
Biological Weapons
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PREFACE xv
ACKNOWLEDGMENTS xvii
ABOUT THE COMPANION WEBSITE xix
INTRODUCTION 1
UNIT I AGENTS IMMUNITY AND AGENCIES 5
1 Bacteria Toxins and Viruses 7
1.1 Bacteria 7
1.2 Toxins 15
1.3 Viruses 17
1.4 Genetic Engineering 21
Chapter 1 Summary 23
Chapter 1: Review Questions 24
2 The Human Immune System 27
2.1 The Defense 27
2.2 The Offense 29
Chapter 2 Summary 35
Chapter 2 Review Questions 36
3 Defense Agencies 37
3.1 The Centers for Disease Control and Prevention (www.cdc.gov) 37
3.2 The World Health Organization (www.who.int) 40
3.3 The United States Army Medical Research Institute of Infectious Diseases (www.usamriid.army.mil) 42
3.4 The United States Department of Homeland Security (www.dhs.gov) 45
3.5 The Biological Toxins and Weapons Convention (www.un.org.disarmament/WMD/Bio/) 47
Chapter 3 Summary 48
Chapter 3 Review Questions 49
UNIT I REVIEW 51
UNIT II BACTERIA 53
4 Anthrax 55
4.1 The Agent 56
4.2 Symptoms 60
4.3 Treatment 63
4.4 History 65
Chapter 4 Summary 71
Chapter 4 Review Questions 72
References 73
5 Plague 75
5.1 The Agent 76
5.2 Symptoms 79
5.3 Treatment 81
5.4 History 82
Chapter 5 Summary 87
Chapter 5 Review Questions 88
References 89
6 Tularemia 91
6.1 The Agent 92
6.2 Symptoms 94
6.3 Treatment 97
6.4 History 98
Chapter 6 Summary 100
Chapter 6 Review Questions 101
References 102
7 Cholera 103
7.1 The Agent 104
7.2 Symptoms 107
7.3 Treatment 109
7.4 History 110
Chapter 7 Summary 113
Chapter 7 Review Questions 114
References 115
UNIT II REVIEW 117
UNIT III TOXINS 119
8 Ricin 121
8.1 The Agent 122
8.2 Symptoms 125
8.3 Treatment 127
8.4 History 128
Chapter 8 Summary 130
Chapter 8 Review Questions 131
References 132
9 Botulinum Toxin 135
9.1 The Agent 137
9.2 Symptoms 139
9.3 Treatment 144
9.4 History 145
Chapter 9 Summary 147
Chapter 9 Review Questions 148
References 149
10 Staphylococcal Enterotoxin B 151
10.1 The Agent 152
10.2 Symptoms 153
10.3 Treatment 156
10.4 History 156
Chapter 10 Summary 158
Chapter 10 Review Questions 158
References 159
UNIT III REVIEW 161
UNIT IV VIRUSES 163
11 Ebola 165
11.1 The Agent 166
11.2 Symptoms 169
11.3 Treatment 170
11.4 History 171
Chapter 11 Summary 174
Chapter 11 Review Questions 176
References 177
12 Smallpox 179
12.1 The Agent 180
12.2 Symptoms 182
12.3 Treatment 187
12.4 History 188
Chapter 12 Summary 194
Chapter 12 Review Questions 196
References 196
13 Hantavirus 199
13.1 The Agent 200
13.2 Symptoms 202
13.3 Treatment 205
13.4 History 205
Chapter 13 Summary 207
Chapter 13 Review Questions 208
References 209
14 Viral Encephalitis 211
14.1 The Agent 212
14.2 Symptoms 214
14.3 Treatment 216
14.4 History 216
Chapter 14 Summary 218
Chapter 14 Review Questions 219
References 219
15 Nipah Virus 221
15.1 The Agent 222
15.2 Symptoms 223
15.3 Treatment 225
15.4 History 225
Chapter 15 Summary 227
Chapter 15 Review Questions 228
References 228
16 Lassa Fever 231
16.1 The Agent 232
16.2 Symptoms 234
16.3 Treatment 235
16.4 History 235
Chapter 16 Summary 239
Chapter 16 Review Questions 240
References 241
17 Marburg Virus 243
17.1 The Agent 244
17.2 Symptoms 246
17.3 Treatment 247
17.4 History 248
Chapter 17 Summary 252
Chapter 17 Review Questions 253
References 254
UNIT IV REVIEW 255
18 Looking Ahead: Policies Procedures and Prevention 259
18.1 Policies and Procedures 259
18.2 Prevention 266
Chapter 18 Summary 267
Chapter 18 Review Questions 268
References 269
APPENDICES 271
Appendix I Field Identification of Biological Warfare Agents (FIBWA) 273
Appendix II Biological Agent Identification and Counterterrorism Training (BAIT) 279
Appendix III Protocol for the Prohibition of the Use in War of Asphyxiating Poisonous or Other Gases and of Bacteriological Methods of Warfare (1925 Geneva Convention) 285
Appendix IV Convention on the Prohibition of the Development Production and Stockpiling of Bacteriological (Biological) and Toxin Weapons and on Their Destruction 287
Appendix V States Parties Signatories and States not Members of the Biological and Toxin Weapons Convention 291
Appendix VI The Evidence Implicating Ivins Excerpt
From: Amerithrax Investigative Summary 295
ANSWERS TO CHAPTER REVIEW QUESTIONS
AND UNIT REVIEWS 305
GLOSSARY 319
INDEX 331
CHAPTER 1
BACTERIA, TOXINS, AND VIRUSES
A staggering variety of microbes and chemicals found in the environment pose serious health threats to humans, but some can be manipulated to be even more dangerous. Certain types of bacteria, toxins, and viruses have been identified as potential weapons of bioterrorism. While each agent has its own unique characteristics, it is worthwhile to consider some traits common to each group.
1.1 BACTERIA
Bacteria are too small to be seen without a microscope, yet they comprise more of the total biomass of Earth than all plants and animals combined. Different species are adapted to different conditions, and bacteria can be found in virtually every environment on the planet. Many species have established mutually beneficial, symbiotic relationships with humans; our bodies provide a home and nutrition for the bacteria, and the bacteria provide some type of benefit to our health. The human digestive system is particularly dependent on the multitude of bacteria occupying the intestines. In fact, the population of bacteria living in and on the human body outnumbers human body cells by 10 to 1. The presence of symbiotic bacteria also confers protection against other bacterial species that are actually pathogenic to humans, causing various symptoms of disease or, in many cases, death. Some of these pathogens, however, are undaunted by symbiotic bacteria and will cause disease in virtually everyone they encounter.
Organisms such as plants and animals consist of many cells and have numerous intracellular structures called organelles that perform specific cellular functions; some of these organelles are enclosed in membranes within the internal environment of the cell. Such organisms are considered eukaryotic. Bacteria, however, exist as individual cells that also have organelles, but none of their organelles are membrane-bound; these organisms are considered prokaryotic (Fig. 1.1).
Figure 1.1 Prokaryotic and eukaryotic cells share many features, but eukaryotic cells are typically larger and have their DNA enclosed in a nucleus
Source: Wikipedia, https://biology12-lum.wikispaces.com/Recombinant+DNA, Used under CC BY-SA 3.0, http://creativecommons.org/licenses/by-sa/3.0/
The genetic material of bacteria is composed of deoxyribonucleic acid (DNA), the same molecule that carries hereditary information in all living cells. While eukaryotic DNA is organized into linear, thread-like chromosomes (imagine miniscule strands of spaghetti) encased in a membrane to form the nucleus (Fig. 1.2), bacterial chromosomes have a circular formation (as microscopic SpaghettiOsT) and are not bound by a membrane. Most bacterial cells have one large, circular chromosome, and many also have smaller, circular strands of DNA called plasmids (Fig. 1.3). Bacteria frequently exchange copies of plasmids, easily generating diversity within a bacterial population descended from the same bacterial cell.
Figure 1.2 Long strands of DNA are folded into chromosomes and located in the nucleus of eukaryotic cells
Figure 1.3 Prokaryotic DNA is not enclosed in a nucleus. Small molecules of DNA called plasmids are often present
Source: Wikipedia, https://commons.wikimedia.org/wiki/File:Plasmid_(english).svg. Used under CC BY-SA 2.5, https://creativecommons.org/licenses/by-sa/2.5/deed.en
Without microscopes, bacterial species can often be differentiated based on the appearance of their colonies, macroscopic clusters of cells growing on a solid surface. However, many species produce colonies with similar appearances and must be distinguished by other means. Often, extensive laboratory tests are required to identify bacterial species conclusively, but the first step in identification is to characterize the shape of the individual cells. Most bacterial cells can be categorized as rod-shaped (bacillus), spherical (coccus), corkscrew-shaped (spirillum), or comma-shaped (vibrio) (Fig. 1.4). Some bacterial species do not fit neatly into one of these cell-shape categories; for example, those that are more round than bacilli but more elongated than cocci are referred to as coccobacilli.
Figure 1.4 (a) Rod-shaped Bacillus anthracis cells among large, round neutrophils. (b) Spherical Staphylococcus aureus cells. (c) Spiral-shaped Spirillum volutans cells. (d) Comma-shaped Vibrio
Another step in the initial identification of bacterial species is based on their appearance after certain staining procedures. While all living cells have a flexible cell membrane that envelops their internal components, bacteria have an additional cell wall composed of peptidoglycan (a complex of protein and sugar molecules) on the outer surface of their cell membrane (Fig. 1.5). A staining procedure known as the Gram stain distinguishes bacteria with thick cell walls (Gram positive) from those with thin cell walls (Gram negative). After staining, Gram positive bacteria appear purple (seen here as dark gray), while Gram negative bacteria appear pink (seen here as light gray) (Fig. 1.6). In many cases, the bacterial cell wall renders the bacteria impervious to medications, making some bacterial infections extremely difficult to treat.
Reality Check:
What are some tests scientists could use to identify biological agents rapidly in the field?
Figure 1.5 Some prokaryotic cells have a thin peptidoglycan layer (a), while others have a thick peptidoglycan layer (b)
Source: http://www.intechopen.com/books/viscoelasticity-from-theory-to-biological-applications/viscoelasticity-in-biological-systems-a-special-focus-on-microbes, Used under CC BY 3.0, http://creativecommons.org/licenses/by/3.0/
Figure 1.6 Gram positive cocci appear dark gray, while Gram negative bacilli appear light gray
Source: Wikipedia, https://commons.wikimedia.org/wiki/File:Gram_stain_01.jpg, Used under CC BY-SA 3.0, https://creativecommons.org/licenses/by-sa/3.0/
Some bacteria that are pathogenic to humans also infect other species. For instance, the bacterium that causes plague in humans also infects rodents and fleas. A species that commonly carries but is not killed by a pathogen is known as a reservoir host. While infection with the bacterium that causes plague produces nonfatal sickness in rodents, the same bacteria do not cause those symptoms in fleas. Thus, fleas ingest the bacteria while feeding on an infected rodent. If the rodent dies, the fleas often turn to humans as a source of food, transmitting plague bacteria with every bite. Any species that is involved in transmitting a pathogen to humans is considered a vector. Vectors can be employed by bioterrorists as a means of spreading a biological weapon across borders, particularly if the vector is a flying insect such as a mosquito that could easily bypass security checkpoints.
Some bacteria can live and multiply only in the presence of oxygen; these are known as aerobes. Others grow best in the absence of oxygen; these bacteria are called anaerobes. Aerobes are most commonly found in open environments, while active anaerobes are found in closed environments such as sealed jars and cans. Because of their different environmental requirements, these categories of bacteria pose different threats. Aerobes can be dispersed in open-air environments, while anaerobes can be covertly distributed in canned food or other sealed containers.
While there are specific environmental conditions that are ideal for each species of bacteria, most are able to tolerate a range of conditions, if only for minutes or hours. This hardiness allows bacteria to be transmitted via fomites, inanimate objects that can become contaminated when touched by an infected individual. Some frequently encountered fomites include monetary currency (especially paper bills), elevator buttons, door handles, and even restaurant menus. Because infection often results from touching the mouth, nose, or eyes after making contact with a fomite, frequent hand-washing is one of the best defenses against everything from bacteria to viruses (Fig. 1.7). Similar to vectors, fomites can also be used to spread biological weapons, and an object as innocent as the contaminated surface of a sticky ketchup bottle in a restaurant can instantly become a deadly weapon. In some cases, live aerobic bacteria can be aerosolized, traveling on air currents for great distances, possibly miles, before being inhaled by unsuspecting victims. Most living bacteria have a low tolerance to ultraviolet radiation and would be most effective if released at night, indoors, or in an underground structure such as a subway. Chapter 6 includes a discussion of the harrowing results of government-sponsored testing of the release of a bacterial agent in a New York City subway.
Figure 1.7 The CDC recommends frequent hand-washing to prevent Ebola
While they are generally considered simple organisms, bacteria possess some bizarre qualities not found in eukaryotic organisms. Some bacterial species possess the astounding ability to survive extended periods of harsh environmental conditions in a state of suspended animation by forming structures known as endospores. Each...
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