Biological Agents Terrorists Are Likely to Use

A large number of cases of acute flaccid paralysis with prominent bulbar palsies, suggestive of a release of botulinum toxin. 

Terrorists can choose from countless biological agents and the list can seem overwhelming. However, to best protect our patients and their families, primary care clinicians should focus their attention on the agents that terrorists are most likely to use and that have the greatest potential for mass casualties. The CDC has defined three categories of agents, A, B, and C with potential as weapons, based on several criteria (1) (see Table 2.2)  

Based on these criteria. Category A contains seven agents of highest concern for the CDC  

High mortality rates and potential for major pubhc health impact 

Might cause public panic and social disruption 

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