Biological Warfare Defence Medical Guidelines

File: doc61_02.txt
Page: 02
Total Pages: 8
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    - EVIDENCE OF ~ LO\A ~~TT~C~ R~TE IN THOSE ~ORr:ING IN ~RE~S
      NITH FILTERED ~IR - E.G.          - INDOORS YEPSUS OUTDOOP~


P~GE C)3 RHIP~~~\\\\ ~
    - INCRE~SED NUMBERS OF DE~D ~l'JIM~LS OF ~LL SPECIES.
    - L~Cr OF EVIDENCE OF THE CORRECT EPIDEMIOLOGY FOR ~
      SPECIFIC ~GENT - E.G.          - J~P~NESE B ENCEPHILITI~ IN
      PHIL~DELPHI~.
    - DIRECT EVIDENCE - DISCOVERY OF MUNITIONS NITH BN ~GENTS.
    - EVIDENCE OF BION~RF~RE `DELIVERY - OBSERVr~t"TION OF ~EROSOL
      DELIVERY BY ~I RCR~FT OR GROUND PERSONNEL.
    - ~Nl'IOUNCEMENT BY THE OFFENS I YE SIDE.
    B. -  *    IDENTIFIC.~TION OF THE H'GENT:
THE CLINIC~L SYNDROME PRODUCED BY ~ BN ~GENT M~Y GIVE CLUES ~S
TO IT S ~IDENTITY.    ~LGORITHMS FOR GROUP DI~GNOSIS B~SED ON
CLINIC~L SYMPTOMS,    PHYSIC~L SIGNS, OR R~DIOLOGIC~L FINDINGS ~RE
~V~IL~BLE M~ND PRIM~RILY RE-ENFORCE CLINIC~L JUDGEMENT ~S TO
POSSIBLE r~~GENTS.   THUS,  BOTH RECOGNITION OF ~ BN ~TT~Cr; ~ND
IDENTIFIC~TION OF THE BN ~GENT DEPEND VERY HE~VILY ON THE
CLINIC~L OBSERV~TIONS ~ND JUDGEMENT OF THE HE~LTH C~RE PROVIDER.
DIRECT -IDENTIFIC~TION OF THE ~GENT M~Y RESULT FROM CULTUR~L
ISOL~TION OF THE ORG~NISM OR CH~R~CTERISTIC MORPHOLOGY WITH
HPPROPRI~TE MICROSCOPY.      SEROLOGIC~L EVIDENCE OF ~N ~GENT M~Y
INVOLVE ~NTIBODY OR ~NTIGEN DETECTION.              DN~ PROBES M~Y LOC~TE


P~GE C)4 RHIP~H~~\\\\ S E C R E T


                                                   SEE THE CLPtSSIFIED
MESS~GE FROM COMUSN~VLOGc,UPFOR `19,           13C)649 NOV 90, FURTHER
INFORM~TION.    ~NTHR~X DI~GNO~TIC (SM~RT) rITS WILL SOON BE POSITIONED
~T MEDIC~L TRE~TMENT F~CILITIES THROUGHOUT THE ~OR.              THERE IS ~
REFRIGER~TION REO.UIREMENT FOR THESE rITS,            BUT ST~BILITY TESTING H~S
SHOWN THE rIT TO BE ST~BLE FOR SIX NEErS ~T TEMPER~TURES OF 45
DEGREES C (1i3 F).     THE rIT IS FOR PRELIMIN~RY DI~GNOSIS ONLY ~ND
CONFIRM~TION BY ~LTERN~TIVE L~BOR~TORY TESTS IS ESSENTIH~L.             THE
UNCL~SSIFIED DOCUMENT `~M~N~GEMENT PROCEDURES FOR CHEMIC~L (~i'ND
BIOLOGIC~L   (CB) ~GENT S~MPLING. TR~NSPORT, ~ND EV~LU~TION~~, NUl4BER
CRDEC-SP-97C)23 D~TED ~UGUST 19B7 GIVES FURTHER DET~ILS ~S DOES THE
MESS~GE FROM USCINCCENT CCSG,          170940     DEC 90. THE B~SIC DOCUMENT IS
~V~IL~BLE FROM EITHER THE NH~VY FORW~RD L~BOR~TORY OR THE CENTR~L
COMM~ND SURGEONS OFFICE (POC COL B~LES, COMMEREI~L 01-Łi7?-8150 OR
0I-47:3-446~ EXT a44OR 114, OR T~C 9-S9~3-769 OR 770).


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