-Caveat Lector-

>From USA Today,
http://www.usatoday.com/news/washdc/ncstue08.htm
-
11/30/99- Updated 11:27 PM ET

U.S. unprepared for biological attacks

WASHINGTON (AP) - The government's medical stockpiles for dealing with
chemical or biological terrorism are poorly managed, often lacking vital
drugs and adequate security, congressional auditors said Tuesday.

The General Accounting Office, an investigative arm of Congress, criticized
the Departments of Health and Human Services and Veterans Affairs, as well
as a special Marine Corps unit, for failing to manage their supplies for
treating civilian victims of a chemical or biological terrorist attack.

''The poor management controls and lack of required items in their
stockpiles lead us to conclude that they cannot provide reasonable assurance
that the required medical supplies will be available if needed,'' the GAO
said.

The report said the agencies failed to keep good records, conduct regular
inventories, maintain their own policies or ensure security.

Some of the problems uncovered stem from the complicated relationships
between the agencies.

Under a national contingency plan for responding to chemical and biological
terrorism, HHS's Office of Emergency Preparedness is to coordinate medical
assistance. In 1997 they created four national response teams with
stockpiles of antidotes, antibiotics and medical supplies. However, Veterans
Affairs is responsible for the daily management of the stockpiles, which are
spread across the country.

The investigators concluded that the HHS emergency office failed to oversee
and advise Veterans Affairs, leading to poor management and organization.

At one Veterans Affairs location, the entire supply of amyl nitrate, an
inhaled drug used as an antidote for cyanide poisoning, had expired eight
months before the GAO inspection, the report said. Amyl nitrate, which is
also used as a recreational stimulant, was found in other VA locations in
unsecured storage - in one case the drug was stored in a staff refrigerator
alongside employee lunches.

HHS Inspector General June Gibbs Brown, in a letter to the GAO, said her
agency has begun working to correct the management and interagency problems.
''We are confident that appropriate management control of our chemical and
biological stockpile will be rapidly achieved,'' Brown wrote.

The HHS emergency office's inventory of supplies varied by more than 12%
from the actual physical stockpile, the investigators said. While most of
the discrepancies came from having more supplies than thought, the GAO found
important shortages, including missing drugs for treating convulsions and
breathing problems.

In 1996, the Marine Corps created the Chemical Biological Incident Response
Force, the only Defense Department unit responsible for treating civilian
victims of a chemical or biological terrorist attack.

By comparing the Corps' inventory records with its actual supplies, the GAO
found that more than a quarter of their stockpile contained record-keeping
errors or discrepancies in the amount in stock.

The federal stockpiles would respond if state and local authorities were
overwhelmed by biological or chemical attacks. In September, emergency
management and medical officials told a House subcommittee that local public
health systems remain ill-prepared for such emergencies.

--
Dan S

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