[iwar] [fc:News.articles.prepare.the.US.for.real.terrorism....Bioterrorism:.An.Even.More.Devastating.Threat]

From: Fred Cohen (fc@all.net)
Date: 2001-09-17 06:48:31


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Subject: [iwar] [fc:News.articles.prepare.the.US.for.real.terrorism....Bioterrorism:.An.Even.More.Devastating.Threat]
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Washington Post
September 17, 2001
Bioterrorism: An Even More Devastating Threat
By Rick Weiss, Washington Post Staff Writer
It would require just a small private plane, not a hijacked commercial
jetliner. A helper could casually dump a bag of powdery bacterial spores
while in flight, rather than having to overpower a planeload of passengers.
And the team could land and be home in time for dinner instead of ending it
all in a suicidal inferno.
It's called bioterrorism, and experts say it would be a lot easier to
conduct and is more likely to occur in the next few years than a replay of
last week's terrorist tragedies. A small cloud of bacteria or viruses could
easily and silently infect tens of thousands of people, triggering fatal
outbreaks of anthrax, smallpox, pneumonic plague or any of a dozen other
deadly diseases. And victims infected with contagious ailments could pass
the microbes to thousands of others before doctors even figured out what was
going on.
Moreover, bioterrorism could foment political instability, given the panic
that fast-moving plagues have historically engendered.
"The events in New York and Washington were tragedies beyond what anyone had
previously imagined, but the potential of biological terrorism is far
greater in terms of loss of life and disruption," said Michael Osterholm,
director of the University of Minnesota's Center for Infectious Disease
Research and Policy. "It would be less graphic -- no flames and explosions
-- but much more insidious. Anyone with a cough would be a weapon."
In many respects the nation is less prepared for bioterrorism than it is for
conventional acts of terrorism. An October 1999 General Accounting Office
(GAO) report documented major gaps in the nation's system for protecting
itself against biological attacks. Inspectors found shortages of vaccines
and medicines, stockrooms filled with expired drugs, and lax security
measures where crucial drugs were stored.
A January 2001 report by the Centers for Disease Control and Prevention
(CDC) in Atlanta concluded that the nation's public health infrastructure is
"not adequate to detect and respond to a bioterrorist event." And a March
2001 GAO report noted that 20 percent of the nation's pharmaceutical and
medical supplies held by the federal Office of Emergency Preparedness for a
bioterrorist attack were stored in a vault whose temperature was 95 degrees
and that had no air-conditioning. The medicines' potency could be assured
only if kept cooler than 86 degrees.
Some improvements have been implemented since then. Still, the nation and
the world are largely unprepared to fight major outbreaks of deadly diseases
like plague, said Norman Cantor, an emeritus professor at New York
University and a plague scholar.
"It would be some improvement over the Middle Ages, but not all that great
an improvement," he said.
Bioterrorism is not new. Fourteenth-century barbarians tossed
plague-infected corpses over the walls of fortified cities to spread the
deadly infection among their enemies. In 1763, the English at Fort Pitt,
Pa., gave smallpox-laden blankets to Indians who had been loyal to the
French. And, as recently as the mid-1990s, U.N. weapons inspectors
discovered that Iraq had stockpiled warheads containing anthrax spores and
the toxin that causes botulism.
Russian scientists have revealed that the former Soviet Union produced large
volumes of weapons-grade anthrax spores. And Aum Shinrikyo, the Japanese
religious cult that released sarin nerve gas in the Tokyo subway system in
1995, made several tentative efforts to release biological agents. Members
even went to Zaire to learn more about the deadly ebola virus.
An international biological weapons convention signed by 143 nations has
outlawed the development, production and stockpiling of biological weapons
since 1975, but the absence of any formal verification regime to monitor
compliance has limited the effectiveness of the convention, according to the
United Nations. In any case, terrorists don't play by the rules. And at
least five countries known to sponsor international terrorism have acquired
the capacity to produce biological weapons, according to U.S. Army experts.
Despite those capabilities, U.S. preparedness has lagged, in part because
bioterrorism has been deemed so unlikely. "Who would do such a thing?"
skeptics asked. Last week's attacks in New York and Washington seriously
undermined such rational assurances.
Biological attacks can be far more difficult to respond to than conventional
terrorist attacks. For one thing, they are covert rather than overt; for
days, no one would know that one had occurred. That's a huge problem for a
disease like anthrax. Up to 80 percent of people infected by inhaled spores
die within days if untreated. By the time symptoms appear -- fever, rash and
congested lungs -- it's generally too late.
Another problem is that the first-line defenders against a biological attack
would not be police and fire officials, who are specially trained for public
safety emergencies. They would be local doctors and hospital staffers, most
of whom have received little training in the art and science of being able
to recognize and respond to unusual outbreaks quickly.
And contagious diseases -- unlike explosions -- keep spreading long after an
initial attack. Smallpox, for example, is easily spread by coughing and
sneezing. The disease was declared eradicated in 1980, but vials of the
virus were saved and the whereabouts of some are uncertain. Vaccination no
longer occurs, leaving an entire generation susceptible to attack. And few
doses of the old vaccine remain in storage.
In a federal exercise three months ago, 24 simulated cases of smallpox were
"discovered" in U.S. hospitals as part of an assessment of U.S. bioterrorism
preparedness. Less than two weeks after those cases popped up, computer
models indicated that -- if the exercise had been real -- 15,000 people
would have contracted the disease and 1,000 would have died. The "epidemic"
was still raging when the exercise ended, and, the computer models
predicted, rioting and looting would have broken out as vaccine supplies ran
out.
"This would cripple the United States if it were to occur," a former defense
department official testified to Congress after the exercise.
A Clinton administration bioterrorism initiative, administered jointly by
the CDC and the National Institutes of Health, is speeding development of
protective technologies, including portable DNA diagnostic devices that may
someday help identify mystery microbes raining from the sky. But the
initiative's $300 million budget is a fraction of what will be needed to
protect the nation in years to come, Osterholm and others said.
Meanwhile, just in case, the CDC has contracted with two biotech companies
to make and stockpile 40 million doses of smallpox vaccine. The first
batches that could be used by civilians are expected to be ready in 2004.

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