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File: 120396_sep96_decls57_0014.txt
Page: 0014
Total Pages: 16

Subject: BIOLOGICAL WARFARE DEFENSE AGAINST ANTHRAX AND BOTULINUM        

Unit: OTSG        

Parent Organization: HSC         

Box ID: BX003203

Folder Title: INTERIM MEDICAL DOCTRINE BW DEFENSE AGAINST ANTHRAX                                             

Document Number:          1

Folder SEQ  #:          7









                                                          4

                                        MOICAL                 AND           OF
                                         AND                     AND

              4.1            Medical Surveillarice - The joint medical care system        be
              vig3-larTt for anthrax patierts riot identified early on for treatnerit and
                                  . Al                patients are riot       icus,
              symptcmat3.c anthrax patients may pose a hazard to @cal               in term
              of their blood cmtaining         tive anthrax. Sirice a major patient flow
              route fnm the ACR W3-11 be directed                  , 10th Mad rab      d be
              prepared to @ide ass            in the anthrax =&cal surveallance program.
              cmm mediceti facilities        d          that vig

              4.2                     and           PatientS

                   a. Anthrax - Anthrax patierts who have developed             have a very
              low rate of survival. Death occurs            tely 2-8 @ or after
              to a letha]L dose. In spite of the poor prognosis, aggressive antibiotic
                      is             w3.th associated supportive          as the situation
              permits. Stress              and chaplain          are            for staff as
              well as patients.

                   b. Botu3.imim          Death o=irs            tely 1-4 days or earlier
              after          to a lethal dose of botulum tcxln if no antltcvln is
                          . Provide           ve         wi@ the medical trea
              facility's cekpability. Stress             ard chaplain          are encouraged
              for staff as well as patients.

              4.3             of         Anthrax P&tients with          Onal Injuries

                   a. Vigilanas and care @ be taken such as in the areas of
ling of blood samples in the lab atid
              and starting I.V.s by staff.

                   b.          of action @d bp-          oW if                      appear
              and/or positive tefft on anthrwc          c kit is          - Al        there
              is no mwimtory infect3.cw hazard, it is critical to take               cnary
                       on safe harxuirig of patient blood samples @e @@ good care
              to

              4.4             of Botulum P8Lti@ with              oml Injurles - The
              greatest @ is that patient                   ticn is          with 0.5 percent
              hypochicrite wluticn. Allied patients may enter the U.S. @cal
                                  on nist be performd on all                        ted
              patients.             and treatment of the botulimm patients         d be no
              different than arW other patient cnoe              ticn is ccuplete.        is
              no hazard to the @cal staff.




                                                     4-1

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Document 16 f:/Week-36/BX003203/INTERIM MEDICAL DOCTRINE BW DEFENSE AGAINST ANTHRAX/biological warfare defense against anthrax and b:11229616342415
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-36
Box ID = BX003203
Unit = OTSG
Parent Organization = HSC
Folder Title = INTERIM MEDICAL DOCTRINE BW DEFENSE AGAINST ANTHRAX
Folder Seq # = 7
Subject = BIOLOGICAL WARFARE DEFENSE AGAINST ANTHRAX AND B
Document Seq # = 1
Document Date =
Scan Date =
Queued for Declassification = 01-JAN-1980
Short Term Referral = 01-JAN-1980
Long Term Referral = 01-JAN-1980
Permanent Referral = 01-JAN-1980
Non-Health Related Document = 01-JAN-1980
Declassified = 22-NOV-1996