Micro Winter 34 Bioterrorism

Front 1

what is the purpose of bioterrorism

bio warefare

chemical warefare

Back 1

terrorism: scare ppl, cause death/disease. can affect masses or just a small group

warfare: INTENTIONAL use of bugs/toxins/ for disease/death of human, animal or plants

chemical: use smoke, irritants, gas etc to injure/kill

**warfare and terrorism is NOT the same. Terrorism is to make military ineffective, deny terrian. scare ppl, shut down cities adn paralyze medical system. warefare is intent to kill more

Front 2

is teh purpose of chem/bio terrorism the same as warefare

Back 2

nope. terrorism wants to affect military and public

military: stop advancement by making bad terrian, and make the soliders sick.ineffective. cant shoot with all that MOPS gear

public: scare ppl, stop a city (clean up etc), paraplyze medical system

Front 3

what does MOPSS gear do to troups

Back 3

makes it hard for them to shoot. can go potty except in suit etc. makes war conditions EVEN WORSE

Front 4

what are used as agents of biowarefare

Back 4

1. anthrax
2. small pox
3. plague
4. botulism
5. VEE
6. tularemia
7. q fever
8. marburg
9. influenza
10. meliodosis
11. typhus

Front 5

what is an unconventional threat

Back 5

just as it seems, the term came out after 9-11

*any situation that exceeds what you thought was even possible

Front 6

what was the result of the 7 anthrax letters that were sent out

Back 6

5 died, $$$ for clean up

1. we know you need 60 day prophylaxis bc the spore lasts a long time
2. better to use to AB than one

Front 7

tell me a little about the things that make a good bioterrorism

Back 7

1. mass killing: sometimes yes sometimes we just want to paralyze the system for a while

2. wont kill you but needs serious medical care

3. person to person spread: small pox, plague. NOT anthrax

4. cant detect

5. non sepcific sx: cant tell if this one will be the bad one

6. incubation: small pox~2 weeks. plague 1-2 days

7. mimics endemic disease

Front 8

name the top 3 biowarefare agents

Back 8

1. anthrax- vaccine available. NO P to P, prophylax 60 days

2. Small Pox- variola major

3. plague- yersinia persistis

also tularemia, hemorrhagic fevers, and botulism toxin.

Front 9

tell me about anthrax

Back 9

its a gram + spore former. this means we can put it in bombs and the spore will stay infective.

the bug in inhaled, but there is NO PERSON TO PERSON TRANSMISSION

incubation for like 60 days

Front 10

is anthrax spread p2p

Back 10

nope

But it forms spores so can last a long time if needed - aerolsolized

incubate 1-60 days

Front 11

does anthrax cause pneumonia

Back 11

NO

cxr shows widened mediasteinum

Front 12

what bioterrorim shows a widened mediasteinum and what is its mortality

Back 12

anthrax

100% mortality

Front 13

ok so an anthrax bomb blew up but you held your breath, do you need to be worried about spores on your clothes

Back 13

ehh, not really

secondary aerosolization is unlikely but def wach thgs w/0.5% hypochlorite

Front 14

if your mom was exposed to an initial source of anthrax shoudl you be vaccinated

Back 14

nope

**secondary aerosolization is NOT likely

Front 15

best way to tx anthraxz

Back 15

2 AB (cipro, doxy)

for like 60 days!

*prophylax for 60 days w/doxy

Front 16

how is smallpox spread,

Back 16

contact, inhalation

only need like 10 virions to be infective

Front 17

whats the incubation for small pox

how many virions for small pox

Back 17

~2 weeks or less, can be exposed and then spread

10-100 virions for infectious dose

Front 18

can small pox be xpread easily

Back 18

YA! its P2P and doesnt show up for like 2 weeks. so you get infected adn dont have sx but pass along to tons of ppl you contact (aerosol or contact w/lesion, low infectious dose)

**super bad bc NO effective tx, but can kinda prophylax w/small pox vaccine

Front 19

the DISTRIBUTION of small pox is what

Back 19

centriFUGAL- most prominant in faec and extremities

Front 20

what disease has a distribution that is concentrated to face and extremities, what is this pattern called

Back 20

small pox
centriFUGAL

Front 21

is small pox spread person to person

Back 21

ya, it spreads fast bc you dont know you are infected and pass it along, low infectious dose

centrifugal distribution of rash (fugal- furtherst- face nad extremities)

Front 22

what rash is heave on trunk and spare on face

Back 22

chichen pox (centripital)

contrast to small pox which is more on extremites nad face (centriFUGAL)

Front 23

ok so my mom was exposed to small pox, shoudl i be worried for myself

Back 23

oh ya! can spread person to person, lesins are infectious!

*secondary contamination is a big deal

Front 24

whats the tx for small pox

Back 24

NONE!!!! no approved antiviral

**vacine can be used kinda as prophylaxis

Front 25

do anthrax or small pox pts need to be in isolation

Back 25

small pox

Front 26

how is plague spread? what is the incubation

Back 26

Yersinia pestis through inhalation or flea bite

**incubation is like 1-2 days

P2P transmission

Front 27

what causes penumonia, antrhax small pox or plague

Back 27

plague

*anthrax makes wide mediasteimun
*small pox makes centrifugal rash

Front 28

clinical manifestions of the plague

Back 28

1. pneimona
2. dyspnea, stridor
3 GI
4. Buboes-

Front 29

will plague kill you

Back 29

not if you get treated

90-100% mortality w/o
tx

5% w/tx :)

Front 30

is plague spread p2p

Back 30

yep

Front 31

is secondary comtaminatino for plague a concern

Back 31

nope

Front 32

whats the decontamination and isolation protocol for plague

Back 32

clean EVERYTRHING woth 10% bleach

isolation for 48 hrs

AB prophylaxis and watch fever for 1 week of all sick contacts

Front 33

do we wait until there is an outbreak of bioterrorism

Back 33

NO, cant be complaicent. cant really prevent it in the first place so we need to ahve SUPER good measures in place for when it happen