This is the second edition of this publication which focuses on the public health aspects of the possible deliberate use of biological or chemical agents. Issues discussed include: the key principles for public health planning, risk assessment, hazard identification and evaluation, risk management strategies, and response planning as part of existing national emergency plans, disease surveillance and early warning systems, the national and international legal framework, and international sources of assistance. Technical annexes cover a range of issues including chemical agents, toxins, biological agents, principles of protection, precautions against the sabotage of drinking water, food and other products, information resources and the affiliation of WHO Member States to the international treaties on biological and chemical weapons.

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Ensuring a coordinated public health, laboratory, and medical response to a natural disaster, an accidental release or a deliberate use of a chemical, biological, and radiological (CBR) agent is a high priority for all countries. This publication contains the proceedings of the North Atlantic Treaty Organization (NATO) and Advanced Study Institute (ASI). The ASI, and this publication, provides NATO and its allies with ways to enhance their national preparedness and response plans to CBR threats. The recommendations should be of interest to clinicians, researchers, and other scientists motivated by special interest in public health preparedness, as well as by national and NATO leaders and policy makers who are positioned to make a difference. Public health response to emergencies requires extensive, coordinated, considered efforts of the combined military and civilian public health resources of all NATO nations and NATO Partner nations.

Perhaps the most frightening apparition of our times is the possibility that a biological agent (bacterim, virus, or toxin) will be used to attack our unprotected civilian population and inflict mass casualties. Until the Fall of 2001, anthrax attacks delivered through the mail to various U.S. senators, to the Governor of New York, and to various media offices, the previously expected use of a weapon of mass destruction against the United States has been a nuclear device that explodes or a chemical cloud that is set adrift. However, today, of all the weapons of mass destruction (nuclear, chemical, and biological), the biological weapons are the most feared by many defense experts but these are the ones that our country is least prepared to deal with Like the concept of a "nuclear winter," the potential destructiveness of a biological attack can come in many forms and is presently very hard to detect and control, and its results could be catastrophic. The unleashing of biological agents against an unprotected civilian population also, in some cases, constitutes the ultimate medical disaster with the capability to completely overwhelm the present health care system. Patients might go to health facilities in unprecedented numbers and demands for intensive care could well exceed available medical resources. Discerning the threat of bioweapons and appropriate responses to them are critical if we are to prevent the devastating effects of bioterrorism.

Web of Prevention provides a timely contribution to the current debate about life science research and its implications for security. It is an informative guide for both experts and the public. It is a forward-looking contribution covering both ends of the equation and creates momentum for the current discussion on effective preventive measures and effective control measures. While there are no guarantees for preventing misuse, there are nonetheless crucial steps the world community can take towards the overarching goal of a global network for the life sciences. This book sheds light on concrete steps toward the achievement of this worthy goal. "This book with its collection of essays provides an in-depth analysis of the various mutually reinforcing elements that together create and strengthen a web of prevention - or of assurance - that is vital to ensure that the advances in the life sciences are not misused to cause harm. All those engaged in the life sciences and in policy making in governments around the world should read this book so they can take steps to strengthen the web preventing biological weapons". From the Foreword by Dr Gabriele Kraatz-Wadsack, Chief, Weapons of Mass Destruction Branch, Office for Disarmament Affairs, United Nations. "Since September 11, 2001 in many countries renewed attention has been given to how research in the life sciences might inadvertently or intentionally facilitate the development of biological or chemical weapons. This state-of-the-art volume examines the full extent of the issues and debates. Coverage includes an overview of recent scientific achievements in virology, microbiology, immunology and genetic engineering with a view to asking how they might facilitate the production of weapons of mass destruction by state, sub-state or terrorist organizations. Consideration is given to what we have and haven't learned from the past. Employing both academic analysis and reflections by practitioners, the book examines the security-inspired governance regimes for the life sciences that are under development. Ultimately the authors examine what is required to form a comprehensive and workable web of prevention and highlight the importance of encouraging discussions between scientists, policy makers and others regarding the governance of vital but potentially dangerous research". Dr Graham S. Pearson, Visiting Professor of International Security, University of Bradford, UK and previously Director-General, Chemical and Biological Defence Establishment, UK