| Titre : | Hemorrhagic fever viruses as biological weapons : Medical and public health management. (2002) |
| Auteurs : | Luciana BORIO ; Michael-S ASCHER ; John BARTLETT ; Joel-G BREMAN ; Edward-Mjr EITZEN ; Margaret HAMBURG ; Jerry HAUER ; D.A. HENDERSON ; James-M HUGHES ; Thomas INGLESBY ; Peter-B JAHRLING ; Richard-T JOHNSON ; Karl-M JOHNSON ; Thomas KSIAZEK ; Gigi KWIK ; Marci LAYTON ; Scott LILLIBRIDGE ; Andrea MEYERHOFF ; Gary-J NABEL ; Tara O'TOOLE ; Michael-T OSTERHOLM ; Trish-M PERL ; C.J. Peters ; Philip RUSSELL ; Alan-L SCHMALJOHN ; Kevin TONAT ; Johns Hopkins Center for Civilian Biodefense Strategies. Baltimore. MD. USA |
| Type de document : | Article |
| Dans : | JAMA - Journal of the american medical association (vol. 287, n° 18, 2002) |
| Pagination : | 2391-2405 |
| Langues: | Anglais |
| Mots-clés : | Virose ; Infection ; Homme ; Symptôme ; Diagnostic ; Thérapeutique ; Médecine catastrophe ; Epidémiologie ; Virus |
| Résumé : | [BDSP. Notice produite par INIST-CNRS mKMR0x9f. Diffusion soumise à autorisation]. Objective To develop consensus-based recommendations for measures to be taken by medical and public health professionals if hemorrhagic fever viruses (HFVs) are used as biological weapons against a civilian population. Participants The Working Group on Civilian Biodefense included 26 representatives from academic medical centers, public health, military services, governmental agencies, and other emergency management institutions. Evidence MEDLINE was searched from January 1966 to January 2002. Retrieved references, relevant material published prior to 1966, and additional sources identified by participants were reviewed. Consensus Process Three formal drafts of the statement that synthesized information obtained in the evidence-gathering process were reviewed by the working group. Each draft incorporated comments and judgments of the members. All members approved the final draft. Conclusions Weapons disseminating a number of HFVs could cause an outbreak of an undifferentiated febrile illness 2 to 21 days later, associated with clinical manifestations that could include rash, hemorrhagic diathesis, and shock. The mode of transmission and clinical course would vary depending on the specific pathogen. Diagnosis may be delayed given clinicians'unfamiliarity with these diseases, heterogeneous clinical presentation within an infected cohort, and lack of widely available diagnostic tests. Initiation of ribavirin therapy in the early phases of illness may be useful in treatment of some of these viruses, although extensive experience is lacking. There are no licensed vaccines to treat the diseases caused by HFVs. |
Service Documentation EHESP
Me connecter
PORTAIL DOCUMENTAIRE
École des hautes études en santé publique
Catalogue
Multi-bases
Accueil
Sélection de la langue
Adresse
Service Documentation EHESPBibliothèque Rennes Avenue du Professeur Léon Bernard – CS 74312 – 35043 Rennes Cedex Bibliothèque MSSH Paris 20 avenue George Sand - 93210 La Plaine Saint-Denis
France
Bibliothèque Rennes : 02 99 02 29 50 Bibliothèque MSSH Paris : 02 99 02 24 50
contact