Smallpox and Anthrax as Agents of Bioterrorism

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Introduction to Bioterrorism

This illustration depicts a three-dimensional (3D), computer-generated image, of a group of Gram-positive, Streptococcus agalactiae (group B Streptococcus) bacteria. The photo credit for this image belongs to Alissa Eckert, who is a medical illustrator at the CDC.


By Emily Rogers
Bioterrorism is defined as using “using biological agents to inflict disease and/ or death on humans, animals or plants, and motivations for pursuing such an attack could have religious, political, or criminal motivations.”[1] People that plan and perform bioterrorism attacks could also be a part of nationalist, separatist, or apocalyptic cult groups.[2] Biological agents can also be used by military and government agencies in warfare.[2] Early records of bioterrorism in the 14th century include the Tartar group attacking the city Kaffa by catapulting cadavers infected with the plague, caused by the bacteria Yersinia pestis, over the walls of the city, causing the plague to spread over the Mediterranean.[2] More recently in 1984, a cult following the Rajneeshee movement poisoned a restaurant in Oregon with Salmonella bacteria because they had political motives to win an election.[2] Unlike other types of terror attacks, bioterrorism has the unique ability to go undetected for a severe length of time, in which infected individuals can spread the agent even further, before the attack event is even detected.[2]Starting in 2001 and last reviewed in 2018, the Centers for Disease Control and Prevention (CDC) has published a list of the most dangerous infectious agents that could be used for bioterrorism acts.[3] Anyone born after the 1970’s will not have been vaccinated because most countries stopped providing the vaccine after the virus was eradicated.[4]

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Smallpox


This flowchart depicts a mechanism of action in case an anthrax bioterrorism event were to occur. The photo credit for this image belongs to Gregory Zaric phD [1].

Variola major is the virus that causes smallpox.[7] Symptoms of smallpox include fever and the characteristic skin rash of pox, and it has a 30% mortality rate.[7] The mortality rate of smallpox for pregnant females was very high, up to 70% for those unvaccinated.[7] Ocular variola and resulting blindness was common in smallpox patients in Asia.[7] Smallpox in children caused elbow and knee joint problems in around 2% of unvaccinated children.[7] Those who survived having smallpox were left with many scars on their body.[7] Variola virus emerged thousands of years ago and has subsequently infected many human populations throughout history, causing epidemics of smallpox.[7] The oldest description of smallpox came from China in the 4th century CE. Remnants of smallpox pustules have been found on Egyptian mummies that were 3,000 years old.[7] It is theorized that trade and exploration contributed to the spread of smallpox.[7] Variolation was an early method for control of smallpox, invented by Edward Jenner in 1796 when he took matter from a pustule of a person infected with cowpox and inoculated another person with it.[7] Jenner exposed the inoculated person to variola virus and they did not get sick, confirming Jenner’s theory that exposure to cowpox could prevent a person from getting smallpox.[7] The ideas from his research lead to the first vaccination in the 1800’s.[7] Starting in 1959, the World Health Organization (WHO) initiated a design to eradicate smallpox from the world.[7] The last naturally occurring outbreak of smallpox in the United States happened in 1949, and by 1966 smallpox was still prevalent in outbreaks on the continents of Asia, Africa and South America.[7] After 1966, new developments contributed to the eradication cause, like the use of the bifurcated needle, higher quality freeze-dried vaccine, and campaigns for more vaccination.[7] By 1980, the World Health Assembly declared smallpox eradicated from earth.[7] After eradication, it was determined by health officials that research should still be done on variola virus.[7]

Anthrax

Include some current research, with at least one figure showing data.

Section 4

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References



Authored for BIOL 238 Microbiology, taught by Joan Slonczewski, 2023, Kenyon College