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File: doc04_19.txt
-` :~`~`````-~ ~-~):~ j'~\~{; `)$kl~) ~`\`~ `~- - ~;;;`-;````
~`~ -`
" ` `
`~~ tr~~'~.~ww~"~~' ``ffi~-' -` -` `-- :-t~?½~~'~);' `~~r ` `- `
~~~;r;~;r½~'~~ `~~" `-% - - -- Simultaneous infection of sinqle~patients with two or more
- unusual 6~r~exotic pa~t~hogens.
~;{` `: `- `` - Evidence of a low attack rate in those working in areas with
` - - - filtered air - e.g. - indoors versus outdoors.
- Increased numbers of dead animals of all species.
- Lack of evidence of the correct epidemiology~ for a specif~~~ic
agent -- e.g. - Japanese B encephilitis in Philadelphia."```````````````````````-
- Direct evidence - discovery of munitions with BW agents.-;'~
- Evidence of biowarfare delivery - observation of aerosol
delivery by aircraft or ground personnel.
- Announcement by the offensive side.
7K i~-') b. ~ IDENTIFICATION OF THE AGENT:
The clinical syndrome produced by a BW agent may give clues;-as~ ` - -
to it's identity. Algorithms for group diagnosis based
symptoms, physical signs, or radiological findings are
primarily re-enforce clinical judgement as to possible - ~e'iits -
Thus, both recognition of a BW attack and identification of ~t~he -
agent depend very heavily on the clinical observation 4'an
judgement of the health care provider. Direct identificatio - `of"
the agent may result from cultural isolation of the
characteristic morphology with appropriate microscopy ~-{~-~S~e'r~ ~$~~gi~qal-'-'
evidence of an agent may involve antibody -` or anti;~gen);~~d~~et~
DNA probes may locate the genome of an agent - -without~a~-~c'tual -
~culture. Theater capability
K
The unclassified ocument 11x'an"~age'm'ent roce ures for
Chemical and Biological (CB) Agent Sampling, `Transport, and
Evaluation", number CRDEC-SP-87023 dated August 1987 gives further
details as does the message from USCINCCENT//CCSG// dated 17O94OZ
DEC 90. The basic document is available from either the Navy
Forward Laboratory or the Central Command Surgeons Office
(~) c. TREATMENT
Mi
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