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TERRORISM PREPAREDNESS
AND RESPONSE
PRESENTED BY: STEVE MBUGUA
DIR, Makinika Afrika Intl
Steve Mbugua TM,DS,SJA 1
What is it?
Where does it come from?
Why is it used?
How can we prevent it?
What do we fear about Terrorism?
Steve Mbugua TM,DS,SJA 2
FALLOUT SHELTER
Steve Mbugua TM,DS,SJA 3
Terrorism
 Is an unlawful act of violence
 Intimidates governments or societies
 Goal is to achieve political, religious or
ideological objectives
Steve Mbugua TM,DS,SJA 4
“…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
“Putting the horror in the minds of the
audience, and not necessarily on the screen”
Steve Mbugua TM,DS,SJA 5
Steve Mbugua TM,DS,SJA 6
Steve Mbugua TM,DS,SJA 7
Fear always springs from ignorance.
Emerson, 1837
Steve Mbugua TM,DS,SJA 8
http://www.west.asu.edu/itweb/services/classroom.gifSteve Mbugua TM,DS,SJA 9
Early History of Terrorism
 Terror has been used to achieve political ends
and has a long history
 As early as 66 – 72 A.D. Resistance to Roman
occupation, terrorists killed Roman soldiers and
destroyed Roman property.
 Terror was used to resist occupation.
Steve Mbugua TM,DS,SJA 10
Early History of Terrorism
 Suicidal martyrdom represented being killed
by invaders which resulted in rewards in
heaven. It dates back thousands of years in
most societies and religions.
 Terrorism against the enemy is often viewed
as a religious act.
Steve Mbugua TM,DS,SJA 11
Modern History of Terrorism
 The term “terrorism” was coined in the French
Revolution’s Reign of Terror (1793 – 1794). .
 This was the birth of Government-Sponsored
Terrorism
 The line between terrorism and political violence
is often blurred
 Goal: of State terrorism was to eliminate
opposition, consolidate power, e.g., the Vanished
in Argentina
Steve Mbugua TM,DS,SJA 12
Modern History of Terrorism
 Anarchists were seen in the late 19th
century
 Individual terrorism
 The use of selective terror against an
individual in order to bring down a
government, e.g. Lincoln assassination
 Propaganda by deeds …terrorists acts
 Terrorism became tool of communication,
propaganda
Steve Mbugua TM,DS,SJA 13
Modern History of Terrorism:
 Middle 20th
century, terrorism became a tool
used by both sides of colonial conflicts.
 The last 20 years of of the 20th
century
religious based terrorism became more and
more frequent.
 Another format is economic terrorism, which
destructs industry and agriculture system.
Steve Mbugua TM,DS,SJA 14
Modern History of Terrorism
 Terrorism is Asymmetric Warfare.
 Asymmetric warfare is the use of apparently
random/unpredictable violence by an weak
military against a stronger military to gain
advantage. (Allen, 1997).
 The key of Asymmetric warfare is using
unexpected, unconventional tactics in combat
(Craig, 1998).
Steve Mbugua TM,DS,SJA 15
Terrorism conclusions
 Terrorism is an ancient tactic.
 Terrorism is a mode of communication.
 Terrorism is a special type of violence and
Asymmetrical warfare.
 Terrorism is used in times of peace, conflicts and
war.
 Terrorism is designed to make a point, through
psychological means, fear.
 Terrorism is a political act.
Steve Mbugua TM,DS,SJA 16
Anatomy of a Bioterrorist Attack
Preparation
5 years
Execution 1 day
Diagnosed case 3 days
First Death
Multiple deaths
Terrorism takes much
Time and planning
Steve Mbugua TM,DS,SJA 17
Property of Terrorism
 Terrorism is different from regular crime
because of its strong political properties
 The definition of terrorism can vary from
people to people due to the differences in
standpoint
 One person’s terrorist can be another’s
fighter
Steve Mbugua TM,DS,SJA 18
Prevention of Terrorism
 Primary prevention:
 Education!!!
 Understand the differences in cultures,
religions, beliefs and human behaviors
 Think of the peace, freedom and equality of all
human beings, not just “my group of people”
 Eliminate the root of terrorism
Steve Mbugua TM,DS,SJA 19
Prevention of Terrorism
 Secondary prevention:
 Establish surveillance and monitoring system
on terrorism attack
 Improve protective system for citizens
Steve Mbugua TM,DS,SJA 20
Prevention of Terrorism
 Tertiary prevention
 Early detection of the sources
 Prevent the extension of impairments
 Rescue the survivors
 Console the rest of the population
Steve Mbugua TM,DS,SJA 21
Types of Terrorism
 Domestic terrorism involves groups whose
terrorist activities are directed at elements of
our government without foreign involvement.
Oklahoma City is a primary example.
 International terrorism involves groups
whose terrorist activities are foreign-based
and/or directed by countries or groups
outside the United States. Sept. 11 is an
example of International Terrorism.
the Center for National Security StudiesSteve Mbugua TM,DS,SJA 22
Methods of Terrorism
 Firearms
 Explosive and Incendiary Devices
 Chemical Agents
 Biological Agents
 Nuclear Weapon
Steve Mbugua TM,DS,SJA 23
From Emergency Net NEWS Archives, 1994
Document Courtesy of the U.S. Postal Inspector's Office
Suspicious Thing to Look for
Steve Mbugua TM,DS,SJA 24
Chemical Agents
 Chemical agents kill or incapacitate people,
destroy livestock or ravage crops
 Some agents are odorless and tasteless
 They can have an immediate or a delayed
effect
Steve Mbugua TM,DS,SJA 25
Example of Chemical Terrorism
 Sarin nerve agent attacked the Tokyo
subway system in March 20, 1995
 12 people were killed and 53 were
seriously injured
Steve Mbugua TM,DS,SJA 26
Steve Mbugua TM,DS,SJA 27
Biological terrorism
 Dispersal of microbes or their toxins to
produce illness, death and terror
 The paths of infection can be contaminated
water, food, air and packages.
 Microbes
 Bacteria
 Viruses
 Toxins
Steve Mbugua TM,DS,SJA 28
Is this something new?
 14th Century – Kaffa
 City on Crimean Peninsula
 Hurled plague infested corpses over walls
of city to infest it
Steve Mbugua TM,DS,SJA 29
Is this something new?
 18th
Century French and Indian War
 British Officers gave blankets from smallpox
victims to Indians aligned with French
 Caused an epidemic in tribes
 Effective means of incapacitating group
Motives for bioterrorism
Incident Motive
Polish resistance Resistance against foreign occupation
Mau Mau Resistance against colonialism
Dark Harvest Send a political message
Rajneeshes Win a local election by incapacitating the
non-Rajneeshee voters
AUM Shrinkyo Seize control of Japan through mass
murder, causing fear and apprehension
Dr.Suzuki Revenge for unfair treatment he received
at the medical training
Anthrax(USA) Inculcate fear
Steve Mbugua TM,DS,SJA 30
Responses to Bioterrorism
 Early detection of active and potential cases
 Emergency measures to save lives
 Prevention and management of secondary
contamination
Steve Mbugua TM,DS,SJA 31
Nuclear Terrorism
 Spreading of radioactive materials through
ventilation system or explosion
 Disable nuclear reactor cooling system and
cause leakage of radioactive materials
 Detonate a nuclear weapon
 No use of nuclear material for non-military
terrorism has ever occurred
Steve Mbugua TM,DS,SJA 32
Proportion of death from terrorism
in total death in the United States
Average
death per
year
From
terrorism
From all
causes
Proportion
(%)
1990’s 8 2534203 0.0003
2001 2893 2404624 0.12
Steve Mbugua TM,DS,SJA 33
Risk of Dying
Smoking 10 cigarettes a day One in 200
All natural causes age 40 One in 850
Road accident One in 8,000
Playing soccer One in 25,000
Homicide One in 100,000
Terrorism attack in 2001 One in 100,000
Hit by lightning One in 10,000,000
Terrorism attack in 1990’s One in 50,000,000
Steve Mbugua TM,DS,SJA 34
Death Rate of Various Causes in
The world and that from Terrorism
Heart disease* One in 400
Cancer * One in 500
Cerebrovascular diseases* One in 2,000
Accidents * One in 3,000
Diabetes* One in 4,000
Suicide* One in 10,000
Homicide* One in 20,000
Terrorism in 2001 One in 100,000
Terrorism in 1990’s One in 50,000,000
Steve Mbugua TM,DS,SJA 35
What occupation has had the greatest
risk of death from Terrorism?
Steve Mbugua TM,DS,SJA 36
Why did terrorism draw considerable
attention in 2001?
 The risk of dying from terrorism was extremely
low in 1990’s, and was still relatively low
compared with some diseases in 2001
 But the death rate increased by 500 times in
2001 due to Sept. 11
 Overall the death rate of terrorism has not been
high
 Despite the low risk, shock, surprise and fear
engulfed the United States and world
Steve Mbugua TM,DS,SJA 37
Conclusion
 Terrorism is unlawful act
 Terrorism has a long history of being used to
achieve political, religious and ideological
objectives
 Terrorism can be conducted through
firearms, explosive devices and biological,
chemical, nuclear materials
 Even through the events of 2001,the risk of
dying from terrorism has remained much
lower than that from motor vehicles, smoking,
and alcoholic beverage.
Steve Mbugua TM,DS,SJA 38
The only thing we
have to fear is
fear itself. FDR, 1933
Fears are educated into us & can,
if we wish, be educated out. — Karl A. Menninger
Steve Mbugua TM,DS,SJA 39
Be Alert! Be Aware! Be
Awake!
If you are not safety conscious, you may
become unconscious. Safety starts with
you/me/us!
Steve Mbugua TM,DS,SJA 40

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TERRORISM PREPAREDNESS AND RESPONSE

  • 1. TERRORISM PREPAREDNESS AND RESPONSE PRESENTED BY: STEVE MBUGUA DIR, Makinika Afrika Intl Steve Mbugua TM,DS,SJA 1
  • 2. What is it? Where does it come from? Why is it used? How can we prevent it? What do we fear about Terrorism? Steve Mbugua TM,DS,SJA 2
  • 4. Terrorism  Is an unlawful act of violence  Intimidates governments or societies  Goal is to achieve political, religious or ideological objectives Steve Mbugua TM,DS,SJA 4
  • 5. “…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 “Putting the horror in the minds of the audience, and not necessarily on the screen” Steve Mbugua TM,DS,SJA 5
  • 8. Fear always springs from ignorance. Emerson, 1837 Steve Mbugua TM,DS,SJA 8
  • 10. Early History of Terrorism  Terror has been used to achieve political ends and has a long history  As early as 66 – 72 A.D. Resistance to Roman occupation, terrorists killed Roman soldiers and destroyed Roman property.  Terror was used to resist occupation. Steve Mbugua TM,DS,SJA 10
  • 11. Early History of Terrorism  Suicidal martyrdom represented being killed by invaders which resulted in rewards in heaven. It dates back thousands of years in most societies and religions.  Terrorism against the enemy is often viewed as a religious act. Steve Mbugua TM,DS,SJA 11
  • 12. Modern History of Terrorism  The term “terrorism” was coined in the French Revolution’s Reign of Terror (1793 – 1794). .  This was the birth of Government-Sponsored Terrorism  The line between terrorism and political violence is often blurred  Goal: of State terrorism was to eliminate opposition, consolidate power, e.g., the Vanished in Argentina Steve Mbugua TM,DS,SJA 12
  • 13. Modern History of Terrorism  Anarchists were seen in the late 19th century  Individual terrorism  The use of selective terror against an individual in order to bring down a government, e.g. Lincoln assassination  Propaganda by deeds …terrorists acts  Terrorism became tool of communication, propaganda Steve Mbugua TM,DS,SJA 13
  • 14. Modern History of Terrorism:  Middle 20th century, terrorism became a tool used by both sides of colonial conflicts.  The last 20 years of of the 20th century religious based terrorism became more and more frequent.  Another format is economic terrorism, which destructs industry and agriculture system. Steve Mbugua TM,DS,SJA 14
  • 15. Modern History of Terrorism  Terrorism is Asymmetric Warfare.  Asymmetric warfare is the use of apparently random/unpredictable violence by an weak military against a stronger military to gain advantage. (Allen, 1997).  The key of Asymmetric warfare is using unexpected, unconventional tactics in combat (Craig, 1998). Steve Mbugua TM,DS,SJA 15
  • 16. Terrorism conclusions  Terrorism is an ancient tactic.  Terrorism is a mode of communication.  Terrorism is a special type of violence and Asymmetrical warfare.  Terrorism is used in times of peace, conflicts and war.  Terrorism is designed to make a point, through psychological means, fear.  Terrorism is a political act. Steve Mbugua TM,DS,SJA 16
  • 17. Anatomy of a Bioterrorist Attack Preparation 5 years Execution 1 day Diagnosed case 3 days First Death Multiple deaths Terrorism takes much Time and planning Steve Mbugua TM,DS,SJA 17
  • 18. Property of Terrorism  Terrorism is different from regular crime because of its strong political properties  The definition of terrorism can vary from people to people due to the differences in standpoint  One person’s terrorist can be another’s fighter Steve Mbugua TM,DS,SJA 18
  • 19. Prevention of Terrorism  Primary prevention:  Education!!!  Understand the differences in cultures, religions, beliefs and human behaviors  Think of the peace, freedom and equality of all human beings, not just “my group of people”  Eliminate the root of terrorism Steve Mbugua TM,DS,SJA 19
  • 20. Prevention of Terrorism  Secondary prevention:  Establish surveillance and monitoring system on terrorism attack  Improve protective system for citizens Steve Mbugua TM,DS,SJA 20
  • 21. Prevention of Terrorism  Tertiary prevention  Early detection of the sources  Prevent the extension of impairments  Rescue the survivors  Console the rest of the population Steve Mbugua TM,DS,SJA 21
  • 22. Types of Terrorism  Domestic terrorism involves groups whose terrorist activities are directed at elements of our government without foreign involvement. Oklahoma City is a primary example.  International terrorism involves groups whose terrorist activities are foreign-based and/or directed by countries or groups outside the United States. Sept. 11 is an example of International Terrorism. the Center for National Security StudiesSteve Mbugua TM,DS,SJA 22
  • 23. Methods of Terrorism  Firearms  Explosive and Incendiary Devices  Chemical Agents  Biological Agents  Nuclear Weapon Steve Mbugua TM,DS,SJA 23
  • 24. From Emergency Net NEWS Archives, 1994 Document Courtesy of the U.S. Postal Inspector's Office Suspicious Thing to Look for Steve Mbugua TM,DS,SJA 24
  • 25. Chemical Agents  Chemical agents kill or incapacitate people, destroy livestock or ravage crops  Some agents are odorless and tasteless  They can have an immediate or a delayed effect Steve Mbugua TM,DS,SJA 25
  • 26. Example of Chemical Terrorism  Sarin nerve agent attacked the Tokyo subway system in March 20, 1995  12 people were killed and 53 were seriously injured Steve Mbugua TM,DS,SJA 26
  • 27. Steve Mbugua TM,DS,SJA 27 Biological terrorism  Dispersal of microbes or their toxins to produce illness, death and terror  The paths of infection can be contaminated water, food, air and packages.  Microbes  Bacteria  Viruses  Toxins
  • 28. Steve Mbugua TM,DS,SJA 28 Is this something new?  14th Century – Kaffa  City on Crimean Peninsula  Hurled plague infested corpses over walls of city to infest it
  • 29. Steve Mbugua TM,DS,SJA 29 Is this something new?  18th Century French and Indian War  British Officers gave blankets from smallpox victims to Indians aligned with French  Caused an epidemic in tribes  Effective means of incapacitating group
  • 30. Motives for bioterrorism Incident Motive Polish resistance Resistance against foreign occupation Mau Mau Resistance against colonialism Dark Harvest Send a political message Rajneeshes Win a local election by incapacitating the non-Rajneeshee voters AUM Shrinkyo Seize control of Japan through mass murder, causing fear and apprehension Dr.Suzuki Revenge for unfair treatment he received at the medical training Anthrax(USA) Inculcate fear Steve Mbugua TM,DS,SJA 30
  • 31. Responses to Bioterrorism  Early detection of active and potential cases  Emergency measures to save lives  Prevention and management of secondary contamination Steve Mbugua TM,DS,SJA 31
  • 32. Nuclear Terrorism  Spreading of radioactive materials through ventilation system or explosion  Disable nuclear reactor cooling system and cause leakage of radioactive materials  Detonate a nuclear weapon  No use of nuclear material for non-military terrorism has ever occurred Steve Mbugua TM,DS,SJA 32
  • 33. Proportion of death from terrorism in total death in the United States Average death per year From terrorism From all causes Proportion (%) 1990’s 8 2534203 0.0003 2001 2893 2404624 0.12 Steve Mbugua TM,DS,SJA 33
  • 34. Risk of Dying Smoking 10 cigarettes a day One in 200 All natural causes age 40 One in 850 Road accident One in 8,000 Playing soccer One in 25,000 Homicide One in 100,000 Terrorism attack in 2001 One in 100,000 Hit by lightning One in 10,000,000 Terrorism attack in 1990’s One in 50,000,000 Steve Mbugua TM,DS,SJA 34
  • 35. Death Rate of Various Causes in The world and that from Terrorism Heart disease* One in 400 Cancer * One in 500 Cerebrovascular diseases* One in 2,000 Accidents * One in 3,000 Diabetes* One in 4,000 Suicide* One in 10,000 Homicide* One in 20,000 Terrorism in 2001 One in 100,000 Terrorism in 1990’s One in 50,000,000 Steve Mbugua TM,DS,SJA 35
  • 36. What occupation has had the greatest risk of death from Terrorism? Steve Mbugua TM,DS,SJA 36
  • 37. Why did terrorism draw considerable attention in 2001?  The risk of dying from terrorism was extremely low in 1990’s, and was still relatively low compared with some diseases in 2001  But the death rate increased by 500 times in 2001 due to Sept. 11  Overall the death rate of terrorism has not been high  Despite the low risk, shock, surprise and fear engulfed the United States and world Steve Mbugua TM,DS,SJA 37
  • 38. Conclusion  Terrorism is unlawful act  Terrorism has a long history of being used to achieve political, religious and ideological objectives  Terrorism can be conducted through firearms, explosive devices and biological, chemical, nuclear materials  Even through the events of 2001,the risk of dying from terrorism has remained much lower than that from motor vehicles, smoking, and alcoholic beverage. Steve Mbugua TM,DS,SJA 38
  • 39. The only thing we have to fear is fear itself. FDR, 1933 Fears are educated into us & can, if we wish, be educated out. — Karl A. Menninger Steve Mbugua TM,DS,SJA 39
  • 40. Be Alert! Be Aware! Be Awake! If you are not safety conscious, you may become unconscious. Safety starts with you/me/us! Steve Mbugua TM,DS,SJA 40

Editor's Notes

  1. The objective of this lecture is to present some scientific facts about terrorism, so that teachers can educate the next generation, to understand terrorism and help to prevent terrorism. This is a template lecture for teachers. Please feel free to add or take out any slides. For example, you might want to include information about terrorism in your country, rather than the examples used in this lecture. The lecture is designed to be apolitical. The objectives are to 1) provide information to students about terrorism in general, 2) to show that terrorism has had a long history, 3) to demonstrate that terrorism has taken place in all areas of the world and 4 to demonstrate that terrorism although scaring many people is very rare. We must be concerned about terrorism, however, we cannot be paralyzed due to fear.
  2. We have all seen pictures of terrorism during the past year since Sept. 11. This has frightened all of us, and lead to major changes in our society. The Homeland of the United States has been invaded, and we want to feel safe again. Terrorism has taken place in many other regions across the world. This is a lecture for Sept. 11, it overviews what we know about terrorism. Little girl image: http://www.corona.bell.k12.ca.us/teach/swa/girl.gif Plane image: http://www.ehr.nsf.gov/ehr/ehr/science_home/images/plane.gif
  3. Terrorism is a political act designed by groups to have their message heard. Arthur H. Garrison, How the World Changed: a History of the Development of Terrorism, presented at Delaware criminal Justice Council Annual Retreat, Oct 28-29, 2001 http://www.state.de.us/cjc/history.ppt
  4. Often we talk about terrorism, without really defining it. Terrorism is not warfare, the goals are different. Terrorists want to seed a political message into our minds, murder, and violence are secondary. Hitchcock is a perfect spokesperson for terrorism as he is the master of terrorism. Terrorist make us afraid, which makes them heard.
  5. On Sept. 11 the Twin Towers received a body blow by a terrorist. Please close your eyes and think about what you felt. Where were you? What type of emotions swept over you? Were your afraid? Most people were.
  6. We want to prevent our children, and us from being afraid. Educators, teachers, and mentors need the best possible information quickly to prevent the buildup of fear, and to dissipate fear after it has arisen. In many ways fear, for the survivors, is more disruptive than death.
  7. The major destructive force of terrorism is fear. However, we can reduce fear by building up our knowledge of terrorism.
  8. The teacher in the classroom teaches, and reduces fear. S/he is a calming influence, siphoning off the fear. By learning the history and facts about terrorism, we can understand how best help ourselves, family and friends. Classroom image: http://www.west.asu.edu/itweb/services/classroom.gif
  9. Terror in many ways has been the weapon of groups who want their message heard, and want a political change, but do not feel that they have a way to be heard or have a voice. Terrorism is viewed as a means to be heard. Arthur H. Garrison, How the World Changed: a History of the Development of Terrorism, presented at Delaware criminal Justice Council Annual Retreat, Oct 28-29, 2001 http://www.state.de.us/cjc/history.ppt
  10. Terrorism has been viewed as honorable by the side who practices it. It is viewed as a crime against humanity by the victims of the countries attacked. Arthur H. Garrison, How the World Changed: a History of the Development of Terrorism, presented at Delaware criminal Justice Council Annual Retreat, Oct 28-29, 2001 http://www.state.de.us/cjc/history.ppt
  11. . Governments will sometimes try to suppress dissent. In the Military regime in Argentina in the 1960, young protestors sometimes even your age would sometimes “disappear” because of their views. The goal was to eliminate dissent, and maintain power. Arthur H. Garrison, How the World Changed: a History of the Development of Terrorism, presented at Delaware criminal Justice Council Annual Retreat, Oct 28-29, 2001 http://www.state.de.us/cjc/history.ppt
  12. Anarchists are those who rebel against the ruling power. One of their tools has been the killing of public officials, e.g. the killing of a president or ruler. Terrorism has become a statement. Arthur H. Garrison, How the World Changed: a History of the Development of Terrorism, presented at Delaware criminal Justice Council Annual Retreat, Oct 28-29, 2001 http://www.state.de.us/cjc/history.ppt
  13. Arthur H. Garrison, How the World Changed: a History of the Development of Terrorism, presented at Delaware criminal Justice Council Annual Retreat, Oct 28-29, 2001 http://www.state.de.us/cjc/history.ppt
  14. There has been much discussion of Asymmetric Warfare. This is where a superior power is confronted with an unconventional, much smaller enemy. However, the enemy has a fervent belief in a cause, but attacks using new, often never used before approaches often to the surprise of the dominant force. Arthur H. Garrison, How the World Changed: a History of the Development of Terrorism, presented at Delaware criminal Justice Council Annual Retreat, Oct 28-29, 2001 http://www.state.de.us/cjc/history.ppt
  15. We were surprised on Sept. 11. However, it is very important to recognize that terrorism is not new, and it’s primary goal is not to kill, but to communicate a message. Terrorism is a form of violence, and has been used throughout history. Terrorism most certainly has a psychological impact, and is a very powerful political act. It gets people heard. Arthur H. Garrison, How the World Changed: a History of the Development of Terrorism, presented at Delaware criminal Justice Council Annual Retreat, Oct 28-29, 2001 http://www.state.de.us/cjc/history.ppt
  16. The problem is that few recognize the time course of terrorism. There is a long, protracted time period of planning, followed by a short execution phase and short diagnosis phase. The terrorist on Sept. 11 prepared for almost 5 years before finally attacking. The time between execution and first death is typically small. For example, if a nuclear devise were to be detonated, death would arise within seconds. We want to be able to intervene to prevent children and adults from experiencing a terrorist attack, and death.
  17. Just because of its uncertainty, it is hard to collect unbiased data on terrorism and it is hard to propose specific prevention measures. Here we present the general approaches of prevention from the epidemiological and public health point of view.
  18. Recent Trends in Domestic and International Terrorism, the Center for National Security Studies, http://nsi.org/Library/Terrorism/tertrend.html
  19. Chemicals have also been used in terrorist attacks. Recent Trends in Domestic and International Terrorism, the Center for National Security Studies, http://nsi.org/Library/Terrorism/tertrend.html
  20. Source:Disaster and hospital functions, Genro Ochi M.D., Ph.D. http://www.pitt.edu/~super1/lecture/lec0581/016.htm Picture from: www.jal.co.jp/information/ branch/index-e.html
  21. Source: Chemical and Biological Terrorism, an overview of the threat. Phillip L. Coule, M.D. http://www.pemba.utk.edu/bt101/Chem%20and%20Biol%20Terrorism-%20Dr.%20Coule.ppt
  22. The history of bioterrorism goes back a very long time. The first record of bioterrorism was 600 years ago. Source: Chemical and Biological Terrorism, an overview of the threat. Phillip L. Coule, M.D. http://www.pemba.utk.edu/bt101/Chem%20and%20Biol%20Terrorism-%20Dr.%20Coule.ppt World-wide biologic warfare is not new. As early as the 14th century, plague infested corpses were used as weapons.
  23. Source: Chemical and Biological Terrorism, an overview of the threat. Phillip L. Coule, M.D. http://www.pemba.utk.edu/bt101/Chem%20and%20Biol%20Terrorism-%20Dr.%20Coule.ppt In the United States at the time of the French and Indian War, the British provided tainted blankets to Indians with the goal of disabling the opposing forces.
  24. Source: the History of Bioterrorism. Fred T. Muwanga M.D. Msc Reasons for the use of bioterrorism was varied, and not much different for other weapons systems. A primary reason that they were used is that in general the weapon system was inexpensive, and could wreak havoc on an enemy not only as a result of morbidity, but also fear. These systems have some major disadvantages, however, in that one needed a high level of expertise in order to produce them. Also, targeting the systems is most difficult, thus there was the fear of wiping out ones own troops when attacking the enemy.
  25. Bioterrorism can be attacked from several different levels. This presents the public health perspective whereby the response begins at the finding of the first case. A complimentary view is that of law enforcement where prevention begins before any event takes place, in the 5 year period of preparation. This could be a simple as identifying people who want to take flying lessons but who do not want to learn how to land, or those purchasing Anthrax from web sites. Both of these approaches have to go hand and hand to prevent attacks.
  26. Picture from: http://www.state.nv.us/nucwaste/graphics/nuclear.gi
  27. Terrorist acts are episodic, not continuous. Usually death from terrorism only occupies a very small proportion in all causes of deaths. When serious attack occurs, like in 2001, the death rate may be increased a lot. Total International Terrorist Attacks, 1981-2000. Department of State Publication, Office of the Secretary of State, Released by the Office of the Coordinator for Counter terrorism, April 2001. http://www.usis.usemb.se/terror/rpt2000/totaluscasualties.html * Used projected data of year 2000 National Vital Statistics Report, Vol.49 No. 12, Oct 9, 2001 National mortality data: http://wonder.cdc.gov/mortICD9J.shtml Death from September 11th: http://www.cnn.com/2002/US/05/30/rec.wtc.remains/index.html
  28. The purpose of this slide is to have some general comparison between the risk of terrorism attack and that of other more familiar causes, so that we can have a general feeling of the level of the risk of terrorism. Data on other risks is adopted from the BMA Guide to Living with Risk. British Medical Association, Penguin Books, 1987. It is not scientifically correct to compare the general estimate on risks and the specific death rate of one cause from one year. Also, lightning may be more predictable and random than terrorism attack. Again, this slide just wants to show the general position of the risk of terrorism attack. The point is : there are more important health threats to worry about and we can do something about it. If you want to compare the death rate from different causes, the CDC and WHO web site can provide more information. The following slide is an example from USA Death rate of terrorism was calculated from the data of U.S. population and the deaths from terrorism Resident Population Estimates of the United States by Age and Sex: April 1, 1990 to July 1, 1999, with Short-Term Projection to November 1, 2000. http://eire.census.gov/popest/archives/national/nation2/intfile2-1.txt http://www.cnn.com/2002/US/05/30/rec.wtc.remains/index.html
  29. * Age adjusted death rate in 2000. National Vital Statistics Report, Vol. 49, No. 12, Oct 9, 2001.
  30. It is important to put risk in context. Most people would think the great risk is a pilot, police man, or fire man. The occupation at great risk is that of President of the US where 3/44 presidents have died from terrorists. The risk for a president of the US, it over 50 million times great than for a student in a classroom.
  31. The risk of dying from terrorism was even lower than that from hitting by lightening. Assume how surprised you will be, if someone tell you that your chance of hitting by lightening will be as high as that of homicide.