Chrome 2001
.
The Trusted Source InteliHealth Aetna InteliHealth Aetna InteliHealth
Enter Drug Name . Enter Search Term
     
. .
. .
.
Home
Health Commentaries
InteliHealth Dental
Drug Resource Center
Ask the Expert
Interactive Tools

InteliHealth Policies
Site Map
Diseases & Conditions Healthy Lifestyle Your Health Look It Up
Health News Health News
.
Your Health Daily logo

Experience Is Outracing Old Protocols For Anthrax
October 15, 2001

NEW YORK (New York Times News Service - After announcing that a police officer and two Health Department workers had been exposed to anthrax spores while investigating a confirmed case of the disease at the NBC offices, city officials hastened to say that they would change their investigative procedures.

But on Sunday, bioterrorism experts said that no unusual precautions are recommended for suspected anthrax contamination.

The Health Department lab technicians, who according to officials were wearing protective masks, gloves and gowns, actually exceeded the safety standards recommended by the the federal Centers for Disease Control and Prevention for a laboratory setting. The CDC recommends biosafety Level 2, on a scale of up to four, in testing for anthrax - the same level it recommends for salmonella. Level 3 sometimes requires a respirator; Level 2 does not.

If anything, said Terri Rebmann, an infectious-disease specialist with the Center for the Study of Bioterrorism and Emerging Infections at St. Louis University, the new anthrax exposures show how protocol will necessarily change as law enforcement and health officials gain more practical knowledge.

"Did he smell it? Did he put it to his face?" she asked about the police officer, who was not wearing gloves when he handled a suspicious envelope that later turned out to be contaminated. "We need to find out exactly, if we can, how that happened, because that would tell us a lot about how it's transmitted. Right now our basic training says it can't be spread from hand to hand."

There have been no other reported incidents of exposure of officials or medical personnel involved in anthrax investigations in New York, Nevada, or Florida.

For law enforcement, training and advice about hazardous substances come from a variety of sources, like the FBI, the Department of Justice, and the so-called Blue Book, or the Medical Management of Biological Casualties Handbook, issued by the U.S. Army Medical Research Institute of Infectious Diseases.

For anthrax, the Blue Book recommends standard precautions, like those that might be used by a medic taking a patient's blood, not safety measures used with contagious airborne diseases like tuberculosis.

But law-enforcement officials tend to use greater safety measures, especially when entering a situation where not much information is available. On Sunday, specially trained firefighters in San Jose, Calif., suited up and donned masks and gloves before entering an airplane where a mysterious powder had been seen. It turned out to be confetti.

But it could have been anything, said David Huseman, an advanced life-support education coordinator for the San Jose Fire Department, where officers have been trained to respond to weapons of mass destruction, such as biohazards, since the FBI warned several years ago that the Bay Area was the third-most-likely target for terrorist attacks.

"If you don't get concrete information of what you're dealing with, you're going to go with the highest level of protection," Huseman said.

The fact that investigators in New York knew that a case of anthrax had been confirmed should have made them even more cautious, Huseman said.

But Mayor Rudolph Giuliani said at Sunday's news conference that adequate precautions had been taken at NBC. "A balance has to be struck here between sufficient precautions and making people so frightened and so upset that they're not going to be able to conduct their lives, which means having people walking around in spacesuits all over the city of New York," he said. "The reality is that I think they balanced that correctly."

Huseman agreed that bioterrorist threats are so new that there is no clear division yet between appropriate action and overreaction.

"It's kind of like when HIV and AIDS became a problem," he said. "People became very paranoid, and people reacted and responded in a certain way, and you need to change that through education."

Copyright 2001 The New York Times News Service. All rights reserved.

.
InteliHealth
. . . .
.
More News
InteliHealth .
.
General Health
Top News
This Week In Health
Addiction
Allergy
Alzheimer's
Asthma
Arthritis
Babies
Breast Cancer
Cancer
Caregiving
Cervical Cancer
Children's Health
Cholesterol
Complementary & Alternative Medicine
Dental / Oral Health
Depression
Diabetes
Ear, Nose And Throat
Eyes
Family Health
Fitness
Headache
Heart Health
HIV / AIDS
Infectious Diseases
Lung Cancer
Medications
Men's Health
Mental Health
Nutrition News
Multiple Sclerosis
Nutrition Guide
Parkinson's
Pregnancy
Prevention
Prostate Cancer
Senior Health
Sexual / Reproductive Health
Sleep
Tobacco Cessation
STDs
Stress Reduction
Stroke
Weight Management
Today In Health History
Women's Health
Workplace Health
.
.
.
.
InteliHealth

   
.
.   HONcode
.
Chrome 2001
Chrome 2001