Matei Bals National Institute of Infectious Diseases,Bucharest, Romania
Title: The clinical syndromes produced by the offensive biological agents
Biography: Bogdan Circiumaru
Introduction: The offensive use of the microbiological agents (as components of the “biological weapons”), could produce a different clinical evolution compared to the natural one. Although used during the history, then banned trough international treaties, they became as non-conventional induced threats, mainly by the actual global terrorism development.
Objectives: The approach to the diseases produced by the offensive microbiological agents has a greater clinical and therapeutical efficiency by grouping them into clinical syndromes. The main task is to raise the efficiency of the diagnosis, prophylaxis and the treatment of the diseases that could be produced by the deliberate use of the high clinical virulent microbiological agents as well as to propose guidelines for those cases.
Methods: Teaching during ETIDE (European Training in Infectious Diseases Emergencies), using the specialty literature resources and the clinical practice, in order to train the trainers to identify the most efficient means for triage, diagnosis and therapy for the threat of the offensive biological agents.
Results: I described the clinical syndromes produced by the offensive biological agents: cutaneous (smallpox), respiratory/influenza-like (anthrax), digestive (oropharyngeal tularemia), neurologic (botulism), sepsis (plague). I prepared the trainers, for the hypothesis of the fast growing number of cases and I identified the existing/potential medical facilities that could cope to the new appearing cases. These were lately spread by the trainers, by organizing courses in their own countries.
Conclusions: The clinical syndromic approach for the infectious diseases produced by the offensive biological agents has important advantages, namely a ready and efficient answer to the bioweapon threats as well as a practical and efficacious way to the biodefense. Preparing the quick solution towards such threats signifies a proper strategically approach in the view of the actual bioweapon proliferation.
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