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A bioterrorism victim has come to your office seeking care. You and your staff have been exposed. Now who will provide care for you?
The recent bioterrorist events did not present such a risk for physicians, because anthrax is not spread by person-to-person contact. The success of any bioterrorist attack, however, heightens concerns about the risk of future attacks with transmissible agents.
Protecting physicians and other health care workers is an essential element of any national plan for dealing with bioterrorist attacks, according to Dr. Richard Hoffman, former chief medical officer and state epidemiologist with the Colorado State Department of Health, in Denver.
Without doing everything possible to ensure the survival of health care workers and their families, without giving them priority access to prophylaxis and therapies, it will be difficult to mobilize doctors and nurses m sufficient quantity to care for the victims of a bioterrorist attack, he warns.
"No one wants health care workers dying on the job. ... We can't keep the community going if health care workers stay home. We won't be able to deliver services if we are frozen by panic.
The solution to this concern is planning now for the location and disbursement of appropriate vaccines and antibiotics, according to experts interviewed for this article. Most of them were opposed to physician stockpiling of antibiotics and other bioterrorist defense items in their offices.
Dr. Lisa Miller, acting chief medical officer and state epidemiologist for the Colorado State Department of Health, said that keeping a supply of antibiotics on hand might be appropriate, as long as it is part of the local plan for dealing with bioterrorism. City biodefense planners might decide, for example, that it would be fitting to have treatments available for first responders and decide where those treatments should be kept--in the physician's office, at the public health department, or in another location.