terrorism: the epidemiology of fear r onald laporte, phd., f rancois sauer, m.d., c arlos gamboa,...
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Terrorism: the Epidemiology of Fear
Ronald LaPorte, PhD.,
Francois Sauer, M.D.,
Carlos Gamboa, M.D.,
Tony Villasenor, BS,
Rania Saad, MD., and
Eugene Shubnikov, M.D.
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ShockDisbeliefDepressionAngerFearHelplessness
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Where did our children and community receive Terrorism
Information Sept. 11-20
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Global Health NetworkSept. 1, 2001
Towards an Internet Civil Defence against BioterrorismLancet
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Germans
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Sept 10Rules of Engagement
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Approaches to Homeland DefenseSept. 10
Sensors Better Laboratories Public Health Surveillance Data Mining Surveillance
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Approaches to Homeland DefenseSept. 11
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Approaches to Homeland DefenseNow
Sensors Better Laboratories Public Health Surveillance Data Mining Surveillance
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Anatomy of a Terrorist Attack
Preparation5 years
Execution 1 day
Diagnosed case 3 days
First Death
Multiple deaths
Sensors Better Laboratories Public Health Surveillance Data Mining Surveillance
Maximum 1-2 dayImprovement
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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?
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Sensors Better Laboratories Public Health Surveillance Data Mining Surveillance
Weapons of Mass Destruction
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Using Sept. 10 technologyMaximum Improvement, 1-2 daysRisk Reduction = <5%
Can these systems transform homeland defense?
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Bioterrorism is not an Emerging Disease
Who is Mr. H?
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“…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”
Click on Horror
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Hitchcock’s mission in life:“to simply scare the hell out of people”
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Old PH view of Bioterrorism
Pathogen = Infectious AgentDamage = Morbidity and MortalityModel = Emerging Disease Epidemiology
New PH view of Bioterrorism
Pathogen = HateDamage = FearModel = Epidemiology of Fear and Hate
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New Models
Internet Civil Defense CSI epidemiologists Educational Deterrent against terrorism
I-