title: Navigating the storm: report and recommendations from the Atlantic Storm exercise.
abstract: Atlantic Storm was a tabletop exercise simulating a series of bioterrorism attacks on the transatlantic community. The exercise occurred on January 14, 2005, in Washington, DC, and was organized and convened by the Center for Biosecurity of UPMC, the Center for Transatlantic Relations of Johns Hopkins University, and the Transatlantic Biosecurity Network. Atlantic Storm portrayed a summit meeting of presidents, prime ministers, and other international leaders from both sides of the Atlantic Ocean in which they responded to a campaign of bioterrorist attacks in several countries. The summit principals, who were all current or former senior government leaders, were challenged to address issues such as attaining situational awareness in the wake of a bioattack, coping with scarcity of critical medical resources such as vaccine, deciding how to manage the movement of people across borders, and communicating with their publics. Atlantic Storm illustrated that much might be done in advance to minimize the illness and death, as well as the social, economic, and political disruption, that could be caused by an international epidemic, be it natural or the result of a bioterrorist attack. These lessons are especially timely given the growing concerns over the possibility of an avian influenza pandemic that would require an international response. However, international leaders cannot create the necessary response systems in the midst of a crisis. Medical, public health, and diplomatic response systems and critical medical resources (e.g., medicines and vaccines) must be in place before a bioattack occurs or a pandemic emerges.
authors.affiliation: Center for Biosecurity of the University of Pittsburgh Medical Center, Baltimore, Maryland 21202, USA. bsmith@upmc-biosecurity.org
authors.forename: Bradley T
authors.initials: BT
authors.lastname: Smith
authors.forename: Thomas V
authors.initials: TV
authors.lastname: Inglesby
authors.forename: Esther
authors.initials: E
authors.lastname: Brimmer
authors.forename: Luciana
authors.initials: L
authors.lastname: Borio
authors.forename: Crystal
authors.initials: C
authors.lastname: Franco
authors.forename: Gigi Kwik
authors.initials: GK
authors.lastname: Gronvall
authors.forename: Bradley
authors.initials: B
authors.lastname: Kramer
authors.forename: Beth
authors.initials: B
authors.lastname: Maldin
authors.forename: Jennifer B
authors.initials: JB
authors.lastname: Nuzzo
authors.forename: Ari
authors.initials: A
authors.lastname: Schuler
authors.forename: Scott
authors.initials: S
authors.lastname: Stern
authors.forename: Donald A
authors.initials: DA
authors.lastname: Henderson
authors.forename: Randall J
authors.initials: RJ
authors.lastname: Larsen
authors.forename: Daniel S
authors.initials: DS
authors.lastname: Hamilton
authors.forename: Tara
authors.initials: T
authors.lastname: O'Toole
mesh_terms: D001267:Atlantic Ocean; D023482:Bioterrorism / Q000517:prevention & control*; D004189:Disaster Planning / Q000458:organization & administration*; D005060:Europe; D006284:Health Plan Implementation; D006287:Health Planning Guidelines; D006801:Humans; D007391:International Cooperation; D007857:Leadership; D008873:Mid-Atlantic Region; D012637:Security Measures / Q000458:organization & administration; D014481:United States