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HUMAN CONCERNS

Frequently Asked Questions and On-Line Resources for Concerned Citizens
Answers from the Johns Hopkins Center for Civilian Biodefense Strategies

On February 7, 2003 the federal government raised the homeland security threat level to "orange" and issued basic preparedness guidelines for citizens. Since that time, public concern regarding potential terrorist attacks has become elevated, and many people are looking for bioterrorism-related information. In response, the Center has prepared the following "Frequently Asked Questions" (FAQ) fact sheet.

They have also compiled a list of online resources that may provide useful information regarding general citizen preparedness for terrorism. The Biodefense Center does not necessarily endorse the entire content on these sites; however they provide these links merely as a service. Visit their website regularly for updates on this topic.

For more information, visit www.hopkins-biodefense.org

Does it make sense for me to put together an emergency family plan and supply kit?
Yes. There are some helpful checklists of actions to take during normal times that will allow you to act more effectively during a crisis. At the end of this document, you will find links to such checklists.

Some simple steps, such as devising a plan for getting in touch with family members after a disaster, are useful whether the event is a terrorist attack or something more common like a hurricane, tornado, flood, or snowstorm.

You should recognize, however, that some preparedness items or actions that could prove valuable in some emergency situations might not be useful in the special case of bioterrorism. Bioterrorism is different from terrorist attacks that involve explosives or chemicals.

How will I know when a terrorist attack has occurred and what I should do to protect my family and myself?
A bioterrorist attack is likely to be covert - we will know we have been attacked only when people begin to get sick and seek medical attention. Although some cities have begun to deploy sensors designed to detect bioweapons in the air, these systems are few in number and are unproven technologies in urban settings. In our judgment, it is far more likely that we will realize a bioterrorist attack has occurred when doctors and nurses diagnose the first victims of such an attack.

Once a bioweapon is released, some time passes before people infected by the bioweapon agent become ill. This "incubation period" differs from one bioweapon agent to another. For example, exposure to the anthrax bacteria may cause symptoms as soon as 24 hours later; smallpox symptoms typically don't begin until 9-14 days after infection.

Protecting yourself and your family in the context of bioterrorism will require that you listen for information and advice from medical and public health authorities. These are experts who deal with infectious diseases everyday.

An explosion of any kind is immediately obvious, of course. Similarly, a chemical attack is also immediately apparent. Most chemical weapons act within seconds or minutes - people in the vicinity of the attack become obviously ill very quickly. If you find yourself in the vicinity of such an attack, you should quickly leave the area, moving upwind if possible.

Will sealing windows with duct tape and plastic sheeting help protect me during a bioterrorist attack?
No. A release of a biological agent is most likely to be "covert" - that is, terrorists will not announce the attack before it happens or afterwards. This means you would not know ahead of time to seal your windows and prevent contaminated air from reaching you.

Duct tape and plastic sheeting can slow down the movement air from outside to inside, but does not stop such movement. BE AWARE that using some non-electric space heaters inside such sealed off areas can lead to dangerous build up of carbon monoxide!!

Should I buy a gas mask?
No. A gas mask would only protect you if you were wearing it at the exact moment a bioterrorist attack occurred. A biological or chemical terrorist attack is likely to occur without prior notice. To wear a mask continuously or "just in case" a terrorist attack occurs, is impractical, if not impossible. To work effectively, masks must be specially fitted to the wearer, and wearers must be trained in their use. This is usually done for the military and for workers in industries and laboratories who face routine exposure to chemicals and germs on the job. Gas masks purchased at an Army surplus store or off the Internet carry no guarantees that they will work.

Should I purchase disposable masks as part of a home emergency disaster kit?
Again, a bioterrorist attack will likely be covert - so you will not know when to put on the mask. By the time the attack is recognized - days or even weeks after the release of the bioweapons agent - it is too late to don a mask.

Paper masks offer little, if any, protection against chemical weapons. More generally, there may be disaster situations in which it will be important to avoid breathing in dangerous substances. For example, an explosion may produce fine debris or toxic gases that can hurt your lungs. Wearing a simple mask in such situations may be helpful. Be prepared to improvise - use what you have on hand to create a barrier between the air and your mouth and nose.

There are different opinions as to what sorts of barriers work best and there are few solid facts. Anything that fits snugly over your nose and mouth, including any dense-weave cotton material, can help filter contaminants in an emergency. There are also a variety of facemasks readily available in hardware stores that are rated based on how small a particle they can filter in an industrial setting. For the moment, you haveto decide what is best for you and your family.

It is very important that the mask or other material fit your face snugly so that most of the air you breathe comes through the mask, not around it. Do whatever you can to make the best fit possible for children. Simple cloth facemasks can filter some of the airborne particles or germs you might breathe into your body, but will probably not protect you from chemical gases. Still, something over your nose and mouth in an emergency is better than nothing.

If I decide to buy disposable masks, what type should I buy?
There are many kinds of disposable masks. About N95 masks: these are a type of simple, inexpensive paper mask often mentioned in emergency preparedness literature. The filtering ability of the N95 mask - a measure of how much material can pass through the paper in laboratory tests - is quite high. N95 masks effectively protect against infection in hospital settings in which health care professionals have time to make sure the masks fit properly.

In the setting of civilian response to a bioterrorist attack, it is not clear than an N95 mask would be any more effective than other paper masks or provide more protection than a cotton undershirt wrapped around the nose and mouth. (Manufactured masks may, however be more comfortable and more convenient.)

The reason for this is that paper masks often fail to fit the face snugly, and a lot of air leaks in around the edges of any paper mask instead of getting filtered through the paper. This is why it is important to make sure that any mask you use or create fits snuggly around your face.

Should I have my own supply of antibiotics in case there is a bioterrorist attack?
There are a number of different germs a bioterrorist might use to carry out an attack. Many antibiotics are effective for a variety of diseases, but there is no antibiotic that is effective against all diseases. Further, no antibiotics are effective against virus germs. Thus, no single pill can protect against all types of biological weapon attacks. Keeping a supply of antibiotics on hand poses other problems because the antibiotics have a limited "shelf life" before they lose their strength. Antibiotics can also cause serious side effects. They should only be taken with medical guidance.

What can I do to protect my family and myself during a bioterrorist attack?
Unfortunately, there is presently little that individuals can do in advance to protect themselves from a bioterrorist attack. However, there is much that government agencies, health care institutions and public health departments can and should be doing to improve the capacity to protect the public following a bioterrorist attack. Medical institutions and public health agencies, in particular, have not received adequate attention and resources to cope with disasters like bioterrorism.

You can express your concern regarding adequate protections against the potential threat of bioterrorism to your elected officials and local leaders. Local health departments have an important responsibility for helping protect your community against outbreaks of infectious disease, whether they occur in nature or because of a malicious terrorist act. They can assist you with additional bioterrorism-related concerns that are pertinent to your own community. In addition, you can contact your Congressional representatives to discuss what measures the federal government is taking to provide local authorities with adequate resources to deal with national security threats.

Online Resources
American Academy of Pediatrics
AAP's main terrorism page provides links to many resources on chemical and biological weapons that deal with the unique needs of children and families. Guidelines for assembling a readiness kit for families to use in times of crisis For more information, visit www.aap.org/family/frk/frkit.htm

American Psychiatric Association
When Disaster Strikes: Managing Mental Health in the Workplace. This is a useful site for employers and interested employees. For more information, visit www.workplacementalhealth.org

American Red Cross
American Red Cross Homeland Security Advisory System Recommendations for Individuals, Families, Neighborhoods, Schools and Businesses. For more information, visit www.redcross.org/services/disaster/beprepared/hsas.html

Federal Emergency Management Agency
Are You Ready? A Guide to Citizen Preparedness. Provides guidance on preparing for all manner of emergencies - whether naturally occurring or man made. The guide is available in both .pdf and Microsoft Word formats. For more information, visit www.fema.gov/areyouready

About the Center
The Center for Civilian Biodefense Strategies is an independent, non-profit organization of the Johns Hopkins Bloomberg School of Public Health and the School of Medicine. The Center works to prevent the development and use of biological weapons, to catalyze advances in science and governance that diminish the power of biological weapons as agents of mass lethality, and to lessen the human suffering that would result if prevention fails. For more information, visit www.hopkins-biodefense.org or call (410) 223-1667.

Reprinted with permission of the Johns Hopkins Center for Civilian Biodefense Strategies. Copyright © 2002 The Johns Hopkins University on behalf of its Center for Civilian Biodefense Strategies. All rights reserved.

INFORMATION TECHNOLOGY

Restoring Your Lifeline
Mission-critical Internet Applications Require Unique Recovery Strategies
This brave new marketplace is attracting businesses by the thousands, as each attempts to expand the reach of their information arteries to potential customers. But alongside the opportunity to prosper comes the equally critical need to protect. And the points of exposure are many. For more information, visit SunGard Planning at www.planning.sungard.com/KnowledgeNet

A Goldmine…
Information Security White Papers.
Visit RedSiren at www.redsiren.com

Computer Forensics: What Lawyers and Managers Should Know
This white paper explains what computer forensics is, when it should be used, suggestions for preserving evidence, and how to overcome the technical challenges surrounding evidence preservation.

Beyond the Firewall: The Value of Intrusion Detection Services (IDS)
This white paper addresses the reasons IDS have become so important; the differences between IDS types; and how outsourcing your security services to a Managed Security Services Provider can provide you security coverage that would otherwise be beyond the reach of your internal resources or budget.

Firewalls: Verifying the Facts & Disputing the Myths About Your Network's First Line of Defense
This white paper discusses common myths and issues surrounding firewalls and their implementation, including their architecture, configuration and maintenance. It also recommends how to achieve the most value from firewall deployment, and provides detail as to how an MSSP can provide guidance.

KPMG Global Information Security Survey
Finding the Weak Link in IT Security
KPMG's first global information security survey reveals that many organizations lack the ability to measure and report on their security performance, although security incidents cost millions of dollars every year. This is one of the findings of KPMG's first global information security survey. Other findings of the survey:

  • 43 percent of firms are implementing or planning to implement a wireless network - but over a third using these networks do not protect them, leading to the new phenomenon of "drive-by hacking".
  • Companies identified hackers and viruses as the top security threats. While viruses do top the list of security threats, the second most common problem is simple low-tech theft of IT equipment.
  • Less than half of organizations had board level responsibility for information security, while 73 percent of security staff have no formal qualifications.

For more information, contact KPMG for a copy of the survey. Visit KPMG, LLP at www.kpmg.com

Research Highlights From META Group
Availability Maturity: What's in a "9"?
Although fault-tolerant and error-correction designs have reduced the risk of IT component failure, business process and IT operations interdependency have increased to the point that many businesses stop if IT stops. Platform vendors are quick to provide availability numbers, and many point their IT customers toward "five nines" (99.999%) as a meaningful way of defining customer availability. Although more availability is a good thing, uptime of systems does not measure how availability affects business. Organizations should focus on more meaningful measures of availability such as downtime, mean time to repair, and mean time to failure. By 2005/06, 80% of Global 2000 firms (versus 30%-40% currently) will centralize availability maturity under the infrastructure and engineering organization, providing a full range of availability services with varying levels of both cost and availability. For more information, visit www.metagroup.com

InternetWeek Tech Library
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TELECOMMUNICATIONS

Introduction to the Telecommunications Marketplace
In this paper we examine the multiple components of the telecommunications industry. We will review the history of telecommunications in the US in order to understand how today's competitive market evolved. In addition, we will examine the various types of service providers. A focus will be placed on the Competitive Local Exchange Carrier and the Internet Service Provider and the services that they provide. For more information, visit www.ashtonmetzler.com

CEO Agenda: Corporate priorities for 2003
Find out more about 2003 corporate priorities from top executives leading today's global marketplace. The CEO agenda*, a white paper from the Economist Intelligence Unit, examines the views of corporate leaders on a host of business issues ranging from the economy, corporate governance, technology investments, customer satisfaction and more. *Sponsored by AT&T, Deloitte Touche Tohmatsu, Dimension Data, HP and Oracle. For more information, visit www.business.att.com

Reliability Options for High-Speed Packet Data Networks
More and more industries are migrating their wide-area data networking applications from dedicated Private Line (PL) networks to High-Speed Packet Services (HSPS) data networks using protocols such as Frame Relay Service (FRS) and Asynchronous Transfer Mode (ATM). Although the major Interexchange Carriers (IXCs) have implemented many reliability features on their backbone facilities, customers are still asking what is available for protecting their applications from access circuit failures, customer premises site failures, Central Office equipment failures, and other failures due to man-made or widespread natural disasters. For more information, visit www.business.att.com

Mobile Recovery Solutions
Disaster preparedness requires a documented plan in concert with accompanying solutions that will enable both end users and technology, at time of disaster. Both voice and data requirements must be considered when creating a recovery strategy. Mobile recovery solutions can offer flexibilities not afforded by solutions requiring alternative sites. Mobile recovery solutions can be deployed anywhere at time of disaster. With recent changes in both technology and the pricing/availability of that technology, portable services with efficient bandwidth utilization over satellite links could facilitate recovery strategies for an organization or government agency. For a discussion of mobile recovery strategies using satellite links, request the White Paper by Agility Recovery Solutions at the following link:
www agilityrecovery.com/recovery/pdf/mwp0404/index.htm

The Mandate to Deploy Wirespeed Switch Routers
For many companies, the deployment of Wirespeed Switch Routers is very timely. In particular, over the next couple of years, most companies will see their traffic volumes double and the need for routing capacity increases as much as an order of magnitude. Given the constrained budgets that exist in most companies, it is not possible to meet these demands using the traditional approaches to networking. It is precisely this gap between the rapidly increasing network requirements and the sharply constrained network budgets that is creating the mandate to deploy Wirespeed Switch Routers. For more information, visit www.ashtonmetzler.com

Managing Complexity: Taming the Runaway Company Network
The complex nature of communications products and services precludes cost-only analysis when it comes to e-sourcing solutions. Effective sourcing and procurement solutions should help buyers articulate needs, allow sellers to communicate capabilities, automate administrative tasks in a relationship and measure performance against promise. When spend visibility tools, proposal generation applications and contract compliance engines are in place, long-term improvement in cost savings can be impressive. For more information, visit www.business.att.com

FACILITY ISSUES

Six Ways to Protect Your Cargo in Transit
Important Tips from FM Global
For most companies that compete in a global economy, imports and exports are a fact of life. An awareness of how your cargo can be damaged in transit and how to protect against those potential losses is a critical part of effective risk management.

What Can Happen To Goods In Transit?
Goods transported by land, sea and air all face the possibility of physical loss or damage. The perils that can be encountered and the kinds of damage that can result are as varied as the goods themselves. When transporting goods, remember these important points:

  1. Advances in containerization have made it possible to move goods between virtually any two locations on earth using a series of vessel, air and land movements. This broadened mobility is reason to have global coverage that addresses shipments by all conveyances.
  2. Instability in the form of strikes, riots, civil commotion and war risks continues in many areas of the world where international trade is flourishing.
  3. The principle of General Average -- that which has been destroyed for the benefit of all shall be replaced by the contributions of all -- provides an international shipping company the right to withhold delivery of your goods until you, or your insurer, can provide them with security for your share of the sacrifice. When a general average has been declared, gaining the quick release and delivery of your goods, wherever they may be, is of utmost importance.
  4. When shipping goods overseas, quick settlement in the event of a claim is essential to mitigate interruptions to the flow of goods and for the harmonious continuation of business relationships.
  5. Banks worldwide often require you to provide evidence of insurance before they will release payment for shipments under letters of credit arranged through them. Without proper documentation of insurance, banks are likely to delay payment for such shipments, indefinitely.

How Can I Protect Goods In Transit?
Taking steps to ensure the timely, secure transit of your products is the best protection against potential property losses. These six recommendations will help to prevent or minimize loss.

  1. Request a review of your packing materials and shipping procedures by a marine transit professional. These inspections will help you to prevent or put a stop to losses. They are especially useful if: you have experienced frequent, similar losses; you are shipping a new product line; or you are transporting goods from new locations.
  2. Conduct loading, stowage and discharge surveys. They enhance the possibility of subrogation by making packers and stevedores accountable for their actions and helping to pinpoint where damage occurred.
  3. Work with your international shipping professionals to avoid routing your goods through "high-risk" locations where claims are more likely to happen.
  4. Work with an insurance company that has local claims-settling agents so that you can be assured of the timely settlement of claims or posting of general average bonds.
  5. Insure your cargo with an experienced, flexible underwriter. Not all commodities and shipping terms are the same; therefore, your underwriter should be able to identify the nature of your ocean cargo needs and provide a program that addresses them.
  6. Work with an insurance provider who uses standard policy wording that is recognized throughout the financial world and who provides evidence of coverage when called upon to do so to facilitate prompt payment for your shipments. For more information, visit www.fmglobal.com

Free White Paper
Avoiding Costs From Oversizing Datacenter Infrastructure
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CRISIS COMMUNICATIONS & RESPONSE

This article appeared in the January 2003 edition of Business Briefing: Exploration and Production, published by World Markets Research Centre, www.wmrc.com and on the author's homeland security website at http://users.rcn.com/pgordon/homeland. It is excerpted and reprinted here with the permission of the author.

Selected Homeland Security References and Resources
By Paula D. Gordon, Ph.D.
Since September 11, 2001, innumerable conferences, symposia, workshops, and courses have been held that have focused on homeland security and defense and preparedness and response concerns. Ideally those involved in organizing and putting these programs on are knowledgeable concerning the abundance of useful and readily available resources and references. Ideally those participating in such programs become better informed as a result of their participation. This brief article is intended to introduce the reader to a highly select list that might serve as an introductory to a vast array of references and resources of potential interest to those in both the private and the public sectors.

Websites Providing a Broad Base of Information and Resources

  • The Institute for Homeland Security website is an excellent information source. The website includes an extensive compilation of references and resources, "Suggested Reading", a "Virtual Library", an online Journal of Homeland Security, a free weekly newsletter, and a listing of upcoming events. See www.homeland security.org. The weekly newsletter can be found at www.homelandsecurity.org/bulletin/current_bulletin.cfm.
  • The Oklahoma City Memorial Institute for Terrorism Prevention website is another excellent information source. The website includes a listing of resources, references, reports, and upcoming events. See www.mipt.org. For a listing of upcoming events and conferences, see www.mipt.org/eventscalendar.asp.
  • The Nuclear Threat Initiative (NTI) provides extensive information on resources. Their website includes references, reports, research library, links, and news concerning nuclear, biological and chemical weapons, terrorism, and related issues. A free daily newsletter is also available. See www.nti.org.
  • The EMGT 232 Disaster Newsletter is an extensive newsletter put out by the Crisis and Emergency Management class at The George Washington University. See www.seas.gwu.edu/~emse232/emse232con

Terrorism-Related References and Resources

  • The Terrorism Research Center, Inc. (TRC) was founded in 1996. It is "an independent institute dedicated to the research of terrorism, information warfare, critical infrastructure protection and other issues of low-intensity political violence and gray-area phenomena. For further information, see www.terrorism.com
  • America Responds to Terrorism: List of references and links. This website is maintained by the Office of FirstGov at GSA in Washington, DC. See www.firstgov.gov/Topics/Usgresponse.shtml.
  • Terrorism and Counterterrorism: Understanding the New Security Environment is a new book edited by Russell D. Howard, Colonel, USA and Reid L. Sawyer, Captain, USA. See www.mhhe.com/terrorism/contents.html.
  • For The Brookings Institution Update on Terrorism, see www.brookings.edu/terrorism.
  • The Center for Excellence in Government has an active agenda that includes a focus on preparedness and response issues after September 11, including webcasts of programs bearing on national security, diplomacy, public health, transportation, e-government. See www.excelgov.org.
  • Ed Yourdon addresses information technology vulnerabilities in his book Byte Wars: The Impact of September 11 on Information Technology (Prentice Hall, 2002).
  • For information concerning events sponsored by The Center for Strategic & International Studies, see www.csis.org. For information concerning their report: To Prevail: An American Strategy for the Campaign against Terrorism, see www.csis.org/pubs/2001_toprevail.htm.

Terrorism, Security, Public Health, and Public Safety

  • For recent publications from the National Academies of Science Terrorism and Security Collection about the science and policy issues surrounding terrorism and security, see www.nap.edu/terror/
  • For expert-selected web resources for "First Responders" on bioterrorism and public safety, see http://search.nap.edu/shelves/first/. This website includes a search engine providing access to more than 3000 related Web pages.
  • For information regarding The Henry L. Stimson Center Chemical and Biological Weapons Nonproliferations Project, see http://www.stimson.org/cwc/terror.htm.
  • For bioterrorism publications at the National Institute of Allergies and Infectious Diseases, see http://www.niaid.nih.gov/publications/bioterrorism.htm
  • The article entitled "Bioterrorism on the Home Front: A New Challenge for American Medicine" by H. Clifford Lane, MD and Anthony S. Fauci, MD (Journal of the American Medical Association, Vol. 286 No. 20, November 28, 2001) is available online at http://jama.ama-assn.org
  • For information concerning Johns Hopkins University, School of Public Health and Medicine Center for Civilian Biodefense Studies, see http://www.hopkins-biodefense.org/index.html.
  • For information about state and Center for Disease Control activities and resources, see the CDC website on Public Health Emergency Preparedness & Response at http://www.bt.cdc.gov/.
  • For information About Anthrax and Bioterrorism, including bioterrorism plans and a bioterrorism report, see http://www.cdc.gov/mmwr/indexbt.html.
  • For information concerning anthrax, see MEDLINEplus Health Information, a service of the National Library of Medicine, National Institutes of Health at http://www.nlm.nih.gov/medlineplus/anthrax.html.

Preparedness, Mitigation, and Response Concerns

  • The website maintained by the National Response Team maintains a webpage entitled Preparedness and Response Links to the Internet at http://www.nrt.org.
  • For references on all hazards emergency preparedness and response, see the reference and resource lists at www.gwu.edu/~rpsol/homeland and www.gwu.edu/~y2k/keypeople/gordon.
  • For information concerning a new publication for homeland protection professionals: Homeland Protection Profession: Coordinating Domestic Preparedness, see www.hppmag.com.
  • "Living with Risk" "a 400 page study of the lessons learned by experts and communities in response to hazards presented by natural forces such as volcanoes, fires, hurricanes, tsunamis, landslides and tornadoes as well as technological accidents and degradation. This report was done under the auspices of the Inter-Agency Secretariat of the International Strategy for Disaster Reduction (ISDR). The publication is available at http://www.unisdr.org

Articles on Other Homeland Security-Related Topics

  • For an article on "Education and Training Initiatives Needed to Address Threats and Challenges to Homeland Security" by Paula Gordon (August 14, 2002), see http://www.mipt.org/pdf/education-traininginitiatives.pdf.
  • For an article entitled "Strategic Planning and Y2K Technology Challenges: Lessons and Legacies for Homeland Security" by Paula Gordon, see www.gwu.edu/~rpsol/homeland. (For additional work focusing on Y2K, see www.gwu.edu/~y2k/keypeople/gordon. While the website focuses on Y2K, much of it continues to be relevant since mid-range to worst case scenarios such as the kind that were possible with Y2K could be triggered as a result of cyberterrorism and cyberwarfare. Many of the references there, particularly those on preparedness, also remain useful.)
  • For an article on "Infrastructure Threats and Challenges: Before and After September 11, 2001" by Paula Gordon, see www.gwu.edu/~rpsol/homeland. For an article entitled "Using E-Technology to Advance Homeland Security Efforts" by Paula Gordon, see www.gwu.edu/~rpsol/homeland
  • For an article on "International Relations and National Agendas After September 11, 2001" by Paula Gordon, see www.gwu.edu/~rpsol/homeland.

About the Author
Paula D. Gordon, Ph.D. serves as Director of Special Projects of the Research Program in Social and Organizational Learning at the George Washington University. She is also an independent consultant and contractor, a policy strategist, writer, speaker, and a researcher. For more information please contact Dr. Gordon at pgordon@erols.com

To read the complete article with many more resources please visit www.gwu.edu/~rpsol/homeland/Resources_Article.htm