64,65, 75,93,99, 100, 101,104-105,112-115 (passim)
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From page 273...
... , 38 273 Joint Service Lightweight Standoff Chemical Agent Detector USLSCAD) , 58 Joint Vaccine Acquisition Program, 133, 143 Junin virus, 132, 146, 147 L LANL, see Los Alamos National Laboratory Lassa fever, 146,147, 246, 259, 263 Law enforcement authorities and personnel, 3, 23, 30-31 computer tools, 174-175,176 crowd control, 105,177, 262 FBI, 17-18, 236 medical personnel liaison with, 30-31 protective equipment, 35-36 see also Emergency response personnel Lawrence Livermore National Laboratory, 93, 180, 240, 253 Legislation, 16-18, 67, 68,168 see also specific laws Lewisite, 47-50,122,123, 231, 243, 261 Ligand-based probes, 82-83, 84, 93-94, 237, 256 LLNL, see Lawrence Livermore National Laboratory Local Firefighter and Emergency Services Training Act of 1996,17 Local preparedness and response, 3, 4, 2223, 27-28, 172, 187, 190 CDC funding, 7 covert exposure recognition, 65, 67-68, 70-71, 77 decontamination, 105 detection and measurement, 56-57 education and training, 25, 39, 77, 173, 190 legislation, 17, 68 poison control centers, 74-75, 76 see also Emergency response personnel; Hospitals; Urban areas Lorazepam, 115,117, 121 Los Alamos National Laboratory, 93, 160, 179
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From page 274...
... 274 M Masks, filtering, 4, 35-41 (passim) , 98, 102, 116, 147, 222 Mass spectrometry, 54, 63, 85-86, 94, 229, 231, 234, 238, 256 Medical personnel, 5, 6 computer tools, 174-175 covert exposure recognition, 6-7, 66, 67, 68 decontamination facilities /procedures, 5, 6, 8, 100-103, 106 detection and measurement, 43, 59 intelligence, information, 34, 21, 24, 28, 29-33 law enforcement, communication with, 30-31 military, 26 personal protective equipment, 4, 5, 19, 34, 35-36, 41, 42, 100, 103, 106, 108, 147 psychological effects of attack, 168, 170172, 173 response scenarios, 23, 25 veterinary, 72, 73, 111, 116 see also Emergency response personnel; Hospitals; Public health officials; Triage procedures Memantine, 120 Membrane technology, 38, 40 Mental illness, see Psychological effects Methanesulfonate salt of pralidoxime, 118 Methemoglobin, 21, 127, 128, 163, 192 Metropolitan Medical Strike Teams, 25, 28, 55-57,59,76,100,105,114,168,188 Midazolam, 117 Mine Safety and Health Administration, 35 Miniature technology biological agent detectors, 93, 94, 178, 234 chemical agent detectors, 6, 64, 95, 178, 190, 226, 229, 230, 231, 255 MMST, see Metropolitan Medical Strike Teams Monitoring systems, see Detection and measurement of agents Monoclonal antibodies, 10, 61, 62, 81, 82, 119, 122, 144, 149, 151, 152, 157, 158, 162, 192, 242 Monoisonitrosoacetone, 118 Mustard agents, see Sulfur mustard Myasthenia gravis, 115 Mycotoxins, 11, 21, 76, 154, 156, 157-158, 193, 247-248, 258 N N-acetylcysteine, 124, 127, 192, 242 NAME, see Nitroarginine methylester National Aeronautics and Space Administration, 38, 84, 255, 256 National Atmospheric Release and Advisory Center, 180-181 National Center for Infectious Diseases, 73 National Coordinator for Security, Infrastructure Protection, and Counter-Terrorism, 18 National Counterterrorism Plan, 25 National Disaster Medical System, 11, 25 26, 28, 167, 188 National Fire Protection Association, 35 National Infrastructure Protection Center, 18 National Institute for Occupational Safety and Health, 34-35, 37 National Institute of Allergy and Infectious Diseases, 148 National Institutes of Health, 140-141, 147 148, 153 National Notifiable Disease Surveillance System, 7, 66-67 National Oceanic and Atmospheric Administration, 180 Nausea, 138, 152 see also Vomiting Naval Medical Research Institute, 26, 87, 93 Naval Research Laboratory, 91 NDMS, see National Disaster Medical System Nerve agents, general committee's list of, 2, 21, 261 decontamination, 102, 113, 114 detection and measurement, 5, 44, 4751, 53, 55, 56, 58, 60-62, 226-231 drug treatment, 9, 10, 113-122, 162, 191, 192, 241-242, 259 personal protective equipment, 4, 36, 37 psychological vs neurological impacts, 169 symptoms, 60-62, 113; see also Seizures and anticonvulsants see also Central nervous system; G nerve agents; specific agents
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From page 275...
... , 128, 241 275 PBBs, see Polybrominated biphenyls PCBs, see Polychlorinated biphenyls PCR, see Polymerase chain reaction PDDs, see Presidential Decision Directives Penicillin, 134, 135 Persian Gulf War, 39, 112, 115, 166 Personal protective equipment, 1, 3, 4-5, 18 19, 24, 3442, 158, 189 Battle Dress Overgarment, 38, 224 clothing, 4, 13, 34, 35, 38, 41, 223-225 cost factors, 39 defined, 34 emergency response personnel, 35-36, 41, 42, 108 eyes, 4, 36, 41, 106, 147 general public, 4, 34, 39, 40, 41, 42, 222 225 gloves, 4, 35, 36, 41, 98, 102, 106, 147 gowns, 4, 36, 41, 106, 147 heat stress, 38, 39, 189 hoods, 38, 39, 40-41, 142 hospitals, 4, 5, 34, 36, 42, 106, 147 inventory of available products, 222-225 Israelis, 38, 39, 40, 222 levels of protection, 35, 36, 37, 40 masks, 4, 3541 (passim) , 98, 102, 116, 147, 222 medical personnel, 4, 5, 19, 34, 35-36, 41, 42,100,103,106,108,147 nerve agents, 4, 36, 37 OSHA, 4, 35, 42, 188 regulatory approval of, 4, 28, 189 research recommendations, 5, 42, 189 shelters vs.
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From page 276...
... , 71, 175, 232 Prophylactic drugs, 111, 115, 116-120, 121, 124, 129, 134 see also Vaccines Protective equipment, see Personal protective equipment; Shelters, protective Psychological effects, 3, 9, 11-12, 24, 71, 165-173, 193 acute, 165, 166-167 aged persons, 103, 108 community-wide, 172 crowd control, 105, 177, 262 decontamination procedures, 9, 102, 105, 107, 108, 109, 191 diagnosis, 166, 169, 173 education and training, 11-12, 71, 168, 170-172, 173 emergency response personnel, 166, 167-168, 170-171, 173, 176, 193 funding, 167, 170 inventory of resources, 250-251, 259 medical personnel, 168, 170-172, 173 neurological vs. nerve agents, 169 post traumatic stress disorder, 9, 11, 165-166, 169-170 professional training, 170-172, 193 INDEX research recommendations, 11-12, 170, 172-173 standard operating procedures, 11, 12, 192 testing guidelines, 35 urban areas, 168, 171, 172 PTSD, see Post traumatic stress disorder Public health officials, 12, 22, 32, 33, 176, 193 Public Health Service, 28, 96 Disaster Medical Assistance Teams, 25 26, 167 Metropolitan Medical Strike Teams, 25, 28, 55-57, 59, 76, 100, 105, 114, 168, 188 Pyridostigmine, 115, 241 Q Q fever, 11, 21, 72, 140-141, 163, 193, 246, 258 Quarantine, 147 3-quinuclidinyl benzilate, 117 R Raman spectroscopy, 54 Rapid assessment and initial detection (RAID)
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From page 277...
... , 180 Seizures and anticonvulsants, 9,11, 63,113, 114,115,117,121,122,125,144 145, 162, 191, 192 Selectively permeable membrane technology, 40 Self-contained breathing apparatus, 35, 37, 40,41,42 Sentinel Surveillance Networks, 68 SFM, see Swept frequency acoustic interferometry detector Shelters, protective, 39, 41, 42, 105 Shipboard Automatic Lightweight Standoff Chemical Agent Detector, 58 Showering, decontamination, 8, 98, 99,100, 104, 109, 122, 191 Side effects, 115,116,121,128,131,142,150 Signal processing technologies, 52-55 (passim) , 58, 80, 82, 83, 85, 90,159 Skin, 52 anthrax, 133, 134 blister agents, 48, 52, 53, 54, 55, 58 decontamination, 100, 106 showering, 8, 98, 99,100,104,109, 122, 191 mycotoxins, 156 personal protective equipment, 35, 37, 38, 41 gowns, 4, 36, 41, 106, 147 topical skin Protestants, 123, 124, 156 158, 242 see also Vesicants Small business innovative research, 20, 254 Smallpox, 9, 10, 21, 41, 72, 131, 133, 141 144, 148, 162, 191, 192, 247, 258 Sodium nitrite, 125 Sodium thiosulfate, 124, 125 Soman, 42, 61, 62, 115 Special Operations Forces Nonintrusive Detector, 58 Spectroscopy, 61, 228, 232 chemical biological mass spectrometers, 94 Fourier transform infrared spectrometry, 55, 58 gas chromatography mass spectrometry, 6, 61, 86,190
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From page 278...
... Army) , 45, 57, 168 Emerging Infections Program, 68 Metropolitan Medical Strike Teams, 25, 28, 55-57, 59, 76, 100, 105, 114, 168, psychological impacts of attack, 168, 171, 172 Urinanalysis, 60, 61, 62, 72, 231
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From page 279...
... , 144, 145, 146, 248 Vesicants, 2, 4, 21, 35 aerosols and vapors, 122, 123 clinical diagnosis, 122, 127 decontamination, 21, 122-123 detection and measurement, 5, 45, 55, 60, 62-63, 229 279 drug treatment, 9, 10, 123-125, 158, 162, 164, 191, 192, 242-243, 259 topical skin Protestants, 123, 124, 156 158, 242 FDA, 123, 124 Lewisite, 47-50, 122, 123, 231, 243, 261 list of, 261 phosgene, oxime, 122, 123 sulfur mustard, 5, 21, 37, 47-51, 52, 62, 65, 122-123, 124 see also Blister agents Veterinary medicine, 72, 73, 111, 116 Viable particle-size impactors, 88 Viral encephalitides, 9, 10, 21, 72, 144-146, 163, 192, 246 see also specific diseases Viral hemorrhagic fevers, 21, 41, 72, 76, 146-148, 163, 245 see also specific diseases Virtual impactors, 89 Vitamin E, 124, 157 Vomiting, 113, 138, 141, 152, 153, 156 VX nerve agent, 52, 56, 58, 115, 231, 261 W Wally Wise Guy program, 39 Water contamination, 2, 12, 22, 58, 67, 91, 194, 228, 237 Western equine encephalomyelitis (WEE) 132, 144, 145, 146, 249, 258 World Health Organization, 69, 141, 232 World Wide Web, 20, 250-251, 254, 259 X X-rays, 107 y Yellow fever, 132, 146, 263
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Key Terms

  • personal protective
  • emergency response
  • response personnel
  • gas chromatography
  • covert exposure

  • medical personnel
  • chemical biological
  • mass spectrometry
  • nerve agents
  • computer tools

  • computer applications
  • psychological effects
  • chemical agent
  • gulf war
  • occupational safety

  • cost factors
  • clinical diagnoses
  • emerging infections
  • control centers
  • poison control

  • crowd control
  • law enforcement
  • hemorrhagic fever
  • topical skin
  • sulfur mustard

  • biological weapons
  • drug treatment
  • metropolitan medical
  • strike teams
  • medical strike


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