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Protecting the population against the effects of a bioterrorism
attack is one of the most daunting tasks facing government
officials. Some of the information required to make informed
decisions is highly technical, and even the technical experts do
not agree about many of the details or issues involved. This primer
is written for the non-technical policymaker and is designed to
assist him or her in reaching important decisions regarding how
best to help provide early warning of a biological attack. The
authors also present the results of an extensive statistical study
that examined the utility of a system-of-systems approach to
identifying a bioattack. Using a hypothetical system-of-systems
that obtains medically relevant data from 10 sources, the study
reaches several conclusions. Among them, that policymakers:
Reassess efforts currently underway that attempt to capture data
from absenteeism reporting, OTC pharmacy sales and medical claims
reporting, because their value added may not be worth the cost.
Increase efforts to collect medical data. These efforts would
include, but not be limited to, capturing data from doctors'
offices and ER visits, as well as expanded veterinary and
agricultural surveillance. Increase data collection from medical
website visits and nurse helplines. Reassess current plans to
significantly increase the number of biosensors deployed as part of
both the BioWatch and Guardian programs. Finally, the authors
propose testing an innovative approach to monitoring for the
presence of biological pathogens. They recommend that the
23,500-strong workforce of law enforcement officers, firefighters
and mail carriers in Washington, D.C., be monitored daily by
thermal imagers for increases in body temperature. This workforce
is uniformly distributed throughout the city and is both inside and
outside of buildings, thus avoiding some of the problems cited with
the current use of stationary sensor systems.
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