-Caveat Lector-

The National Post

http://www.nationalpost.com/home/story.html?f=/stories/20010219/478925.html

February 19, 2001

Prepare for bioterrorism attack, military doctor warns

Readiness questioned

By Margaret Munro
National Post

SAN FRANCISCO - A U.S. Army expert in biological warfare is
urging Washington to prepare for a bioterrorism attack that he
says is inevitable and could unleash a silent killer such as
smallpox, anthrax or the plague on an unsuspecting public.

"We need more of a sense of urgency about this," said Colonel
Edward Eitzen, a doctor and bio-weapons specialist at the U.S.
Army Medical Research Institute of Infectious Diseases.

Biological warfare is the "ultimate weapon" since the first sign
of attack would likely be sick or dying people showing up at
doctors' offices and hospital emergency rooms, he told the annual
meeting of the American Association for the Advancement of
Science.

He said the pathogens that would be released in a bioterrorism
attack are relatively cheap, accessible and easy to conceal.

Col. Eitzen said terrorists could even willingly infect
themselves with smallpox and walk around a city, knowingly
infecting people for 14 days before symptoms developed.

Public health staff and medical doctors need to be educated about
the threat, warned Dr. Margaret Hamburg, who recently stepped
down as a bio-weapons advisor to the U.S. Department of Health
and Human Services.

One big concern is that a disease such as smallpox or anthrax
could spread for days before the epidemic is noticed. Most
emergency rooms and physicians, Dr. Hamburg said, have never seen
a case of smallpox or anthrax and some of the deadly diseases
have flu-like symptoms in the early stages.

While U.S. government agencies are working with researchers to
devise a response, the doctors urge scientists to impress on
politicians the need to take the threat more seriously.

They also want to see disease surveillance and testing systems
expanded so more labs can identify suspicious microbes within
hours.

Col. Eitzen said the U.S. Centers for Disease Control recently
ordered production of new smallpox vaccine, but it will take four
years to produce. When the vaccine becomes available, he said,
governments might want to renew discussions about who should be
vaccinated, as military personnel and doctors are no longer
routinely required to get the shots.

He also said the military medical staff has been cut
significantly in recent years and is hard-pressed to keep up with
its workload. Meanwhile, bioweapons may also be used to attack
the brain.

"Biotechnology will give us the capability to manipulate all of
the life processes including cognition," said Dr. Matthew
Meselson, a geneticist at Harvard University.

"It's different from previous technologies in that it has the
potential of changing people, not just destroying them."

The threat is still theoretical, he said, but "profound advances
in biology" such as deciphering the human genome that spells out
some of the biological controls of life could make it possible.

"Over time surely we will be able to manipulate all life
processes, including cognition, emotions, reproduction, heredity
and development," he said.


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