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This directory points to local and public health resources for intentional or naturally occurring outbreaks.

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Acambis : Smallpox Vaccine
In 2000, CDC awarded a contract to Acambis of Cambridge, Massachusetts to produce smallpox vaccine. Initially producing 40 million doses, Acambis anticipates delivery of the first full scale production lots in 2004``Acambis can confirm that this programme has been accelerated but is unable to give more details at this stage.
249 clicks since 4-Nov-2001
Anthrax as a Biological Weapon: Medical and Public Health Management
Of the numerous biological agents that may be used as weapons, the Working Group on Civilian Biodefense has identified a limited number of organisms that could cause disease and deaths in sufficient numbers to cripple a city or region. Anthrax is one of the most serious of these diseases.
275 clicks since 11-Oct-2001
Anthrax Vaccine
The only known effective prevention against anthrax is the anthrax vaccine. The vaccine was developed from an attenuated strain of B. anthracis. The vaccine derives from the cell-free culture filtrate of this strain and, in its final formulation, is adsorbed onto an aluminum salt. No cases of inhalation anthrax occurred in anthrax vaccine recipients. Based upon a comparison between the anthrax vaccine and placebo recipients, the authors calculated a vaccine efficacy level of 92.5 percent.
211 clicks since 11-Oct-2001
Biodefense Quarterly
Johns Hopkins University Center for Civilian Biodefense Studies Quarterly news publicaton.
186 clicks since 11-Oct-2001
BioPort Anthrax Vaccine
At this time, BioPort’s Anthrax Vaccine is not available for non-military use. Therefore it is not available for public sale. BioPort remains on track to meet target dates for submissions to the FDA for the company’s renovated anthrax vaccine manufacturing facilities. Once approval for the facility is obtained, BioPort will continue to deliver on its’ obligation is to meet the needs of the Department of Defense for the protection of the men and women in our armed services. Once there is vaccine that is available to people outside of the Department of Defense, officials will determine the best route to make the vaccine available to areas outside of the military.
204 clicks since 11-Oct-2001
CDC : Severe Acute Respiratory Syndrome (SARS)
The primary way that SARS appears to spread is by close person-to-person contact. Most cases of SARS have involved people who cared for or lived with someone with SARS, or had direct contact with infectious material (for example, respiratory secretions) from a person who has SARS. Potential ways in which SARS can be spread include touching the skin of other people or objects that are contaminated with infectious droplets and then touching your eye(s), nose, or mouth. This can happen when someone who is sick with SARS coughs or sneezes droplets onto themselves, other people, or nearby surfaces. It also is possible that SARS can be spread more broadly through the air or by other ways that are currently not known.
193 clicks since 30-Apr-2003
Centers for Disease Control and Prevention : News
This page carries the latest CDC press releases.
256 clicks since 11-Oct-2001
Centers for Disease Control and Prevention : Rumors and Hoaxes
This page carries the latest CDC health related hoaxes and rumors.
258 clicks since 11-Oct-2001
Combating Terrorism: Federal Response to a Biological Weapons Attack
The focus of the hearing was on a recent terrorism response exercise ominously named Dark Winter during which the unimaginable had to be imagined: a multi-site smallpox attack on an unvaccinated American populace. The scenario called upon those playing the president, the National Security Council and state officials to deal with the crippling consequences of what quickly became a massive public health and national security crisis.
241 clicks since 4-Nov-2001
DC Health : Controlling Mosquitoes Around the Home
West Nile Virus has been found in many states on the east coast and may spread to other states, particularly, in crows, blue jays and hawks. West Nile is a virus transmitted by mosquitoes that pass it through birds to humans by biting. The West Nile Virus may cause flu-like symptoms but is rarely found in humans.
IF YOU FIND A DEAD OR DYING CROW, BLUE JAY OR HAWK, CALL THE DEPARTMENT OF HEALTH WEST NILE CALL CENTER AT: (202) 442-9239

190 clicks since 11-Aug-2002
DoD Anthrax Vaccination Program Web Site
The vaccine is a cell-free filtrate, produced from a strain of anthrax that does not cause disease. The vaccine contains no whole bacteria, dead or alive.``This web site is provided as a public service by the Anthrax Vaccine Immunization Program (AVIP) Agency. Provides information on anthrax including: why anthrax is a threat, what the anthrax vaccine is, what the vaccine does, history of anthrax, and a facts vs. myths section.
165 clicks since 11-Oct-2001
Influenza Prevention and Control
Influenza, commonly called "the flu," is an infection of the respiratory tract caused by the influenza virus. Compared with most other viral respiratory infections, such as the common cold, influenza infection often causes a more severe illness. Typical influenza illness includes fever (usually 100ºF to 103ºF in adults and often even higher in children) and respiratory symptoms, such as cough, sore throat, runny or stuffy nose, as well as headache, muscle aches, and often extreme fatigue. Although nausea, vomiting, and diarrhea can sometimes accompany influenza infection, especially in children, these symptoms are rarely the primary symptoms.
216 clicks since 4-Nov-2001
Maryland Department of Health & Mental Hygiene : Report a dead bird online
It is important to note that not all dead birds reported will be collected for testing but these reports are extremely important because they may provide the first indication of WNV activity in an area. Because of the limited number of birds needed for sampling and the various causes of death that can affect birds, if the dead bird has not been picked up within 24 hours of this report, please dispose of it.
125 clicks since 11-Aug-2002
MEDLINEplus : Anthrax
Anthrax is an infectious, often fatal, disease associated with animal contact (mostly farm animals) and which, today, is rarely seen in the United States but still exists in Africa, Asia and the Middle East. Anthrax is caused by the bacterium Bacillus anthracis. It is a disease of sheep, cattle, horses, goats, and swine. Human infection, though rare, is an occupational disease of farm workers, veterinarians, and tannery and wool workers.
224 clicks since 11-Oct-2001
Mosquitoes introduction - Health Department Fairfax County, Va
Mosquitoes are a very important insect pest affecting the health of humans because of their ability to transmit diseases. Virginia has 55 different known species of mosquitoes. There are approximately 30 different kinds of mosquitoes in Fairfax County. Fairfax health officials are asking residents to be more conscious of the need to eliminate mosquito breeding places around their homes. Health officials encourage residents to be on the lookout for small pools of water in rain gutters, discarded tires, tarps covering firewood, toys,pet water bowls,flower pots,bird baths, etc., which could be breeding grounds for mosquitoes. Taking away or regular emptying of those potential mosquito breeding sites around the home will help limit the number of pesky mosquitoes and help reduce the mosquito population.
135 clicks since 11-Aug-2002
National Institute of Health : News and Events
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219 clicks since 11-Oct-2001
POTENTIAL HEALTH EFFECTS FROM DU USE IN THE GULF THEATER, 1990-1991
These results clearly indicate that the very conservative estimated risks from DU inhalation are less than the guidelines for members of the public. They also provide perspective on the requirements for respiratory protection around contaminated vehicles. A Gulf War-era technical bulletin recommended wearing MOPP 4 (Mission Oriented Protective Posture [MOPP] Level 4) because it was readily available to all soldiers. Most soldiers and civilians were not trained in DU’s characteristics and risks and were unaware of this protective guidance. taking 20 minutes to pass one burning Abrams Heavy Armor tank; entering 7 enemy vehicles hit by DU and spending 7 minutes in each vehicle without contaminating his hands; entering one enemy vehicle for one hour, contaminating his uncovered hands, which he then did not wash for two days; and taking 10 minutes to pass at a distance of 80 meters through the smoke of 3 burning enemy tanks struck by DU.
204 clicks since 24-Mar-2003
Smallpox
Smallpox infection was eliminated from the world in 1977.```` ````Smallpox is caused by variola virus. The incubation period is about 12 days (range: 7 to 17 days) following exposure. Initial symptoms include high fever, fatigue, and head and back aches. A characteristic rash, most prominent on the face, arms, and legs, follows in 2-3 days. The rash starts with flat red lesions that evolve at the same rate. Lesions become pus-filled and begin to crust early in the second week. Scabs develop and then separate and fall off after about 3-4 weeks. The majority of patients with smallpox recover, but death occurs in up to 30% of cases.
225 clicks since 4-Nov-2001
The NBC Medical Defense Information Server
key element of the DoD Scientific and Technical Information Program, DTIC is the central Department of Defense The Nuclear Biological and Chemical Medical Web page contains extensive medical documentation, training material, audio-video clips, a powerful search engine, and links to other related Internet sites.
240 clicks since 11-Oct-2001
Virginia Department of Health : West Nile Virus Home Page
Interagency Arbovirus Task Force has developed plans to monitor for West Nile virus in mosquitoes, birds, horses, and humans, all possible targets for West Nile virus. The task force includes representatives from other state agencies but is coordinated by the Virginia Department of Health. The task force also will alert the health care community and veterinarians, will capture and identify mosquitoes and will beef up laboratory services to conduct analyses of samples from suspected cases. Dr. Peterson said the public and medical community will be notified immediately and special mosquito control measures may be needed if West Nile is confirmed in Virginia.
170 clicks since 11-Aug-2002
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