The Difference in Responding to Natural and Unnatural Outbreaks

  • Amesh A. Adalja
Conference paper
Part of the NATO Science for Peace and Security Series A: Chemistry and Biology book series (NAPSA)


The response to natural and unnatural outbreaks share many elements. However, unnatural outbreak management will consist of several additional tasks: nuanced communication strategies, concomitant forensic investigations, consideration of altered pathogen features, and bioremediation concerns.


Local Public Health Department Natural Outbreak Outbreak Management Anthrax Attack Social Distance Measure 
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  1. 1.
    Brannen DE, Stanley SA (2004) Critical issues in bioterrorism preparedness: before and after September 2001. J Public Health Manag Pract 10(4):290–298PubMedGoogle Scholar
  2. 2.
    FBI (2008) Science briefing on the anthrax investigation. 18 August 2008. Accessed 1 Mar 2011
  3. 3.
    Franco C, Bouri N (2010) Environmental decontamination following a large-scale bioterrorism attack: federal progress and remaining gaps. Biosecur Bioterror 8(2):107–117PubMedCrossRefGoogle Scholar
  4. 4.
    Hugh-Jones M (2006) Distinguishing between natural and unnatural outbreaks of animal diseases. Revue scientifique et technique (International Office of Epizootics) 25(1):173–186Google Scholar
  5. 5.
    Martin GJ, Friedlander AM (2010) Anthrax as an agent of bioterrorism. In: Mandell GL, Bennett JE, Dolin R (eds) Mandell, Douglas, and Bennett’s principles and practice of infectious diseases, 7th edn. Churchill Livingstone, PhiladelphiaGoogle Scholar
  6. 6.
    Miller J, Engelberg S, Broad W (2002) Germs. Touchstone, New YorkGoogle Scholar
  7. 7.
    Torok TJ, Tauxe RV, Wise RP et al (1997) A large community outbreak of salmonellosis caused by intentional contamination of restaurant salad bars. JAMA 278(5):389–395PubMedCrossRefGoogle Scholar
  8. 8.
    The White House (2009) Executive order – medical countermeasures following a biological attack. 30 December 2009. Accessed 1 Mar 2011

Copyright information

© Springer Science+Business Media Dordrecht 2013

Authors and Affiliations

  1. 1.Center for BiosecurityUniversity of Pittsburgh Medical CenterBaltimoreUSA

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