This is an official CDC HEALTH ADVISORY
Distributed via Health Alert Network
Friday, October 12, 2001, 21:00 EDT (9:00 PM EDT)
CDCHAN-00029-2001-10-12-ADV-N
How to Handle Anthrax and Other Biological Agent Threats
many facilities
in communities around the country have received anthrax threat letters.
Most were empty envelopes; some have contained powdery substances. The
purpose of these guidelines is to recommend procedures for handling such
incidents.
DO NOT PANIC
Anthrax organisms can cause infection in
the skin, gastrointestinal system, or the lungs. To do, so the organism
must be rubbed into abraded skin, swallowed, or inhaled as a fine, aerosolized
mist. Disease can be prevented after exposure to the anthrax spores by
early treatment with the appropriate antibiotics. Anthrax is not spread
from one person to another person.
For anthrax to be effective as a covert
agent, it must be aerosolized into very small particles. This is
difficult to do, and requires a great deal of technical skill and special
equipment. If these small particles are inhaled, life-threatening lung
infection can occur, but prompt recognition and treatment are effective.
suspicious Unopened letter or PACKAGE MARKED WITH THREATENING MESSAGE SUCH AS “ANTHRAX”:
1. Do not shake or empty the
contents of any suspicious envelope or package.
2. PLACE the envelope or
package in a plastic bag or some other type of container to prevent leakage of
contents.
3. If you do not have any
container, then COVER the envelope or package with anything (e.g., clothing,
paper, trash can, etc.) and do not remove this cover.
4. Then LEAVE the room and
CLOSE the door, or section off the area to prevent others from entering (i.e.,
keep others away).
5. WASH your hands with soap
and water to prevent spreading any powder to your face.
6. What to do next…
If you are at HOME, then report the
incident to local police.
If you are at WORK, then report the
incident to local police, and notify your building security official or
an available supervisor.
7. LIST all people who were in
the room or area when this suspicious letter or package was recognized. Give
this list to both the local public health authorities and law enforcement
officials for follow-up investigations and advice.
Envelope with powder and powder spills out onto
surface:
1. DO NOT try to CLEAN UP the
powder. COVER the spilled contents immediately with anything (e.g., clothing,
paper, trash can, etc.) and do not remove this cover!
2. Then LEAVE the room and
CLOSE the door, or section off the area to prevent others from entering (i.e.,
keep others away).
3. WASH your hands with soap
and water to prevent spreading any powder to your face.
4. What to do next…
If you are at HOME, then report the
incident to local police.
If you are at WORK, then report the
incident to local police, and notify your building security official or
an available supervisor.
5. REMOVE heavily contaminated
clothing as soon as possible and place in a plastic bag, or some other
container that can be sealed. This clothing bag should be given to the
emergency responders for proper handling.
6. SHOWER with soap and
water as soon as possible. Do Not Use Bleach Or Other Disinfectant
On Your Skin.
7. If possible, list all
people who were in the room or area, especially those who had actual contact
with the powder. Give this list to both the local public health authorities so
that proper instructions can be given for medical follow-up, and to law
enforcement officials for further investigation.
QUESTION
OF ROOM CONTAMINATION BY AEROSOLIZATION:
For
example: small device triggered, warning that air handling system is
contaminated, or warning that a biological agent released in a public space.
1. Turn off local fans or
ventilation units in the area.
2. LEAVE area immediately.
3. CLOSE the door, or section
off the area to prevent others from entering (i.e., keep others away).
4. What to do next…
- If you are at HOME,
then dial “911” to report the incident to local police and the
local FBI field office.
- If you are at WORK,
then dial “911” to report the incident to local police and the
local FBI field office, and notify your building security official or an
available supervisor.
5. SHUT down air handling
system in the building, if possible.
6. If possible, list all
people who were in the room or area. Give this list to both the local public
health authorities so that proper instructions can be given for medical
follow-up, and to law enforcement officials for further investigation.
HOW TO IDENTIFY SUSPICIOUS PACKAGES AND LETTERS
Some
characteristics of suspicious packages and letters include the following…
Excessive postage
Handwritten or poorly typed addresses
Incorrect titles
Title, but no name
Misspellings of common words
Oily stains, discolorations or odor
No return address
Excessive weight
Lopsided or uneven envelope
Protruding wires or aluminum foil
Excessive security material
such as masking tape, string, etc.
Visual distractions
Ticking sound
Marked with restrictive endorsements, such
as “Personal” or “Confidential”
Shows a city or state in the postmark that
does not match the return address
_________________________________________________
Categories of Health Alert messages:
Health Alert- conveys the highest level of importance; warrants immediate action or attention.
Health Advisory- provides important information for a specific incident or
situation; may not require immediate action.
Health Update- provides updated information regarding an incident or
situation; unlikely to require immediate action.
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You have received this message based upon
the information contained within our emergency notification data base. If you
have a different or additional e-mail or fax address that you would like us to
use please notify us as soon as possible by e-mail at healthalert@cdc.gov.
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