Meeting the challenge of bioterrorism: Lessons learned from west nile virus and anthrax
Meeting the challenge of bioterrorism: Lessons learned from west nile virus and anthrax
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DOI：
10.1053/ajem.2003.50015
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发表时间：
2003-01-01
影响因子：
3.6
通讯作者：
Flanz, BJ
中科院分区：
文献类型：
--
作者：
Crupi, RS;Asnis, DS;Flanz, BJ
医院急诊科和门诊部可能是第一批发现与生物恐怖事件有关的疾病的部门。每个保健机构都必须制定大规模毁灭性武器防备计划，作为其所有危害灾害规划的一部分。作为所有危险灾难计划的一部分，大规模毁灭性武器的准备工作应使用事故指挥模式，以确保所需的指挥链，有效协调医院部门和外部机构之间的活动。防范生物恐怖主义是一项独特的挑战。如果发生生物攻击，医院感染控制人员和管理部门必须已经具备与当地和州公共卫生机构、疾病控制和预防中心（CDC）、当地执法机构和联邦调查局（FBI）进行沟通的手段。地方和区域规划者必须考虑如何协调紧急医疗服务（EMS），警察和消防部门与医疗服务提供者和新闻媒体的反应。大多数医院都没有能力应对大规模杀伤性武器造成的灾难性事件。应对此类事件的负担最初将落在艾德医生和工作人员身上。通过认真的规划、培训和教育，这种事件的严重性可能会减轻。介绍了一个医院网络对西尼罗河病毒爆发以及最近对炭疽威胁的反应，作为防范生物恐怖主义的指南。（版权所有2003，Elsevier Science（美国）。版权所有© 2016
Hospital emergency departments (EDs) and ambulatory clinics may be the first to recognize illness related to a bioterrorist event. Every health-care institution must develop a weapons-of-mass- destruction (WMD) preparedness plan as part of its all-hazards disaster planning. As part of an all-hazards disaster plan, WMD preparedness should use the incident-command model to insure the required chain of command for effectively coordinating activities between hospital departments and external agencies. Preparedness for bioterrorism poses unique challenges. In the event of a biological attack, the hospital infection control staff and administration must already have in place the means to communicate with local and state public health agencies, the Centers for Disease Control and Prevention (CDC), local law-enforcement agencies, and the Federal Bureau of Investigation (FBI). Local and regional planners must consider how to coordinate the responses of emergency medical services (EMS), police, and fire departments with healthcare providers and the news media. Most hospitals are ill equipped to deal with a catastrophic event caused by WMD. The burden of responding to such events will fall initially on ED physicians and staff members. The severity of such an incident might be mitigated with careful planning, training and education. The responses of one hospital network to the outbreak of West Nile virus and, more recently, to the threat of anthrax, are presented as guides for bioterrorism preparedness. (Copyright 2003, Elsevier Science (USA). All rights reserved.).