BioTerrorism

Question 1

When did Bioterrorism become concerning

Answer 1

Within last 20 years

Question 2

What is Bioterrorism

Answer 2

International use of biological agents or toxins to harm and incite terror
- very intentional

Question 3

Category A

Answer 3

Significant threat that is easily transmitted between people.
It causes a high death rate or mortality.
Must use special efforts to be prepared

Question 4

Category A agents

Answer 4

Smallpox
Anthrax
Plague
Botulism
Tularemia
Viral Hemorhaguic Fever

Question 5

This is mainly a disease of wild or domesticated animals that is spread to humans by ingesting infected meat or inhaling spores from contaminated wool or in soil.

Answer 5

Anthrax

Question 6

What is Anthrax again?

How many forms does Anthrax have?

Answer 6

Disease of wild or domesticated animals

3
Cutaneous
Inhalation
Gastrointestinal

Question 7

What type of Bacteria is Anthrax and how does it work?

Answer 7

Gram positive bacillus with spores that stay dormant until exposed to humans

Question 8

What form of anthrax is used in bioterrorism.

Incubation of anthrax?

Answer 8

Inhalation Anthrax

1 day - 2 months

Question 9

Signs and symptoms of inhalation anthrax?

Answer 9

Fever
SOA, chest discomfort, cough
confusion, dizziness
Headache 
Sweating
Pleural Effusion
Mediastinal widening on chest x ray

Question 10

How is inhalation anthrax diagnosed

Answer 10

Xray of chest
Bacillus culture
Toxin antibody blood measurement

Question 11

Inhalation anthrax treatment

Prophylaxis meds

Focus?

Answer 11

Antibiotics
antitoxin

doxycycline, cipro, vaccine

control of infection

Question 12

Does smallpox (variola) still exist

If it got out, what will be the world immunity to it

Answer 12

Yes but only in atlanta georgia vector institute or in russia

If it got out, we would have absolutely no immunity

Question 13

Smallpox

Transmission

Incubation

Answer 13

Small pox

Droplet and direct contact with scabs or drainage can transmit it

7-19 days

Question 14

Signs & symptoms of small pox

Diagnosis?

Answer 14

early high fever with aching
Then the scabs rash develops that can be contagious if they fall off

We actually just use symptoms to diagnose

Question 15

Smallpox treatment

prophylaxis

Answer 15

antiviral drugs such as acyclovir .. but not always a good option

We have a vaccine. the last US case was in 1948.
Last case in the world was 1977. But the ultimate last case was 1978 whiel in lab

Question 16

What is Botulinum

Answer 16

a TOXIN from clostridium botulinum that release neurotoxins and causes muscle paralysis

Question 17

Where is botulin usually gotten from?

Answer 17

Improperly prepared and canned foods

Question 18

Botulinum

transmission

incubation

Answer 18

Botulinum

food/water transmision

18-36 hrs
6hrs - 10 days

Question 19

Botulinum

treatment

prophyaxis

Answer 19

Botulinum

antitoxin and med support

prophylaxis as necessary

Question 20

Nurses role primary prevention

Answer 20

plan & stay informed

Question 21

Nurses role secondary prevention

Answer 21

Early recognition w screening for better outcome

Activate disaster plan

Question 22

Nurses role tertiary prevention

Answer 22

Dispersal of meds/vacine
Monitor meds
Evaluate plan

Question 23

how can public health use movies and tv

Answer 23

Use media to give messages

Question 24

How does epidmioloy work here?

Answer 24

Track what is taking place through data and patterns