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Pediatric Terrorism and Disaster Preparedness: A ... - PHE Home

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prepared for use in intercontinental missiles. By WWII, the United States, the United Kingdom,<br />

Canada, Germany, Japan, <strong>and</strong> the USSR all had active biological weapons programs.<br />

The Iraqi bioterrorist program, initiated in 1974, has been of recent interest. Although much is<br />

still unknown about this program, the United Nations Special Commission has information from<br />

Iraq that this program studied the use of botulinum toxin, B. anthracis, influenza virus, aflatoxin,<br />

trichothecene mycotoxins, <strong>and</strong> ricin. During the Gulf War, Iraq reportedly prepared missiles <strong>and</strong><br />

bombs that contained aflatoxin, botulinum toxin, <strong>and</strong> B. anthracis, although they were never<br />

used.<br />

Disarmament <strong>and</strong> legislation. In 1969, the United Kingdom <strong>and</strong> the USSR began to call for<br />

bioweapons disarmament. That same year, the U.S. offensive bioterrorist program was<br />

dismantled, although the biodefense program continued. In 1971, the U.S. Army Medical<br />

Research Institute of Infectious Diseases was opened to research biological protective measures,<br />

diagnostic procedures, <strong>and</strong> therapeutics. By 1973, the United States had destroyed its entire<br />

arsenal of bioterrorist agents.<br />

The Convention on the Prohibition of the Development, Production, <strong>and</strong> Stockpiling of<br />

Bacteriological (Biological) <strong>and</strong> Toxin Weapons <strong>and</strong> on Their Destruction, also called the<br />

Biological Weapons Convention (BWC), was opened for signature in 1972 <strong>and</strong> became effective<br />

in 1975. It was the first multilateral disarmament treaty banning an entire category of weapons.<br />

Although the BWC is an international agreement, there is no monitoring mechanism to ensure<br />

each party’s adherence.<br />

In 1979, a few years after the signing of BWC, there was a massive accidental release of<br />

aerosolized B. anthracis spores in Sverdlovsk, Russia; 79 people became ill <strong>and</strong> 69 died. The<br />

Soviets maintained that this outbreak was due to the ingestion of contaminated meat sold on the<br />

black market. However, President Yeltsin acknowledged in 1992 that in 1979 there had been an<br />

accidental release of an unspecified biological agent from a military facility. This is an important<br />

event in world history because it was the first major evidence that a nation was in direct violation<br />

of the BWC.<br />

In the United States in 1995, a member of a white supremacist group attempted to buy Y. pestis<br />

from an Ohio laboratory supply company <strong>and</strong> later attempted to purchase anthrax from a Nevada<br />

company. This resulted in the passage of the Antiterrorism <strong>and</strong> Effective Death Penalty Act of<br />

1996, commonly referred to as the “Select Agent Rule” (42 CFR Part 72.6, Fed Reg Oct. 24,<br />

1996).<br />

In June 2002, the Public Health Security <strong>and</strong> Bioterrorism <strong>Preparedness</strong> <strong>and</strong> Response Act of<br />

2002 was signed into law (PL 107-188). This Act updated the existing Select Agent Rule by<br />

requiring facilities to register if they possessed select agents. Previously, only facilities that<br />

wanted to transfer select agents needed to register with the Centers for Disease Control <strong>and</strong><br />

Prevention (CDC). See also http://www.fda.gov/oc/bioterrorism/PL107-188.html.<br />

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