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Chapter 3: The Prospect of Domestic Bioterrorism
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- Discuss the prospect of domestic terrorism and describe the motivational, technical and organizational factors that may help or hamper the perpetrators.
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Chapter 5: Epidemiology of Bioterrorism
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Define indication of intentional release of biologic agent.
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Describe the precautions laboratory personnel should take when collecting or handling clinical specimens.
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Discuss the epidemiology of bioterrorism and differentiate between a natural outbreak an intentional attack.
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List 10 clues that together may constitue proof of intentional use of biological agent.
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Chapter 7: Anthrax
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Describe the side effects of taking ciprofloxacin and doxycycline.
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Describe recommendations made by the CDC for worker safety under engineering controls, administrative controls, housekeeping controls, and personal protective equipment.
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Implement anthrax worker safety guidelines issued by the CDC.
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Describe the epidemiology of naturally occurring anthrax.
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10. Discuss the diagnosis of inhalational anthrax.
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11. Discuss the therapeutic options of anthrax infection.
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12. Discuss infection control and decontamination protocols for anthrax.
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13. Describe the procedure for handling suspicious packages or envelopes.
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14. Provide medication information to patients about ciprofloxacin, doxycycline, penicillin, and amoxicillin.
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15. Discuss clinical issues in the prophylaxis, diagnosis, and treatment of anthrax.
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Chapter 8: Smallpox
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16. Describe various phases of the smallpox disease, symptoms, and degree of infectiousness.
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17. Answer questions about the smallpox disease and the vaccine.
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18. List the categories of people who should not get vaccine.
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19. List the steps that one should take after vaccination to minimize the risk of spreading vaccinia.
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Chapter 9: Botulism
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20. Describe three main kinds of botulism and their mode of transmission.
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21. Answer frequently asked questions about botulism.
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22. List symptoms of botulism.
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23. Describe infant botulism, its epidemiology, source of C. botulinum , and prevention and control.
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24. Describe the clinical syndrome of botulism and provide a diagnosis of the disease.
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25. Put the use of botulinum toxin as a bioweapon in historical perspective.
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26. Describe the pathogenesis and clinical manifestations of botulism.
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27. List typical symptoms and signs of foodborne botulism.
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28. Identify features of an outbreak that would indicate a bioterrorist attack with botulinum toxin.
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29. Describe the therapy, prophylaxis and decontamination for botulinum toxin.
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Chapter 10: Plague
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30. Answer frequently asked questions about pneumonic and bubonic plague, their signs and symptoms, and treatment.
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31. Describe the role fleas play in the spread of plague to humans.
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32. Explain the epidemiology of plague.
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33. Describe clinical manifestations of bubonic, septicemic, pneumonic, and pharyngeal plague.
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34. Discuss signs and symptoms and laboratory confirmation that can establish the diagnosis of plague.
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35. Describe the treatment for plague.
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36. Outline the strategies for the prevention of plague.
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Chapter 11: Tularemia
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37. Answer frequently asked questions about tularemia.
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38. Describe the signs and symptoms of tularemia.
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39. Identify epidemiological indicators that would suggest a bioterrorism act of inhalational tularemia.
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40. Describe the pathogenesis and clinical manifestations of F. tularensis.
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41. Provide a diagnosis of inhalational tularemia following its use as a biological weapon.
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42. Describe the treatment of tularemia in adults and children.
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43. Make recommendations for postexposure antibiotic prophylactic treatment in the event of F. tularensis biological attack.
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Chapter 12: Viral Hemorrhagic Fevers
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44. Answer frequently asked questions about the etiology and epidemiology of viral hemorrhagic fevers.
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45. Describe various ways of preventing and controlling viral hemorrhagic fevers.
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46. Describe the history and potential of HFVs as biological weapons.
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47. Describe the clinical manifestations of diseases caused by hemorrhagic fever viruses.
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48. Provide a diagnosis of viral hemorrhagic fevers and treatment options including drug therapy.
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Chapter 13: Ricin
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49. Answer frequently asked questions about ricin, its signs and symptoms, and its potential for bioterrorism.
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Chapter 14: Nerve Agents
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50. Answer frequently asked questions about nerve agents, GA, GB, GD and VX.
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51. Describe the signs and symptoms of nerve agents GA, GB, GD and VX, and their effects on health.
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52. List the things people can do to protect themselves against VX and things they should do if they are exposed to VX.
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53. Describe the health effects of nerve agents, GA, GB, GD, and VX.
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54. Describe the prehospital management of victims of nerve agent attack.
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Chapter 15: Blister Agents
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55. Describe the health effects of sulfur mustard on various body systems.
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56. Describe prehospital management of victims exposed to sulfur mustard.
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57. List general principles of triage for chemical exposures.
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58. Describe triage for mustard agent casualties.
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Chapter 16: Foodborne Illness
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59. Describe some of the most common foodborne diseases.
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60. Identify instances when a doctor should be consulted for a diarrheal illness.
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61. Describe how outbreaks of foodborne disease are detected and investigated.
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62. Describe the ways food can become contaminated.
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63. List foods that are most associated with foodborne illness.
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64. State five simple precautions one can take to reduce the risk of foodborne diseases.
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65. Identify persons who are at particularly high risk to contract a foodborne illness.
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Chapter 17: Escherichia coli O157:H7
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66. List various ways Escherichia coli O157:H7 is spread.
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67. Describe the illness caused by Escherichia coli O157:H7.
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Chapter 18: Salmonellosis
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68. Answer frequently asked questions about salmonellosis, including how people can catch Salmonella, its health consequences and treatment.
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69. List eight things one can do to prevent salmonellosis.
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Chapter 19: Cholera
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70. List six things a traveler can do to avoid getting cholera.
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Chapter 20: Shigellosis
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71. Answer frequently asked questions about shigellosis.
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72. List eight tips for preventing the spread of shigellosis.
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Chapter 21: Brucellosis
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73. Answer frequently asked questions about brucellosis, such as how it is transmitted to humans, ways to prevent infection, and its treatment.
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Chapter 22: Typhoid Fever
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74. Answer frequently asked questions about typhoid fever.
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75. List steps one can take to avoid typhoid fever.
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Chapter 24: Injuries and Mass Trauma Events
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76. Describe symptoms of posttraumatic stress disorder.
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77. Identify the kind of injuries that occur in mass trauma events.
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78. List the things health departments should do to prepare for and subsequent to mass trauma events.
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79. Identify various steps one should plan to escape from home, workplace or hotel.
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80. Describe 3 types of burns, their symptoms and early treatment.
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81. List signs and symptoms after a mild traumatic brain injury (MTBI).
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82. Describe the procedure for personal cleaning and disposal of contaminated clothing.
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83. Describe the evacuation procedure in the event of a chemical accident or attack.
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84. Describe how to prepare to shelter in place in case of a chemical accident or attack.
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85. Allay general public’s concerns about the safety of drinking water.
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86. Describe emergency room procedures in chemical hazard emergencies.
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Chapter 25: Bioterrorism Readiness Plan: A Template for Healthcare Facilities
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87. Develop and implement a bioterrorism readiness plan appropriate for a particular healthcare facility.
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88. Identify 6 features that should alert healthcare providers to the possibility of a bioterrorism-related outbreak.
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89. Describe clinical features of anthrax infection, infection control practices for patient management, and post-exposure management.
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90. Describe clinical features of botulism infection, infection control practices for patient management and post-exposure management.
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91. Describe clinical features of pneumonic plague, infection control practices for patient management, and post-exposure management.
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