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Anthrax weaponization is the development and deployment of the bacterium ''
Bacillus anthracis ''Bacillus anthracis'' is a gram-positive and rod-shaped bacterium that causes anthrax, a deadly disease to livestock and, occasionally, to humans. It is the only permanent (obligate) pathogen within the genus '' Bacillus''. Its infection is ...
'' or, more commonly, its
spore In biology, a spore is a unit of sexual or asexual reproduction that may be adapted for dispersal and for survival, often for extended periods of time, in unfavourable conditions. Spores form part of the life cycles of many plants, algae, ...
(referred to as
anthrax Anthrax is an infection caused by the bacterium '' Bacillus anthracis''. It can occur in four forms: skin, lungs, intestinal, and injection. Symptom onset occurs between one day and more than two months after the infection is contracted. The s ...
), as a
biological weapon A biological agent (also called bio-agent, biological threat agent, biological warfare agent, biological weapon, or bioweapon) is a bacterium, virus, protozoan, parasite, fungus, or toxin that can be used purposefully as a weapon in bioterroris ...
. As a biological weapon, anthrax has been used in
biowarfare Biological warfare, also known as germ warfare, is the use of biological toxins or infectious agents such as bacteria, viruses, insects, and fungi with the intent to kill, harm or incapacitate humans, animals or plants as an act of war. B ...
and
bioterrorism Bioterrorism is terrorism involving the intentional release or dissemination of biological agents. These agents are bacteria, viruses, insects, fungi, and/or toxins, and may be in a naturally occurring or a human-modified form, in much the sa ...
since 1914. However, in 1975 the
Biological Weapons Convention The Biological Weapons Convention (BWC), or Biological and Toxin Weapons Convention (BTWC), is a disarmament treaty that effectively bans biological and toxin weapons by prohibiting their development, production, acquisition, transfer, stockpil ...
prohibited the "development, production and stockpiling" of biological weapons. It has since been used in bioterrorism. Anthrax spores can cause infection from inhalation, skin contact, ingestion or injection and when untreated can lead to death. Likely delivery methods of weaponized anthrax include aerial dispersal or dispersal through livestock, notable bioterrorism uses include the
2001 anthrax attacks The 2001 anthrax attacks, also known as Amerithrax (a portmanteau of "America" and " anthrax", from its FBI case name), occurred in the United States over the course of several weeks beginning on September 18, 2001, one week after the September ...
and an incident in 1993 by the
Aum Shinrikyo , formerly , is a Japanese doomsday cult founded by Shoko Asahara in 1987. It carried out the deadly Tokyo subway sarin attack in 1995 and was found to have been responsible for the Matsumoto sarin attack the previous year. The group says ...
group in Japan.


Biological overview

Concentrated anthrax spores, and not necessarily the bacterium ''
Bacillus anthracis ''Bacillus anthracis'' is a gram-positive and rod-shaped bacterium that causes anthrax, a deadly disease to livestock and, occasionally, to humans. It is the only permanent (obligate) pathogen within the genus '' Bacillus''. Its infection is ...
'', pose the biggest risk as a biological weapons to humans. When airborne, anthrax spores are not easily detectable, and are several microns in diameter. They are able to reach deep into the lungs when inhaled. Once the spores are in the lungs they are then able to replicate in blood, travel to the
lymph node A lymph node, or lymph gland, is a kidney-shaped organ of the lymphatic system and the adaptive immune system. A large number of lymph nodes are linked throughout the body by the lymphatic vessels. They are major sites of lymphocytes that inc ...
s, and produce toxins which lead to death. Post exposure symptoms resemble flu-like illness followed by a
fulminant Fulminant () is a medical descriptor for any event or process that occurs suddenly and escalates quickly, and is intense and severe to the point of lethality, i.e., it has an explosive character. The word comes from Latin ''fulmināre'', to strike ...
phase of severe acute respiratory distress, shock and, ultimately death.


Potential threat to the population and economy

Anthrax spores are able to be dispersed via multiple methods and infect humans with ease. The symptoms present as a common cold or flu, and may take weeks before appearing. The destructive effects of an anthrax attack on a large city may have the destructive capacity of a
nuclear weapon A nuclear weapon is an explosive device that derives its destructive force from nuclear reactions, either fission (fission bomb) or a combination of fission and fusion reactions ( thermonuclear bomb), producing a nuclear explosion. Both bom ...
.


Threat to the population

A
mathematical model A mathematical model is a description of a system using mathematical concepts and language. The process of developing a mathematical model is termed mathematical modeling. Mathematical models are used in the natural sciences (such as physics, ...
of a simulated large-scale airborne anthrax attack in a large city (1 kg anthrax spores in a city of 10 million people) was created, which takes into account the dispersion of spores, the age-dependent dose-response, the dynamics of disease progression and the timing and organization of medical intervention. The results of this model with the most efficient medical response resulted in more than deaths, which increases by a factor of 7 with slower
antibiotic An antibiotic is a type of antimicrobial substance active against bacteria. It is the most important type of antibacterial agent for fighting pathogenic bacteria, bacterial infections, and antibiotic medications are widely used in the therapy, ...
distribution.


Threat to the economy

Outside of the initial threat to individuals there are the costs of economic disruption, decontamination and treatment from such an event. The economic costs of the
2001 anthrax attacks The 2001 anthrax attacks, also known as Amerithrax (a portmanteau of "America" and " anthrax", from its FBI case name), occurred in the United States over the course of several weeks beginning on September 18, 2001, one week after the September ...
resulted in over 100 million dollars being spent to decontaminate postal plants. The contamination is thought to have been less than 1 gram of anthrax spores in the facilities. The cost to decontaminate the
Hart Senate Office Building The Philip A. Hart Senate Office Building is the third U.S. Senate office building, and is located on 2nd Street NE between Constitution Avenue NE and C Street NE in Washington, D.C., in the United States. Construction began in January 1975, ...
after the
2001 anthrax attacks The 2001 anthrax attacks, also known as Amerithrax (a portmanteau of "America" and " anthrax", from its FBI case name), occurred in the United States over the course of several weeks beginning on September 18, 2001, one week after the September ...
cost approximately 23 million dollars, with approximately 2 grams of anthrax spores present.


Containment treatment and avoidance

Detection of airborne anthrax requires 24–48 hours. Rapid detection in the atmosphere is not yet technologically effective. The system put in place on 22 January 2003 to assist in detecting an airborne anthrax attack by the United States is the U.S. Bio-watch Surveillance Network, which is able to detect airborne anthrax within 24–48 hours, however with some
false positives and false negatives A false positive is an error in binary classification in which a test result incorrectly indicates the presence of a condition (such as a disease when the disease is not present), while a false negative is the opposite error, where the test resul ...
, leading to severe lag in detection and critical time lost for prevention and treatment. Vaccination to anthrax is available, requiring 6 shots over an 18-month period and annual
booster shots A booster dose is an extra administration of a vaccine after an earlier (primer) dose. After initial immunization, a booster provides a re-exposure to the immunizing antigen. It is intended to increase immunity against that antigen back to protec ...
for full immunity. Vaccination of military personnel and first responders is vital to sustain a post attack response. The complete vaccination of an entire population can be achieved over a period of years, resulting in the reduction of risk from anthrax comparable to the reduction of risk of nuclear weapons by anti-ballistic missile systems. Once exposure occurs and before the fulminant stage, antibiotic treatment of
ciprofloxacin Ciprofloxacin is a fluoroquinolone antibiotic used to treat a number of bacterial infections. This includes bone and joint infections, intra abdominal infections, certain types of infectious diarrhea, respiratory tract infections, skin infec ...
400 mg or doxycycline 100 mg intravenously twice daily as well as two other antibiotics (
clindamycin Clindamycin is an antibiotic medication used for the treatment of a number of bacterial infections, including osteomyelitis (bone) or joint infections, pelvic inflammatory disease, strep throat, pneumonia, acute otitis media (middle ear infe ...
,
vancomycin Vancomycin is a glycopeptide antibiotic medication used to treat a number of bacterial infections. It is recommended intravenously as a treatment for complicated skin infections, bloodstream infections, endocarditis, bone and joint infection ...
,
imipenem Imipenem (trade name Primaxin among others) is an intravenous β-lactam antibiotic discovered by Merck scientists Burton Christensen, William Leanza, and Kenneth Wildonger in the mid-1970s. Carbapenems are highly resistant to the β-lactamase en ...
,
meropenem Meropenem, sold under the brand name Merrem among others, is an intravenous β-lactam antibiotic used to treat a variety of bacterial infections. Some of these include meningitis, intra-abdominal infection, pneumonia, sepsis, and anthrax. C ...
,
chloramphenicol Chloramphenicol is an antibiotic An antibiotic is a type of antimicrobial substance active against bacteria. It is the most important type of antibacterial agent for fighting pathogenic bacteria, bacterial infections, and antibiotic medica ...
,
penicillin Penicillins (P, PCN or PEN) are a group of β-lactam antibiotics originally obtained from ''Penicillium'' moulds, principally '' P. chrysogenum'' and '' P. rubens''. Most penicillins in clinical use are synthesised by P. chrysogenum using ...
,
rifampicin Rifampicin, also known as rifampin, is an ansamycin antibiotic used to treat several types of bacterial infections, including tuberculosis (TB), ''Mycobacterium avium'' complex, leprosy, and Legionnaires’ disease. It is almost always used ...
,
clarithromycin Clarithromycin, sold under the brand name Biaxin among others, is an antibiotic used to treat various bacterial infections. This includes strep throat, pneumonia, skin infections, '' H. pylori'' infection, and Lyme disease, among others. Clar ...
) and close clinical observation for a 60-100 day period is recommended.


Methods of dispersal


Aerial

The passive dispersal of anthrax spores aerially has occurred from rooftops (
Aum Shinrikyo , formerly , is a Japanese doomsday cult founded by Shoko Asahara in 1987. It carried out the deadly Tokyo subway sarin attack in 1995 and was found to have been responsible for the Matsumoto sarin attack the previous year. The group says ...
), from aircraft ( Operation Cherry Blossoms at Night) or potentially, as suggested in 2002, by United States' President George W. Bush, "a small container and one terrorist"


Missile

An
intercontinental ballistic missile An intercontinental ballistic missile (ICBM) is a ballistic missile with a range greater than , primarily designed for nuclear weapons delivery (delivering one or more thermonuclear warheads). Conventional, chemical, and biological weapons ...
warhead containing anthrax may be able to effectively disperse anthrax spores. North Korea is believed to be conducting tests on anthrax filled warheads which may be deployed on Hwasong-15 missiles, which could be used to contaminate areas, such as military bases, in a time of war for periods of months. The concerns of reentry temperatures and pressure of the anthrax filled warhead are able to be overcome by thermal insulation of the payload.


Bomb

Similar to a warhead, an anthrax filled bomb, such as the
E61 Anthrax Bomblet The E61 anthrax bomblet was an American biological sub-munition for the E133 cluster bomb. This anti-personnel weapon was developed in the early 1950s and carried 35 milliliters of anthrax spores or another pathogen. History Around October 1953 th ...
or other N-bomb
cluster munition A cluster munition is a form of air-dropped or ground-launched explosive weapon that releases or ejects smaller submunitions. Commonly, this is a cluster bomb that ejects explosive bomblets that are designed to kill personnel and destroy vehic ...
filled with anthrax spores could allow an area to be contaminated for months, or decades. In the case of Gruinard Island testing N-bomb cluster munition containing anthrax spores contaminated the island from 1942 until a decontamination effort in 1986.


Livestock

Anthrax spores are not only able to be used as a weapon to directly infect humans. They are also able to target
livestock Livestock are the domesticated animals raised in an agricultural setting to provide labor and produce diversified products for consumption such as meat, eggs, milk, fur, leather, and wool. The term is sometimes used to refer solely to anima ...
, which may lead to transmission of anthrax between both animals and humans. This method may use another mechanism to infect livestock, where inevitably the livestock become a mechanism to disperse anthrax themselves and also result in the loss of the livestock. However, it can also be achieved with direct feeding, such as the "cattle cakes" containing anthrax spores, which were kept on hand by the
Royal Air Force The Royal Air Force (RAF) is the United Kingdom's air and space force. It was formed towards the end of the First World War on 1 April 1918, becoming the first independent air force in the world, by regrouping the Royal Flying Corps (RFC) an ...
for aerial dispersal during the
second World War World War II or the Second World War, often abbreviated as WWII or WW2, was a world war that lasted from 1939 to 1945. It involved the World War II by country, vast majority of the world's countries—including all of the great power ...
. This was to be used in retaliation to any biological warfare by
Nazi Germany Nazi Germany (lit. "National Socialist State"), ' (lit. "Nazi State") for short; also ' (lit. "National Socialist Germany") (officially known as the German Reich from 1933 until 1943, and the Greater German Reich from 1943 to 1945) was ...
.


1978–1984 Rhodesian anthrax epidemic

The largest anthrax epidemic in the last 200 years occurred in
Rhodesia Rhodesia (, ), officially from 1970 the Republic of Rhodesia, was an unrecognised state in Southern Africa from 1965 to 1979, equivalent in territory to modern Zimbabwe. Rhodesia was the ''de facto'' Succession of states, successor state to th ...
(now
Zimbabwe Zimbabwe (), officially the Republic of Zimbabwe, is a landlocked country located in Southeast Africa, between the Zambezi and Limpopo Rivers, bordered by South Africa to the south, Botswana to the south-west, Zambia to the north, and Mozam ...
) in the 1980s, where there may be evidence of deliberate anthrax releases by Rhodesian and South African forces, and is the progenitor of South Africa's biological weapons program (
Project Coast Project Coast was a 1980s top-secret chemical and biological weapons (CBW) program instituted by the apartheid-era government of South Africa. Project Coast was the successor to a limited postwar CBW program, which mainly produced the lethal agen ...
). This epidemic is responsible for cattle and 200 human fatalities.


History of diplomacy


1925 Geneva Protocol

As a response to the biological and chemical atrocities of the
First World War World War I (28 July 1914 11 November 1918), often abbreviated as WWI, was one of the deadliest global conflicts in history. Belligerents included much of Europe, the Russian Empire, the United States, and the Ottoman Empire, with fig ...
, the
Geneva Protocol The Protocol for the Prohibition of the Use in War of Asphyxiating, Poisonous or other Gases, and of Bacteriological Methods of Warfare, usually called the Geneva Protocol, is a treaty prohibiting the use of chemical and biological weapons in ...
was created. This prevented "Asphyxiating, Poisonous, or other Gasses or Bacteriological Methods of Warfare" being used. However this treaty did not prohibit the production or the research of biological agents, and inevitably amendments were made to allow the use of biological weapons in retaliation.


1969 Nixon terminates United States biological weapons program

An executive order by United States president Richard Nixon in 1969 terminated the United States' biological weapons program. This led to the destruction of the biological weapons arsenal and the termination of research and production of biological weapons. This change lead to increased resources for the research and creation of methods such as "vaccines, treatments and diagnostic tests", to defend against biological weapons.


1972–1975 Biological Weapons Convention

The
Biological Weapons Convention The Biological Weapons Convention (BWC), or Biological and Toxin Weapons Convention (BTWC), is a disarmament treaty that effectively bans biological and toxin weapons by prohibiting their development, production, acquisition, transfer, stockpil ...
is a treaty that prohibits the "Development, Production and Stockpiling of Biological and Toxin Weapons" and the destruction of those which were already in existence, including anthrax. This treaty was created based on proposals by Great Britain and the
Warsaw Pact The Warsaw Pact (WP) or Treaty of Warsaw, formally the Treaty of Friendship, Cooperation and Mutual Assistance, was a collective defense treaty signed in Warsaw, Poland, between the Soviet Union and seven other Eastern Bloc socialist republi ...
nations, where it was ratified in April 1972 and went into force in 1975. Over 100 nations signed the treaty, including the Soviet Union, the United Kingdom, the United States of America, Brazil and Iraq.


History of use and development


1914–1918 First use as an act of aggression

During the
first World War World War I (28 July 1914 11 November 1918), often abbreviated as WWI, was one of the deadliest global conflicts in history. Belligerents included much of Europe, the Russian Empire, the United States, and the Ottoman Empire, with fig ...
, evidence suggests that the German army used anthrax to infect the livestock of Allied Nations, resulting in the death of many livestock intended for trade between allied forces.


1932–1945 Japanese testing and attacks

In 1932 Japan tested anthrax as a weapon by infecting prisoners held in
Manchuria Manchuria is an exonym (derived from the endo demonym "Manchu") for a historical and geographic region in Northeast Asia encompassing the entirety of present-day Northeast China (Inner Manchuria) and parts of the Russian Far East ( Outer ...
as a part of Japan's biological weapons program " Operation Cherry Blossoms at Night". During this program the Japanese used aircraft to attack at least 11 Chinese cities by spraying homes directly with anthrax.


1942 International biological weapons Programs

As a response to possible attacks from Germany, the United States, Great Britain and Canada started biological weapons programs. Experimentation of these bombs occurred in Mississippi, Utah and
Gruinard Island Gruinard Island ( ; gd, Eilean Ghruinneard) is a small, oval-shaped Scottish island approximately long by wide, located in Gruinard Bay, about halfway between Gairloch and Ullapool. At its closest point to the mainland, it is about offsho ...
in Scotland.


Gruinard Island

In 1942 and 1943 n-bomb cluster munition, containing anthrax spores were detonated over
Gruinard Island Gruinard Island ( ; gd, Eilean Ghruinneard) is a small, oval-shaped Scottish island approximately long by wide, located in Gruinard Bay, about halfway between Gairloch and Ullapool. At its closest point to the mainland, it is about offsho ...
, as a joint research program between the United States, Canada and Great Britain. 80 sheep were placed on the island prior to the dispersal of aerosol anthrax; all of them died. More interest in Gruinard Island came in the early 1980s when a survey discovered that there was still anthrax contamination in the environment, showing the long term effects of anthrax use as a biological weapons. In 1986 Great Britain decontaminated the island with a mixture of
formaldehyde Formaldehyde ( , ) ( systematic name methanal) is a naturally occurring organic compound with the formula and structure . The pure compound is a pungent, colourless gas that polymerises spontaneously into paraformaldehyde (refer to section ...
and seawater, and was passed as safe by a group of scientists led by the secretary of the
Agricultural and Food Research Council The Agricultural and Food Research Council (AFRC) was a British Research Council responsible for funding and managing scientific and technological developments in farming and horticulture. History The AFRC was formed in 1983 from its predecessor, ...
in 1988 after 40 sheep were raised on the island for several months without symptoms of anthrax infection.


1950 United States biological weapons program expansion

Programs were expanded during the
Korean War {{Infobox military conflict , conflict = Korean War , partof = the Cold War and the Korean conflict , image = Korean War Montage 2.png , image_size = 300px , caption = Clockwise from top: ...
in order to protect US troops against biological agents, where a program was added for the development of vaccines and other treatments.


1979 Accidental outbreak in Sverdlovsk USSR

In April and May 1979 in the city of Sverdlovsk (population of 1.2 million), an anthrax outbreak was reported. 96 cases of anthrax infection were reported where 79 were gastrointestinal anthrax and 17 were cutaneous, of these cases 64 out of the 96 infected people died in a period of weeks. Soviet reports in 1979 denied the manufacture of biological weapons and reported that the anthrax outbreak originated from livestock, but in 1992 it was confirmed by the president of Russia,
Boris Yeltsin Boris Nikolayevich Yeltsin ( rus, Борис Николаевич Ельцин, p=bɐˈrʲis nʲɪkɐˈla(j)ɪvʲɪtɕ ˈjelʲtsɨn, a=Ru-Boris Nikolayevich Yeltsin.ogg; 1 February 1931 – 23 April 2007) was a Soviet and Russian politician wh ...
, that the outbreak originated from a Soviet military microbiological facility within 4 kilometers of the city, and occurred from improper installation of air filters at the facility.


1993 Aum Shinrikyo unsuccessful attempt in Tokyo

1993 the
Aum Shinrikyo , formerly , is a Japanese doomsday cult founded by Shoko Asahara in 1987. It carried out the deadly Tokyo subway sarin attack in 1995 and was found to have been responsible for the Matsumoto sarin attack the previous year. The group says ...
cult released anthrax spores from the roof of an eight-story building in downtown Tokyo. Upon investigation, the spores used were from the 'Sterne strain' of anthrax, which is an attenuated bacterium that is used to vaccinate animals.


1995 Iraq biological weapons program

In 1995 UNSCOM inspectors discovered that Iraq had a biological warfare program, despite an agreement ending the
Gulf War The Gulf War was a 1990–1991 armed campaign waged by a Coalition of the Gulf War, 35-country military coalition in response to the Iraqi invasion of Kuwait. Spearheaded by the United States, the coalition's efforts against Ba'athist Iraq, ...
in 1991, that all programs involving weapons of mass destruction are accounted for and ended. In July 1995 documents were confirmed by defectors who ran Iraq's biological warfare program; that the biological weapons program produced a large variety of biological weapons, including anthrax, which was able to be delivered by missiles, bombs and aerosols. It was also discovered that there was an arsenal of these weapons in 1991.


2001 Anthrax letters

After the
attacks of September 11 The September 11 attacks, commonly known as 9/11, were four coordinated suicide terrorist attacks carried out by al-Qaeda against the United States on Tuesday, September 11, 2001. That morning, nineteen terrorists hijacked four commercial ...
on the United States, letters were delivered to two U.S. Senators' offices and several media agencies containing a powdered form of anthrax. The process of delivering these letters led to the postal facilities and buildings that they passed through being contaminated. The powdered anthrax was able to disperse into the air without being detected and eventually inhaled. 43 people tested positive to anthrax exposure and 22 cases of anthrax illness were diagnosed, where 11 were inhalation anthrax and 11 were cutaneous anthrax. Five people from this group died.


See also

*
Smallpox Smallpox was an infectious disease caused by variola virus (often called smallpox virus) which belongs to the genus Orthopoxvirus. The last naturally occurring case was diagnosed in October 1977, and the World Health Organization (WHO) ce ...
*
Plague Plague or The Plague may refer to: Agriculture, fauna, and medicine *Plague (disease), a disease caused by ''Yersinia pestis'' * An epidemic of infectious disease (medical or agricultural) * A pandemic caused by such a disease * A swarm of pes ...
*
Botulism Botulism is a rare and potentially fatal illness caused by a toxin produced by the bacterium '' Clostridium botulinum''. The disease begins with weakness, blurred vision, feeling tired, and trouble speaking. This may then be followed by weakn ...
*
Viral hemorrhagic fever Viral hemorrhagic fevers (VHFs) are a diverse group of animal and human illnesses in which fever and hemorrhage are caused by a viral infection. VHFs may be caused by five distinct families of RNA viruses: the families ''Filoviridae'', ''Flavi ...


References

{{U.S. biological weapons Anthrax Bioterrorism