Examine the Containment of Bioterrorism Agents INFECTIOUS DISEASES Examine the Containment of Bioterrorism Agents

AGENTS Bacterial: Anthrax and plague Viral: Smallpox Anthrax passed by spores in aerosol or letters; cannot transfer person to person Plague passed by aerosol or infected vector (fleas); can transfer person to person Viral: Smallpox Passed by aerosol and person to person Toxins: Botulism and Ricin Botulism passed by aerosol or contaminated food; cannot transfer person to person Ricin passed by aerosol and cannot transfer person to person

CONTAINMENT of BIOTERRORISM AGENTS Isolation practices Standard precautions Additional precautions for smallpox and plague Patient placement Routine if small scale Grouping affected patients if large scale Patient transport Limited to movement that is essential Cleaning, disinfection, and sterilization of equipment and environment Follow standard precautions Face shield or goggles, gloves, mask, gown, and wash hands before putting on gloves and after removing gloves

continued Discharge management Post-mortem care Discharge when noninfectious Home care if large numbers of persons exposed with instruction on barrier precautions, handwashing, waste management, and cleaning and disinfection of environment and patient care items Post-mortem care Notify pathology Provide instructions to funeral director Demonstrate handwashing technique