Biological agents in war and terror Andreas Suhrbier Queensland - - PowerPoint PPT Presentation

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Biological agents in war and terror Andreas Suhrbier Queensland - - PowerPoint PPT Presentation

Biological agents in war and terror Andreas Suhrbier Queensland Institute of Medical Research Principle Research Fellow National Health and Medical Research Council, Australia The human body loaded with bacteria, fungi, archaea,


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Biological agents in war and terror Andreas Suhrbier

  • Queensland Institute of Medical Research
  • Principle Research Fellow National Health

and Medical Research Council, Australia

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Nature Reviews Genetics 13, 260-270 Translational Research 2012;160:283–290

Bacteria >500 species, 1,000,000,000,000,000 of them (1014) The human body – loaded with bacteria, fungi, archaea, viruses

Human body 1013 cells

Viruses – 1000s of species

109-10 per litre in sea water

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Hittite-Arzawan war 1320 &1318 BC Modern day Turkey. Hittites sent tularemia infected donkeys into Arzawa Historical vignettes of Biowarfare

Tularemia is a bacterial infection 5-15% death rate

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Black death probably the greatest public health disaster in recorded history. Europe lost an estimated one quarter to one third of its population, and the mortality in North Africa and the Near East was comparable.

Black death

  • 14th C Kaffa (Crimea). Tatar army catapulted 1000s of Y.

pestis infected bodies into the town occupied by Italians (Genoese) . It was the beginning of the BLACK DEATH

Yersinia pestis, principal reservoir is wild rodents

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  • USA civil war. Confederates polluted wells with animal

corpses.

  • 18th C. English gave smallpox infected blankets to

American Indians.

  • WWII. Japanese dropped plague (Yersinia pestis) infected

fleas in clay bombs on Manchuria (China), ≈200,000 killed. Clay bomb - 30,000 fleas under oxygen

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?1942. German panzer troops infected with

  • tularemia. Backfired >100,000 Volga Russians

also infected. ?1982-84. Soviets use glanders (Burkholderia mallei) against mujahedin.

(Melioidosis is caused by Burkholderia pseudomallei)

?1997 foot & mouth. Taiwan's pigs (US $4 billion economic loss) Chinese bioattack?

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Four of the restaurants affected by the attack on salad bars

751 people infected, 45 hospitalizations

Rajneesh greeted by sannyasins on

  • ne of his daily "drive-bys" in

Rajneeshpuram, 1982 Salmonella bacteria were purchased from a medical supply company in Seattle and cultured in labs located inside the commune.

1984 Bhaghwan Shree Rajneesh contaminate salad bars Oregan USA with salmonella hoping to rig elections

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  • 2001. Anthrax spores sent to Senate majority

leader, Thomas Daschle.

  • The spores were weaponised; i.e.

treated with a highly sophisticated chemical additive so they are more easily inhaled.

  • Feds declared biodefence scientist

Bruce Ivins, at Fort Detrick to be the

  • culprit. Ivins committed suicide.

5 deaths

http://en.wikipedia.org/wiki/2001_anthrax_attacks

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Countries with known bioweapons programs Bioweapons for mass extermination

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Japan Epidemic Prevention and Water Purification Department (1937- 1945). Unit 731 Harbin, China Imperial Japanese Army germ warfare and human experiments killed around 580,000 people

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In the late 1980s and early 1990s, >60,000 people involved in biological weapons research, development & production.

  • 100’s of tons of stockpiled

bioweapons

From Ken Alibek’s Biohazard

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The Sverdlovsk anthrax leak - "biological Chernobyl". March 1979 Violation of the 1972 Biological Weapons Convention? Russian authorities blamed contaminated meat. All cases in a narrow band down-wind of Military Compound 19.

  • Science. 1994 Nov 18;266(5188):1202-8.

(Yekaterinburg). Military Compound 19

Worker removed old and failed to replace a new filter. ≈100 cases At least 64 deaths

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  • USA. Possible agents (former): Human; Anthrax, brucellosis,

botulinum toxin, Eastern and Western equine encephalitis, Venezuelan equine encephalomyelitis, Argentinean hemorrhagic fever, Korean hemorrhagic fever, Bolivian hemorrhagic fever, tularemia, Q fever, Lassa fever, glanders, melioidosis, plague, yellow fever, psittacosis, dengue fever, Rift Valley fever, chikungunya disease virus, ricin. Crop and livestock weapons Rice blast, rice brown spot disease, late blight of potato, stem rust of cereal, rinderpest virus, Newcastle disease virus, fowl plague virus Materials Hydrocarbon-loving bacteria that bore holes in asphalt, leading to the deterioration of road and runway

  • surfaces. Fuel and plastics also targeted.
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Between 1956-1975 >6,720 soldiers, civilians and prisoners were used to test 254 psychochemicals Super-soldier & messing w ith the enemies minds

  • Phencyclidine/angel dust/PCP
  • Lysergic Acid Diethylamide (LSD)
  • Quinuclidinyl-benzylate (BZ)

LSD In 1015 King Eirik Bloodaxe (Eric I) of Norway outlawed berserkers.

(probably used Ergot or fly agaric mushroom or bog-myrtle/alcohol)

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Mainstream

  • pinion is that

Iraq had no weapons of mass destruction as of late 2002

Produced Anthrax, aflatoxin, botulinum toxin, gas gangrene, ricin, and wheat smut, Working on cholera, mycotoxins, shigellosis, and viruses (including camelpox, infectious hemorrhaghic conjunctivitis and rotavirus).

IRAQ

Iraq was invaded in 2003

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North Korea Signatory state to the Biological Weapons Convention Bioweapons status: Known to be researching biological agents for offensive use Possible agents: Anthrax, cholera, plague, smallpox, botulinum toxin, hemorrhagic fever, typhoid, yellow fever

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Syria Syria has worked on: anthrax, plague, tularemia, botulinium, smallpox, aflotoxin, cholera, ricin and camelpox, and has used Russian help in installing anthrax in missile warheads. Syria has not ratified the Chemical Weapons Convention

  • reportedly manufactures Sarin, Tabun, VX, & mustard gas

Jane's Defence Weekly

Sept 2007 Accident at Aleppo. Explosion released Mustard gas and Sarin – dozens dead.

CH3P(O)F2 + (CH3)2CHOH → [(CH3)2CHO]CH3P(O)F + HF US warhead with Sarin bomblets c1960

SARIN GAS

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Biological Weapons Convention Signed April 10, 1972 Location London, Moscow, and Washington, D.C. Effective March 26, 1975 Parties 165 as of October 2011

http://en.wikipedia.org/wiki/File:BWC_Participation.svg

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Category B

  • Burkholderia pseudomallei
  • Coxiella burnetti (Q fever)
  • Brucella species (brucellosis)
  • Burkholderia mallei (glanders)
  • Ricin toxin (from Ricinus communis)
  • Epsilon toxin of Clostridium perfringens
  • Staphylococcus enterotoxin B
  • Typhus fever (Rickettsia prowazekii)
  • Food and Waterborne Pathogens
  • Bacteria
  • Diarrheagenic E.coli
  • Pathogenic Vibrios
  • Shigella species
  • Salmonella
  • Listeria monocytogenes
  • Campylobacter jejuni
  • Yersinia enterocolitica)
  • Viruses (Caliciviruses, Hepatitis A)
  • Protozoa
  • Cryptosporidium parvum
  • Cyclospora cayatanensis
  • Giardia lamblia
  • Entamoeba histolytica
  • Toxoplasma
  • Microsporidia
  • Additional viral encephalitides
  • West Nile Virus
  • LaCrosse
  • California encephalitis
  • VEE
  • EEE
  • WEE
  • Japanese Encephalitis Virus
  • Kysanur Forest Virus

Category C Emerging infectious disease threats such as Nipah virus and additional hantaviruses. NIAID priority areas:

  • Tickborne hemorrhagic fever viruses
  • Crimean-Congo Hemorrhagic fever virus
  • Tickborne encephalitis viruses
  • Yellow fever
  • Multi-drug resistant TB
  • Influenza
  • Other Rickettsias
  • Rabies

NIAID Category A, B & C Priority Pathogens

Category A

  • Bacillus anthracis (anthrax)
  • Clostridium botulinum
  • Yersinia pestis
  • Variola major (smallpox) and other pox viruses
  • Francisella tularensis (tularemia)
  • Viral hemorrhagic fevers
  • Arenaviruses
  • LCM, Junin virus, Machup virus, Guanarito virus
  • Lassa Fever
  • Bunyaviruses
  • Hantaviruses
  • Rift Valley Fever
  • Flaviruses
  • Dengue
  • Filoviruses
  • Ebola
  • Marburg
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Case fatality rate ≈30%

Smallpox virus. Has killed >1 billion people globally

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Smallpox is an infectious disease!!!!!!!!!!!!!!!!!

The 1970 epidemic in Meschede, Germany

  • tourist returning from Pakistan isolated in Hospital
  • 19 cases. Disease contained.
  • only two from direct contact.
  • 9 individuals who worked 3 floors away.
  • 1 person simply spent less <15mins in the building.
  • >100,000 people were promptly vaccinated.

Outbreak contained

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SMALL POX OUTBREAK ! ………………….NOT CONTAINED ! 1972 outbreak in Yugoslavia

175 cases, 35 dead. Infected people travelling all over the country.

THE APPROPRIATE RESPONSE !

  • Yugoslavia closed its borders.
  • Forced vaccination of 19 million people.
  • Forced quarantine of 10,000 people for 2 weeks or more.
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Thanks to vaccination October, 1 9 7 7 Ali Maow Maalin of Som alia The last person in the w orld to contract sm allpox naturally.

GLOBAL SMALLPOX VACCINATION CAMPAIGN

Vaccination removed smallpox from the natural world Fenner - no animal reservoir

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Ebola virus

Q50, the quantity of a BW required to kill half the people in a 1 km area, Smallpox

  • Q50 of 3-5 Kg/km2.

Ebola/Marburg

  • Q50 1 kg/km2.

Filoviruses

  • Ebola hemorrhagic fever
  • Marburg hemorrhagic fever
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Ebola and Marburg viruses present the most horrible way to die. Ebola attacks every tissue in the body except skeletal muscle and bone. It begins with a fever about a week after infection. Blood begins to ooze from under the skin. The skin begins to tear, followed by blood flowing from every pore. The skin, including that on the tongue, can peel off and the eyes fill with blood - and there is no known vaccine or cure.

allafrica.com/stories/200111040009.html 4 Nov 2001

Germ Missiles That Could End the World. The Nation (Nairobi) November 4, 2001 . Posted to the web November 4, 2001 Dennis Onyango

Natural transmission usually by contact with body fluids (Eg Funerary rites)

Ebola has killed 10,000’s of the great apes in central Africa

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Shoko Asahara Aum Supreme Truth cult (Re-formed as Aleph in 2000) Sarin attack Tokyo 1995. 12 dead, 5000 injured

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The Japanese Aum sect, allegedly attempted to get hold of Ebola samples by sending cult members to Zaire during an Ebola outbreak. Promed; 27 Nov 2012 Ebola virus disease - Congo (44 dead) Hard to grow. Hard to weaponise.

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Botulinum toxin A potent neurotoxin. 1 kg if injected would kill most of the world’s population (Available on e Bay) 'Botox parties' have become popular among the champagne set and not all injections are carried

  • ut by the medically qualified

Bootleg Botox: a new terror threat? David Hoffman14 May 2010

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Anthrax spores

Less effective as a terror weapon as not contagious

Bacillus anthracis culture

Advantage as a bioweapon as not easily spread to your own troops.

Anthrax

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http://www.vetmed.lsu.edu/whocc/mp_world.htm

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Australian Anthrax belt, NSW & Gippsland VIC Sheep/goats 1999 400 cases 2000 80 cases Humans 1990 5 cases 1998 1 cases Cattle 2008 Hunter Valley 53 cases

Emerg Infect Dis. 2009 May; 15(5): 840–842.

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Quick Facts about Anthrax

Information adapted from the CDC and Johns Hopkins Center for Civilian Biodefense Center.

  • Anthrax is an acute infectious disease caused by the spore-forming

bacterium Bacillus anthracis.

  • The serious forms of human anthrax are inhalation, cutaneous, & intestinal.

Incubation period; between 1 and 7 days, but may be as long as 60 days. Symptoms; Early stage; Sore throat, Muscle aches, Fever, Headache, chest

  • pain. Late stage; Hypoxemia and dyspnea, Respiratory failure, Shock,

Meningitis, delirium. Case fatality w/o treatment is 97% Diagnostic tests; Gram stain, Culture, Chest X ray. Spread; direct person-to-person spread of anthrax is extremely unlikely . There is no need to immunize or treat contacts of persons ill with anthrax. Postexposure prophylaxis: In persons exposed to anthrax, infection can be prevented with early antibiotic treatment (Ciprofloxacin). Delay lessens chances for survival. Vaccination against anthrax is not recommended for the general public to prevent disease and is not currently available except for military use.

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Cutaneous anthrax

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Weaponising infectious agents – the hard part

Problems Agents inactivated by storage, drying, UV, humidity etc Agents do not disperse and clump Agents swept away by wind or temperature inversions Solutions Encapsulate agents Specific aerosol and powder formulations Delivery modalities (eg bomblets) Simple spraying from aeroplanes will result in rapid loss of infectivity and rapid dissipation.

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The Bush administration launched an unprecedented biodefence effort. To date it has spent US $44 billion The centrepiece of the administration's biodefence effort is Project BioShield. Launched in 2004, it is designed to turn drug companies into defence contractors.

Biodefence special: Fortress America? New Scientist 06 October 2006

Project BioShield

  • Antibody-based therapies for botulism and anthrax.
  • 10 million doses of the military's existing anthrax vaccine
  • 75 million doses of a purer, new-generation anthrax vaccine.
  • Improved smallpox vaccine,
  • $4 million to universities to fund basic pathogen research.

Is the world safer? Money well spent?

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Artist: Albrecht Durer Born: 1471 Died: 1528 Style: Renaissance Title: Four Horsemen of the Apocalypse Year: 1498 Medium: Woodcut War Famine Pestilence Death

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Bioterror killed five in US;

  • guns kill 30,000 a year

The only lethal biological attack in the United States was carried out in 2001, using a supply of anthrax that came from a US source and killed five people.

In 2001 - 42,443 motor vehicle accident deaths in USA In 2004 - 1,598 in Australia

In 2002 10 million died from Infectious Diseases

1.5 m TB, 2.8 m HIV, 1.2 m malaria, 1.8 m diarrheal diseases

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Natural infectious diseases

*Chikungunya virus 2004-11. 1.5 – 6 m cases of chronic arthritis HIV 40 – 50 million HIV infected. Influenza – ¼ to ½ m deaths p.a. globally. Pandemic 1918-19, 20-40 m deaths. *SARS – 8,096 known infected cases, 774 deaths. $30 billion loss for tourism.

*Hendra virus – Australia from 1994, 7 human cases, 4 died.

*Foot & Mouth Disease UK 2001, 6 m animals culled, £3.1 billion loss to

agriculture; tourism losses much larger

*Avian Influenza 2003. H5N1. 258 cases. 60% mortality. * Unexpected

  • >2 billion people ill on any given day
  • ≈50% of deaths in developing countries are caused by

naturally occurring infectious diseases (WHO).

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Flu inspectors checking incoming aeroplane passengers

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HUMAN MADE Global Climate Change and Human Disease Mosquito borne diseases – Ross River, West Nile, dengue, malaria. Enteric diseases – Crytosporidium, cholera, coxsackie virus, hepatitis A, E. coli Mental illness – mental and behavioural disorders rise >27°C. – ≈300 mm less rainfall increases suicide rates by ≈8%.

http://www.internationalnewsservices.com/articles/1-latest-news/17833- climate-change-spreads-infectious-diseases-worldwide http://www.who.int/globalchange/publications/climatechangechap6.pdf Climate Commission: THE CRITICAL DECADE:CLIMATE CHANGE AND HEALTH. 2001 2011-13 Queensland Mental Health Natural Disaster Recovery Plan (Queensland Health, 2011).

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“Two things are infinite: the universe and human stupidity; and I' m not sure about the universe.”

Albert Einstein