Bioterrorism Preparedness

Anthrax 
Bioterrorism Preparedness for Public Health Laboratories

Prior to October 2001, bioterrorism was a vague concern for Americans. Then came the delivery of the first anthrax-laden letter, and suddenly, bioterrorism was a real and present threat.

On October 4, 2001, a state public health laboratory in Florida confirmed the first case in what soon become known as the “anthrax attacks” and issued an alert to the public health community. Within days, members of the Laboratory Response Network were inundated by suspect samples of every imaginable type. Donuts, packages, clothing—even a body—arrived for analysis. Ultimately, the public health laboratory members of the LRN handled 70% of the anthrax testing, conducting over a million tests on 125,000 samples to distinguish between real and apparent threats, thus calming a frightened public. Laboratory scientists worked grueling hours to conduct analyses that would drive decisions by medical practitioners, law enforcement and public health officials. Public health laboratories were also on the front line testing environmental samples from United States Postal Service (USPS) facilities for Bacillus anthracis, the causative agent of anthrax.

Significant federal and state investment in public health preparedness has strengthened laboratory capability and capacity to respond to all threats, man-made or naturally occurring. The value of this investment has been amply demonstrated by the effective laboratory response in recent years to SARS (2002-2003), monkeypox (2003), mumps (2005-2006) and E. coli (2006), as well as Hurricanes Katrina (2005) and Rita (2005).

APHL develops training, policy, diagnostic and practice guidelines on bioterrorism and other public health preparedness issues. It works to strengthen communications and collaboration across national laboratory systems and between public health laboratories and the federal government.

Assessing Bioterrorism Preparedness

For several years, APHL conducted annual assessments of state public health laboratory preparedness for bioterrorism.  Findings were summarized in issue briefs that identified progress and persisting challenges.  The briefs were distributed to members, public health organizations, federal decision makers and others upon request.

Recently APHL’s Emergency Preparedness and Response and Environmental Health Programs collaborated to launch a more comprehensive assessment, “All-Hazards Laboratory Preparedness Survey,” of state public health, District of Columbia and Puerto Rico public health laboratories. More information is available here