1. Examine the Containment of Bioterrorism Agents
INFECTIOUS DISEASES
Examine the Containment of Bioterrorism Agents

2. AGENTS Bacterial: Anthrax and plague Viral: Smallpox
Anthrax passed by spores in aerosol or letters; cannot transfer person to person
Plague passed by aerosol or infected vector (fleas); can transfer person to person
Viral: Smallpox
Passed by aerosol and person to person
Toxins: Botulism and Ricin
Botulism passed by aerosol or contaminated food; cannot transfer person to person
Ricin passed by aerosol and cannot transfer person to person

3. CONTAINMENT of BIOTERRORISM AGENTS
Isolation practices
Standard precautions
Additional precautions for smallpox and plague
Patient placement
Routine if small scale
Grouping affected patients if large scale
Patient transport
Limited to movement that is essential
Cleaning, disinfection, and sterilization of equipment and environment
Follow standard precautions
Face shield or goggles, gloves, mask, gown, and wash hands before putting on gloves and after removing gloves

4. continued Discharge management Post-mortem care
Discharge when noninfectious
Home care if large numbers of persons exposed with instruction on barrier precautions, handwashing, waste management, and cleaning and disinfection of environment and patient care items
Post-mortem care
Notify pathology
Provide instructions to funeral director
Demonstrate handwashing technique