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The Biological War Threat

Anthrax, Black Plague, and Bird Flu, Oh, My!

      Kimothy L. Smith, DVM PhD
Nevada Counties with Cases of Anthrax
Played in Las Vegas at the House of Blues in Feb 2012
Overview
•   A Brief Bit of History
•   Biological Warfare Programs
•   Bio-Terrorism and Biodefense
•   Emerging Infectious Diseases
•   Summary and Discussion
A Brief Bit of History
• The Siege of Caffa
• European Settlement of America
• George Washington
Locator Map of Caffa




Present Day Feodosija, Ukraine. Establish in 1266
Siege of Caffa
• The year 1346
• First known use of Biological Warfare
• Responsible for spreading the Black Death
  from Crimea to Europe
European Settlement of America
• In 1763 Lord Jeffrey Amherst purposely
  distributed Smallpox virus contaminated
  blankets to American Indians
• In the mid-1800’s at least four different major
  epidemics struck the Plains tribes
George Washington
• Personal physician recorded in his journal that
  Washington had Anthrax
• Surgically removed the lesion from his thigh
• Kept very secret
Recommended Reading
Biological Warfare Programs
• Country Program Status and Sverdlovsk
• Biological Weapons Convention
• Military vs. Civilian and Agricultural Threats
Program Status   Key
  Probable
   Possible
  Research
   Former
Sverdlovsk
 Anthrax
 Incident
   1979
Sverdlosvk 1979

                                        Between 120 and 400 persons sick

                                        At least 75 died

                                        Initial report blamed contaminated meat

                                        Later linked to release from bio-weapons facility




Multiple fragment sizes for vrrA loci




                                            Military housing south of Compound 19
Biological and Toxin Weapons Convention

• The 1925 Geneva Protocol prohibited use of
  Biological Weapons
• The BTWC was opened for signature in 1972 and
  entered into force in 1975
• The Convention bans the development,
  production, stockpiling, acquisition and retention
  of microbial or other biological agents or toxins,
  in types and in quantities that have no
  justification for prophylactic, protective or other
  peaceful purposes.
Sec. of State Clinton at BWC Review Conference 7
“The nature of the problem is evolving. The advances in
science and technology make it possible to both prevent
and cure more diseases, but also easier for states and
non-state actors to develop biological weapons. A crude,
but effective, terrorist weapon can be made by using a
small sample of any number of widely available
pathogens, inexpensive equipment, and college-level
chemistry and biology. Even as it becomes easier to
develop these weapons, it remains extremely difficult…to
detect them, because almost any biological research can
serve dual purposes. The same equipment and technical
knowledge used for legitimate research to save lives can
also be used to manufacture deadly diseases.”
Military vs. Civilian and Agricultural Threat
• On the battlefield the
  threat of BW may be as
  effective (or more!) as
  actual use
• Is the enemy objective to
  kill or hinder (incapacitating
  agents) or consume
  resources?
• Control of BW agent after
  release may be difficult or
  impossible due to drift,
  etc., or use of infectious
  agent
Military vs. Civilian and Agricultural Threat

• Military use of BW agent
  on a civilian population?
  Biological Warfare or Bio-
  Terrorism?
• Attack on agricultural
  targets could be
  potentially more
  devastating, at least
  economically
• Accomplished by State or
  Non-state actors
Bioterrorism and Biodefense
•   Aum Shinrikyo and Amerithrax
•   Biodefense Spending vs. Readiness
•   DIY Bio and Synthetic Biology
•   “The Birds are Already Doing That…”
Aum Shinrikyo
Anthrax Attack
    1993

                 Aum leader Chizuo Matsumoto
                      aka Shoko Asahara
Sterne
                                      Kameido
                    Livestock
                                   (Aum Shinrikyo)
                     Vaccine
                                       Isolate
                      Strain
                                     vrrC1

                                     vrrC2



-Both isolates lack pXO2 plasmid
-Fragment sizes match for 7 loci


                                    vrrA


                                    vrrB1

                                    vrrB2
                                    CG3
                                     pXO1-AAT
Sept. 18,                     Mailing of anthrax letters to NBC and NY Post and probably to the National
             Trenton
2001                          Enquirer.

                              Mailing of hoax letters to NBC and probably to NY Post [and National
Sept. 20     St. Petersburg
                              Enquirer?]

                              Mailing of accusatory letter to Quantico Marine Base accusing Dr. Asaad,
Sept. 21     place?
                              former USAMRIID scientist, as terrorist.

Sept. 19-                     NBC received and opened ANTHRAX letter (brown granular sandy); not
             NYC
25                            recognized as dangerous, and not reported by media.

                              NBC received and opened HOAX letter postmarked 20 Sept; notified FBI but
Sept. 25     NYC
                              incident not reported by media.

Oct. 1       DC               Washington Times article quoting SH (reprint from 11 Aug 97).

Oct. 2       Boca Raton       Stevens (AMI) checked into hospital, near death, undiagnosed.

Oct. 4       Boca Raton       First report of anthrax case, 5pm (Stevens, AMI).
Oct. 5       Boca Raton       Death of first anthrax victim (Stevens, inhalation anthrax).

                              Mailing of hoax letters hoax letters to J. Miller at NY Times and H. Troxler at St.
Oct. 5       St. Petersburg
                              Petersburg Times.

Oct. 5-8     US media         Suspicion of possible bioterrorism is increasing but mail not implicated.

Oct. 6-7     Boca Raton       At AMI, spores found in 2nd worker and on Stevens' computer keyboard.


Oct. 8       Boca Raton
                              2nd worker (Blanco, mailroom worker) at AMI sick, nasal spores detected; FBI
                              takes over investigation, seals AMI office. Blanco later confirmed to have
                                                                                                                        CSF smear
                              inhalation anthrax.
                                                                                                                    Thoracic radiograph
Oct. 9       US media         Looks like bioterrorism (letters not yet recognized as source).

Oct. 9       St. Petersburg   Troxler (St. P Times) opened hoax letter.

Oct. 9       Trenton          Mailing of anthrax letters to Daschle and Leahy.

                              3rd AMI worker (2nd in mailroom) tests positive for anthrax. FBI now conducting
Oct. 10      Boca Raton
                              criminal investigation. Anthrax strain appears to be Ames.

                              First suspicion that source of anthrax at AMI might be a letter (not found),
Oct. 10-12   US media
                              since two of those affected work in mailroom.

Oct. 12      NYC              Miller at NYT opened hoax letter.

Oct. 12-13   US media         First reports of any anthrax of hoax letters to media.

                              NBC cutaneous anthrax case reported (Brokaw's Assistant). First symptom was
Oct. 12      NYC
                              25 Sept.
Bruce Ivins
Amerithrax
• The total cost of
  Amerithrax is
  incalculable
• 5 deaths and 24
  infected person
  (known)
• Did the U.S. reaction
  cause this to be a
  “Black Swan” event?
Biodefense Spending




Federal Agency Biodefense Funding, FY2010-FY2011
Biosecurity and Bioterrorism: Volume 8, Number 2, 2010
Civilian Biodefense Funding by Agency,
          FY2011 (in $millions)




    Federal Agency Biodefense Funding, FY2010-FY2011
    Biosecurity and Bioterrorism: Volume 8, Number 2, 2010
Bio-Response Report Card




The Bipartisan WMD Terrorism Research Center’s Bio-Response Report Card October
2011, WMD Center Wash., DC wmdcenter.org
DIY Bio




Do-it-yourself: Cathal Garvey, 26, poses in the biology laboratory he created in his
mother's spare bedroom. – MIT Technology Review 2/13/12
The Cat’s Out of the Bag
“The Birds are Already Doing That…”
• National Institutes of Health funded
  study to genetically modify H5N1
  Influenza virus (Bird Flu) to be more
  easily transmitted between humans
• The research prompted the National
  Science Advisory Board for
  Biosecurity (NSABB), which advises
  the Department of Health and
  Human Services (HHS), to
  recommend that Science and Nature
  redact key information prior to
  publication
• Both NSABB and HHS expressed
  concerns that published details
  about the papers' methodology and
  results could become a blueprint for
  bioterrorism.
Emerging Infectious Diseases
• West Nile Virus
• Severe Acute
  Respiratory Syndrome
  (SARS)
• Avian Flu
• Swine Flu
• Ebola Reston Virus
• XDR TB
Summary and Discussion
• BW Threat of yesterday
  likely doesn’t exist today
• Bioterrorism and EID’s are
  “Black Swan” events
• Balanced approach
  between Biodefense and
  building Public Health
  Capability and Capacity is
  the most sound approach
• Despite fears of DIY Bio and
  Synthetic Biology openness
  of research keeps us safer
Questions or Comments?

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National Security Forum Presentation by Kimothy Smith

  • 1. The Biological War Threat Anthrax, Black Plague, and Bird Flu, Oh, My! Kimothy L. Smith, DVM PhD
  • 2. Nevada Counties with Cases of Anthrax
  • 3. Played in Las Vegas at the House of Blues in Feb 2012
  • 4. Overview • A Brief Bit of History • Biological Warfare Programs • Bio-Terrorism and Biodefense • Emerging Infectious Diseases • Summary and Discussion
  • 5. A Brief Bit of History • The Siege of Caffa • European Settlement of America • George Washington
  • 6. Locator Map of Caffa Present Day Feodosija, Ukraine. Establish in 1266
  • 7. Siege of Caffa • The year 1346 • First known use of Biological Warfare • Responsible for spreading the Black Death from Crimea to Europe
  • 8. European Settlement of America • In 1763 Lord Jeffrey Amherst purposely distributed Smallpox virus contaminated blankets to American Indians • In the mid-1800’s at least four different major epidemics struck the Plains tribes
  • 9. George Washington • Personal physician recorded in his journal that Washington had Anthrax • Surgically removed the lesion from his thigh • Kept very secret
  • 11. Biological Warfare Programs • Country Program Status and Sverdlovsk • Biological Weapons Convention • Military vs. Civilian and Agricultural Threats
  • 12. Program Status Key Probable Possible Research Former
  • 14. Sverdlosvk 1979 Between 120 and 400 persons sick At least 75 died Initial report blamed contaminated meat Later linked to release from bio-weapons facility Multiple fragment sizes for vrrA loci Military housing south of Compound 19
  • 15. Biological and Toxin Weapons Convention • The 1925 Geneva Protocol prohibited use of Biological Weapons • The BTWC was opened for signature in 1972 and entered into force in 1975 • The Convention bans the development, production, stockpiling, acquisition and retention of microbial or other biological agents or toxins, in types and in quantities that have no justification for prophylactic, protective or other peaceful purposes.
  • 16. Sec. of State Clinton at BWC Review Conference 7 “The nature of the problem is evolving. The advances in science and technology make it possible to both prevent and cure more diseases, but also easier for states and non-state actors to develop biological weapons. A crude, but effective, terrorist weapon can be made by using a small sample of any number of widely available pathogens, inexpensive equipment, and college-level chemistry and biology. Even as it becomes easier to develop these weapons, it remains extremely difficult…to detect them, because almost any biological research can serve dual purposes. The same equipment and technical knowledge used for legitimate research to save lives can also be used to manufacture deadly diseases.”
  • 17. Military vs. Civilian and Agricultural Threat • On the battlefield the threat of BW may be as effective (or more!) as actual use • Is the enemy objective to kill or hinder (incapacitating agents) or consume resources? • Control of BW agent after release may be difficult or impossible due to drift, etc., or use of infectious agent
  • 18. Military vs. Civilian and Agricultural Threat • Military use of BW agent on a civilian population? Biological Warfare or Bio- Terrorism? • Attack on agricultural targets could be potentially more devastating, at least economically • Accomplished by State or Non-state actors
  • 19. Bioterrorism and Biodefense • Aum Shinrikyo and Amerithrax • Biodefense Spending vs. Readiness • DIY Bio and Synthetic Biology • “The Birds are Already Doing That…”
  • 20. Aum Shinrikyo Anthrax Attack 1993 Aum leader Chizuo Matsumoto aka Shoko Asahara
  • 21.
  • 22. Sterne Kameido Livestock (Aum Shinrikyo) Vaccine Isolate Strain vrrC1 vrrC2 -Both isolates lack pXO2 plasmid -Fragment sizes match for 7 loci vrrA vrrB1 vrrB2 CG3 pXO1-AAT
  • 23.
  • 24. Sept. 18, Mailing of anthrax letters to NBC and NY Post and probably to the National Trenton 2001 Enquirer. Mailing of hoax letters to NBC and probably to NY Post [and National Sept. 20 St. Petersburg Enquirer?] Mailing of accusatory letter to Quantico Marine Base accusing Dr. Asaad, Sept. 21 place? former USAMRIID scientist, as terrorist. Sept. 19- NBC received and opened ANTHRAX letter (brown granular sandy); not NYC 25 recognized as dangerous, and not reported by media. NBC received and opened HOAX letter postmarked 20 Sept; notified FBI but Sept. 25 NYC incident not reported by media. Oct. 1 DC Washington Times article quoting SH (reprint from 11 Aug 97). Oct. 2 Boca Raton Stevens (AMI) checked into hospital, near death, undiagnosed. Oct. 4 Boca Raton First report of anthrax case, 5pm (Stevens, AMI). Oct. 5 Boca Raton Death of first anthrax victim (Stevens, inhalation anthrax). Mailing of hoax letters hoax letters to J. Miller at NY Times and H. Troxler at St. Oct. 5 St. Petersburg Petersburg Times. Oct. 5-8 US media Suspicion of possible bioterrorism is increasing but mail not implicated. Oct. 6-7 Boca Raton At AMI, spores found in 2nd worker and on Stevens' computer keyboard. Oct. 8 Boca Raton 2nd worker (Blanco, mailroom worker) at AMI sick, nasal spores detected; FBI takes over investigation, seals AMI office. Blanco later confirmed to have CSF smear inhalation anthrax. Thoracic radiograph Oct. 9 US media Looks like bioterrorism (letters not yet recognized as source). Oct. 9 St. Petersburg Troxler (St. P Times) opened hoax letter. Oct. 9 Trenton Mailing of anthrax letters to Daschle and Leahy. 3rd AMI worker (2nd in mailroom) tests positive for anthrax. FBI now conducting Oct. 10 Boca Raton criminal investigation. Anthrax strain appears to be Ames. First suspicion that source of anthrax at AMI might be a letter (not found), Oct. 10-12 US media since two of those affected work in mailroom. Oct. 12 NYC Miller at NYT opened hoax letter. Oct. 12-13 US media First reports of any anthrax of hoax letters to media. NBC cutaneous anthrax case reported (Brokaw's Assistant). First symptom was Oct. 12 NYC 25 Sept.
  • 25.
  • 27. Amerithrax • The total cost of Amerithrax is incalculable • 5 deaths and 24 infected person (known) • Did the U.S. reaction cause this to be a “Black Swan” event?
  • 28. Biodefense Spending Federal Agency Biodefense Funding, FY2010-FY2011 Biosecurity and Bioterrorism: Volume 8, Number 2, 2010
  • 29. Civilian Biodefense Funding by Agency, FY2011 (in $millions) Federal Agency Biodefense Funding, FY2010-FY2011 Biosecurity and Bioterrorism: Volume 8, Number 2, 2010
  • 30. Bio-Response Report Card The Bipartisan WMD Terrorism Research Center’s Bio-Response Report Card October 2011, WMD Center Wash., DC wmdcenter.org
  • 31. DIY Bio Do-it-yourself: Cathal Garvey, 26, poses in the biology laboratory he created in his mother's spare bedroom. – MIT Technology Review 2/13/12
  • 32. The Cat’s Out of the Bag
  • 33. “The Birds are Already Doing That…” • National Institutes of Health funded study to genetically modify H5N1 Influenza virus (Bird Flu) to be more easily transmitted between humans • The research prompted the National Science Advisory Board for Biosecurity (NSABB), which advises the Department of Health and Human Services (HHS), to recommend that Science and Nature redact key information prior to publication • Both NSABB and HHS expressed concerns that published details about the papers' methodology and results could become a blueprint for bioterrorism.
  • 34. Emerging Infectious Diseases • West Nile Virus • Severe Acute Respiratory Syndrome (SARS) • Avian Flu • Swine Flu • Ebola Reston Virus • XDR TB
  • 35. Summary and Discussion • BW Threat of yesterday likely doesn’t exist today • Bioterrorism and EID’s are “Black Swan” events • Balanced approach between Biodefense and building Public Health Capability and Capacity is the most sound approach • Despite fears of DIY Bio and Synthetic Biology openness of research keeps us safer

Notes de l'éditeur

  1. Rather than get eye-strain for those of you who were trying to determine the counties in Nevada – here is the map.The Old Damonte Ranch south of Reno was called Anthrax Meadows in the fifties due to the large number of cases of anthrax mostly in cattle.
  2. For ANYONE of “My Generation”: ANTRHAXPerformed LAST NIGHT At the House of Blues in Las Vegas.Any of you attend?! Their latest album “Worship Music” is said to be very good – I can’t really tell you because I’m not a huge fan.
  3. Measles, scarlet fever, typhoid, typhus, influenza, whooping cough, tuberculosis, cholera, diphtheria, chicken pox, venereal diseases
  4. Map data assembled from the Monterey Institute for International Studies, James Martin Center for Nonproliferation Studies.Algeria ResearchCanada FormerChina ProbableCuba ResearchEgypt ProbableFrance FormerGermany FormerIndia ResearchIran ProbableIraq FormerIsrael ResearchJapan FormerLibya FormerNorth Korea ResearchPakistan PossibleRussia ResearchSouth Africa FormerSudan ResearchSyria ResearchTaiwan ResearchUnited Kingdom FormerUnited States Former Ended offensive program under Nixon in 1969
  5. It also bans weapons, equipment or means of delivery designed to use such agents or toxins for hostile purposes or in armed conflict.162 Countries have signed144 Countries have ratifiedDeclarations and confidence building measuresNo teeth because there is no verification mechanism and likely never to be anyIntellectual property protection; private sector pharma, biotech, etc.Dual-use issues and countermeasure development
  6. As discovered with the U.S. offensive program many BW agents are difficult to “weaponize” effectively and deliver effectively
  7. BioWatch program monitoring aerosols in major cities of the U.S. R&D is in the “3rd Generation” contracts worth more than 3 Billion USDMilitary has similar systemsUSPS has similar systemsFMDV introduced to the US would cost more than 8 Billion USD with the first case.
  8. The Bipartisan WMD Terrorism Research Center – October 2011Senator Bob GrahamSenator Jim Talent
  9. Synthetic biology has become a part of mainstream Citizen ScienceNot just basic microbiology experiments with moldy bread – this is real capability in some cases equivalent to pharma industryThink of the cyber terrorism group Anonymous but instead with bio capability…
  10. Highly connected world