Emergency physicians and biological terrorism

Recent developments, such as the bombings of the World Trade Center in 1993 and the Alfred P. Murrah Federal Building in Oklahoma City in 1995, the sa rin attacks in Tokyo and Matsumoto, Japan, and US Embassy bombings in Kenya and Tanzania in 1998, have heightened fears of terrorist attacks. Future t errorist activities will continue to involve bombs and firearms, but may al so include weapons of mass destruction, including biological agents. Recent US government initiatives have recognized the threats to our country from these weapons and have funded planning and response programs. These prepare dness programs are being built on existing infrastructure of EMS and fire s ervices' plans for hazardous materials response. Appropriate emergency depa rtment and hospital response, guided by public health principles, could sig nificantly limit the morbidity and mortality of biological warfare agents. Inappropriate response by the medical community may worsen a chaotic and po tentially devastating situation. This article discusses planning and respon se issues central to a potential bioterrorism event.