Second Edition EMERGENCY RESPONSE HANDBOOK for CHEMICAL and BIOLOGICAL AGENTS and WEAPONS 5522665599__CC000000..iinndddd ii 22//2277//22000088 1111::5533::2255 AAMM 5522665599__CC000000..iinndddd iiii 22//2277//22000088 1111::5533::2277 AAMM Second Edition EMERGENCY RESPONSE HANDBOOK for CHEMICAL and BIOLOGICAL AGENTS and WEAPONS JOHN R. CASHMAN Boca Raton London New York CRC Press is an imprint of the Taylor & Francis Group, an informa business 5522665599__CC000000..iinndddd iiiiii 22//2277//22000088 1111::5533::2277 AAMM CRC Press Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 © 2008 by Taylor & Francis Group, LLC CRC Press is an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works Printed in the United States of America on acid-free paper 10 9 8 7 6 5 4 3 2 1 International Standard Book Number-13: 978-1-4200-5265-7 (Hardcover) This book contains information obtained from authentic and highly regarded sources Reasonable efforts have been made to publish reliable data and information, but the author and publisher cannot assume responsibility for the valid- ity of all materials or the consequences of their use. The Authors and Publishers have attempted to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permission to publish in this form has not been obtained. If any copyright material has not been acknowledged please write and let us know so we may rectify in any future reprint Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmitted, or uti- lized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including photocopy- ing, microfilming, and recording, or in any information storage or retrieval system, without written permission from the publishers. For permission to photocopy or use material electronically from this work, please access www.copyright.com (http:// www.copyright.com/) or contact the Copyright Clearance Center, Inc. (CCC) 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400. CCC is a not-for-profit organization that provides licenses and registration for a variety of users. For orga- nizations that have been granted a photocopy license by the CCC, a separate system of payment has been arranged. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. Library of Congress Cataloging-in-Publication Data Cashman, John R. Emergency response handbook for chemical and biological agents and weapons / author, John R. Cashman. -- 2nd ed. p. cm. “A CRC title.” Rev. ed. of: Emergency response to chemical and biological agents / John R. Cashman. 2000. Includes bibliographical references and index. ISBN 978-1-4200-5265-7 (hardback : alk. paper) 1. Hazardous substances--Accidents--Handbooks, manuals, etc. 2. Biological weapons--Safety measures--Handbooks, manuals, etc. 3. Chemical weapons--Safety measures--Handbooks, manuals, etc. 4. Emergency medical services--Handbooks, manuals, etc. I. Cashman, John R. Emergency response to chemical and biological agents. II. Title. T55.3.H3C377 2008 628.9’2--dc22 2008002764 Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the CRC Press Web site at http://www.crcpress.com 5522665599__CC000000..iinndddd iivv 22//2277//22000088 1111::5533::2277 AAMM Dedication Both fi refi ghters and statesmen lost a wonderful friend and a constant worker for the estab- lishment of instrumentation and methodology that would provide improvement for mean- ingful operating procedures of the fi re service. Chief John Eversole died on May 20, 2007. John was a giant in thought, word, and deed; and the fi re service in the United States lost a gentle giant when he died. Chief John Eversole was a hazardous materials coordinator for the Chicago, Illinois Fire Department. He was a member of the department for thirty years and worked on some of the busi- est engines, trucks, hook-and-ladders, and squad companies in the western part of the city. Eversole was a member of the National Fire Protection Association standard com- mittee that produced national hazardous materials NFPA-471, NFPA-472, and NFPA-473. He was also chairman of the International Association of Fire Chiefs’ hazardous materials committee. He was a leader on the street, and in the committee rooms where the nitty-gritty of hazardous materials response in the United States is thrashed out. Chief John Eversole was approachable to all persons and eloquent in expressing his thoughts. He also had a defi nite command presence on an incident scene gained through long command experience. John, we are going to miss you. 5522665599__CC000000aa..iinndddd vv 22//2277//22000088 1111::5511::3344 AAMM 5522665599__CC000000aa..iinndddd vvii 22//2277//22000088 1111::5511::3388 AAMM Contents About the Author xi Introduction xiii 1 January 6, 2005: A Gas Attack on Home Ground 1 2 The Massacre at Columbine High School 45 3 Guide to Chemical/Biological Agent Response 59 4 Introduction to Biological Agents and Toxins 93 5 Guides for Emergency Response: Biological Agent or Weapon: Anthrax 119 6 Guides for Emergency Response: Biological Agent or Weapon: Botulism 133 7 Guides for Emergency Response: Biological Agent or Weapon: Brucellosis 139 8 Guides for Emergency Response: Biological Agent or Weapon: Glanders (includes Melioidosis) 145 9 Guides for Emergency Response: Biological Agent or Weapon: Plague 151 10 Guides for Emergency Response: Biological Agent or Weapon: Q Fever 157 11 Guides for Emergency Response: Biological Agent or Weapon: Ricin 163 12 Guides for Emergency Response: Biological Agent or Weapon: Staphylococcal Enterotoxin (SEB) 167 vii 5522665599__CC000000aa..iinndddd vviiii 22//2277//22000088 1111::5511::3388 AAMM viii Contents 13 Guides for Emergency Response: Biological Agent or Weapon: Smallpox (Variola) 171 14 Guides for Emergency Response: Biological Agent or Weapon: Mycotoxins/T-2 177 15 Guides for Emergency Response: Biological Agent or Weapon: Tularemia 181 16 Guides for Emergency Response: Biological Agent or Weapon: Viral Encephalitus 185 17 Guides for Emergency Response: Biological Agent or Weapon: Viral Hemorrhagic Fevers (VHFs) 191 18 Guides for Emergency Response: Chemical Agents and Weapons 201 19 Guides for Emergency Response: Chemical Agent or Weapon: Arsenical Vesicants including Ethyldichloroarsine (ED), Methyldichloroarsine (MD), Phenyldichloroarsine (PD) 215 20 Guides for Emergency Response: Chemical Agent or Weapon: Arsine 223 21 Guides for Emergency Response: Chemical Agent or Weapon: Cyanogen Chloride (CK) 229 22 Guides for Emergency Response: Chemical Agent or Weapon: Diphosgene and Phosgene 233 23 Guides for Emergency Response: Chemical Agent or Weapon: Distilled Mustard (H, HD) 239 24 Guides for Emergency Response: Chemical Agent or Weapon: Blood Agent Hydrogen Cyanide (AC) 245 25 Guides for Emergency Response: Chemical Agent or Weapon: Blister Agent Lewisite (L), Blister Agent Mustard- Lewisite Mixture (HL) 251 5522665599__CC000000aa..iinndddd vviiiiii 22//2277//22000088 1111::5511::3388 AAMM Contents ix 26 Guides for Emergency Response: Chemical Agent or Weapon: Nerve Agent GF (GF) 257 27 Guides for Emergency Response: Chemical Agent or Weapon: Nerve Agent Sarin (GB) 263 28 Guides for Emergency Response: Chemical Agent or Weapon: Nerve Agent Soman (GD) 269 29 Guides for Emergency Response: Chemical Agent or Weapon: Nerve Agent Tabun (GA) 275 30 Guides for Emergency Response: Chemical Agent or Weapon: Nerve Agent VX (VX) 283 31 Guides for Emergency Response: Chemical Agent or Weapon: Blister Agent Nitrogen Mustard (HN-1), Nitrogen Mustard (HN-2), Nitrogen Mustard (HN-3) 289 Glossary: Quick Guide to Agents, Drugs, Equipment, Gear, Programs, and Terminology 295 APPENDIX 1: Lethal Nerve Agent (VX) 339 APPENDIX 2: International Chemical Safety Cards 347 APPENDIX 3: Frequently Asked Questions about Smallpox 351 APPENDIX 4: Lewisite 363 APPENDIX 5: Recognition of Illness Associated with the Intentional Release of a Biologic Agent 371 APPENDIX 6: Antimicrobial Prophylaxis to Prevent Anthrax among Decontamination/Cleanup Workers Responding to an Intentional Distribution of Bacillus anthracis 377 APPENDIX 7: Melioidosis 379 APPENDIX 8: Glanders 383 APPENDIX 9: Brucellosis 387 5522665599__CC000000aa..iinndddd iixx 22//2277//22000088 1111::5511::3388 AAMM
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