MEDICAL DEFENSE AGAINST BIOLOGICAL MATERIAL

File: 970101_sep96_decls37_0020.txt
Page: 0020
Total Pages: 23

Subject: MEDICAL DEFENSE AGAINST BIOLOGICAL MATERIAL                     

Unit: OTSG        

Parent Organization: HSC         

Box  ID: BX003201

Folder Title: MEDICAL DEFENSE AGAINST BIOLOGICAL MATERIAL                                                     

Document Number:       1001

Folder Seq  #:         31



                                        UNCLASSIFIED










                                 s@y OF SECTION II




              Avoidance by way of physical protection is the most
           effective approach to biological warfare agent exposure-

              Clinical recognition of symptoms and signs in mass
           casualties may be the first indication of an attack. Patient
           specimens (blood, urine) should not be a unique risk to medical
           personnel, although vegetative anthrax, plague, or tularemia
           organisms may be in blood.


           PARALYSIS IN THE BW/CW SETTING

              The differential diagnosis must include both botulinum and
           nerve agent intoxications:

              . Nerve agent is rapid in onset (minutes to 1-2 hours). A
              rigid paralysis develops with parasympathetic excess
              (salivation, miosis, sweating, involuntary defecation, and
              urination); central nervous system dysfunction and death
              soon follow. If exposure is by aerosol or vapor,
              constricted pupils, rhinorrhea, and broncho constriction
              also occur.


              . Botulinum toxin is slower in onset (3 hours to several
              days). Descending paralysis (bulbar to extremities to
              respiratory) and parasympathetic blockade (dry mouth,
              pupillary dilation, constipation, urinary retention, absence
              of sweating) are characteristic. Paralysis, nausea,
              vomiting, and diarrhea may, however, occur after exposure to
              either nerve agent or botulinum toxin. Central signs
              (confusion, seizure, coma) are rare after botulinum, but
              common after nerve agent intoxication.

              . Anticholinergics, such as atropine can, of course, cause
              central nervous system changes such as agitation, confusion,
              and hallucinations as well as dry mouth, dry skin, and
nges could easily obscure the
              correct diagnosis in a soldier who used his injector even
              without exposure to an agent.



                                          17



                                         UNCLASSIFIED

Document 23 f:/Week-36/BX003201/MEDICAL DEFENSE AGAINST BIOLOGICAL MATERIAL/medical defense against biological material:12249609313138
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-36
Box ID = BX003201
Unit = OTSG
Parent Organization = HSC
Folder Title = MEDICAL DEFENSE AGAINST BIOLOGICAL MATERIAL
Folder Seq # = 31
Subject = MEDICAL DEFENSE AGAINST BIOLOGICAL MATERIAL
Document Seq # = 1001
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 = 24-DEC-1996