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File: 123096_sep96_decls1_0084.txt
Subject: DETECTION OF MEDICAL DEFENSE AGAINST BIOLOGICAL MATERIALS
Unit: OTSG
Parent Organization: HSC
Box ID: BX003203
Folder Title: DETECTION OF MEDICAL DEFENSE AGAINST BIOLOGICAL MATERIALS
Document Number: 1
Folder Seq #: 21
NAFO UNCLASSIFIEI)
CIIAPTER 6
DIAGNOSIS AND RAPID IDENTIFICATION
GENERAL
601. Detection of a biological att-ack at the time it is occurring, by use of
dELeCLion devices, is not yet feasible. Until SL.:h Systems are developed, and
fielded, a biological attack may not be detected @ntil the first casualties
occur. Such an attack may be silent, odorless, tasteless, and invisible.
Detection and alarm systems are in the early phases of research and are not
likely Lo be fielded for many years. Even development of a system for rapid
identification for after-the-fact detection based on assay of clinical
specimens has not been Completed. Rapid methods of laboratory diagnosis for
many biological agents are @ist now being developed.
RECOGNITION OF ATTACK
602. It is likely that an attack will be completed before the local
commander, or his medical advisor, is aware that it ha's taken place. The
medical officer must attempt to distinguish an epidemic of natural origins
from a BW attack. The number of people affected, the time relationships, the
similarity Of the clinical picture, the sharply-defined geographical
boundaries and the absence of common exposures to water or certain foods will
produce an epidemiological picture that can be explained only by exposure to
an artificially-disseminated etiologic agent.
603. In the event of a BW attack, the most important factor in providing
edical management will be the
rapid establishment of an accurate, specific etiologic diagnosis. In contrast
to nalurally-occurring epidemics, in which the disease incidence increases
over a period of weeks or months, an artificially-induced epidemic will peak
in a few hours or days. Since a BW attack may be silent or nearly so, the
first indication of an attack will likely be the appearance of a wave of
disease casualties. man himself is the most sensitive biodetector currently
available. Early clinical signs and symptoms may be nonspecific or atypical
of the natural disease. Medical personnel may be unable to differentiate
natural disease epidemics from overt or covert enemy attacks. The incubacion
period of most infectious diseases is variable, but may be as long as 3
weeks. Onset of illness following exposure to toxin agents may range from
minutes to several hours. Considerable time may elapse following a BW attack
before the extent of the exposure is perceived. Some potential BW agents are
transmissible among humans, so spread after the initial attack may be
expected.
Al
INFECTIOUS AGENTS
604. It is essential that the infectious agent be identified in order to
provide some rational approach to medical management. Currently, however, the
best medical diagnostic and research laboratories generally require up to 24
hours for identification of most bacteria and a few fungi, approximately 4
21
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Document 109 f:/Week-36/BX003203/DETECTION OF MEDICAL DEFENSE AGAINST BIOLOGICAL MATERIALS/detection of medical defense against biological :1217960927452
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-36
Box ID = BX003203
Unit = OTSG
Parent Organization = HSC
Folder Title = DETECTION OF MEDICAL DEFENSE AGAINST BIOLOGICAL MATERIALS
Folder Seq # = 21
Subject = DETECTION OF MEDICAL DEFENSE AGAINST BIOLOGICAL
Document Seq # = 1
Document Date =
Scan Date =
Queued for Declassification = 01-JAN-1980
Short Term Referral = 01-JAN-1980
Long Term Referral = 01-JAN-1980
Permanent Referral = 01-JAN-1980
Non-Health Related Document = 01-JAN-1980
Declassified = 17-DEC-1996