title: Bioterrorism with zoonotic disease: public health preparedness lessons from a multiagency exercise.
abstract: Responding to agricultural bioterrorism with pathogenic agents that are communicable from animals to humans (zoonotic diseases) requires effective coordination of many organizations, both inside and outside of government. Action must be simultaneously taken to address public health concerns, respond to the agricultural dimensions of the event, and carry out the necessary law enforcement investigation. As part of a project focused on examining public health preparedness in Georgia, an exercise was carried out in July 2005 examining the intentional introduction of avian influenza (H5N1) in commercial poultry operations. The attack scenario, which was written to occur during an already severe human influenza season, enabled exploration of a range of issues associated with public health preparedness for major disease outbreaks including pandemic influenza, coordination of a multiagency response operation at multiple levels of government, and effective management of interdisciplinary response activities. The exercise is described and broader policy lessons regarding preparedness planning are discussed.
authors.affiliation: Division of Public Health, Georgia Department of Human Resources, USA. bjackson@rand.org
authors.forename: Brian A
authors.initials: BA
authors.lastname: Jackson
authors.forename: James W
authors.initials: JW
authors.lastname: Buehler
authors.forename: Dana
authors.initials: D
authors.lastname: Cole
authors.forename: Susan
authors.initials: S
authors.lastname: Cookson
authors.forename: David J
authors.initials: DJ
authors.lastname: Dausey
authors.forename: Lauren
authors.initials: L
authors.lastname: Honess-Morreale
authors.forename: Susan
authors.initials: S
authors.lastname: Lance
authors.forename: Roger C
authors.initials: RC
authors.lastname: Molander
authors.forename: Patrick
authors.initials: P
authors.lastname: O'Neal
authors.forename: Nicole
authors.initials: N
authors.lastname: Lurie
mesh_terms: D000818:Animals; D023482:Bioterrorism / Q000517:prevention & control*; D003140:Communicable Disease Control / Q000458:organization & administration*; D004189:Disaster Planning / Q000458:organization & administration*; D004196:Disease Outbreaks / Q000517:prevention & control*; D005845:Georgia; D006801:Humans; D053124:Influenza A Virus, H5N1 Subtype; D005585:Influenza in Birds / Q000517:prevention & control* / Q000821:virology; D007251:Influenza, Human / Q000517:prevention & control* / Q000821:virology; D016273:Occupational Exposure; D011200:Poultry; D015980:Public Health Practice; D015047:Zoonoses