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James Hammill, CBCP, JMH Consulting
Pat McAnally, SunGard Availability
Brian Turley, Strohl Systems
Belinda Wilson, Hewlett-Packard
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Business Continuity
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Bioterrorism
What Is It? What Can Be Done to Prepare?
By JAMES HAMMILL, CBCP
The threat of a biological attack on the United States
is real and serious. Federal, state, and local governments are grappling
with how to best detect an attack, identify the biological agent(s),
warn the public, and provide specific instructions regarding actions
to be taken for protection. Many of the same best practices that apply
to response to bio-terrorism attacks should be applied to other wide-scale
disasters when the private sector must work with the government agencies
that take charge.
What is Bioterrorism?
Bioterrorism is the intentional use of harmful biological agents to
cause widespread illness, fear, panic, or death. The agents of most
concern are anthrax, plague, smallpox, tularemia, ebola, and botulism
– all hard to detect and potentially life-threatening.
Background
Although weapons of mass destruction and bioterrorism were presented
at conferences and talked about in the hallways prior to the anthrax
events of 2001, business continuity planners rarely included them in
the planning process. It was hard enough to maintain funding levels
to protect the company’s business practices and information. And
as we saw in the aftermath of hurricanes Katrina and Rita, local, state,
and federal government agencies suffered from that same lack of funding.
The Issue Is Real
A bioterrorism attack on the United States will require a means of dispersal
– air, food, water, or some other medium – causing injury
or death through inhalation, ingestion, or bodily contact. Because the
methods of delivery are so varied, the difficulty of detection is increased
exponentially.
Public health and/or emergency management personnel at all levels have
no routine way to identify a biological attack other than by suddenly
having affected people arriving at medical facilities for treatment.
The worse news is an outbreak would be well under way before the cause
became evident. Consequently, people in the effected area would be at
risk. And, with few exceptions, detection in the United States is recognized
only after the fact.
In the case of a deliberate biological attack, it could take several
days or longer before someone recognized that an event was in progress.
For this reason, the federal government and the Center for Disease Control
(CDC) created the Strategic National Stockpile (SNS). An act of bioterrorism
targeting the U.S. civilian population will require rapid access to
large quantities of pharmaceuticals and medical supplies. Because we
can’t anticipate where a terrorist will strike and few state or
local governments have the resources to create sufficient stockpiles
on their own, the SNS is available as a resource for all.
There are a number of programs that provide training for first responders
(EMS, fire, police); they are usually first at the scene and working
directly with the public. The main thrust of training and education,
however, is focused on medical emergency room personnel and clinicians.
Why? They will undoubtedly be the first to recognize an unusually high
number of people being treated for the same unusual symptoms.
Unfortunately, many of the symptoms of a biological attack look like
the flu or a stomach virus. To aid the medical professionals, “syndromic
surveillance tools” are being refined, created, and implemented
in public health departments, hospitals, and clinics to help detect
syndrome aberrations. The key for syndromic surveillance will be a robust
network of medical facilities, clinics, and even pharmacies in order
to recognize an abnormal increase in over-the-counter remedies, indicating
a potential threat.
What’s the Business Risk?
From the local candy store on the corner to the mid-sized lumberyard
in your town to the corporate conglomerates, we are all inexorably tied
together by a global economy. Just as our computer systems rely on solid
system architecture, networks, and supporting infrastructure, business
relies on people to keep the economy growing. Planners have done an
admirable job in preparing their companies against natural (hurricanes,
floods, earthquakes, etc.) and manmade (accidents, hackers, malicious
damage, etc.) disasters. It’s time to go a step further.
A biological outbreak in one of our cities, even a small outbreak, could
have a dramatic effect on the business environment. The public health
departments will have to act quickly, which could lead to quarantines
of geographic areas in an effort to prevent further spread. Using fear
as a weapon, the terrorists could disseminate misleading reports; rumors
could go unchecked for days. Besides the physical harm, a biological
event has the potential to cause catastrophic economic damage caused
by the psychological affect.
Recovery planning in this new era of terrorism must acknowledge that
the threat is real with potentially serious adverse affects on companies,
stockholders, and local communities. Because companies have different
levels of tolerances for various reasons, it’s the business contingency
planner’s responsibility to understand where the breaking points
are. Today’s recovery plans need to address the need for readiness
in the face of a biological event.
Building Realistic Response to Bioterrorism
City, state, and federal emergency management planners have plans in
place to protect the public infrastructure, the citizens and communities
under their care. They have done their jobs with little fanfare or recognition.
When we pick up the telephone to call for help we expect the ambulance,
fire truck, or patrol car to appear. Many of us are familiar with our
local police, fireman, and EMS volunteers, but who knows the emergency
management planners. They are taken for granted because they have been
behind the scenes. They have worked tirelessly to try to ensure both
public safety and an emergency response capability. But even the best
plans, if not well-funded and well-coordinated between the various levels
of government, may not be successful. If the Gulf Coast had been under
a bioterrorism attack it would have been lives lost rather than buildings.
Rebuilding is an option that doesn’t exist when we are talking
about loss of life – potentially thousands of lives.
At the same time, but often without interaction with the public emergency
management planners, the corporate emergency management and business
continuity planners have also been working behind the scenes, building
a response capability to protect the company infrastructure, employees,
stockholders, and property.
The public sector emergency management planners have a new charge –
“protect against and respond to terrorist activity.” They
are training, exercising, and putting procedures in place for responding
to a terrorist event.They even have plans in place to receive and distribute
mass quantities of antibiotic drugs to multiple cities at one time if
necessary. Specifically for a bioterrorism attack, their instructions
to the public will be to, “get your information from your local
TV, radio, newspapers, or trusted community leaders.”
A radiological or chemical attack may be destructive, but is far easier
to locate, predict the duration, and treat the injuries. Biological
attacks are far less predictable and have the potential to infect thousands
before being detected. If the outbreak is contagious, smallpox or ebola
for example, exposed victims will present a continued threat of infection,
prolonging and spreading the attack. There is a good chance that if
they can do so safely, people will flee the area, or they will wait
for that “trusted advice.”
What does that mean for the corporate emergency management planner?
It means your employees will more than likely be following the directions
from the local government officials and not be where you want or need
them to be.
Corporate emergency management planners need to plan accordingly, meet
with local public emergency management teams and integrate their plans.
A public private partnership may be the best chance for corporate survival.
James Hammill, an independent consultant, has been active in business
continuity for more than 20 years. A trusted advisor to CIOs, FEMA,
and a member of the Natural Hazards Caucus Committee, advising 18 U.S.
Senators, strengthening the understanding in Congress on risk and cost
reduction for natural and manmade disasters. He has provided research
for syndromic surveillance and incident command systems for a consortium
of universities including Monmouth, Rutgers, New Jersey Institute of
Technology, University of Medicine and Dentistry, New Jersey, and Princeton
Plasma Physics Labs, under a Department of Defense contract. Hammill
was a founding member of the DRJ Editorial Advisory Board and is now
a member of the DRJ Executive Council. He can be reached at DMaster1@fast.net.
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