Is it S trategic D efense I nitiative ( SDI ) – "Star War» ?

1. Is it Strategic Defense Initiative (SDI) – "Star War» ? No it is New Epi- demiological World- wide Strategic De- fense Initiative - (NEWSDI)

2. Indeed noone, even most highly developed country can not be safeguarded against spreading of epidemic through its broads, from the country that was choosen by bioterrorist as a target of their attack. So we must create this system as quicly as it possible, accoirding Churchill’s words:

3. «If you are going through hell, keep going». Sir Winston Churchill

4. The distinctive feature of such system will be joining in technological gear software that allows the different dynamic and optimization tasks solution and joining the scientists in the common networks :

5. 1. Elaboration of Special Supercources for Increasing the Efficacy of Medical Education, That Take into Account the Epidemiological Challenges of Our Time (Training in Areas of Medicine, Public Health and Prevention) [8,9].

6. To facilitate the rapid identification of a bioterrorist attack, all healthcare providers and public health personnel should have basic epidemiological skill and knowledge of what to expect in such a setting.

7. It refers not only to personnel of epide-miological service, but also the emergency room personnel who first detect a problem, the pharmacists and hospital laboratories staff (scientists and public health workers). The early detection and timely notification about bioterrorist attack depends on qualification of the specialists mentioned above.

8. 2.Monitoring of Epidemiological Situationfor Timely Identification of Bioterrorist Attacks and Prevention of Epidemics at Early Stage of Its Development.

9. A small outbreak of illness could be an early warring of a more serious attack. Recognition and prompt institution of preventive measures (such as effective vaccines and antibiotics) could weaken the negative consequences of bioterrorist act.

10. 3.The Ranking of Different World Regions on the Degree of Bioterrorist Threat and Damage After Potential Bioterrorist Attacks.

11. It allows early recognition of risks and identification and ranking of critical factors, which determine rare events. It also allows identify the weakest link under various scenarios of bioterrorist attacks and redistribute means for help to national services responsible for bioterrorist attacks prevention and liquidation of their consequences.

12. 4. Elaboration of Technology for Differential Diagnosis of Epidemics.

13. Such systems allow to: a) determine the epidemic curves and compare with curves-examples during previous years to determine if the rate constitutes a deviation from the norm and differentiate between a natural outbreak and intentional attack;

14. b) calculate possible incubation period, that also is one of the main factors, that may increase the efficacy of differential diagnosis of epidemic characters; c) rank risks of intentional attack on the basis of data about illness rate, source of the outbreak (point source or not), unusual features (for transmission season, multiple simultaneous epidemics of different diseases etc).

15. 5. Determination of Bioteroririst attack Risk Dynamics Risk is determined as the function of dynamic vari-ables that characterize so-cial, political and econo-mical processes the state of epidemic control system and health care in whole.

16. It allows calculating the optimal controls, minimizing the effects of terrorist acts on civilian population. It includes the optimal means redistribution to increase the efficacy of bioterrarist acts prevention activities and elaboration of the recommendations for their consequence liquidation.

17. 6. Elaboration of Effective Measures to Prevention and Liquidation of Terrorist Acts Consequences under Various Their Scenarios

18. Estimation of efficacy should be calcu-lated on the basis of medicobiological, social and economical criteria. It should also be take into account cost/benefit analysis and other indices that characterize the states of ecology economics, health-care and social tension.

19. 7. Elaboration of Recommendations for International Law Unification to Increase the Efficacy of Struggle with Bioterrorist Threat and Minimizing the effects of Terrorist Acts on Civilian Population.

20. It is necessary the joint efforts of all nations for such program elaboration. Now we have the propitious moment for this program, as the tragedy in USA shown the reality of bioterrorist threat to all world – to USA, to Russia, to Europe Community, to Developed countries. It is well known, that ...

21. «The only thing necessary for the triumph of evil is for good men to do nothing». Edmund Burke

22. CONCLUSION Possible Applications of Advanced Biotechnologies for Terrorism and Criminality have increased It is neccasary the early recognition of the risks of rare events It is neccasary the integral assessing the threat of bioterrorism

23. Сombined utilization of modern telecommunication technologies and biological weapon leads to a strong multiple effect It is neccasary to create the Global System of Epidemiological Defense

24. This lecture is based on 1. Meltzer M.I et al Modeling Potential Responses to Smallpox as a Bioterrorist Weapon // Emergind infectious diseases. –2001.- ,Vol 7.-N.6.- P. 959 – 969. 2. Henderson D.A. Bioterrorism as a Public Health Threat // /vol14 no3 /hendersn.htm 3 .National Center for Infectious Diseases (NCID) 4.Bioterrorism: How Prepared Are We? 5.Pavlin J.A. Epidemiology of bioterrorism

25. 6. Zilinskas R.A. Iraq’s biological weapons: The past as future? // J. Am.Med.Ass.- 1977.-V. 278.-P. 418-424 7. LaPorte R.Terror inAmerica 8. LaPorte R., Sayer F., Gamboa C. et al.Terrorism: the epidemiology of fear.Part1Supercourse: The epidemiology, -Internet and Global Health. 9. LaPorte R., Sayer F., Gamboa C. et al.Terrorism: the epidemiology of fear. Part 2. Supercourse: The epidemiology, -Internet and Global Health.