Bioterrorism An Introduction

International Journal of Trend in Scientific Research and Development (IJTSRD)
Volume 4 Issue 5, August 2020 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470
@ IJTSRD | Unique Paper ID – IJTSRD31660 | Volume – 4 | Issue – 5 | July-August 2020 Page 21
Bioterrorism: An Introduction
Paul A. Adekunte1, Matthew N. O. Sadiku2, Sarhan M. Musa2
1International Institute of Professional Security, Lagos, Nigeria
2Roy G. Perry College of Engineering, Prairie View A&M University, Prairie View, Texas
ABSTRACT
Bioterrorism is a form of terrorism involving the intentional release of
biological agents (bacteria, viruses, or germs) to harm peopleandspreadfear.
It is carried out by terrorists to create outbreaks of infectious diseases which
will cause mass casualties, terror, societal disruption, or economic loss. Such
outbreaks of infectious diseases pose a major threat to global health.
Bioterrorism is regarded as a great threat to society as it involves the release
of an organism without any warning. Bioterrorism and its potential for mass
destruction have been subjects of increasinginternational concern.Thispaper
provides an introduction to bioterrorism.
KEYWORDS: Bioterrorism, biological warfare, chemical and biological weapons,
weapons of mass destruction
How to cite this paper: Paul A.Adekunte|
Matthew N. O. Sadiku | Sarhan M. Musa
"Bioterrorism: An Introduction"
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INTRODUCTION
An act of terrorism refers to an incident involving deliberate
or threatened dissemination of biological agents. If released
under ideal environmental circumstances, these biological
agents can infect thousands of persons and cause many
deaths. The biological agents are found in nature and
include bacteria, viruses, insects, fungi, or toxins. Terrorists
are individuals who are motivated by revenge or monetary
gain through extortion, rather by than political, ideological,
religious or other beliefs. They will use readily available
weapons, but some also will adopt tactics that will inflict the
most casualties. Terrorists used biological agents as
weapons of terror becausee they are hard to detect and they
can be spread through the air, water, or food. The possibility
of a successful bioterrorist attack is not high due to the
technical difficulties and constraints [1]. Bioterrorism (BT)
has claimed few lives as compared with the more traditional
forms of terrorism using guns and explosives. Urban or
densely populated areas will be at greater risk of a
bioterrorism attack. A bioterrorismattack ina publicplaceis
a public health emergency. An example of the result of
terrorist act is shown in Figure 1 [2].
Several factors contribute to the growing danger of
bioterrorism (BT): Minute amounts of select biological
agents can cause mass casualties; agents for biological
weapons are easily acquired; technology for productionand
weaponization is readily available; only limited training are
needed to establish a biological weaponsprogram;biological
weapons are relatively easy to deliver; and the motivations
of terrorists have changed [3]. The threat of bioterrorism is
increasing due to the rise of technical capabilities. There is
information available on the Internet on how to make
biological weapons. Thousands of people worked as
bioweaponeers, and tons of bioweapons were produced.
WHAT IS BIOTERRORISM?
Bioterrorism is the intentional use of viruses,bacteria,fungi,
toxins, or other germs (or biological product that may be
engineered as a result of biotechnology) to produce civil
unrest, disruption, disease, disabilities, and death toachieve
political or social objectives. It has been regarded as a low-
probability risk. Bioterrorism can cause mass casualties,
epidemic illness, healthcare worker illness, environmental
contamination, and legal issues. It can cause unease within
the medical community and the society at large. It occurs in
one of two scenarios: overt and covert. It is carried out by
terrorists, also called non-state actors.
Scholars and security professionals have distinguished
among different types of terrorism. These include
international terrorism, domestic terrorism, National
terrorism, political terrorism, state terrorism, bioterrorism,
agro terrorism, cyber terrorism, eco terrorism,
narcoterrorism, nuclear terrorism, religious terrorism, and
suicide terrorism [2].
A human-made outbreak of disease is the distribution of
pathogens with the intention ofdisruptingsocieties.Another
term that is frequently associated with bioterrorism is
weapons of mass destruction (WMDs). The fear of
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International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
bioterrorism is strictly linked to the emergence of a
perceived danger of WMDs (biological, chemical,
radiological, and nuclear agents). The success of
bioterrorism is determined by the measure of societal
disruption and panic, and not necessarily by the sheer
number of casualties.
Biological warfare and bioterrorism are often used
interchangeably. We need to differentiate between
contagious agents (such as cholera, plague, smallpox, or
typhus), which can be transmitted from person to person,
and noncontagious agents (such as anthrax, botulism,
tularemia, or ricin). Two candidate agents are of special
concern—smallpox and anthrax. Smallpoxisregardedasthe
greatest threat if acquired by bioterrorists. Anthrax,
primarily a disease of grazing animals, is transmitted to
humans who are exposed to animal products in agricultural
or occupational settings. Figure 2 shows a scientist testing
specimens for the presence of anthrax [4].Licensedvaccines
are currently available for a few threats, such as anthraxand
smallpox.
Public health authorities have developed a system to
prioritize biological agents accordingtotheirrisk tonational
security. The US Centers for Disease Control and Prevention
(CDC) recognizes three categories of bioterrorismagent and
categorizes them as A, B, and C [3,5].
Category A:
These agents, the highest priority, representorganismsthat:
(a) pose a risk to national security becausetheycanbe easily
disseminated or transmitted person-to-person; (b) cause
high mortality, with potential formajorpublichealthimpact;
(c) might cause public panic and social disruption; and (d)
require special action for public health preparedness.
Category B:
These agents are moderately easy to disseminate and have
low mortality rates. These include brucellosis, glanders, Q
fever, ricin toxin, typhus fever, and other agents. They
require specific enhancements of CDC’s diagnostic capacity
and enhanced disease surveillance. A subset of category B
agents includes pathogens that are food-or water-borne.
Category C:
These agents are emerging pathogens that might
be engineered for mass dissemination because of their
availability, ease of production and dissemination, high
mortality rate, or ability to causea majorhealth impact.They
include Nipah virus, yellow fever, and multidrug-resistant
tuberculosis. Preparedness for category C agents requires
ongoing research to improve disease detection, diagnosis,
treatment, and prevention.
BRIEF HISTORY
Humans have used biological weapons in conflicts for
hundreds of years. The use of biological agents for purposes
of disseminating such substances to cause public harm and
disrupt established structureshasbeenreportedthroughout
history. Until World War II, the number of soldiers dying
from disease far outweighed the number killed in combat.
The following examples show the use of biological weapons
over the years.
Incidents of bioterrorism date back to as early as 600 BC,
when the Assyrian armies poisoned enemy wells and other
sources of water with infectious substances.
In 1918, Spanish flu (or bubonicplague)epidemicwasoneof
the most deadly pandemics in world history killing between
three to five percent of the world’s population.
In 1925, the Geneva protocol prohibited the development,
production, and use in war of biological and chemical
weapons.
During World War II, several nations, including the US, UK,
Canada, France, Italy, Poland, Japan, and the former Soviet
Union, began to develop biological weapons.
The USA (until 1972) and the former Soviet Union (until
1992) had large biological warfareprograms,weaponizedto
kill or incapacitate humans and to destroy livestocks.
In 1975, the Biological Weapons Convention banned the
development, stockpiling, acquisition, retention, and
production of biological agents. The United States has
accused Iraq, North Korea, Iran, Libya, Syria, and Sudan of
having offensive biological weaponsprogramsinviolationof
the Biological Weapons Convention.
In 1980, the World Health Organization (WHO) announced
the eradication of smallpox, a highly contagious virus and
incurable disease.
In 1984, 751 people in the state of Oregon ate salad with
salmonellosis. The attack infected people with severe food
poisoning. The casualties fell sick but did not die.
In June 1993, a religious Japanese terrorist sect Aum
Shinrikyo released anthrax on five trains of theTokyometro
system. The attack was a failure, because not single person
was infected.
On September 11, 2001, the devastating terrorists attacked
the World Trade Center in New York, damagedthePentagon
in Washington DC, led to the death of approximately 5,000
innocent individuals and 4 commercial airliners. As a result,
fear gripped the nation. This was the worst terrorist attack
in US history.
In October 2001, letters containing powdered anthrax were
sent through the US Postal Service. The attack caused 22
cases of illness, 5 cases of death, and widespread fear.
PREVENTION MEASURES
Although the likelihood of a bioterrorist attack is low, it is
crucial to remain vigilant about potential bioterrorism
attacks and take proactive measures. Several prevention
measures can be taken to reduce the threat of biological
terrorism and increase international security. Theseinclude
preparedness, surveillance, emergency medicine, andactive
deterrence.
Preparedness:
This is a main goal that requires constant improvement on
the local, regional, national, and international levels. There
must be ongoing efforts to improve preparedness for
potential bioterrorism emergencies.Preparednessremainsa
challenge due to coordination of state and federal resources
to respond rapidly to an incident. Prevention involves
allocation of resources to intelligence agencies, such as
DepartmentofHomelandSecurity,Pentagon,Federal Bureau

of Investigation, National Security Agency, to monitor
specific activities that could be related to a potential
bioterrorism attack [6]. Laboratories are working hard on
advanced detection systems to provide early warning. The
stockpiling of vaccines for potential biological threats is an
important aspect in preparedness. Preparedness can take
the form of education (i.e., trainings, seminars, and lectures
on Bioterrorism Ready Plan) and ensuring a good
communication system between public health agencies,
hospitals, and the civilian population. Programs such as
immunization and chronic disease prevention programs
should be considered as part of maintaining readiness.
Figure 3 shows terrorism drill and preparedness [7].
Surveillance:
Surveillance systems are available at the state level as well
as national guidelines for the syndromic surveillance by
health professionals. RODS (Real-Time Outbreak Disease
Surveillance) is designed at the University of Pittsburgh to
collect data from many data sources andusethemtodetecta
possible bioterrorism event at the earliest possiblemoment.
In Europe, disease surveillance is organized on the
continent-wide scale. In the wake of the 9/11 attacks, the
New York Citydevelopedthe SyndromicSurveillance System
for use in counterterrorism operation. Biosurveillanceisthe
science of real-time disease outbreak detection. It applies to
both natural and man-made bioterrorism. Data from public
health surveillance systems can provide useful information
about population risks for disease, disability, and death.
Surveillance is important in helping law enforcement
officials to react swiftly. An increasing number of public
health departments are investing in new surveillance
systems in order to facilitate rapid detection of a future
bioterrorist attack. Some of these surveillance systems are
funded by Federal and other agencies.
Emergency Medicine:
Emergency departments plays an important role in
preparedness for bioterrorist attacks. It may also involve
training of healthcareprofessionalsindisasterpreparedness
and preparing hospitals. It is imperative that emergency
services medical personnel (including first responders,
emergencyroomphysicians, emergencymedical technicians,
nurses, physician assistants,andlaboratorians)whoprovide
emergency medical services be trained and educated on the
detection of biological agents to ensure patient and worker
safety in the case of threat. They will be on the forefront of
diagnosing and providing treatment in response to a
bioterrorism event. In case of a bioterrorist event, the
clinical microbiology laboratory could be instrumental in
helping to detect and identify thebiological weaponthat was
used and in alerting authorities. Early recognition ofspecific
agents are essential forpublichealth.Everycommunitymust
become pharmaceutically prepared foranattack.Thetask of
a pharmacist during a bioterrorism attack is to rapidly
disseminate antidotes, provide dosage and vaccination
schedules for treatment,and counsel patients[8].TheUnited
States, through the Strategic National Stockpile (SNS),
currently has sufficient doses of smallpox vaccine for every
American if necessary [9].
Active Deterrence:
This involves actions and policies preventing a specific
opponent from doing something they may wish to do.
Traditionally, it involves the application of expressive force
to change the policy or character of the target group or
government or the threat of inflicting punishing retaliation
against some aggressor. Deterring bioterrorism is focusing
on pathogen security or denying access to the materials
necessary to develop biological weapons. Creating a
deterrence strategy for bioterrorism is important [10].
These prevention strategies of countering bioterrorism aim
to reduce consequences of an attack,affordearlierdetection,
mitigate human casualties, and minimize vulnerability to
bioterrorism attack. They may require dedicating more
resources.
CHALLENGES
Terrorism is a thorny issue because of its destructive
capabilities. Although many aspects of an effective response
to bioterrorism are similar to those for any form of
terrorism, bioterrorism presents a unique set of difficulties
and challenges, especially when compared to chemical,
radiological, or nuclear terrorism.Inspiteofthetremendous
progress made in science, technology, and medicine,
bioterrorism and the ability to inflict disease remain among
the greatest threats to mankind. This threat posed by
bioterrorism is challenging, giventhedearthofknowledgein
this particular subject by healthcare practitioners. It is very
hard and costly to prepare for a global public health disaster
due to the fact that bioterrorism preparedness may require
administering vaccination programs, distributing
prophylactic medication, evacuation, isolation, and
quarantine. it is also difficult for historians and
microbiologists to differentiate natural epidemics from
alleged biological attacks, because truth can be manipulated
for political reasons, especially for a hot topic such as
bioterrorism. The gravity of the problem, its political
propaganda, and issues about military secrecy make the
problem particularly difficult to solve [11]. Thereisalsolack
of international standards on public health experiments.
One key weakness in emergency response planning is a
shortage of vaccine. Many bioweapon disease threats lack a
corresponding vaccine; for those that do, it is challenging to
use them in an emergency situation. Development of new
vaccines and antimicrobial therapies should be a priority.
One challenge to licensing vaccines for response to
bioweapon threats is the absence of disease agents in the
natural world [12].
Because there have been no significant instances of
bioterrorism since 2001, the government has become
complacent and reduced funding for bioterrorism. Ignoring
the threat poses a significant risk tonational securityandthe
health of the citizens.
CONCLUSION
Global terrorism is a threat to world security, and it
increases the risk of bioterrorism. Bioterrorism is an
emerging threat to global health. Its main goal is to threaten
and terrorize large groups of humans, governments, armies,
or society as a whole. It involves the use of biological agents
by all kinds of actors (political or military actors) to create
casualties, terror, societal disruption, or economic loss,
inspired by ideological, religious or political beliefs.
Although biological weapons have not been frequently used
throughout human history, bioterrorism is not likely to go

away. As frightening as bioterrorism sounds, the threat is
real and it cannot be stopped. Bill Gates warned that
bioterrorism could kill more people than nuclear war.
Scientists worry that anthrax, Ebola, or smallpox could be
used as biological agents. Since the military is not the only
population at risk for biological attack, it is expedient that
we are all prepared to deal with the consequences if
bioterrorism occurs. We should not underestimate the
power of the public to respond effectively to disasters. The
general population should be educated and be made aware
of the threats and risks associated with bioterrorism. July
has been designated as the Bioterrorism and Disaster
Education and Awareness Month.
More information about bioterrorism can be found in the
books in [13-23] and others books availableonAmazon.com
and books.google.com. One should alsoconsultthefollowing
related journals:
Journal of Bioterrorism & Biodefense
Annals of Emergency Medicine
Emergence Medicine Clinics of North America
REFERENCES
[1] H. J. Jansen et al., “Biological warfare, bioterrorism,
and biocrime,” CMI Review, May 2014.
[2] “Types of terrorism,”
https://www.britannica.com/topic/terrorism/Types-
of-terrorism
[3] R. M. Atlas, “Bioterrorism: From threat to reality,”
Annual Review of Microbiology, vol. 56, October 2002,
pp. 167-185.
[4] “Emergency preparedness,”
http://www.idph.state.il.us/Bioterrorism/photo2870
.htm
[5] “Bioterrorism,” Wikipedia, the free encyclopedia,
https://en.wikipedia.org/wiki/Bioterrorism
[6] O. Grundmann, “The current state of bioterrorist
attack surveillance and preparedness in the US,” Risk
Management and Healthcare Policy, vol. 7. October
2014, pp. 177-187.
[7] https://www.shutterstock.com/image-
photo/terrorism-drill-344964
[8] C. M. Terriff and A. M. Tee, “Citywide pharmaceutical
preparation for bioterrorism,” American Journal of
Health-System Pharmacy, vol. 58, no. 3, February
2001, pp. 233–237.
[9] S. S. Madad, “Bioterrorism: An emerging global health
threat,” Journal of Bioterrorism & Biodefense, vol. 5,
2014.
[10] M. E. Kosal, “A new role for public health in
bioterrorism deterrence,” Frontiers in Public Health,
vol. 2, December 2014.
[11] V. Barras and G. Greub, “History of biological warfare
and bioterrorism,” Clinical Microbiology and
Infection, vol. 20, no. 6, June 2014, pp. 497-502.
[12] “Biological weapons, bioterrorism, and vaccines,”
https://www.historyofvaccines.org/content/articles/
biological-weapons-bioterrorism-and-vaccines
[13] N. Khardori, Bioterrorism Preparedness: Medicine –
Public Health – Policy. Wiley-VCH, 2006.
[14] M. Nestle, Safe Food: Bacteria, Biotechnology, and
Bioterrorism. University of California Press, 2003.
[15] J. Guillemin, Biological Weapons: From The Invention
of State-Sponsored Programs to Contemporary
Bioterrorism. New York: Columbia University Press,
2004.
[16] W. S. Carus, Bioterrorism and Biocrimes: The Illicit
Use of Biological Agents Since 1900. Minerva Group,
2002.
[17] L. J. Dyckman, Bioterrorism: A Threat to Agriculture
and the Food Supply. United States General
Accounting Office, 2003.
[18] G. Zubay, Agents of Bioterrorism: Pathogens and
Their Weaponization. New York: Columbia University
Press, 2008.
[19] B. Leonard, Training of Clinicians for Public Health
Events Relevant to Bioterrorism Preparedness. DIANE
Publishing Company, 2009.
[20] D. Chandler and I. Landrigan, Bioterrorism: A
Journalist’s Guide to Covering Bioterrorism. Radio
and Television News Directors Foundation, 2nd
edition, 2004.
[21] D. A. Henderson, and T. V. Inglesby, T. O’Toole (eds.),
Bioterrorism: Guidelines for Medical and Public
Health Management. AMA Press, 2002.
[22] J. Ryan, Biosecurity and Bioterrorism. Butterworth-
Heinemann, 2nd edition, 2016.
[23] B. Anderson, H. Friedman, and M. Bendinelli (eds.),
Microorganisms and Bioterrorism. Springer, 2006.

Figure 1 An example of terrorist act: Oklahoma City bombing [2].
Figure 2 A scientist tests specimens for the presence of anthrax [4].
Figure 3 Terrorism drill and preparedness [7].

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