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Improved CBRN preparedness and response through teamwork and knowledge sharing. 通过团队合作和知识共享,改进了CBRN的准备和响应。
Pub Date : 2013-09-01 DOI: 10.1089/bsp.2013.0862
Cecilia Vahlberg
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引用次数: 2
Control of the deliberate spread of foot-and-mouth disease virus. 控制口蹄疫病毒的故意传播。
Pub Date : 2013-09-01 DOI: 10.1089/bsp.2013.0001
Attila Farsang, Hendrik Frentzel, Gábor Kulcsár, Tibor Soós

Foot-and-mouth disease (FMD) is one of the most feared of transboundary animal diseases. Accidental or deliberate release of the causative agent can have both direct and indirect effects that result in massive economic losses and disruption. The direct effects of an FMD outbreak include immediate losses to agricultural production and disruption of local economies, while the indirect effects are mainly related to disease control measures such as restriction of market access at local and global levels and the high costs of disease control. To improve the capacity of the European Union (EU) to counter animal bioterrorism threats, AniBioThreat was launched with a special focus on threats to living animals, feed, and food of animal origin. As part of this project, several zoonotic or animal pathogenic agents are considered from different perspectives. FMD virus was selected as one agent to be scrutinized because it is highly contagious and an outbreak can have a severe economic impact. Ways to fight a deliberate outbreak can be demonstrated through the example of FMD. In this article, the virology and epidemiology of FMD virus are discussed with special attention to the related law enforcement aspects.

口蹄疫是最令人恐惧的跨界动物疾病之一。意外或故意释放病原体可产生直接和间接影响,造成巨大的经济损失和破坏。口蹄疫爆发的直接影响包括农业生产的直接损失和地方经济的中断,而间接影响主要与疾病控制措施有关,例如在地方和全球各级限制市场准入以及疾病控制的高昂费用。为了提高欧盟(EU)应对动物生物恐怖主义威胁的能力,AniBioThreat启动了,特别关注对活体动物、饲料和动物源性食品的威胁。作为该项目的一部分,从不同的角度考虑了几种人畜共患病或动物致病菌。口蹄疫病毒被选为一种需要仔细检查的病原体,因为它具有高度传染性,而且疫情爆发会产生严重的经济影响。可以通过口蹄疫的例子来说明打击蓄意暴发的方法。本文讨论了口蹄疫病毒的病毒学和流行病学,并特别注意了相关的执法方面。
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引用次数: 12
The workshop on animal botulism in Europe. 欧洲动物肉毒杆菌中毒研讨会。
Pub Date : 2013-09-01 DOI: 10.1089/bsp.2012.0076
Hanna Skarin, Annica Tevell Åberg, Cédric Woudstra, Trine Hansen, Charlotta Löfström, Miriam Koene, Luca Bano, Mikael Hedeland, Fabrizio Anniballi, Dario De Medici, Eva Olsson Engvall

A workshop on animal botulism was held in Uppsala, Sweden, in June 2012. Its purpose was to explore the current status of the disease in Europe by gathering the European experts in animal botulism and to raise awareness of the disease among veterinarians and others involved in biopreparedness. Animal botulism is underreported and underdiagnosed, but an increasing number of reports, as well as the information gathered from this workshop, show that it is an emerging problem in Europe. The workshop was divided into 4 sessions: animal botulism in Europe, the bacteria behind the disease, detection and diagnostics, and European collaboration and surveillance. An electronic survey was conducted before the workshop to identify the 3 most needed discussion points, which were: prevention, preparedness and outbreak response; detection and diagnostics; and European collaboration and surveillance. The main conclusions drawn from these discussions were that there is an urgent need to replace the mouse bioassay for botulinum toxin detection with an in vitro test and that there is a need for a European network to function as a reference laboratory, which could also organize a European supply of botulinum antitoxin and vaccines. The foundation of such a network was discussed, and the proposals are presented here along with the outcome of discussions and a summary of the workshop itself.

2012年6月在瑞典乌普萨拉举行了一次关于动物肉毒杆菌中毒的讲习班。其目的是通过聚集欧洲动物肉毒杆菌中毒专家,探讨该疾病在欧洲的现状,并提高兽医和其他参与生物防备工作的人员对该疾病的认识。动物肉毒杆菌中毒未被充分报道和诊断,但越来越多的报道以及从本次研讨会收集的信息表明,这是欧洲一个新出现的问题。研讨会分为4个会议:欧洲的动物肉毒杆菌中毒、该疾病背后的细菌、检测和诊断以及欧洲的合作和监测。在讲习班之前进行了一次电子调查,以确定三个最需要的讨论点,它们是:预防、准备和疫情应对;检测和诊断;以及欧洲的合作和监督。从这些讨论中得出的主要结论是,迫切需要用体外试验取代肉毒杆菌毒素检测的小鼠生物测定法,并且需要建立一个欧洲网络作为参考实验室,该网络还可以组织欧洲肉毒杆菌抗毒素和疫苗的供应。讨论了这样一个网络的基础,并在这里提出了建议以及讨论的结果和讲习班本身的摘要。
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引用次数: 23
Management of animal botulism outbreaks: from clinical suspicion to practical countermeasures to prevent or minimize outbreaks. 动物肉毒中毒暴发的管理:从临床怀疑到预防或减少暴发的实际对策。
Pub Date : 2013-09-01 DOI: 10.1089/bsp.2012.0089
Fabrizio Anniballi, Alfonsina Fiore, Charlotta Löfström, Hanna Skarin, Bruna Auricchio, Cédric Woudstra, Luca Bano, Bo Segerman, Miriam Koene, Viveca Båverud, Trine Hansen, Patrick Fach, Annica Tevell Aberg, Mikael Hedeland, Eva Olsson Engvall, Dario De Medici

Botulism is a severe neuroparalytic disease that affects humans, all warm-blooded animals, and some fishes. The disease is caused by exposure to toxins produced by Clostridium botulinum and other botulinum toxin-producing clostridia. Botulism in animals represents a severe environmental and economic concern because of its high mortality rate. Moreover, meat or other products from affected animals entering the food chain may result in a public health problem. To this end, early diagnosis is crucial to define and apply appropriate veterinary public health measures. Clinical diagnosis is based on clinical findings eliminating other causes of neuromuscular disorders and on the absence of internal lesions observed during postmortem examination. Since clinical signs alone are often insufficient to make a definitive diagnosis, laboratory confirmation is required. Botulinum antitoxin administration and supportive therapies are used to treat sick animals. Once the diagnosis has been made, euthanasia is frequently advisable. Vaccine administration is subject to health authorities' permission, and it is restricted to a small number of animal species. Several measures can be adopted to prevent or minimize outbreaks. In this article we outline all phases of management of animal botulism outbreaks occurring in wet wild birds, poultry, cattle, horses, and fur farm animals.

肉毒杆菌中毒是一种严重的神经麻痹性疾病,影响人类、所有温血动物和一些鱼类。这种疾病是由接触肉毒梭菌和其他产生肉毒杆菌毒素的梭菌产生的毒素引起的。动物肉毒杆菌中毒因其高死亡率而引起严重的环境和经济问题。此外,受感染动物的肉或其他产品进入食物链可能导致公共卫生问题。为此,早期诊断对于确定和实施适当的兽医公共卫生措施至关重要。临床诊断是基于临床发现,排除神经肌肉疾病的其他原因,并在死后检查中没有观察到内部病变。由于仅凭临床症状往往不足以作出明确的诊断,因此需要实验室确认。肉毒杆菌抗毒素管理和支持疗法用于治疗患病动物。一旦确诊,安乐死通常是可取的。疫苗的使用必须得到卫生当局的许可,并且仅限于少数动物种类。可采取若干措施来预防或尽量减少疫情。在这篇文章中,我们概述了在野生湿禽、家禽、牛、马和毛皮农场动物中发生的动物肉毒中毒暴发管理的所有阶段。
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引用次数: 46
Agroterrorism targeting livestock: a review with a focus on early detection systems. 以牲畜为目标的农业恐怖主义:以早期发现系统为重点的审查。
Pub Date : 2013-09-01 DOI: 10.1089/bsp.2012.0068
Armin Elbers, Rickard Knutsson

Agroterrorism targeting livestock can be described as the intentional introduction of an animal disease agent against livestock with the purpose of causing economic damage, disrupting socioeconomic stability of a country, and creating panic and distress. This type of terrorism can be alluring to terrorists because animal disease agents are easily available. This review addresses the vulnerabilities of the livestock industry to agroterrorism. However, we also show that early detection systems have recently been developed for agroterrorism and deliberate spread of animal pathogens in livestock, including an agroterrorism intelligence cycle, syndromic surveillance programs, and computer-based clinical decision support systems that can be used for early detection of notifiable animal diseases. The development of DIVA-vaccines in the past 10 to 15 years has created, in principle, an excellent response instrument to counter intentional animal disease outbreaks. These developments have made our animal agriculture less vulnerable to agroterrorism. But we cannot relax; there are still many challenges, in particular with respect to integration of first line of defense, law enforcement, and early detection systems for animal diseases.

针对牲畜的农业恐怖主义可以被描述为故意向牲畜引入动物疾病剂,目的是造成经济损失,破坏一个国家的社会经济稳定,并制造恐慌和痛苦。这种类型的恐怖主义可能吸引恐怖分子,因为动物疾病制剂很容易获得。本综述论述了畜牧业对农业恐怖主义的脆弱性。然而,我们也表明,最近已经开发了早期检测系统,用于农业恐怖主义和动物病原体在牲畜中的故意传播,包括农业恐怖主义情报周期、综合征监测计划和基于计算机的临床决策支持系统,这些系统可用于早期发现应报告的动物疾病。在过去的10至15年里,diva疫苗的开发原则上创造了一个很好的应对工具,以应对故意的动物疾病暴发。这些发展使我们的畜牧业不那么容易受到农业恐怖主义的影响。但我们不能放松;仍然存在许多挑战,特别是在整合第一道防线、执法和动物疾病早期检测系统方面。
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引用次数: 22
Detecting bioterrorism: how to detect the unexpected? 侦测生物恐怖主义:如何侦测意外事件?
Pub Date : 2013-09-01 DOI: 10.1089/bsp.2013.0863
Peter R Wielinga
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引用次数: 1
Historical perspective on agroterrorism: lessons learned from 1945 to 2012. 农业恐怖主义的历史视角:1945年至2012年的经验教训。
Pub Date : 2013-09-01 DOI: 10.1089/bsp.2012.0080
Haralampos Keremidis, Bernd Appel, Andrea Menrath, Katharina Tomuzia, Magnus Normark, Roger Roffey, Rickard Knutsson

This article presents a historical perspective on agroterrorism cases from 1945 until 2012. The threat groups and perpetrators associated with bio- and agroterrorism are clustered into several groups: apocalyptic sects, lone wolves, political groups, and religious groups. We used open-source information, and 4 biological agroterrorism cases are described: (1) in 1952, Mau Mau poisoned cattle in Kenya by using a plant toxin from the African milk bush plant; (2) in 1985, the USDA claimed that Mexican contract workers were involved in deliberately spreading screwworm (Cochliomyia hominivorax) among livestock; (3) in 2000, Palestinian media reported that Israeli settlers released sewer water into Palestinian agricultural fields; and (4) in 2011, a person was sentenced to prison after threatening US and UK livestock with the deliberate spread of foot-and-mouth disease virus. All 4 cases can be assigned to political groups. These cases have not attracted much attention in literature nor in the public media, and the credibility of the sources of information varies. We concluded that agroterrorism has not been a problem during the period studied. Lessons learned from the few cases have generated awareness about the fact that nontypical biological weapons and non-high-risk agents, such as African milk bush, screwworm, and sewer water, have been used by attackers to influence local decision makers. This review will be useful in improving future preparedness planning and developing countermeasures.

本文从历史角度对1945年至2012年的农业恐怖主义案件进行了分析。与生物和农业恐怖主义有关的威胁团体和肇事者分为几个群体:末日教派、孤狼、政治团体和宗教团体。我们使用开源信息,描述了4个生物农业恐怖主义案例:(1)1952年,茅茅在肯尼亚用一种来自非洲乳灌木植物的植物毒素毒死了牛;(2) 1985年,美国农业部声称墨西哥的合同工人参与了故意在牲畜中传播螺旋虫(人锥虫);(3) 2000年,巴勒斯坦媒体报道,以色列定居者将污水排放到巴勒斯坦农田;(4) 2011年,一名男子因故意传播口蹄疫病毒威胁美国和英国的牲畜而被判入狱。所有4个案件都可以分配给政治团体。这些案例在文献和公共媒体上都没有引起太多关注,信息来源的可信度也各不相同。我们的结论是,在研究期间,农业恐怖主义并不是一个问题。从少数案件中吸取的教训使人们认识到,攻击者利用非典型生物武器和非高风险药剂,如非洲乳灌木、螺旋蝇和污水,来影响当地决策者。这一审查将有助于改进未来的防备规划和制定对策。
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引用次数: 24
Bayesian networks for evaluation of evidence from forensic entomology. 用于鉴定法医昆虫学证据的贝叶斯网络。
Pub Date : 2013-09-01 DOI: 10.1089/bsp.2012.0081
M Gunnar Andersson, Anders Sundström, Anders Lindström

In the aftermath of a CBRN incident, there is an urgent need to reconstruct events in order to bring the perpetrators to court and to take preventive actions for the future. The challenge is to discriminate, based on available information, between alternative scenarios. Forensic interpretation is used to evaluate to what extent results from the forensic investigation favor the prosecutors' or the defendants' arguments, using the framework of Bayesian hypothesis testing. Recently, several new scientific disciplines have been used in a forensic context. In the AniBioThreat project, the framework was applied to veterinary forensic pathology, tracing of pathogenic microorganisms, and forensic entomology. Forensic entomology is an important tool for estimating the postmortem interval in, for example, homicide investigations as a complement to more traditional methods. In this article we demonstrate the applicability of the Bayesian framework for evaluating entomological evidence in a forensic investigation through the analysis of a hypothetical scenario involving suspect movement of carcasses from a clandestine laboratory. Probabilities of different findings under the alternative hypotheses were estimated using a combination of statistical analysis of data, expert knowledge, and simulation, and entomological findings are used to update the beliefs about the prosecutors' and defendants' hypotheses and to calculate the value of evidence. The Bayesian framework proved useful for evaluating complex hypotheses using findings from several insect species, accounting for uncertainty about development rate, temperature, and precolonization. The applicability of the forensic statistic approach to evaluating forensic results from a CBRN incident is discussed.

在CBRN事件发生后,迫切需要重建事件,以便将肇事者绳之以法,并为未来采取预防措施。挑战在于如何根据现有信息区分不同的情景。司法解释使用贝叶斯假设检验的框架来评估司法调查结果在多大程度上有利于检察官或被告的论点。最近,一些新的科学学科被用于法医领域。在AniBioThreat项目中,该框架被应用于兽医法医病理学、病原微生物追踪和法医昆虫学。法医昆虫学是估计死后时间间隔的重要工具,例如,在凶杀案调查中,作为更传统方法的补充。在本文中,我们通过分析一个涉及秘密实验室尸体可疑移动的假设场景,展示了贝叶斯框架在法医调查中评估昆虫学证据的适用性。利用数据统计分析、专家知识和模拟相结合的方法估计了不同假设下不同发现的概率,并利用昆虫学发现更新了对检察官和被告假设的信念,并计算了证据的价值。事实证明,贝叶斯框架对于利用几种昆虫物种的发现来评估复杂的假设是有用的,它解释了发育速度、温度和预定的不确定性。讨论了法医统计方法在评估CBRN事件法医结果中的适用性。
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引用次数: 5
A generic open-source software framework supporting scenario simulations in bioterrorist crises. 支持生物恐怖主义危机情景模拟的通用开源软件框架。
Pub Date : 2013-09-01 DOI: 10.1089/bsp.2012.0071
Alexander Falenski, Matthias Filter, Christian Thöns, Armin A Weiser, Jan-Frederik Wigger, Matthew Davis, Judith V Douglas, Stefan Edlund, Kun Hu, James H Kaufman, Bernd Appel, Annemarie Käsbohrer

Since the 2001 anthrax attack in the United States, awareness of threats originating from bioterrorism has grown. This led internationally to increased research efforts to improve knowledge of and approaches to protecting human and animal populations against the threat from such attacks. A collaborative effort in this context is the extension of the open-source Spatiotemporal Epidemiological Modeler (STEM) simulation and modeling software for agro- or bioterrorist crisis scenarios. STEM, originally designed to enable community-driven public health disease models and simulations, was extended with new features that enable integration of proprietary data as well as visualization of agent spread along supply and production chains. STEM now provides a fully developed open-source software infrastructure supporting critical modeling tasks such as ad hoc model generation, parameter estimation, simulation of scenario evolution, estimation of effects of mitigation or management measures, and documentation. This open-source software resource can be used free of charge. Additionally, STEM provides critical features like built-in worldwide data on administrative boundaries, transportation networks, or environmental conditions (eg, rainfall, temperature, elevation, vegetation). Users can easily combine their own confidential data with built-in public data to create customized models of desired resolution. STEM also supports collaborative and joint efforts in crisis situations by extended import and export functionalities. In this article we demonstrate specifically those new software features implemented to accomplish STEM application in agro- or bioterrorist crisis scenarios.

自2001年美国炭疽病毒袭击以来,人们对生物恐怖主义威胁的认识有所提高。这导致国际上加大了研究力度,以提高保护人类和动物种群免受此类袭击威胁的知识和方法。在此背景下的合作努力是开源时空流行病学建模(STEM)模拟和建模软件的扩展,用于农业或生物恐怖主义危机场景。STEM最初旨在实现社区驱动的公共卫生疾病模型和模拟,现在扩展了一些新功能,可以集成专有数据以及可视化病原体在供应链和生产链上的传播。STEM现在提供了一个完全开发的开源软件基础设施,支持关键的建模任务,如特设模型生成、参数估计、场景演变模拟、缓解或管理措施效果估计以及文档。这个开源软件资源可以免费使用。此外,STEM还提供了一些关键功能,如行政边界、交通网络或环境条件(如降雨量、温度、海拔、植被)的内置全球数据。用户可以轻松地将自己的机密数据与内置的公共数据结合起来,创建所需分辨率的定制模型。STEM还通过扩展进出口功能,支持危机形势下的协作和联合努力。在这篇文章中,我们具体展示了那些新的软件功能,以实现在农业或生物恐怖主义危机场景中的STEM应用。
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引用次数: 7
Pre-PCR processing in bioterrorism preparedness: improved diagnostic capabilities for laboratory response networks. 生物恐怖主义防范中的pcr前处理:改进实验室反应网络的诊断能力。
Pub Date : 2013-09-01 DOI: 10.1089/bsp.2012.0090
Johannes Hedman, Rickard Knutsson, Ricky Ansell, Peter Rådström, Birgitta Rasmusson

Diagnostic DNA analysis using polymerase chain reaction (PCR) has become a valuable tool for rapid detection of biothreat agents. However, analysis is often challenging because of the limited size, quality, and purity of the biological target. Pre-PCR processing is an integrated concept in which the issues of analytical limit of detection and simplicity for automation are addressed in all steps leading up to PCR amplification--that is, sampling, sample treatment, and the chemical composition of PCR. The sampling method should maximize target uptake and minimize uptake of extraneous substances that could impair the analysis--so-called PCR inhibitors. In sample treatment, there is a trade-off between yield and purity, as extensive purification leads to DNA loss. A cornerstone of pre-PCR processing is to apply DNA polymerase-buffer systems that are tolerant to specific sample impurities, thereby lowering the need for expensive purification steps and maximizing DNA recovery. Improved awareness among Laboratory Response Networks (LRNs) regarding pre-PCR processing is important, as ineffective sample processing leads to increased cost and possibly false-negative or ambiguous results, hindering the decision-making process in a bioterrorism crisis. This article covers the nature and mechanisms of PCR-inhibitory substances relevant for agroterrorism and bioterrorism preparedness, methods for quality control of PCR reactions, and applications of pre-PCR processing to optimize and simplify the analysis of various biothreat agents. Knowledge about pre-PCR processing will improve diagnostic capabilities of LRNs involved in the response to bioterrorism incidents.

利用聚合酶链反应(PCR)进行诊断性DNA分析已成为快速检测生物威胁剂的一种有价值的工具。然而,由于生物靶点的大小、质量和纯度有限,分析往往具有挑战性。PCR前处理是一个综合的概念,其中在导致PCR扩增的所有步骤中都解决了分析检测极限和自动化简单性的问题-即采样,样品处理和PCR的化学成分。采样方法应最大限度地提高目标摄取,最大限度地减少外来物质的摄取,这些物质可能会损害分析,即所谓的PCR抑制剂。在样品处理中,在产量和纯度之间存在权衡,因为大量纯化会导致DNA丢失。pcr前处理的一个基石是应用DNA聚合酶缓冲系统,该系统对特定样品杂质具有耐受性,从而降低了昂贵的纯化步骤的需要,并最大限度地提高了DNA回收率。提高实验室反应网络(LRNs)对pcr前处理的认识是很重要的,因为无效的样品处理会导致成本增加,并可能导致假阴性或不明确的结果,从而阻碍了生物恐怖主义危机中的决策过程。本文介绍了与农业恐怖主义和生物恐怖主义防范相关的PCR抑制物质的性质和机制,PCR反应的质量控制方法,以及PCR前处理在优化和简化各种生物威胁剂分析中的应用。关于pcr前处理的知识将提高LRNs在应对生物恐怖事件中的诊断能力。
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引用次数: 26
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Biosecurity and bioterrorism : biodefense strategy, practice, and science
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