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Synopsis

From the much-referenced and highly acclaimed Textbooks of Military Medicine series, the Medical Aspects Of Biological Warfare (2007 Version) textbook reflects the critical threat posed by biological warfare and terrorism in a post 9-11 world. It addresses the weaponization of biological agents, categorizing potential agents as food, waterborne, or agricultural agents or toxins, and discusses their respective epidemiology. Recent advances in biomedical knowledge are presented that include descriptions of individual agents and the illnesses induced. Authors discuss biotoxins and explain methods for early identification for anthrax, plague, smallpox, alphaviruses, and staphylococcal enterotoxins. Case studies and research on successful management practices, treatments, and antidotes are also included. There is coverage of biosafety and biosecurity as well.

The Textbooks of Military Medicine are published by the Borden Institute of the Office of Surgeon General, AMEDD Center and School of the U.S. Army. The series constitutes a comprehensive, multivolume treatise on the art and science of military medicine, extensively illustrated, and written in an easy-to-follow narrative. The books integrate lessons learned in past wars with current principles and practices of military medicine. The spectrum of topics is broad, ranging from wound ballistics to medical ethics, and from considerations of harsh environments to applied biomedicine. The TMM series is tri-service in scope.

Chapters cover:

History of Biological Weapons: From Poisoned Darts to Intentional Epidemics * Food, Waterborne, and Agricultural Diseases * Epidemiology of Biowarfare and Bioterrorism * Anthrax * Plague * Glanders * Melioidosis * Tularemia * Brucellosis * Q Fever * Smallpox and Related Orthopoxviruses * Alphavirus Encephalitides * Viral Hemorrhagic Fevers * Staphylococcal Enterotoxin B and Related Toxins * Ricin * Botulinum Toxin * Additional Toxins of Clinical Concern * Laboratory Identification of Biological Threats * Consequence Management: The National and Local Response * Medical Management of Potential Biological Casualties: A Stepwise Approach * Medical Countermeasures * Biosafety * Biosurety * Ethical and Legal Dilemmas in Biodefense Research * Emerging Infectious Diseases and Future Threats * Abbreviations and Acronyms

The description of the practical issues related to civil defense and the inherent differences between national, state, and metropolitan priorities with regard to biosurety, quarantine, crisis management, public affairs, and legal considerations is clear. The potential dangers of emerging infectious diseases and their threat to public safety did not interfere with clear presentation of “here-and-now” risks. The editors conscientiously present the ethical aspects of preparing for scenarios that by their nature are unknowable, unethical, or unforeseen.

The publication of this volume establishes best practices in the field of biohazard management, thus making those best practices available to healthcare practitioners, policy makers, and planners, in and out of uniform. Some will challenge our release of a textbook on the topic of bioweapons—they claim it is wiser, safer, and more prudent to withhold this information in the interest of better safeguarding our citizens. We maintain that in any analysis, the strongest safeguard of a free society is the open forum and free exchange of science, ideas, and theory.

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