What are the real threats of bioterrorism?

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What are the real threats of bioterrorism?

We have already mentioned that the concept of weapons of mass destruction tends to be replaced by that of weapons of mass disruption (NBC-NRBce).

After a new study of the bibliography, it appears that biological weapons are evolving very rapidly with new technologies and in particular those allowing genome manipulation: these new data are shaking up our certainties as bacteriologists !

Let’s take stock by completing what we have already discussed on this site.

 

 

 

 

 

 

1- Threats

Among the living organisms that can threaten us are smallpox, anthrax, plague, tularemia, African hemorrhagic fevers. This list can be supplemented with toxins such as botulism, ricin, staphylococcus enterotoxin B, Clostridium perfringens epsilon toxin.

2- Contamination routes

The skin and mucous membranes mainly in case of cuts or abrasions;

The gastrointestinal tract either by direct contamination of food or by indirect contamination by deposition of aerosol particles. Contamination of water in municipal reservoirs could affect a large number of people.

The respiratory route by inhalation of spores, droplets and other aerosols.

3- Methods of dissemination

  • Spreading into the air by aerosolization seems to be the most effective:this is what we saw during the 2001 anthrax attack in the USA.  It is not a hazard if the aim of the main military research was to make bacterial spores capable of remaining in the air as long as possible. Most viruses disperse very well in the air (smallpox virus for example) and some bacteria aerosolize well such as Brucella for which specific laboratory measurements are taken.
  • Dissemination in water:Contaminating the water in a water tank is practically impossible because very high concentrations of microorganisms would have to be introduced because of the dilution in large quantities of water and also because of the bleach, the level of which can be raised a little to sterilize the water. On the other hand, the level of terrorist acts on a smaller scale could prove to be a threat.
  • Food contamination :

Let us recall the story of the Rajneeshes who, in 1984, contaminated the salads and other raw vegetables of 10 restaurants in “The Dalles” with a strain of Salmonella in order to prevent voters from travelling and winning local elections. The number of infected people was 750.

Targets could be large international hotels and restaurants. This type of attack is very symbolic and highly disorganizing because food is synonymous with safety and comfort. If terrorists are able to infiltrate and carry out contamination, the population could lose confidence in their food and consequently in the authorities that govern them.

The poisons could be ricin, arsenic, anthrax, Salmonella…

The weak points in defence are: the lack of control of staff (often occasional and part-time) and the lack of a clear policy on food security, let us not forget that there are many exchanges of basic food products between different countries.

4- Preventive actions 

The possibilities of protection are very limited for the population;

Airway: a simple fabric garment with gloves and a simple mask such as an FFP2 (essential) may be sufficient.

Digestive tract: do not ingest or drink suspicious foods, do not put your hands in your mouth.

Vaccination is possible, but it should be noted that there are no vaccines for all infectious agents and that a delay is necessary for the implementation of the immune response.

5- Curative actions

The decontamination

Most biological agents do not penetrate intact skin. Particle deposition is low on the skin and mucous membranes. Particles adhere more to clothing fibres under the action of electrostatic forces, hence the importance of undressing. A shower with soap and water removes 99.99% of the organisms on the skin after undressing.

Antibiotic therapy, serotherapy, vaccination (which can be curative in some cases if given quickly) are effective means.

6- Probable developments in biological weapons

Genetic modifications

More serious problems will arise when unknown pathogens isolated worldwide, new antigenic types that appear by mutation, new antibiotic resistance or even a mixture of germs are used. Under these conditions, the latency time and the appearance of the first clinical signs may be atypical, especially if mixed. The initial identification then becomes very complicated as it represents the essential step that initiates all treatments.

Until now, we have limited ourselves to a known and reduced number of pathogenic organisms (bacteria, viruses, rickettsiae, fungi) with listed properties, advances in microbiology make it possible to modify virulence but also the antigenic structure and resistance to antibiotics or antiviral germs, we must change paradigm and extend the diagnosis to any potential type of microorganism still unknown.

In a January 2017 report, the National Advisory Council for Biosafety (CNCB) pointed out that the new molecular biology tool CRISPR/Cas9 (“Genetic scissors”) raises a real question of safety and potential proliferation. Risk of hybridization of microorganisms with natural species allowing them to adapt to the natural environment and proliferate, reconstitution of old viruses that are particularly pathogenic (poliovirus, smallpox, Spanish influenza…). Fear of artificial reconstitution of smallpox has been an argument put forward to WHO to delay the destruction of stocks of viruses still in storage. There is a fear of bio-hacking activity, i.e. biological experiments outside official laboratories (universities, research organisations, etc.)

Reverse genetics

Reverse genetics is the process of introducing changes within a genome in order to record the effects generated. It involves studying a phenotype from a selected genotype, “the opposite” of conventional genetics where the properties of an organism are determined from the genome. In this way, researchers have succeeded in introducing mutations into the avian influenza genome to increase its transmissibility. The aim was not to turn it into a biological weapon but to understand the issues of tropisms and the functions of the virus’ surface proteins. But the application of this work could be hijacked!

At the researchers’ initiative, there has been a recent moratorium and data have been modified, streamlined and delayed in publications.

7- The bioterrorist attack: how to detect it?

Emergence of an epidemic with uncommon germs;
Patently genetically modified agent;
Abnormally high morbidity and/or mortality rates;
Abnormal geographical appearance;
Abnormal temporal appearance;
Rare disease affecting a particular group: young people, the elderly….

This requires an effective surveillance system involving the medical sector (clinicians), health experts and veterinarians.

Problem: Emerging infectious diseases of unknown origin can occur anywhere in the world and, like any classic epidemic phenomenon, can be confused with a terrorist attack.

Early identification of the germ would help to quickly initiate appropriate prophylactic and antibiotic measures.

It must be said that while advances in biology can benefit those who want to misuse them, they are also the basis for new means of detection, diagnosis and treatment. Research is very active in this area.

Conclusion

The use of biological agents for military purposes is complex. It requires biological skills and a minimum of technology to militarize them: large military research organizations such as Unit 731 have put a lot of resources into this theme, with a large number of financial and human resources without convincing results. Militarization leading to a weapon of mass destruction is very difficult, which for the moment seems to limit their use to terrorist groups only. Although their modes of dissemination in open areas are varied (spreading, diffusion in liquid environments, feeding, explosive equipment, etc.), the “results obtained” remain very random. The risk in a confined environment is therefore the most significant.

The new means of molecular biology could be used for terrorist purposes but also by biologists who guarantee our security in order to detect and identify threats and to develop future treatments.

 

 

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