Rp. Kadlec et al., BIOLOGICAL WEAPONS CONTROL - PROSPECTS AND IMPLICATIONS FOR THE FUTURE, JAMA, the journal of the American Medical Association, 278(5), 1997, pp. 351-356
The Biological and Toxin Weapons Convention (BWC), which prohibits the
acquisition of biological materials for hostile purposes and armed co
nflict, entered into force in 1975 and now has the participation of 14
0 nations (158 nations have signed the BWC, but only 140 of these have
also ratified it). However, there is no monitoring mechanism associat
ed with the BWC. Diplomatic efforts are now under way to create a supp
lemental, legally binding protocol to strengthen the convention. Measu
res to strengthen the BWC are analogous to the diagnostic processes fa
miliar to physicians; the problem facing negotiators is to identify pr
ocedures with high positive and negative predictive value. Few propose
d measures meet these criteria. However, the investigation of unusual
disease outbreaks and allegations of use are highly diagnostic of illi
cit activities while avoiding false-positive accusations. At the same
time, such information generated by the BWC can contribute to worldwid
e efforts to improve public health, control emergent disease, and esta
blish an international norm against biological weapons proliferation.