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Surviving a Biochemical Attack
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Table of Contents
Biological Warfare Threat.......................................3
Types of biochemical agents....................................7
Risks of biochemical agents.....................................9
Preparation is the Key...........................................17
Immediate reactions.............................................20
Developing a disaster plan.....................................21
In case of evacuation............................................24
Shelter................................................................25
Giving first aid......................................................28
Important basic needs...........................................31
Final Thoughts......................................................33
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Biological warfare threat
With the tragic and devastating events that our modern
society has been through, like the terrorism that
happened at the World
Trade Center, many of us
are worried about the high
probability of forthcoming
threats on our wellbeing
and security. After the
September 11 attacks, it became very obvious that
America has been infiltrated by terrorist organizations,
proving that enemies are capable of using any form of
terror against us. Unfortunately, when it comes to warfare threat, not only
global terrorist networks are our concern, but
government agencies around the world are also capable
of producing chemical and biological weapons in a very
short period of time, with relative ease and minimal
financing. Thus, chemical warfare still remains to be one
of the most commonly used forms of warfare, especially
because its mode of production.
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Being informed about biological warfare agents and how
dangerous they are, this will help you get more prepared
for such an event and also become aware about the
current happenings in the world. Taking preliminary
actions can ensure you and your family’s safety against a
biological threat. Biological threat is real. It can result to extreme problems
in a survival situation, but with the proper knowledge,
training and equipment these problems can be outplayed. Once we reflect on a terrorist attack, we usually think of
suicide bombs, airplanes, cars and trains crashes, but
what we fail to think about an attack that can strictly
endanger our health and wellbeing. Simply put, a Bioterrorist Attack is an outbreak with
bacteria, viruses or other
similar agents posing threat
to people, animals and even
plants. Along with the
development of technology
and bio-engineering, there
is a grim possibility of a
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rogue nation launching bio-chemical attack. This can
result into sickness and death without any warning or
knowledge in advance. These bio-chemical agents are
typically found in nature, but with the current advanced
technology, it is possible to modify them and increase their
capability to spread disease and make them resistant to
treatment. These biological agents are hard to detect and
in many cases they do not cause instant sickness and
diseases. Some bioterrorism agents, like the smallpox
virus, can spread from an individual to another, however
others such as anthrax, don’t have this capability. The threat is even extreme as a biological or chemical
agent could be delivered in many different ways: air,
water, food and even by clothing or other materials and
elements in our environment. Not only can they can spread
directly to humans, but also can be spread to animals and
then to humans. Moreover, some agents can be designed
targeting only specific individuals, such as anthrax, and
some agents can be transmitted between individuals, such
as smallpox, causing many casualties.
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Bioterrorism is not a modern concept; it was practiced
since ancient times. For example, it’s known that Romans
used to contaminate the well around attacking cities with
dead decomposing animals, in order to poison and
destroy the water supplies. Such an attack today might
have an advanced and disastrous development on the
well-being of the humans and even animals. The water
supplies, wells or even an entire lake, if polluted with
toxic agents will affect the entire population. But, if a
river is being polluted with such agents, the flow of the
water will dilute and reduce the effects produced within
time. When it comes to contaminating food, such an attack can
happen at any of the phases of its fabrication and
preparation: from harvesting crops, infecting animal feed
or even introducing infectious agents in restaurants, and
cafeterias. Thus, our daily aliments become a convenient
target. Moreover, it is not really necessary to sprinkle
contaminants, but a careless handling of the food is just
enough to transform food supplies into bio-chemical
weapons, as it can cause various infections.
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This being said, bioterrorism consequences happen not
only as planned, but sometimes they can be an unwanted
and unprepared result of random activities and situations.
These unwanted situations, for example Chernobyl
explosion, can contaminate surrounding waters,
cause short-term burns or lacerations and permanent
diseases like leukemia. These effects are very similar
even in an intended event, such as Hiroshima. Therefore,
when such an event is happening, is very challenging to
establish whether bioterrorism effects come from casual
contamination with no malicious planning ahead or from a
prepared terrorist action.
Types of bio-chemical agents Natural toxins are one of the most effective poisons that
are developed naturally by living organisms
(proteins, bacteria, snake venom, etc.).These toxins are
very poisonous and in some cases can be far more
physically damaging than some manmade nerve agents. Choking agents are one of the most common used
chemical agents during warfare or other military actions.
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These agents can be produced with basic industrial
compounds, for example the hydrochloric acid (a mix
between Bleach and Ammonia). These compounds are
very easy to be deployed as form, thus when it is inhaled,
the lungs and throat will provoke an immediate choking,
possibly leading to death by asphyxiation. Blistering Agents are one of the most dangerous and
damaging chemical warfare agent. These agents are oil
based substances that are inhaled and absorbed through
skin, affecting the skin, eyes and respiratory tract. They
produce burns and blisters that can lead to death in case
of delayed medical attention. Blood Agents are those types of toxins that are quickly
distributed throughout the victim’s bloodstream,
damaging the body through inhalation, causing the brain
and body to stop functioning due to inadequate levels of
oxygen.
Nerve Agents are basically neurotoxins that can
produce deadly effects by blocking necessary enzymes for
the central nervous system to function properly leading to
a disruption of muscle function, seizures and even death.
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Unlike other chemical agents, these nerve agents have
different delivery methods, such as: inhalation, skin
absorption and consumption, producing symptoms within
seconds. Nerve agents are very toxic and dangerous and
just a few milliliters are just enough to kill a person. They
pose a real threat, as they are relatively easy to
manufacture –they are made from compounds used in
manufacturing insecticides, fertilizers and some coloring
agents.
Risks of bio-chemical agents Considering the risks that biological or chemical agents
impose, they can be divided in three main categories:
1. Agents that are a great risk to National Security
These agents can disperse and pose a great danger on
the health of general public. Most of these agents
demand level 4Biosafety laboratories.
Anthrax virus, although very dangerous, is not
contagious and can spontaneously develop in some
animal species. . This virus has a biphasic course which
can be described as: an initial flu-like phase followed by a
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serious regression for which, at the moment, there is no
cure. It is true that it has vaccine, which consists of a set
of many injections in order to help your body fight the
virus, but there is no real treatment for anthrax.
Back in the days, anthrax is
known to be delivered through
mail in the United States,
especially to the offices of some
senators and politicians. This
incidents led authorities to
develop a program where
every federal employee had to be vaccinated. Also, as in
the case of Sverdlovsk in Russia (1979), anthrax can also
be released in a terrorist attack.
Smallpox is a very contagious virus that affects only
humans. It spreads though air and has a mortality rate of
20% to 40%. Smallpox has a very long history; it was first
used as a biological weapon in the American Revolution,
when the British and French armies contaminated the tents
of Delaware Indians by offering them handkerchiefs and
coverings infected with smallpox leading to an epidemic.
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Until 1970, people around the world had to be mandatory
vaccinated against smallpox. These vaccines do not
maintain immunity against smallpox as in other infection,
as it lasts only for three to five years. Smallpox is
considered to be the most dangerous infection because
both the infected person and their virus can transmit
disease through air. Plague is caused by bacteria called Yersiniapestis and is
usually found in rodents. This disease is passed to
humans by flea bites and periodically by aerosol as a
pneumonic plague. Its history as a biological weapon
dates back in the ancient times and is still considered a
big threat because of its ease of growth and its ability to
stay in rodents for a longer period of time.
Hemorrhagic fever includes diseases such as Ebola,
Marburg, Lassa or Machupo. The most common disease
is Ebola, as it has a high mortality rate, ranging from 50-
90%. Despite the efforts, there is no cure yet. It kills
The victims by hypovolemic shock or multiple organ
failure. Marburg disease is also very dangerous as its
mortality ranges from 25% to 100%.
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In the case of Ebola, there is no treatment available as
the vaccines that are being currently developed are only
at the research phase. Ricin is a protein virus obtained from the castor bean and
is considered to be one of the
most toxic substances along with
plutonium and botulism. Only 500
mg of ricin can be lethal to the
human body if it’s exposed by
injection or inhalation. Thus, ricin
is very toxic if it’s injected, inhaled
or ingested, as it inhibits the
protein synthesis.
Although, there is no cure available, the United States
military has developed a vaccine, in order to protect the
human body from its devastating effects.
Botulism is caused by bacteria called Clostridium
botulinum. Botulinum toxin is deadly as it causes death by
respiratory failure and paralysis.
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Tularemia, also known as rabbit fever, is severely
debilitating but has a low mortality rate. It is caused by
the Francisella tularensis bacteria.
2. Agents that are disseminating easily and have a
very low mortality rate.
Brucellosis is an infection malady that is primarily
transmitted among animals. It is produced by the Brucella
species and it can affect different animals such as cattle,
sheep, goats, dogs, pigs and many other vertebrates.
Brucellosis symptoms are similar to the flue such as
headaches, sweats, fever, muscle weakness and back
pains. Moreover, it can seriously infect the central nervous
system, lining surrounding the heart and a series of
chronic symptoms like fatigue, joint pain and recurrent
fever.
Brucellosis in humans occurs when a person comes into
contact with an animal or even animal product infected
with the Brucella bacteria. Very rarely the bacteria may be
transmitted from one person to another. The bacteria can
enter your body in many different ways such as: through a
cut or scratch on the skin, contaminated air, food, water.
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3. Agents that have a future potential of serious
health impact. These are agents that are possibly produced for mass
circulation and have a high mortality rate. Some of these
pathogens are nipah virus, hanta virus and multidrug
resistant Tuberculosis. Sarin gas is the most known chemical weapon of mass
destruction. It was first discovered by German scientist in
1939, and since then, it can be used as a nerve agent.
Nerve agents are the most toxic and rapidly acting of the
known chemical warfare agents. They are very similar to
a certain kind of insecticides, in terms of how they work
and the kind of harmful effect they cause.
This kind of toxin is not found naturally in the
environment; it is a man-made toxin. Sarin is a clear
colorless and tasteless liquid that has no odor in its pure
form. However, sarin can evaporate into a gas and
spread to the environment.
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Food and water illness is caused by germs produced by
on growing bacteria, such as toxins created by the toxic
algal species, or polluting water and food with parasites
or viruses. The human body is exposed to this kind of
illness only when someone consumes the food or water
that has destructive bacteria in it, making the person
sick. Thus, food and water transmitted diseases are not
contagious, as they do not spread through a random
contact to another person. Fortunately, using food and water borne bacteria as a
weapon is unlikely to happen than using viruses and
toxins that can spread through air, as it is very difficult to
expose a large number of individuals in the same time.
However, these types of bacteria can be used to pollute
public food and water supplies at a large scale.
Most common infections caused by the exposure of
contaminated food supplies and water is salmonella,
e.coli, shigella, cholera and parvum. These have several
chronic symptoms:
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Salmonella can cause fever, bloody diarrhea, headache,
and loss of energy. E.coli may damage your red blood cells, can cause a
series of kidney problems, bloody diarrhea, fever, and
stomach cramps. Cholera –some people that are infected with such a virus
(about5%) might develop severe vomiting, diarrhea and
muscle cramps. Shigella is mostly characterized by blood or mucus in the
stool. Parvum manifests in form of watery diarrhea, stomach
cramps and pain.
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Preparation is the key
The first thing you can do when it comes to preparing for
a bio-chemical attack is to learn about the likely
occurrence when such an event strikes. Your survival
depends on establishing the possible events and their
impact in your neighborhood. Thus, it is necessary to
discuss with your family or group what you can do when
such a disaster strikes. What can happen?
As we learned from past experiences, the following things
can happen when we’re dealing with a terrorist attack:
1. Casualties–there can be a significant number of
people injured and damages to buildings and
infrastructure. Thus, every individual has to be
prepared with updated information about the
medical needs they and their family or group
members need.
2. Health – despite casualties, an attack affects both
physical and mental health of you and your family.
The resources needed for you to stay healthy
might be limited.
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3. In the face of a terrorist attack, there will be heavy
law enforcement involvement due to the event’s
criminal nature.
4. There will also be considerable media coverage,
Thus the public fear will increase and the
consequences of a terrorist attack can last for a
long period of time.
5. Schools and workplaces will be closed, especially in
the directly affected areas. Thus, there might be
domestic or even international travel restrictions.
6. Cleaning up the affected areas and the areas near
them, can take a long time lasting up to month and
even years.
A bioterrorist attack can strike quickly and without
warning. It can oblige you
and your family to evacuate
your area or even confine
you to your home.
Moreover, basic services,
such as gas, electricity,
water or communication,
most probably will be cut off.
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Local officials and authorities will respond as quickly as
possible and they will be on the scene of the disaster, but
with chaos and panic everywhere, it will be very difficult
for them to reach everyone right away.
Thus, before starting making preparations for a disaster,
you can always contact your local Red Cross chapter or
other emergency management office in order to find out
what types of disasters are most likely to happen and
how to prepare for each. Moreover, you can even learn
about your community’s warning signals: what they
would sound like and what you should do when you hear
them. You can also ask about animal care after a disaster
as most animals are not allowed inside some emergency
shelters because of the health regulations.
Furthermore, finding out about the disaster plans at your
workplace, your children’s school or daycare center and
other places where your family frequently spends time
will help you be more prepared in times of a danger.
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Immediate reactions: Stay calm, be patient and listen to further
instructions on the radio or TV, or follow the advice of
local authorities.
If the event happens near your area, make sure you
check you and your family members for injuries
If people are injured, be prepared to give first aid.
Check your house for any damages using a flashlight.
It is very important to remember not to light any
matches or candles and not to turn on electrical
switches.
Check your house for fire hazards and other
household dangers (gas or water leaks).
Shut down any other damaged utilities in your house.
Confine or secure your pets.
Call your emergency contacts
Check your neighbors, especially those who are
elderly or disabled.
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Developing a disaster plan Discussing with your family or group members the need
to prepare for disaster is one of the most important steps
in preparation. Explain them the dangers of fire, severe
weather and earthquakes by discussing the type of
disasters that are most likely to happen. Teach them how
to react in every scenario. Plan to share responsibilities
and work together as a team. The first thing you have to do is to create an
emergency communication plan. Do this by carefully
choosing an out-of-town contact that lives far enough so
that they have fewer chances of being directly affected by
the attack. A phone number or an email is just enough to
make a person your emergency contact. Be sure that
every member of the group has the details of the contact
you’ve chosen (house addresses, e-mails, telephone
numbers from home, work, school, pager number and cell
number). Moreover, if you have children, it is very useful
to leave these contact details at their school or at your
office.
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Everyone must know the address and phone numbers of
the emergency contacts. Request an out-of-state friend to
be your family contact, as after a disaster strikes it’s
usually easier to call long distance. When such an event happens, you must know that there
are high chances that the telephone system would not
work. Thus, in this case, you need to keep trying
contacting your emergency person until it is working.
However, you should keep in mind that people tend to
flood the telephone lines when emergencies occur, but
sometimes an e-mail can get through when telephones
don’t. Another important step you have to take when preparing
for an event like this is to establish, along with your
family, a meeting place. If your home is affected by a
bio-chemical attack or if the area is evacuated, this will
save you time and reduce confusion. Having a
predetermined meeting place can save your life. Thus, it
is important to make preparations to remain with your
family or group. Remember to include pets in your
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planning, as some public shelters or refugees do not
accept animals. Choose two places to meet: one right outside your home
in case of a sudden emergency and another outside your
neighborhood, in case you can’t return to your home. In case of evacuation or if you need to leave your house
to find another shelter, it is very important to prepare a
few necessary supplies at your hand, so that you and
your family could be more comfortable. Assemble a
disaster supplies kit that is easy to carry and that has
everything that you and your family or group members
need. A duffel bag or a small plastic trash can are good
easy-to-go containers for a supplies kit. Make sure you
include basic items for any family member, such as: infant formulas and basic items for older people or
individuals with disabilities
first aid items (medications)
clothing
sleeping bags
battery powered radio and auxiliary batteries
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food and water supplies
tool box
cash
copies of vital family and household documents
(marriage and birth certificates, passports, insurance
policies, house insurance, etc.).
In case of evacuation In case of a bioterrorist attack, you might be asked by
the local authorities to leave your house and evacuate.
If this happens, you should take this advice. Make sure
you listen to further instructions
on your television or radio.
Discuss with your family or
group members what to do in
case of an evacuation and plan
how to take care of your pets.
Thus, when you’re preparing for an evacuation, keep
these guide points in mind: Protect your body as much as possible by wearing
shirts with long sleeves, long pants and sturdy shoes.
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Don‘t forget to take the pets with you.
Call your emergency contact and tell them where you
are and what are your immediate future plans.
Shut off water and electricity.
Leave natural gas service on unless local officials
advise you not to.
Make sure you lock your house before leaving.
Use roads only indicated by local authorities.
Remember using shortcuts is very dangerous, as
some affected areas can be impassable.
Stay as far as possible from down power lines.
Listen to local authorities, as they are the only ones
that can give you proper information.
Stay tuned to the local TV or radio broadcast, and
following instruction is the best way to keep you and
your family safe from dangers.
Shelter When such a disaster strikes, it is very important to find a
shelter and remain there until you are prompted by local
authorities to come out.
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Lock and close all doors and
windows.
Turn off fans, air conditioning and
heating systems.
Make sure you block the fireplace
damper.
Always have at your hand the
disaster supplies kit
Make sure the radio is working.
Stay put in an interior room with no windows that is
above ground level. In case of a bioterrorist attack,
an above ground room is the safest, as some
chemicals are heavier than air and might infiltrate
into basements.
Seal all the cracks and opening around the doors,
windows and vents with duct tape.
Listen to the television or radio in order to find out
what is happening and when is safe to come out of
the shelter.
Given the fact that when a terrorist attack is happening,
there will be extensive media coverage with raw footage,
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it is recommended to keep children away from the
disturbing images as they can panic and scare them.
Moreover, even adults will need to take a break from
watching upsetting footage of the terrorist attack.
Nonetheless, listening to television and radio constantly
is important in a survival situation. Thus, a good plan is
continuously listening to the news by taking turns with
other adult members of the group.
In case of a disaster, some ordinary items in your home
can cause serious injuries and damages; anything that
can fall, break or cause fire is a potential hazard. In order
to avoid these things from happening in your house,
there are some safety measures you can take:
Repair any damaged electrical wiring and leaky gas
connections.
Tighten shelves securely
Place large heavy objects on lower shelves.
Hang pictures, painting or mirrors away from beds
and sofas.
Brace overhead light fixtures
Secure the water heater by strapping to wall studs.
Repair the crack in ceiling and foundations.
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Keep weed killers, pesticides and other flammable
products away from heat sources.
Put oil polishing rags or waste in sealed metal cans.
Clean and repair chimneys, vent connectors, gas
vents and flue pipes.
Another important thing that you need to know in case of
a disaster is to know basic first aid. Enrolling in a first aid
and CPR course, can be very useful when it comes to
survival situations as you will have to be very cautious
about your wellbeing, so that you can give first aid to
other people in need. People who came in contact with
biochemical agents will have to follow a decontamination
procedure and receive immediate medical care.
Giving first aid
Check the area to make sure it’s safe for you to
come close to the injured person.
Check if the victim is conscious and if he or she is
breathing. A person who has a life threatening
status, like bleeding or not breathing, needs
treatment from medical professionals.
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If you’re overwhelmed by the situation, look out for
help.
If the victim has open wounds, cover them with
pieces of cloth and apply direct pressure on the
wound. Cover the cloth with a bandage.
If the bleeding does not stop, cover the wounds with
more cloth and bandages and use a pressure point to
squeeze the artery against the bone.
Give first aid for shock: keep the victim’s
temperature stable (prevent him or her from getting
overheated or chilled), lift the legs approximately 12
inches if there are no broken bones.
Care for burns by cooling them with great quantities
of cold water and then cover them with dry and
clean pieces of cloth.
Care for injured muscles and bones: avoid any
movement or activity that can cause pain, put ice or
cold packs to keep the swelling under control. If you
have to move the victim make sure you immobilize
the injured part.
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Avoid biological exposures and other life threatening risks!
Listening to local authorities, television and radio reports
is the best way to keep you and your family safe from the
dangers of a biochemical attack, as they are the only
ones that can provide you the correct information from
medical and governmental institutions on what is going
on and what measures you will have to take.
Although, there are very low chances of getting an
infection while giving first aid to an injured person, there
are some steps you can take in order to minimize the risk
even more, such as: avoid direct contact with the body
fluids and blood by using protective equipment like
breathing barriers and disposable gloves. Moreover, keep
in mind that you need to intensely wash your hands with
soap or other disinfectant solutions before and after you
give first aid to the victim.
It is very crucial to be prepared for an emergency and to
know how to give emergency care to a person in need.
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Important basic needs
When preparing your house for a disaster, you should
always keep in mind these essential needs that every
family or group member needs:
Water
Food
Clothing
First aid supplies
Beddings
Tools, emergency supplies and other special items.
Water can be stored in plastic containers such as soft
drink bottles. It is important to avoid using containers
that can decompose or beak (milk cartons or glass
bottles).
Remember that you need to keep yourself hydrated in
order to survive a disaster. A normal person needs to
drink at least two quarts of water per day, but hot
weather and intense physical activity will double the
quantity needed.
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In order to be fully prepared, you can store one gallon of
water per person for a day. Keep at least a three day
supply for each person.
Food is also important when it comes to preparing for a
disaster. Thus, when you start stock piling food, keep in
mind that you need to store at least a three day supply of
non-perishable food. It is recommended to store food
that require no refrigeration, preparation or cooking.
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Final thoughts
Because of the increased threat of terrorism, the risk
posed by various microorganisms as biological weapons
increases as well. Biological warfare agents may be more
potent than conventional and chemical weapons. During the past century, the progress made in
biotechnology and biochemistry has simplified the
development and production of such weapons. In
addition, genetic engineering holds perhaps the most
dangerous potential. Ease of production and the broad
availability of biological agents and technical know-how
have led to a further spread of biological weapons and an
increased desire among developing countries to have
them. With everything that is happening in the world right now,
terrorism has become a real threat. It has become an
efficient way to deliver political messages or showing
open hatred against a nation. This is why it is important
to inform ourselves about the possible dangers.