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File: 123096_sep96_decls1_0097.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
810. At the present time there are no formal plans in the NATO nacions to
stockpile vaccines specifically for protection against biological attack;
however certain nations are considering stockpiling smallpox vaccine.
811. From the preceeding discussion it is clear that immunoprophylaxis is not
the complete answer to the problem of medical defence against biological
agents. The problems of selection of vaccines Lo be administered, the timing
of the vaccination programme, and the logistical difficulties significantly
decrease the vaccine's potential effectiveness, but these problems do not
preclude its use. Imunoprophylaxis reduces the options of a hostile
agency. The development of vaccines and research into improved methods of
administration will continue to be significant parts of the programme to
develop an adequate medical defence against biological weapons.
CHEMOPROPHYLAXIS
812. With our present krowiedge it would be impractical, wasteful and
dingerc-,!s- to place eve.-yo.-.a located in a prtez'.Z:ial- target area un pcopilylactic-
antibiotics in anticipation of a biological attack. If an attack is known to-
have occurred and the organism identified, chemoprophylaxis could be useful
for those who had not been affected. 1,
813. A thorough knowledge of the disease against which protection is being
sought is desirable. One should know the appropriate antibiotic, its dosage,
and schedule of use, and the time within the incubation period to administer
the drug. For example in the case of Q fever, the tetracycline drugs are
effective for treatment of the clinical illness. For prophylaxis, if the drug
is given in the early incubation period, the disease will only be suppressed,
and on cessation of therapy the clinical disease will occur. The incubation
period in this example will be prolonged. If the drug is given in the late
incubation period, the clinical disease will be prevented.
814. Antibiotics might also be effective on occasion in conjunction with
vaccines. An animai model demonstrated chat survival, following challenge
with a lethal dose of B. anthracis, only occurred in those treated with both
vaccine and antibiotic. To date, there are no examples in humans to support
these studies.
815. There are many diseases, including the majority of the viral diseases,
for which no chemoprophylactic measures are available. During the last few
years the rapid advances made in antiviral therapy with chemotherapeutic
agents and with interferons preclude any definitive statement on the subject.
816. There may be occasions during combat when, even though it may be known
that chemoprophylactic drugs would not prevent clinical disease, they might
still be used. Alf the drug suppressed the disease long enough for the
individuals to accomplish their mission, it would still be-useful. Most of
the bacterial and rickettsial diseases that are suppressed by broad spectrum
antimicrobials, and then manifest themselves as clincical disease on cessation
of therapy, will respond to the same drug if used for a second course of
treatment.
35
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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