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Terrorism: the Epidemiology of Fear. R onald LaPorte, PhD., F ranc ois Sauer, M.D., C arl os Gamboa, M.D., T on y Villasenor, BS, R a nia Saad, MD., and E ugene Shubnikov, M.D. Shock Disbelief Depression Anger Fear Helplessness. Where did our children and
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Terrorism: the Epidemiology of Fear RonaldLaPorte, PhD., FrancoisSauer, M.D., CarlosGamboa, M.D., TonyVillasenor, BS, RaniaSaad, MD., and EugeneShubnikov, M.D.
Shock Disbelief Depression Anger Fear Helplessness
Where did our children and community receive Terrorism Information Sept. 11-20
Global Health Network Sept. 1, 2001 Towards an Internet Civil Defence against Bioterrorism Lancet
Sept 10 Rules of Engagement
Approaches to Homeland DefenseSept. 10 • Sensors • Better Laboratories • Public Health Surveillance • Data Mining Surveillance
Approaches to Homeland DefenseNow • Sensors • Better Laboratories • Public Health Surveillance • Data Mining Surveillance
Sensors Better Laboratories Public Health Surveillance Data Mining Surveillance Anatomy of a Terrorist Attack Maximum 1-2 day Improvement Preparation 5 years Execution 1 day Diagnosed case 3 days First Death Multiple deaths
Approaches to Homeland DefenseNow “A universal theme of the revolutionaries is that America spends entirely too much money buying slightly better versions of weapons it already has, at the expense of serious improvement” NYTimes, 3/10/02 Can these systems transform homeland defense?
Weapons of Mass Destruction Sensors Better Laboratories Public Health Surveillance Data Mining Surveillance
Using Sept. 10 technology Maximum Improvement, 1-2 days Risk Reduction = <5% Can these systems transform homeland defense?
Bioterrorism is not an Emerging Disease Who is Mr. H?
“Putting the horror in the minds of the audience, and not necessarily on the screen” “…warfare seeks to conquer territories and capture cities; terrorism seeks to hurt a few people and to scare a lot of people in order to make a point” NYTimes, 1/6/2000 Click on Horror
Hitchcock’s mission in life: “to simply scare the hell out of people”
Old PH view of Bioterrorism Pathogen = Infectious Agent Damage = Morbidity and Mortality Model = Emerging Disease Epidemiology New PH view of Bioterrorism Pathogen = Hate Damage = Fear Model = Epidemiology of Fear and Hate
I- New Models • Internet Civil Defense • CSI epidemiologists • Educational Deterrent against terrorism