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Treating Victims of Weapons of Mass Destruction: Medical, Legal and Strategic Aspects
John Wiley and Sons Ltd, April 2008, Pages: 256
Foreword by Pierre-Marie Gallois
Preface by Chantal Bismuth
About the translator
List of contributors
1 Ambiguous concepts and porous borders
Patrick Barriot and Chantal Bismuth
Conventional weapons and CBRN weapons
‘Surgical strikes’ and weapons of mass destruction
From non-proliferation to counter-proliferation
2 Introduction to chemical weapons
Patrick Barriot and Chantal Bismuth
Chemical agents and dissemination devices
Warfare utilization of chemical agents
Terrorism and counter-terrorism
3 Chemical weapons
Chantal Bismuth
History and doctrines
An effective threat
Limits of use and effects
Currently proven facts
Analysis of the different chemical agents utilized or currently available
Chemical munitions and their delivery methods
4 Chemical terrorism and cyanide
Arnaud Delahaye and Frédéric Baud
The products and their effects on the body
Clinical poisoning
Diagnosis of cyanide poisoning
Protection and victim decontamination
Conclusion
5 Why chemical weapons were not used during World War II and the use of such weapons by terrorists
Robert L. Maynard and Timothy C. Marrs
6 Toxins
Patrick Barriot
Ricin
Botulinum toxins
Other toxins
7 Gulf war syndrome
Chantal Bismuth and Andreas Schaper
Risk factors
Complaints and facts
Proven facts
Infectious and parasitic pathologies
Proposed toxic pathologies
Data from previous wars
Politico–economic factors
‘Stressors’
Conclusion
8 Organizational aspects of the management of large numbers of victims during a chemical or biological accident
David J. Baker, Caroline Telion and Pierre Carli
Massive destruction? The realities of managing victims from a chemical
or biological accident
Properties of chemical and biological toxicants
Practical response to a terrorist attack
Specifi c medical and supply problems during management of vital distress
during a toxic attack
Victim triage
Management of vital distress in the decontamination zone
Management and handling of victims in the decontamination zone
Conclusion
9 Hospital management of chemical incident victims
Frédéric Baud and Bruno Mégarbane
Appendix: hospital management of chemical risk
Websites for more information, sample forms, etc.
10 Non-conventional counter-terrorism
Chantal Bismuth and Stephen W. Borron
Is it legitimate for counter-terrorism to conduct an assault with
non-conventional weapons?
11 Introduction to biological weapons
Patrick Barriot and Chantal Bismuth
Utilization of pathogenic agents for hostile ends
Modern programs for offensive research
Political assassinations ‘terrorism’ and counter-terrorism
The different biological agents
Production and dissemination of pathogenic agents
Biological warfare against livestock and crops
Biological weapons: are they weapons of mass destruction?
12 Clinical approach to pathogenic agents
Patrick Barriot
Symptoms
Pulmonary signs
Mucocutaneous signs
Neurological signs
Gastrointestinal signs
Preventive treatments
Urgent questions
13 Variola (smallpox)
Patrick Barriot
Biological warfare and terrorism
Human and animal viruses
Contagiousness and method of propagation
The illness occurs in two forms
The battle against smallpox
Quarantine
Vaccination
Associated treatments
14 Influenza and pneumonitis
Patrick Barriot
Infl uenza
Epidemic risk
Countermeasures and prevention
Avian infl uenza (‘bird fl u’): the 20 key points
Epidemic of atypical pneumonia
15 Anthrax
Patrick Barriot
Pathophysiology
Militarization of anthrax
Anthrax booby-trapped letters
Detection, identifi cation and decontamination
Treatment
16 Biotechnologies: protection or threat?
Patrick Barriot
Industrial and pharmaceutical applications
Fundamental research on pathogenic agents
Biotechnologies and militarization of pathogenic agents
Biotechnologies and development of new treatments
Biotechnologies and genetic therapy
Biotechnologies and development of identifi cation and detection systems
Risks due to this research
Biotechnologies and open societies
17 Nuclear and radiological weapons
Patrick Barriot
First- and second-generation weapons
Third-generation weapons
Neutron bombs
Bombs with an increased penetration effect
Radiological, or dirty, bombs
Electromagnetic bomb (e bomb)
The weapons and their delivery systems
Nuclear arsenals in the world
Terrorist projects
From non-proliferation to counter-proliferation
18 The effects of nuclear and radiological weapons on humans
Patrick Barrio
The effects of fist- and second-generation weapons
The effects of third-generation weapons
The consequences of a terrorist act
Therapeutic management
Decontamination
Anti-radiation and anticontamination treatments
19 Chinks in the armor
Patrick Barriot and Chantal Bismuth
Plans
Warning and chemical detection
Warning and biological detection
Warning and radiological detection
Group protection
Individual protection
Decontamination
Treatment
Training response teams
Exercises and simulations
Offensive and defensive research
Information management
Postscript
Vladimir Volkoff
Appendix: Questions and answers
Patrick Barriot
Index
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