id sid tid token lemma pos cord-021917-z9wpjr0d 1 1 key key JJ cord-021917-z9wpjr0d 1 2 : : : cord-021917-z9wpjr0d 1 3 cord-021917-z9wpjr0d cord-021917-z9wpjr0d NN cord-021917-z9wpjr0d 1 4 authors author NNS cord-021917-z9wpjr0d 1 5 : : : cord-021917-z9wpjr0d 1 6 Stephens Stephens NNP cord-021917-z9wpjr0d 1 7 , , , cord-021917-z9wpjr0d 1 8 R. R. NNP cord-021917-z9wpjr0d 1 9 Scott Scott NNP cord-021917-z9wpjr0d 1 10 ; ; : cord-021917-z9wpjr0d 1 11 Wiener Wiener NNP cord-021917-z9wpjr0d 1 12 , , , cord-021917-z9wpjr0d 1 13 Charles Charles NNP cord-021917-z9wpjr0d 1 14 M. M. NNP cord-021917-z9wpjr0d 1 15 ; ; : cord-021917-z9wpjr0d 1 16 Rubinson Rubinson NNP cord-021917-z9wpjr0d 1 17 , , , cord-021917-z9wpjr0d 1 18 Lewis Lewis NNP cord-021917-z9wpjr0d 1 19 title title NN cord-021917-z9wpjr0d 1 20 : : : cord-021917-z9wpjr0d 1 21 Bioterrorism Bioterrorism NNP cord-021917-z9wpjr0d 1 22 and and CC cord-021917-z9wpjr0d 1 23 the the DT cord-021917-z9wpjr0d 1 24 Intensive Intensive NNP cord-021917-z9wpjr0d 1 25 Care Care NNP cord-021917-z9wpjr0d 1 26 Unit Unit NNP cord-021917-z9wpjr0d 1 27 date date NN cord-021917-z9wpjr0d 1 28 : : : cord-021917-z9wpjr0d 1 29 2009 2009 CD cord-021917-z9wpjr0d 1 30 - - SYM cord-021917-z9wpjr0d 1 31 05 05 CD cord-021917-z9wpjr0d 1 32 - - SYM cord-021917-z9wpjr0d 1 33 15 15 CD cord-021917-z9wpjr0d 1 34 journal journal NN cord-021917-z9wpjr0d 1 35 : : : cord-021917-z9wpjr0d 1 36 Clinical Clinical NNP cord-021917-z9wpjr0d 1 37 Critical Critical NNP cord-021917-z9wpjr0d 1 38 Care Care NNP cord-021917-z9wpjr0d 1 39 Medicine medicine NN cord-021917-z9wpjr0d 1 40 DOI doi NN cord-021917-z9wpjr0d 1 41 : : : cord-021917-z9wpjr0d 1 42 10.1016/ 10.1016/ CD cord-021917-z9wpjr0d 2 1 b978 b978 NNP cord-021917-z9wpjr0d 2 2 - - HYPH cord-021917-z9wpjr0d 2 3 0 0 CD cord-021917-z9wpjr0d 2 4 - - HYPH cord-021917-z9wpjr0d 2 5 323 323 CD cord-021917-z9wpjr0d 2 6 - - HYPH cord-021917-z9wpjr0d 2 7 02844 02844 CD cord-021917-z9wpjr0d 2 8 - - HYPH cord-021917-z9wpjr0d 2 9 8.50069-x 8.50069-x NN cord-021917-z9wpjr0d 2 10 sha sha NN cord-021917-z9wpjr0d 2 11 : : : cord-021917-z9wpjr0d 3 1 30cdc5454f2ddceba7ba4c251dcc4b1731fb87d7 30cdc5454f2ddceba7ba4c251dcc4b1731fb87d7 CD cord-021917-z9wpjr0d 3 2 doc_id doc_id CD cord-021917-z9wpjr0d 3 3 : : : cord-021917-z9wpjr0d 3 4 21917 21917 CD cord-021917-z9wpjr0d 3 5 cord_uid cord_uid NNS cord-021917-z9wpjr0d 3 6 : : : cord-021917-z9wpjr0d 4 1 z9wpjr0d z9wpjr0d NFP cord-021917-z9wpjr0d 5 1 nan nan NNP cord-021917-z9wpjr0d 6 1 • • NNP cord-021917-z9wpjr0d 7 1 No no DT cord-021917-z9wpjr0d 7 2 country country NN cord-021917-z9wpjr0d 7 3 is be VBZ cord-021917-z9wpjr0d 7 4 fully fully RB cord-021917-z9wpjr0d 7 5 prepared prepared JJ cord-021917-z9wpjr0d 7 6 to to TO cord-021917-z9wpjr0d 7 7 avert avert VB cord-021917-z9wpjr0d 7 8 illness illness NN cord-021917-z9wpjr0d 7 9 when when WRB cord-021917-z9wpjr0d 7 10 large large JJ cord-021917-z9wpjr0d 7 11 portions portion NNS cord-021917-z9wpjr0d 7 12 of of IN cord-021917-z9wpjr0d 7 13 the the DT cord-021917-z9wpjr0d 7 14 population population NN cord-021917-z9wpjr0d 7 15 are be VBP cord-021917-z9wpjr0d 7 16 covertly covertly RB cord-021917-z9wpjr0d 7 17 exposed expose VBN cord-021917-z9wpjr0d 7 18 to to IN cord-021917-z9wpjr0d 7 19 a a DT cord-021917-z9wpjr0d 7 20 serious serious JJ cord-021917-z9wpjr0d 7 21 bioweapons bioweapon NNS cord-021917-z9wpjr0d 7 22 agent agent NN cord-021917-z9wpjr0d 7 23 ; ; : cord-021917-z9wpjr0d 7 24 a a DT cord-021917-z9wpjr0d 7 25 moderate moderate JJ cord-021917-z9wpjr0d 7 26 or or CC cord-021917-z9wpjr0d 7 27 large large JJ cord-021917-z9wpjr0d 7 28 - - HYPH cord-021917-z9wpjr0d 7 29 scale scale NN cord-021917-z9wpjr0d 7 30 intentional intentional JJ cord-021917-z9wpjr0d 7 31 release release NN cord-021917-z9wpjr0d 7 32 of of IN cord-021917-z9wpjr0d 7 33 a a DT cord-021917-z9wpjr0d 7 34 serious serious JJ cord-021917-z9wpjr0d 7 35 pathogen pathogen NN cord-021917-z9wpjr0d 7 36 will will MD cord-021917-z9wpjr0d 7 37 likely likely RB cord-021917-z9wpjr0d 7 38 cause cause VB cord-021917-z9wpjr0d 7 39 lifethreatening lifethreatening JJ cord-021917-z9wpjr0d 7 40 illness illness NN cord-021917-z9wpjr0d 7 41 in in IN cord-021917-z9wpjr0d 7 42 a a DT cord-021917-z9wpjr0d 7 43 large large JJ cord-021917-z9wpjr0d 7 44 portion portion NN cord-021917-z9wpjr0d 7 45 of of IN cord-021917-z9wpjr0d 7 46 exposed expose VBN cord-021917-z9wpjr0d 7 47 people people NNS cord-021917-z9wpjr0d 7 48 . . . cord-021917-z9wpjr0d 8 1 • • NNP cord-021917-z9wpjr0d 9 1 Intensivists Intensivists NNP cord-021917-z9wpjr0d 9 2 will will MD cord-021917-z9wpjr0d 9 3 play play VB cord-021917-z9wpjr0d 9 4 a a DT cord-021917-z9wpjr0d 9 5 key key JJ cord-021917-z9wpjr0d 9 6 role role NN cord-021917-z9wpjr0d 9 7 in in IN cord-021917-z9wpjr0d 9 8 the the DT cord-021917-z9wpjr0d 9 9 medical medical JJ cord-021917-z9wpjr0d 9 10 response response NN cord-021917-z9wpjr0d 9 11 to to IN cord-021917-z9wpjr0d 9 12 a a DT cord-021917-z9wpjr0d 9 13 bioterrorism bioterrorism NN cord-021917-z9wpjr0d 9 14 event event NN cord-021917-z9wpjr0d 9 15 due due IN cord-021917-z9wpjr0d 9 16 to to IN cord-021917-z9wpjr0d 9 17 the the DT cord-021917-z9wpjr0d 9 18 clinical clinical JJ cord-021917-z9wpjr0d 9 19 conditions condition NNS cord-021917-z9wpjr0d 9 20 caused cause VBN cord-021917-z9wpjr0d 9 21 by by IN cord-021917-z9wpjr0d 9 22 serious serious JJ cord-021917-z9wpjr0d 9 23 bioweapons bioweapon NNS cord-021917-z9wpjr0d 9 24 pathogens pathogen NNS cord-021917-z9wpjr0d 9 25 , , , cord-021917-z9wpjr0d 9 26 such such JJ cord-021917-z9wpjr0d 9 27 as as IN cord-021917-z9wpjr0d 9 28 severe severe JJ cord-021917-z9wpjr0d 9 29 sepsis sepsis NN cord-021917-z9wpjr0d 9 30 , , , cord-021917-z9wpjr0d 9 31 septic septic JJ cord-021917-z9wpjr0d 9 32 shock shock NN cord-021917-z9wpjr0d 9 33 , , , cord-021917-z9wpjr0d 9 34 hypoxemic hypoxemic JJ cord-021917-z9wpjr0d 9 35 respiratory respiratory JJ cord-021917-z9wpjr0d 9 36 failure failure NN cord-021917-z9wpjr0d 9 37 , , , cord-021917-z9wpjr0d 9 38 and and CC cord-021917-z9wpjr0d 9 39 ventilatory ventilatory JJ cord-021917-z9wpjr0d 9 40 failure failure NN cord-021917-z9wpjr0d 9 41 . . . cord-021917-z9wpjr0d 10 1 • • NNP cord-021917-z9wpjr0d 11 1 Compared compare VBN cord-021917-z9wpjr0d 11 2 with with IN cord-021917-z9wpjr0d 11 3 conventional conventional JJ cord-021917-z9wpjr0d 11 4 disasters disaster NNS cord-021917-z9wpjr0d 11 5 , , , cord-021917-z9wpjr0d 11 6 bioterrorist bioterrorist NN cord-021917-z9wpjr0d 11 7 attacks attack NNS cord-021917-z9wpjr0d 11 8 may may MD cord-021917-z9wpjr0d 11 9 not not RB cord-021917-z9wpjr0d 11 10 be be VB cord-021917-z9wpjr0d 11 11 readily readily RB cord-021917-z9wpjr0d 11 12 recognized recognize VBN cord-021917-z9wpjr0d 11 13 ; ; : cord-021917-z9wpjr0d 11 14 thus thus RB cord-021917-z9wpjr0d 11 15 , , , cord-021917-z9wpjr0d 11 16 accurate accurate JJ cord-021917-z9wpjr0d 11 17 clinical clinical JJ cord-021917-z9wpjr0d 11 18 diagnoses diagnosis NNS cord-021917-z9wpjr0d 11 19 and and CC cord-021917-z9wpjr0d 11 20 management management NN cord-021917-z9wpjr0d 11 21 on on IN cord-021917-z9wpjr0d 11 22 the the DT cord-021917-z9wpjr0d 11 23 basis basis NN cord-021917-z9wpjr0d 11 24 of of IN cord-021917-z9wpjr0d 11 25 clinical clinical JJ cord-021917-z9wpjr0d 11 26 suspicion suspicion NN cord-021917-z9wpjr0d 11 27 are be VBP cord-021917-z9wpjr0d 11 28 critical critical JJ cord-021917-z9wpjr0d 11 29 not not RB cord-021917-z9wpjr0d 11 30 only only RB cord-021917-z9wpjr0d 11 31 for for IN cord-021917-z9wpjr0d 11 32 appropriate appropriate JJ cord-021917-z9wpjr0d 11 33 care care NN cord-021917-z9wpjr0d 11 34 of of IN cord-021917-z9wpjr0d 11 35 individual individual JJ cord-021917-z9wpjr0d 11 36 patients patient NNS cord-021917-z9wpjr0d 11 37 but but CC cord-021917-z9wpjr0d 11 38 also also RB cord-021917-z9wpjr0d 11 39 for for IN cord-021917-z9wpjr0d 11 40 instituting institute VBG cord-021917-z9wpjr0d 11 41 an an DT cord-021917-z9wpjr0d 11 42 epidemiological epidemiological JJ cord-021917-z9wpjr0d 11 43 investigation investigation NN cord-021917-z9wpjr0d 11 44 . . . cord-021917-z9wpjr0d 12 1 • • NNP cord-021917-z9wpjr0d 13 1 Victims victim NNS cord-021917-z9wpjr0d 13 2 of of IN cord-021917-z9wpjr0d 13 3 a a DT cord-021917-z9wpjr0d 13 4 bioterrorist bioterrorist NN cord-021917-z9wpjr0d 13 5 attack attack NN cord-021917-z9wpjr0d 13 6 who who WP cord-021917-z9wpjr0d 13 7 require require VBP cord-021917-z9wpjr0d 13 8 intensive intensive JJ cord-021917-z9wpjr0d 13 9 care care NN cord-021917-z9wpjr0d 13 10 unit unit NN cord-021917-z9wpjr0d 13 11 - - HYPH cord-021917-z9wpjr0d 13 12 level level NN cord-021917-z9wpjr0d 13 13 care care NN cord-021917-z9wpjr0d 13 14 may may MD cord-021917-z9wpjr0d 13 15 be be VB cord-021917-z9wpjr0d 13 16 more more RBR cord-021917-z9wpjr0d 13 17 contagious contagious JJ cord-021917-z9wpjr0d 13 18 than than IN cord-021917-z9wpjr0d 13 19 those those DT cord-021917-z9wpjr0d 13 20 who who WP cord-021917-z9wpjr0d 13 21 are be VBP cord-021917-z9wpjr0d 13 22 less less RBR cord-021917-z9wpjr0d 13 23 sick sick JJ cord-021917-z9wpjr0d 13 24 . . . cord-021917-z9wpjr0d 14 1 • • NNP cord-021917-z9wpjr0d 14 2 Health Health NNP cord-021917-z9wpjr0d 14 3 care care NN cord-021917-z9wpjr0d 14 4 workers worker NNS cord-021917-z9wpjr0d 14 5 , , , cord-021917-z9wpjr0d 14 6 accustomed accustom VBN cord-021917-z9wpjr0d 14 7 to to IN cord-021917-z9wpjr0d 14 8 putting put VBG cord-021917-z9wpjr0d 14 9 the the DT cord-021917-z9wpjr0d 14 10 welfare welfare NN cord-021917-z9wpjr0d 14 11 of of IN cord-021917-z9wpjr0d 14 12 patients patient NNS cord-021917-z9wpjr0d 14 13 ahead ahead RB cord-021917-z9wpjr0d 14 14 of of IN cord-021917-z9wpjr0d 14 15 their -PRON- PRP$ cord-021917-z9wpjr0d 14 16 own own JJ cord-021917-z9wpjr0d 14 17 in in IN cord-021917-z9wpjr0d 14 18 emergency emergency NN cord-021917-z9wpjr0d 14 19 situations situation NNS cord-021917-z9wpjr0d 14 20 , , , cord-021917-z9wpjr0d 14 21 must must MD cord-021917-z9wpjr0d 14 22 be be VB cord-021917-z9wpjr0d 14 23 prepared prepare VBN cord-021917-z9wpjr0d 14 24 for for IN cord-021917-z9wpjr0d 14 25 the the DT cord-021917-z9wpjr0d 14 26 proper proper JJ cord-021917-z9wpjr0d 14 27 use use NN cord-021917-z9wpjr0d 14 28 of of IN cord-021917-z9wpjr0d 14 29 personal personal JJ cord-021917-z9wpjr0d 14 30 protective protective JJ cord-021917-z9wpjr0d 14 31 equipment equipment NN cord-021917-z9wpjr0d 14 32 and and CC cord-021917-z9wpjr0d 14 33 trained train VBN cord-021917-z9wpjr0d 14 34 in in IN cord-021917-z9wpjr0d 14 35 specific specific JJ cord-021917-z9wpjr0d 14 36 plans plan NNS cord-021917-z9wpjr0d 14 37 for for IN cord-021917-z9wpjr0d 14 38 the the DT cord-021917-z9wpjr0d 14 39 response response NN cord-021917-z9wpjr0d 14 40 to to IN cord-021917-z9wpjr0d 14 41 an an DT cord-021917-z9wpjr0d 14 42 infective infective JJ cord-021917-z9wpjr0d 14 43 or or CC cord-021917-z9wpjr0d 14 44 bioterrorism bioterrorism NN cord-021917-z9wpjr0d 14 45 event event NN cord-021917-z9wpjr0d 14 46 . . . cord-021917-z9wpjr0d 15 1 tive tive JJ cord-021917-z9wpjr0d 15 2 prophylactic prophylactic JJ cord-021917-z9wpjr0d 15 3 countermeasures countermeasure NNS cord-021917-z9wpjr0d 15 4 exist exist VBP cord-021917-z9wpjr0d 15 5 , , , cord-021917-z9wpjr0d 15 6 a a DT cord-021917-z9wpjr0d 15 7 large large JJ cord-021917-z9wpjr0d 15 8 portion portion NN cord-021917-z9wpjr0d 15 9 of of IN cord-021917-z9wpjr0d 15 10 exposed expose VBN cord-021917-z9wpjr0d 15 11 people people NNS cord-021917-z9wpjr0d 15 12 will will MD cord-021917-z9wpjr0d 15 13 likely likely RB cord-021917-z9wpjr0d 15 14 develop develop VB cord-021917-z9wpjr0d 15 15 life life NN cord-021917-z9wpjr0d 15 16 - - HYPH cord-021917-z9wpjr0d 15 17 threatening threaten VBG cord-021917-z9wpjr0d 15 18 illness illness NN cord-021917-z9wpjr0d 15 19 . . . cord-021917-z9wpjr0d 16 1 Although although IN cord-021917-z9wpjr0d 16 2 intensivists intensivist NNS cord-021917-z9wpjr0d 16 3 working work VBG cord-021917-z9wpjr0d 16 4 in in IN cord-021917-z9wpjr0d 16 5 developed develop VBN cord-021917-z9wpjr0d 16 6 countries country NNS cord-021917-z9wpjr0d 16 7 generally generally RB cord-021917-z9wpjr0d 16 8 have have VBP cord-021917-z9wpjr0d 16 9 little little JJ cord-021917-z9wpjr0d 16 10 experience experience NN cord-021917-z9wpjr0d 16 11 treating treat VBG cord-021917-z9wpjr0d 16 12 specific specific JJ cord-021917-z9wpjr0d 16 13 illnesses illness NNS cord-021917-z9wpjr0d 16 14 caused cause VBN cord-021917-z9wpjr0d 16 15 by by IN cord-021917-z9wpjr0d 16 16 serious serious JJ cord-021917-z9wpjr0d 16 17 bioweapon bioweapon NN cord-021917-z9wpjr0d 16 18 pathogens pathogen NNS cord-021917-z9wpjr0d 16 19 , , , cord-021917-z9wpjr0d 16 20 these these DT cord-021917-z9wpjr0d 16 21 diseases disease NNS cord-021917-z9wpjr0d 16 22 result result VBP cord-021917-z9wpjr0d 16 23 in in IN cord-021917-z9wpjr0d 16 24 clinical clinical JJ cord-021917-z9wpjr0d 16 25 conditions condition NNS cord-021917-z9wpjr0d 16 26 that that WDT cord-021917-z9wpjr0d 16 27 commonly commonly RB cord-021917-z9wpjr0d 16 28 require require VBP cord-021917-z9wpjr0d 16 29 treatment treatment NN cord-021917-z9wpjr0d 16 30 in in IN cord-021917-z9wpjr0d 16 31 intensive intensive JJ cord-021917-z9wpjr0d 16 32 care care NN cord-021917-z9wpjr0d 16 33 units unit NNS cord-021917-z9wpjr0d 16 34 ( ( -LRB- cord-021917-z9wpjr0d 16 35 ICUs ICUs NNP cord-021917-z9wpjr0d 16 36 ) ) -RRB- cord-021917-z9wpjr0d 16 37 ( ( -LRB- cord-021917-z9wpjr0d 16 38 e.g. e.g. RB cord-021917-z9wpjr0d 16 39 , , , cord-021917-z9wpjr0d 16 40 severe severe JJ cord-021917-z9wpjr0d 16 41 sepsis sepsis NN cord-021917-z9wpjr0d 16 42 and and CC cord-021917-z9wpjr0d 16 43 septic septic JJ cord-021917-z9wpjr0d 16 44 shock shock NN cord-021917-z9wpjr0d 16 45 , , , cord-021917-z9wpjr0d 16 46 hypoxemic hypoxemic JJ cord-021917-z9wpjr0d 16 47 respiratory respiratory JJ cord-021917-z9wpjr0d 16 48 failure failure NN cord-021917-z9wpjr0d 16 49 , , , cord-021917-z9wpjr0d 16 50 and and CC cord-021917-z9wpjr0d 16 51 ventilatory ventilatory JJ cord-021917-z9wpjr0d 16 52 failure failure NN cord-021917-z9wpjr0d 16 53 ) ) -RRB- cord-021917-z9wpjr0d 16 54 . . . cord-021917-z9wpjr0d 17 1 Therefore therefore RB cord-021917-z9wpjr0d 17 2 , , , cord-021917-z9wpjr0d 17 3 intensivists intensivist NNS cord-021917-z9wpjr0d 17 4 will will MD cord-021917-z9wpjr0d 17 5 play play VB cord-021917-z9wpjr0d 17 6 a a DT cord-021917-z9wpjr0d 17 7 key key JJ cord-021917-z9wpjr0d 17 8 role role NN cord-021917-z9wpjr0d 17 9 in in IN cord-021917-z9wpjr0d 17 10 the the DT cord-021917-z9wpjr0d 17 11 medical medical JJ cord-021917-z9wpjr0d 17 12 response response NN cord-021917-z9wpjr0d 17 13 to to IN cord-021917-z9wpjr0d 17 14 a a DT cord-021917-z9wpjr0d 17 15 bioterrorism bioterrorism NN cord-021917-z9wpjr0d 17 16 event event NN cord-021917-z9wpjr0d 17 17 . . . cord-021917-z9wpjr0d 18 1 Usual usual JJ cord-021917-z9wpjr0d 18 2 critical critical JJ cord-021917-z9wpjr0d 18 3 care care NN cord-021917-z9wpjr0d 18 4 practices practice NNS cord-021917-z9wpjr0d 18 5 will will MD cord-021917-z9wpjr0d 18 6 likely likely RB cord-021917-z9wpjr0d 18 7 require require VB cord-021917-z9wpjr0d 18 8 modification modification NN cord-021917-z9wpjr0d 18 9 for for IN cord-021917-z9wpjr0d 18 10 any any DT cord-021917-z9wpjr0d 18 11 event event NN cord-021917-z9wpjr0d 18 12 resulting result VBG cord-021917-z9wpjr0d 18 13 in in IN cord-021917-z9wpjr0d 18 14 more more JJR cord-021917-z9wpjr0d 18 15 than than IN cord-021917-z9wpjr0d 18 16 a a DT cord-021917-z9wpjr0d 18 17 few few JJ cord-021917-z9wpjr0d 18 18 critically critically RB cord-021917-z9wpjr0d 18 19 ill ill JJ cord-021917-z9wpjr0d 18 20 victims victim NNS cord-021917-z9wpjr0d 18 21 , , , cord-021917-z9wpjr0d 18 22 and and CC cord-021917-z9wpjr0d 18 23 critical critical JJ cord-021917-z9wpjr0d 18 24 care care NN cord-021917-z9wpjr0d 18 25 specialists specialist NNS cord-021917-z9wpjr0d 18 26 should should MD cord-021917-z9wpjr0d 18 27 participate participate VB cord-021917-z9wpjr0d 18 28 in in IN cord-021917-z9wpjr0d 18 29 planning plan VBG cord-021917-z9wpjr0d 18 30 for for IN cord-021917-z9wpjr0d 18 31 such such JJ cord-021917-z9wpjr0d 18 32 situations situation NNS cord-021917-z9wpjr0d 18 33 . . . cord-021917-z9wpjr0d 19 1 Capabilities capability NNS cord-021917-z9wpjr0d 19 2 to to TO cord-021917-z9wpjr0d 19 3 provide provide VB cord-021917-z9wpjr0d 19 4 medical medical JJ cord-021917-z9wpjr0d 19 5 care care NN cord-021917-z9wpjr0d 19 6 , , , cord-021917-z9wpjr0d 19 7 especially especially RB cord-021917-z9wpjr0d 19 8 critical critical JJ cord-021917-z9wpjr0d 19 9 care care NN cord-021917-z9wpjr0d 19 10 , , , cord-021917-z9wpjr0d 19 11 services service NNS cord-021917-z9wpjr0d 19 12 to to IN cord-021917-z9wpjr0d 19 13 large large JJ cord-021917-z9wpjr0d 19 14 numbers number NNS cord-021917-z9wpjr0d 19 15 of of IN cord-021917-z9wpjr0d 19 16 contagious contagious JJ cord-021917-z9wpjr0d 19 17 patients patient NNS cord-021917-z9wpjr0d 19 18 are be VBP cord-021917-z9wpjr0d 19 19 very very RB cord-021917-z9wpjr0d 19 20 limited limited JJ cord-021917-z9wpjr0d 19 21 in in IN cord-021917-z9wpjr0d 19 22 most most JJS cord-021917-z9wpjr0d 19 23 countries country NNS cord-021917-z9wpjr0d 19 24 . . . cord-021917-z9wpjr0d 20 1 Local local JJ cord-021917-z9wpjr0d 20 2 hospitals hospital NNS cord-021917-z9wpjr0d 20 3 will will MD cord-021917-z9wpjr0d 20 4 be be VB cord-021917-z9wpjr0d 20 5 expected expect VBN cord-021917-z9wpjr0d 20 6 to to TO cord-021917-z9wpjr0d 20 7 care care VB cord-021917-z9wpjr0d 20 8 for for IN cord-021917-z9wpjr0d 20 9 seriously seriously RB cord-021917-z9wpjr0d 20 10 ill ill JJ cord-021917-z9wpjr0d 20 11 victims victim NNS cord-021917-z9wpjr0d 20 12 of of IN cord-021917-z9wpjr0d 20 13 a a DT cord-021917-z9wpjr0d 20 14 bioterrorist bioterrorist NN cord-021917-z9wpjr0d 20 15 ( ( -LRB- cord-021917-z9wpjr0d 20 16 BT BT NNP cord-021917-z9wpjr0d 20 17 ) ) -RRB- cord-021917-z9wpjr0d 20 18 attack attack NN cord-021917-z9wpjr0d 20 19 , , , cord-021917-z9wpjr0d 20 20 and and CC cord-021917-z9wpjr0d 20 21 the the DT cord-021917-z9wpjr0d 20 22 ability ability NN cord-021917-z9wpjr0d 20 23 to to TO cord-021917-z9wpjr0d 20 24 care care VB cord-021917-z9wpjr0d 20 25 for for IN cord-021917-z9wpjr0d 20 26 large large JJ cord-021917-z9wpjr0d 20 27 numbers number NNS cord-021917-z9wpjr0d 20 28 of of IN cord-021917-z9wpjr0d 20 29 critically critically RB cord-021917-z9wpjr0d 20 30 ill ill JJ cord-021917-z9wpjr0d 20 31 patients patient NNS cord-021917-z9wpjr0d 20 32 will will MD cord-021917-z9wpjr0d 20 33 likely likely RB cord-021917-z9wpjr0d 20 34 be be VB cord-021917-z9wpjr0d 20 35 a a DT cord-021917-z9wpjr0d 20 36 major major JJ cord-021917-z9wpjr0d 20 37 determinant determinant NN cord-021917-z9wpjr0d 20 38 of of IN cord-021917-z9wpjr0d 20 39 the the DT cord-021917-z9wpjr0d 20 40 medical medical JJ cord-021917-z9wpjr0d 20 41 impact impact NN cord-021917-z9wpjr0d 20 42 of of IN cord-021917-z9wpjr0d 20 43 such such JJ cord-021917-z9wpjr0d 20 44 events event NNS cord-021917-z9wpjr0d 20 45 . . . cord-021917-z9wpjr0d 21 1 Although although IN cord-021917-z9wpjr0d 21 2 the the DT cord-021917-z9wpjr0d 21 3 current current JJ cord-021917-z9wpjr0d 21 4 risk risk NN cord-021917-z9wpjr0d 21 5 of of IN cord-021917-z9wpjr0d 21 6 a a DT cord-021917-z9wpjr0d 21 7 large large JJ cord-021917-z9wpjr0d 21 8 - - HYPH cord-021917-z9wpjr0d 21 9 scale scale NN cord-021917-z9wpjr0d 21 10 BT BT NNP cord-021917-z9wpjr0d 21 11 event event NN cord-021917-z9wpjr0d 21 12 is be VBZ cord-021917-z9wpjr0d 21 13 uncertain uncertain JJ cord-021917-z9wpjr0d 21 14 , , , cord-021917-z9wpjr0d 21 15 a a DT cord-021917-z9wpjr0d 21 16 number number NN cord-021917-z9wpjr0d 21 17 of of IN cord-021917-z9wpjr0d 21 18 groups group NNS cord-021917-z9wpjr0d 21 19 throughout throughout IN cord-021917-z9wpjr0d 21 20 the the DT cord-021917-z9wpjr0d 21 21 world world NN cord-021917-z9wpjr0d 21 22 during during IN cord-021917-z9wpjr0d 21 23 past past JJ cord-021917-z9wpjr0d 21 24 decades decade NNS cord-021917-z9wpjr0d 21 25 have have VBP cord-021917-z9wpjr0d 21 26 deliberately deliberately RB cord-021917-z9wpjr0d 21 27 exposed expose VBN cord-021917-z9wpjr0d 21 28 civilians civilian NNS cord-021917-z9wpjr0d 21 29 to to IN cord-021917-z9wpjr0d 21 30 biologic biologic JJ cord-021917-z9wpjr0d 21 31 agents agent NNS cord-021917-z9wpjr0d 21 32 . . . cord-021917-z9wpjr0d 22 1 Fortunately fortunately RB cord-021917-z9wpjr0d 22 2 , , , cord-021917-z9wpjr0d 22 3 none none NN cord-021917-z9wpjr0d 22 4 of of IN cord-021917-z9wpjr0d 22 5 these these DT cord-021917-z9wpjr0d 22 6 prior prior JJ cord-021917-z9wpjr0d 22 7 events event NNS cord-021917-z9wpjr0d 22 8 produced produce VBD cord-021917-z9wpjr0d 22 9 a a DT cord-021917-z9wpjr0d 22 10 large large JJ cord-021917-z9wpjr0d 22 11 number number NN cord-021917-z9wpjr0d 22 12 of of IN cord-021917-z9wpjr0d 22 13 casualties casualty NNS cord-021917-z9wpjr0d 22 14 because because IN cord-021917-z9wpjr0d 22 15 of of IN cord-021917-z9wpjr0d 22 16 the the DT cord-021917-z9wpjr0d 22 17 nonlethal nonlethal JJ cord-021917-z9wpjr0d 22 18 nature nature NN cord-021917-z9wpjr0d 22 19 of of IN cord-021917-z9wpjr0d 22 20 the the DT cord-021917-z9wpjr0d 22 21 pathogens pathogen NNS cord-021917-z9wpjr0d 22 22 released release VBN cord-021917-z9wpjr0d 22 23 ( ( -LRB- cord-021917-z9wpjr0d 22 24 e.g. e.g. RB cord-021917-z9wpjr0d 22 25 , , , cord-021917-z9wpjr0d 22 26 Salmonella Salmonella NNP cord-021917-z9wpjr0d 22 27 typhimurium typhimurium NN cord-021917-z9wpjr0d 22 28 in in IN cord-021917-z9wpjr0d 22 29 Oregon Oregon NNP cord-021917-z9wpjr0d 22 30 in in IN cord-021917-z9wpjr0d 22 31 1984 1984 CD cord-021917-z9wpjr0d 22 32 ) ) -RRB- cord-021917-z9wpjr0d 22 33 , , , cord-021917-z9wpjr0d 22 34 the the DT cord-021917-z9wpjr0d 22 35 lack lack NN cord-021917-z9wpjr0d 22 36 of of IN cord-021917-z9wpjr0d 22 37 technical technical JJ cord-021917-z9wpjr0d 22 38 expertise expertise NN cord-021917-z9wpjr0d 22 39 to to TO cord-021917-z9wpjr0d 22 40 successfully successfully RB cord-021917-z9wpjr0d 22 41 disseminate disseminate VB cord-021917-z9wpjr0d 22 42 lethal lethal JJ cord-021917-z9wpjr0d 22 43 pathogens pathogen NNS cord-021917-z9wpjr0d 22 44 ( ( -LRB- cord-021917-z9wpjr0d 22 45 Aum Aum NNP cord-021917-z9wpjr0d 22 46 Shinrikyo Shinrikyo NNP cord-021917-z9wpjr0d 22 47 in in IN cord-021917-z9wpjr0d 22 48 Japan Japan NNP cord-021917-z9wpjr0d 22 49 in in IN cord-021917-z9wpjr0d 22 50 1994 1994 CD cord-021917-z9wpjr0d 22 51 ) ) -RRB- cord-021917-z9wpjr0d 22 52 , , , cord-021917-z9wpjr0d 22 53 or or CC cord-021917-z9wpjr0d 22 54 relatively relatively RB cord-021917-z9wpjr0d 22 55 limited limited JJ cord-021917-z9wpjr0d 22 56 exposure exposure NN cord-021917-z9wpjr0d 22 57 ( ( -LRB- cord-021917-z9wpjr0d 22 58 the the DT cord-021917-z9wpjr0d 22 59 anthrax anthrax NN cord-021917-z9wpjr0d 22 60 cases case NNS cord-021917-z9wpjr0d 22 61 of of IN cord-021917-z9wpjr0d 22 62 2001 2001 CD cord-021917-z9wpjr0d 22 63 in in IN cord-021917-z9wpjr0d 22 64 the the DT cord-021917-z9wpjr0d 22 65 United United NNP cord-021917-z9wpjr0d 22 66 States States NNP cord-021917-z9wpjr0d 22 67 ) ) -RRB- cord-021917-z9wpjr0d 22 68 . . . cord-021917-z9wpjr0d 23 1 These these DT cord-021917-z9wpjr0d 23 2 limited limited JJ cord-021917-z9wpjr0d 23 3 exposures exposure NNS cord-021917-z9wpjr0d 23 4 should should MD cord-021917-z9wpjr0d 23 5 not not RB cord-021917-z9wpjr0d 23 6 result result VB cord-021917-z9wpjr0d 23 7 in in IN cord-021917-z9wpjr0d 23 8 predictions prediction NNS cord-021917-z9wpjr0d 23 9 of of IN cord-021917-z9wpjr0d 23 10 the the DT cord-021917-z9wpjr0d 23 11 numbers number NNS cord-021917-z9wpjr0d 23 12 of of IN cord-021917-z9wpjr0d 23 13 potential potential JJ cord-021917-z9wpjr0d 23 14 casualties casualty NNS cord-021917-z9wpjr0d 23 15 being be VBG cord-021917-z9wpjr0d 23 16 reduced reduce VBN cord-021917-z9wpjr0d 23 17 ; ; : cord-021917-z9wpjr0d 23 18 rather rather RB cord-021917-z9wpjr0d 23 19 , , , cord-021917-z9wpjr0d 23 20 they -PRON- PRP cord-021917-z9wpjr0d 23 21 simply simply RB cord-021917-z9wpjr0d 23 22 reveal reveal VBP cord-021917-z9wpjr0d 23 23 that that IN cord-021917-z9wpjr0d 23 24 an an DT cord-021917-z9wpjr0d 23 25 increasing increase VBG cord-021917-z9wpjr0d 23 26 number number NN cord-021917-z9wpjr0d 23 27 of of IN cord-021917-z9wpjr0d 23 28 groups group NNS cord-021917-z9wpjr0d 23 29 throughout throughout IN cord-021917-z9wpjr0d 23 30 the the DT cord-021917-z9wpjr0d 23 31 world world NN cord-021917-z9wpjr0d 23 32 are be VBP cord-021917-z9wpjr0d 23 33 willing willing JJ cord-021917-z9wpjr0d 23 34 to to TO cord-021917-z9wpjr0d 23 35 use use VB cord-021917-z9wpjr0d 23 36 biologic biologic JJ cord-021917-z9wpjr0d 23 37 agents agent NNS cord-021917-z9wpjr0d 23 38 . . . cord-021917-z9wpjr0d 24 1 The the DT cord-021917-z9wpjr0d 24 2 scope scope NN cord-021917-z9wpjr0d 24 3 and and CC cord-021917-z9wpjr0d 24 4 effect effect NN cord-021917-z9wpjr0d 24 5 of of IN cord-021917-z9wpjr0d 24 6 prior prior JJ cord-021917-z9wpjr0d 24 7 events event NNS cord-021917-z9wpjr0d 24 8 could could MD cord-021917-z9wpjr0d 24 9 have have VB cord-021917-z9wpjr0d 24 10 been be VBN cord-021917-z9wpjr0d 24 11 much much RB cord-021917-z9wpjr0d 24 12 greater great JJR cord-021917-z9wpjr0d 24 13 if if IN cord-021917-z9wpjr0d 24 14 a a DT cord-021917-z9wpjr0d 24 15 contagious contagious JJ cord-021917-z9wpjr0d 24 16 agent agent NN cord-021917-z9wpjr0d 24 17 were be VBD cord-021917-z9wpjr0d 24 18 used use VBN cord-021917-z9wpjr0d 24 19 or or CC cord-021917-z9wpjr0d 24 20 if if IN cord-021917-z9wpjr0d 24 21 a a DT cord-021917-z9wpjr0d 24 22 lethal lethal JJ cord-021917-z9wpjr0d 24 23 pathogen pathogen NN cord-021917-z9wpjr0d 24 24 were be VBD cord-021917-z9wpjr0d 24 25 widely widely RB cord-021917-z9wpjr0d 24 26 disseminated disseminate VBN cord-021917-z9wpjr0d 24 27 . . . cord-021917-z9wpjr0d 25 1 Despite despite IN cord-021917-z9wpjr0d 25 2 the the DT cord-021917-z9wpjr0d 25 3 increased increase VBN cord-021917-z9wpjr0d 25 4 attention attention NN cord-021917-z9wpjr0d 25 5 to to IN cord-021917-z9wpjr0d 25 6 biodefense biodefense NN cord-021917-z9wpjr0d 25 7 , , , cord-021917-z9wpjr0d 25 8 the the DT cord-021917-z9wpjr0d 25 9 risk risk NN cord-021917-z9wpjr0d 25 10 of of IN cord-021917-z9wpjr0d 25 11 subsequent subsequent JJ cord-021917-z9wpjr0d 25 12 BT BT NNP cord-021917-z9wpjr0d 25 13 events event NNS cord-021917-z9wpjr0d 25 14 may may MD cord-021917-z9wpjr0d 25 15 paradoxically paradoxically RB cord-021917-z9wpjr0d 25 16 be be VB cord-021917-z9wpjr0d 25 17 increasing increase VBG cord-021917-z9wpjr0d 25 18 . . . cord-021917-z9wpjr0d 26 1 Rapid rapid JJ cord-021917-z9wpjr0d 26 2 advancements advancement NNS cord-021917-z9wpjr0d 26 3 in in IN cord-021917-z9wpjr0d 26 4 science science NN cord-021917-z9wpjr0d 26 5 are be VBP cord-021917-z9wpjr0d 26 6 making make VBG cord-021917-z9wpjr0d 26 7 synthetic synthetic JJ cord-021917-z9wpjr0d 26 8 and and CC cord-021917-z9wpjr0d 26 9 novel novel JJ cord-021917-z9wpjr0d 26 10 biologic biologic JJ cord-021917-z9wpjr0d 26 11 agents agent NNS cord-021917-z9wpjr0d 26 12 more more RBR cord-021917-z9wpjr0d 26 13 accessible accessible JJ cord-021917-z9wpjr0d 26 14 and and CC cord-021917-z9wpjr0d 26 15 technologies technology NNS cord-021917-z9wpjr0d 26 16 to to TO cord-021917-z9wpjr0d 26 17 disseminate disseminate VB cord-021917-z9wpjr0d 26 18 agents agent NNS cord-021917-z9wpjr0d 26 19 may may MD cord-021917-z9wpjr0d 26 20 no no RB cord-021917-z9wpjr0d 26 21 longer longer RB cord-021917-z9wpjr0d 26 22 be be VB cord-021917-z9wpjr0d 26 23 restricted restrict VBN cord-021917-z9wpjr0d 26 24 to to IN cord-021917-z9wpjr0d 26 25 only only RB cord-021917-z9wpjr0d 26 26 a a DT cord-021917-z9wpjr0d 26 27 few few JJ cord-021917-z9wpjr0d 26 28 nations nation NNS cord-021917-z9wpjr0d 26 29 . . . cord-021917-z9wpjr0d 27 1 To to TO cord-021917-z9wpjr0d 27 2 reduce reduce VB cord-021917-z9wpjr0d 27 3 the the DT cord-021917-z9wpjr0d 27 4 medical medical JJ cord-021917-z9wpjr0d 27 5 effect effect NN cord-021917-z9wpjr0d 27 6 of of IN cord-021917-z9wpjr0d 27 7 a a DT cord-021917-z9wpjr0d 27 8 BT BT NNP cord-021917-z9wpjr0d 27 9 event event NN cord-021917-z9wpjr0d 27 10 , , , cord-021917-z9wpjr0d 27 11 the the DT cord-021917-z9wpjr0d 27 12 major major JJ cord-021917-z9wpjr0d 27 13 determinants determinant NNS cord-021917-z9wpjr0d 27 14 of of IN cord-021917-z9wpjr0d 27 15 morbidity morbidity NN cord-021917-z9wpjr0d 27 16 and and CC cord-021917-z9wpjr0d 27 17 mortality mortality NN cord-021917-z9wpjr0d 27 18 must must MD cord-021917-z9wpjr0d 27 19 be be VB cord-021917-z9wpjr0d 27 20 understood understand VBN cord-021917-z9wpjr0d 27 21 ( ( -LRB- cord-021917-z9wpjr0d 27 22 Fig Fig NNP cord-021917-z9wpjr0d 27 23 . . . cord-021917-z9wpjr0d 27 24 _SP cord-021917-z9wpjr0d 27 25 64 64 CD cord-021917-z9wpjr0d 27 26 .1 .1 CD cord-021917-z9wpjr0d 27 27 ) ) -RRB- cord-021917-z9wpjr0d 27 28 . . . cord-021917-z9wpjr0d 28 1 The the DT cord-021917-z9wpjr0d 28 2 number number NN cord-021917-z9wpjr0d 28 3 of of IN cord-021917-z9wpjr0d 28 4 deaths death NNS cord-021917-z9wpjr0d 28 5 from from IN cord-021917-z9wpjr0d 28 6 a a DT cord-021917-z9wpjr0d 28 7 BT BT NNP cord-021917-z9wpjr0d 28 8 event event NN cord-021917-z9wpjr0d 28 9 depends depend VBZ cord-021917-z9wpjr0d 28 10 in in IN cord-021917-z9wpjr0d 28 11 part part NN cord-021917-z9wpjr0d 28 12 on on IN cord-021917-z9wpjr0d 28 13 the the DT cord-021917-z9wpjr0d 28 14 lethality lethality NN cord-021917-z9wpjr0d 28 15 and and CC cord-021917-z9wpjr0d 28 16 infectivity infectivity NN cord-021917-z9wpjr0d 28 17 of of IN cord-021917-z9wpjr0d 28 18 the the DT cord-021917-z9wpjr0d 28 19 released release VBN cord-021917-z9wpjr0d 28 20 agent agent NN cord-021917-z9wpjr0d 28 21 , , , cord-021917-z9wpjr0d 28 22 in in IN cord-021917-z9wpjr0d 28 23 addition addition NN cord-021917-z9wpjr0d 28 24 to to IN cord-021917-z9wpjr0d 28 25 how how WRB cord-021917-z9wpjr0d 28 26 effectively effectively RB cord-021917-z9wpjr0d 28 27 and and CC cord-021917-z9wpjr0d 28 28 widespread widespread JJ cord-021917-z9wpjr0d 28 29 it -PRON- PRP cord-021917-z9wpjr0d 28 30 is be VBZ cord-021917-z9wpjr0d 28 31 delivered deliver VBN cord-021917-z9wpjr0d 28 32 . . . cord-021917-z9wpjr0d 29 1 Many many JJ cord-021917-z9wpjr0d 29 2 biologic biologic JJ cord-021917-z9wpjr0d 29 3 agents agent NNS cord-021917-z9wpjr0d 29 4 could could MD cord-021917-z9wpjr0d 29 5 theoretically theoretically RB cord-021917-z9wpjr0d 29 6 be be VB cord-021917-z9wpjr0d 29 7 used use VBN cord-021917-z9wpjr0d 29 8 as as IN cord-021917-z9wpjr0d 29 9 weapons weapon NNS cord-021917-z9wpjr0d 29 10 , , , cord-021917-z9wpjr0d 29 11 but but CC cord-021917-z9wpjr0d 29 12 some some DT cord-021917-z9wpjr0d 29 13 are be VBP cord-021917-z9wpjr0d 29 14 An an DT cord-021917-z9wpjr0d 29 15 intentional intentional JJ cord-021917-z9wpjr0d 29 16 release release NN cord-021917-z9wpjr0d 29 17 of of IN cord-021917-z9wpjr0d 29 18 a a DT cord-021917-z9wpjr0d 29 19 biologic biologic JJ cord-021917-z9wpjr0d 29 20 agent agent NN cord-021917-z9wpjr0d 29 21 within within IN cord-021917-z9wpjr0d 29 22 a a DT cord-021917-z9wpjr0d 29 23 civilian civilian JJ cord-021917-z9wpjr0d 29 24 population population NN cord-021917-z9wpjr0d 29 25 , , , cord-021917-z9wpjr0d 29 26 exposing expose VBG cord-021917-z9wpjr0d 29 27 hundreds hundred NNS cord-021917-z9wpjr0d 29 28 or or CC cord-021917-z9wpjr0d 29 29 thousands thousand NNS cord-021917-z9wpjr0d 29 30 of of IN cord-021917-z9wpjr0d 29 31 people people NNS cord-021917-z9wpjr0d 29 32 to to IN cord-021917-z9wpjr0d 29 33 a a DT cord-021917-z9wpjr0d 29 34 serious serious JJ cord-021917-z9wpjr0d 29 35 pathogen pathogen NN cord-021917-z9wpjr0d 29 36 , , , cord-021917-z9wpjr0d 29 37 is be VBZ cord-021917-z9wpjr0d 29 38 increasingly increasingly RB cord-021917-z9wpjr0d 29 39 recognized recognize VBN cord-021917-z9wpjr0d 29 40 as as IN cord-021917-z9wpjr0d 29 41 a a DT cord-021917-z9wpjr0d 29 42 plausible plausible JJ cord-021917-z9wpjr0d 29 43 terrorism terrorism NN cord-021917-z9wpjr0d 29 44 event event NN cord-021917-z9wpjr0d 29 45 . . . cord-021917-z9wpjr0d 30 1 Unlike unlike IN cord-021917-z9wpjr0d 30 2 most most JJS cord-021917-z9wpjr0d 30 3 mass mass JJ cord-021917-z9wpjr0d 30 4 casualty casualty NN cord-021917-z9wpjr0d 30 5 incidents incident NNS cord-021917-z9wpjr0d 30 6 , , , cord-021917-z9wpjr0d 30 7 releases release NNS cord-021917-z9wpjr0d 30 8 of of IN cord-021917-z9wpjr0d 30 9 bioweapons bioweapon NNS cord-021917-z9wpjr0d 30 10 agents agent NNS cord-021917-z9wpjr0d 30 11 may may MD cord-021917-z9wpjr0d 30 12 be be VB cord-021917-z9wpjr0d 30 13 covert covert JJ cord-021917-z9wpjr0d 30 14 , , , cord-021917-z9wpjr0d 30 15 thus thus RB cord-021917-z9wpjr0d 30 16 providing provide VBG cord-021917-z9wpjr0d 30 17 additional additional JJ cord-021917-z9wpjr0d 30 18 security security NN cord-021917-z9wpjr0d 30 19 and and CC cord-021917-z9wpjr0d 30 20 public public JJ cord-021917-z9wpjr0d 30 21 health health NN cord-021917-z9wpjr0d 30 22 challenges challenge NNS cord-021917-z9wpjr0d 30 23 to to IN cord-021917-z9wpjr0d 30 24 the the DT cord-021917-z9wpjr0d 30 25 medical medical JJ cord-021917-z9wpjr0d 30 26 response response NN cord-021917-z9wpjr0d 30 27 beyond beyond IN cord-021917-z9wpjr0d 30 28 the the DT cord-021917-z9wpjr0d 30 29 generic generic JJ cord-021917-z9wpjr0d 30 30 burden burden NN cord-021917-z9wpjr0d 30 31 of of IN cord-021917-z9wpjr0d 30 32 scores score NNS cord-021917-z9wpjr0d 30 33 of of IN cord-021917-z9wpjr0d 30 34 casualties casualty NNS cord-021917-z9wpjr0d 30 35 . . . cord-021917-z9wpjr0d 31 1 An an DT cord-021917-z9wpjr0d 31 2 optimal optimal JJ cord-021917-z9wpjr0d 31 3 medical medical JJ cord-021917-z9wpjr0d 31 4 response response NN cord-021917-z9wpjr0d 31 5 to to IN cord-021917-z9wpjr0d 31 6 a a DT cord-021917-z9wpjr0d 31 7 bioweapon bioweapon NN cord-021917-z9wpjr0d 31 8 attack attack NN cord-021917-z9wpjr0d 31 9 will will MD cord-021917-z9wpjr0d 31 10 require require VB cord-021917-z9wpjr0d 31 11 all all DT cord-021917-z9wpjr0d 31 12 or or CC cord-021917-z9wpjr0d 31 13 most most JJS cord-021917-z9wpjr0d 31 14 of of IN cord-021917-z9wpjr0d 31 15 the the DT cord-021917-z9wpjr0d 31 16 following follow VBG cord-021917-z9wpjr0d 31 17 : : : cord-021917-z9wpjr0d 31 18 early early JJ cord-021917-z9wpjr0d 31 19 diagnosis diagnosis NN cord-021917-z9wpjr0d 31 20 , , , cord-021917-z9wpjr0d 31 21 rapid rapid JJ cord-021917-z9wpjr0d 31 22 case case NN cord-021917-z9wpjr0d 31 23 finding finding NN cord-021917-z9wpjr0d 31 24 , , , cord-021917-z9wpjr0d 31 25 large large JJ cord-021917-z9wpjr0d 31 26 - - HYPH cord-021917-z9wpjr0d 31 27 scale scale NN cord-021917-z9wpjr0d 31 28 distribution distribution NN cord-021917-z9wpjr0d 31 29 of of IN cord-021917-z9wpjr0d 31 30 countermeasures countermeasure NNS cord-021917-z9wpjr0d 31 31 for for IN cord-021917-z9wpjr0d 31 32 postexposure postexposure NN cord-021917-z9wpjr0d 31 33 prophylaxis prophylaxis NN cord-021917-z9wpjr0d 31 34 or or CC cord-021917-z9wpjr0d 31 35 early early JJ cord-021917-z9wpjr0d 31 36 treatment treatment NN cord-021917-z9wpjr0d 31 37 , , , cord-021917-z9wpjr0d 31 38 immediate immediate JJ cord-021917-z9wpjr0d 31 39 isolation isolation NN cord-021917-z9wpjr0d 31 40 of of IN cord-021917-z9wpjr0d 31 41 contagious contagious JJ cord-021917-z9wpjr0d 31 42 victims victim NNS cord-021917-z9wpjr0d 31 43 , , , cord-021917-z9wpjr0d 31 44 and and CC cord-021917-z9wpjr0d 31 45 enhanced enhanced JJ cord-021917-z9wpjr0d 31 46 capacity capacity NN cord-021917-z9wpjr0d 31 47 for for IN cord-021917-z9wpjr0d 31 48 providing provide VBG cord-021917-z9wpjr0d 31 49 medical medical JJ cord-021917-z9wpjr0d 31 50 care care NN cord-021917-z9wpjr0d 31 51 to to IN cord-021917-z9wpjr0d 31 52 seriously seriously RB cord-021917-z9wpjr0d 31 53 and and CC cord-021917-z9wpjr0d 31 54 critically critically RB cord-021917-z9wpjr0d 31 55 ill ill JJ cord-021917-z9wpjr0d 31 56 victims victim NNS cord-021917-z9wpjr0d 31 57 . . . cord-021917-z9wpjr0d 32 1 No no DT cord-021917-z9wpjr0d 32 2 country country NN cord-021917-z9wpjr0d 32 3 is be VBZ cord-021917-z9wpjr0d 32 4 fully fully RB cord-021917-z9wpjr0d 32 5 prepared prepared JJ cord-021917-z9wpjr0d 32 6 to to TO cord-021917-z9wpjr0d 32 7 avert avert VB cord-021917-z9wpjr0d 32 8 illness illness NN cord-021917-z9wpjr0d 32 9 when when WRB cord-021917-z9wpjr0d 32 10 thousands thousand NNS cord-021917-z9wpjr0d 32 11 of of IN cord-021917-z9wpjr0d 32 12 people people NNS cord-021917-z9wpjr0d 32 13 are be VBP cord-021917-z9wpjr0d 32 14 covertly covertly RB cord-021917-z9wpjr0d 32 15 exposed expose VBN cord-021917-z9wpjr0d 32 16 to to IN cord-021917-z9wpjr0d 32 17 a a DT cord-021917-z9wpjr0d 32 18 serious serious JJ cord-021917-z9wpjr0d 32 19 bioweapons bioweapon NNS cord-021917-z9wpjr0d 32 20 agent agent NN cord-021917-z9wpjr0d 32 21 . . . cord-021917-z9wpjr0d 33 1 Hence hence RB cord-021917-z9wpjr0d 33 2 , , , cord-021917-z9wpjr0d 33 3 after after IN cord-021917-z9wpjr0d 33 4 a a DT cord-021917-z9wpjr0d 33 5 moderate moderate JJ cord-021917-z9wpjr0d 33 6 or or CC cord-021917-z9wpjr0d 33 7 large large JJ cord-021917-z9wpjr0d 33 8 - - HYPH cord-021917-z9wpjr0d 33 9 scale scale NN cord-021917-z9wpjr0d 33 10 intentional intentional JJ cord-021917-z9wpjr0d 33 11 release release NN cord-021917-z9wpjr0d 33 12 of of IN cord-021917-z9wpjr0d 33 13 a a DT cord-021917-z9wpjr0d 33 14 serious serious JJ cord-021917-z9wpjr0d 33 15 pathogen pathogen NN cord-021917-z9wpjr0d 33 16 , , , cord-021917-z9wpjr0d 33 17 even even RB cord-021917-z9wpjr0d 33 18 one one CD cord-021917-z9wpjr0d 33 19 for for IN cord-021917-z9wpjr0d 33 20 which which WDT cord-021917-z9wpjr0d 33 21 effec effec NN cord-021917-z9wpjr0d 33 22 - - HYPH cord-021917-z9wpjr0d 33 23 more more RBR cord-021917-z9wpjr0d 33 24 lethal lethal JJ cord-021917-z9wpjr0d 33 25 , , , cord-021917-z9wpjr0d 33 26 more more RBR cord-021917-z9wpjr0d 33 27 available available JJ cord-021917-z9wpjr0d 33 28 , , , cord-021917-z9wpjr0d 33 29 and and CC cord-021917-z9wpjr0d 33 30 more more RBR cord-021917-z9wpjr0d 33 31 easily easily RB cord-021917-z9wpjr0d 33 32 disseminated disseminate VBN cord-021917-z9wpjr0d 33 33 ( ( -LRB- cord-021917-z9wpjr0d 33 34 Table table NN cord-021917-z9wpjr0d 33 35 _SP cord-021917-z9wpjr0d 33 36 64 64 CD cord-021917-z9wpjr0d 33 37 .1 .1 CD cord-021917-z9wpjr0d 33 38 ) ) -RRB- cord-021917-z9wpjr0d 33 39 . . . cord-021917-z9wpjr0d 34 1 The the DT cord-021917-z9wpjr0d 34 2 agent agent NN cord-021917-z9wpjr0d 34 3 's 's POS cord-021917-z9wpjr0d 34 4 characteristics characteristic NNS cord-021917-z9wpjr0d 34 5 alone alone RB cord-021917-z9wpjr0d 34 6 will will MD cord-021917-z9wpjr0d 34 7 not not RB cord-021917-z9wpjr0d 34 8 , , , cord-021917-z9wpjr0d 34 9 however however RB cord-021917-z9wpjr0d 34 10 , , , cord-021917-z9wpjr0d 34 11 determine determine VB cord-021917-z9wpjr0d 34 12 the the DT cord-021917-z9wpjr0d 34 13 overall overall JJ cord-021917-z9wpjr0d 34 14 impact impact NN cord-021917-z9wpjr0d 34 15 of of IN cord-021917-z9wpjr0d 34 16 the the DT cord-021917-z9wpjr0d 34 17 BT BT NNP cord-021917-z9wpjr0d 34 18 event event NN cord-021917-z9wpjr0d 34 19 . . . cord-021917-z9wpjr0d 35 1 Population population NN cord-021917-z9wpjr0d 35 2 characteristics characteristic NNS cord-021917-z9wpjr0d 35 3 ( ( -LRB- cord-021917-z9wpjr0d 35 4 i.e. i.e. FW cord-021917-z9wpjr0d 35 5 , , , cord-021917-z9wpjr0d 35 6 vulnerabilities vulnerability NNS cord-021917-z9wpjr0d 35 7 ) ) -RRB- cord-021917-z9wpjr0d 35 8 will will MD cord-021917-z9wpjr0d 35 9 also also RB cord-021917-z9wpjr0d 35 10 affect affect VB cord-021917-z9wpjr0d 35 11 the the DT cord-021917-z9wpjr0d 35 12 impact impact NN cord-021917-z9wpjr0d 35 13 of of IN cord-021917-z9wpjr0d 35 14 a a DT cord-021917-z9wpjr0d 35 15 BT BT NNP cord-021917-z9wpjr0d 35 16 event event NN cord-021917-z9wpjr0d 35 17 ( ( -LRB- cord-021917-z9wpjr0d 35 18 Fig Fig NNP cord-021917-z9wpjr0d 35 19 . . . cord-021917-z9wpjr0d 35 20 64.1 64.1 CD cord-021917-z9wpjr0d 35 21 ) ) -RRB- cord-021917-z9wpjr0d 35 22 . . . cord-021917-z9wpjr0d 36 1 Many many JJ cord-021917-z9wpjr0d 36 2 agencies agency NNS cord-021917-z9wpjr0d 36 3 , , , cord-021917-z9wpjr0d 36 4 professions profession NNS cord-021917-z9wpjr0d 36 5 , , , cord-021917-z9wpjr0d 36 6 and and CC cord-021917-z9wpjr0d 36 7 community community NN cord-021917-z9wpjr0d 36 8 members member NNS cord-021917-z9wpjr0d 36 9 must must MD cord-021917-z9wpjr0d 36 10 be be VB cord-021917-z9wpjr0d 36 11 involved involve VBN cord-021917-z9wpjr0d 36 12 in in IN cord-021917-z9wpjr0d 36 13 preparing prepare VBG cord-021917-z9wpjr0d 36 14 and and CC cord-021917-z9wpjr0d 36 15 responding respond VBG cord-021917-z9wpjr0d 36 16 to to IN cord-021917-z9wpjr0d 36 17 a a DT cord-021917-z9wpjr0d 36 18 BT BT NNP cord-021917-z9wpjr0d 36 19 event event NN cord-021917-z9wpjr0d 36 20 . . . cord-021917-z9wpjr0d 37 1 To to TO cord-021917-z9wpjr0d 37 2 optimally optimally RB cord-021917-z9wpjr0d 37 3 respond respond VB cord-021917-z9wpjr0d 37 4 , , , cord-021917-z9wpjr0d 37 5 hospital hospital NN cord-021917-z9wpjr0d 37 6 and and CC cord-021917-z9wpjr0d 37 7 public public JJ cord-021917-z9wpjr0d 37 8 health health NN cord-021917-z9wpjr0d 37 9 cooperation cooperation NN cord-021917-z9wpjr0d 37 10 , , , cord-021917-z9wpjr0d 37 11 planning planning NN cord-021917-z9wpjr0d 37 12 , , , cord-021917-z9wpjr0d 37 13 and and CC cord-021917-z9wpjr0d 37 14 preparedness preparedness NN cord-021917-z9wpjr0d 37 15 need need VBP cord-021917-z9wpjr0d 37 16 to to TO cord-021917-z9wpjr0d 37 17 occur occur VB cord-021917-z9wpjr0d 37 18 before before IN cord-021917-z9wpjr0d 37 19 the the DT cord-021917-z9wpjr0d 37 20 disaster disaster NN cord-021917-z9wpjr0d 37 21 . . . cord-021917-z9wpjr0d 38 1 The the DT cord-021917-z9wpjr0d 38 2 integration integration NN cord-021917-z9wpjr0d 38 3 and and CC cord-021917-z9wpjr0d 38 4 coordination coordination NN cord-021917-z9wpjr0d 38 5 of of IN cord-021917-z9wpjr0d 38 6 all all PDT cord-021917-z9wpjr0d 38 7 these these DT cord-021917-z9wpjr0d 38 8 responders responder NNS cord-021917-z9wpjr0d 38 9 is be VBZ cord-021917-z9wpjr0d 38 10 very very RB cord-021917-z9wpjr0d 38 11 important important JJ cord-021917-z9wpjr0d 38 12 , , , cord-021917-z9wpjr0d 38 13 and and CC cord-021917-z9wpjr0d 38 14 detailed detailed JJ cord-021917-z9wpjr0d 38 15 operational operational JJ cord-021917-z9wpjr0d 38 16 descriptions description NNS cord-021917-z9wpjr0d 38 17 are be VBP cord-021917-z9wpjr0d 38 18 beyond beyond IN cord-021917-z9wpjr0d 38 19 the the DT cord-021917-z9wpjr0d 38 20 scope scope NN cord-021917-z9wpjr0d 38 21 of of IN cord-021917-z9wpjr0d 38 22 this this DT cord-021917-z9wpjr0d 38 23 chapter chapter NN cord-021917-z9wpjr0d 38 24 ( ( -LRB- cord-021917-z9wpjr0d 38 25 see see VB cord-021917-z9wpjr0d 38 26 Box Box NNP cord-021917-z9wpjr0d 38 27 64.1 64.1 CD cord-021917-z9wpjr0d 38 28 ) ) -RRB- cord-021917-z9wpjr0d 38 29 . . . cord-021917-z9wpjr0d 39 1 Instead instead RB cord-021917-z9wpjr0d 39 2 , , , cord-021917-z9wpjr0d 39 3 this this DT cord-021917-z9wpjr0d 39 4 chapter chapter NN cord-021917-z9wpjr0d 39 5 is be VBZ cord-021917-z9wpjr0d 39 6 intended intend VBN cord-021917-z9wpjr0d 39 7 to to TO cord-021917-z9wpjr0d 39 8 be be VB cord-021917-z9wpjr0d 39 9 an an DT cord-021917-z9wpjr0d 39 10 introduction introduction NN cord-021917-z9wpjr0d 39 11 to to IN cord-021917-z9wpjr0d 39 12 the the DT cord-021917-z9wpjr0d 39 13 medical medical JJ cord-021917-z9wpjr0d 39 14 response response NN cord-021917-z9wpjr0d 39 15 issues issue NNS cord-021917-z9wpjr0d 39 16 for for IN cord-021917-z9wpjr0d 39 17 a a DT cord-021917-z9wpjr0d 39 18 BT BT NNP cord-021917-z9wpjr0d 39 19 event event NN cord-021917-z9wpjr0d 39 20 , , , cord-021917-z9wpjr0d 39 21 specifically specifically RB cord-021917-z9wpjr0d 39 22 the the DT cord-021917-z9wpjr0d 39 23 critical critical JJ cord-021917-z9wpjr0d 39 24 care care NN cord-021917-z9wpjr0d 39 25 medical medical JJ cord-021917-z9wpjr0d 39 26 response response NN cord-021917-z9wpjr0d 39 27 . . . cord-021917-z9wpjr0d 40 1 The the DT cord-021917-z9wpjr0d 40 2 Centers Centers NNPS cord-021917-z9wpjr0d 40 3 for for IN cord-021917-z9wpjr0d 40 4 Disease Disease NNP cord-021917-z9wpjr0d 40 5 Control Control NNP cord-021917-z9wpjr0d 40 6 and and CC cord-021917-z9wpjr0d 40 7 Prevention Prevention NNP cord-021917-z9wpjr0d 40 8 ( ( -LRB- cord-021917-z9wpjr0d 40 9 CDC CDC NNP cord-021917-z9wpjr0d 40 10 ) ) -RRB- cord-021917-z9wpjr0d 40 11 has have VBZ cord-021917-z9wpjr0d 40 12 compiled compile VBN cord-021917-z9wpjr0d 40 13 a a DT cord-021917-z9wpjr0d 40 14 list list NN cord-021917-z9wpjr0d 40 15 of of IN cord-021917-z9wpjr0d 40 16 potential potential JJ cord-021917-z9wpjr0d 40 17 agents agent NNS cord-021917-z9wpjr0d 40 18 of of IN cord-021917-z9wpjr0d 40 19 bioterrorism bioterrorism NN cord-021917-z9wpjr0d 40 20 and and CC cord-021917-z9wpjr0d 40 21 divided divide VBD cord-021917-z9wpjr0d 40 22 these these DT cord-021917-z9wpjr0d 40 23 into into IN cord-021917-z9wpjr0d 40 24 three three CD cord-021917-z9wpjr0d 40 25 categories category NNS cord-021917-z9wpjr0d 40 26 , , , cord-021917-z9wpjr0d 40 27 A A NNP cord-021917-z9wpjr0d 40 28 - - HYPH cord-021917-z9wpjr0d 40 29 C C NNP cord-021917-z9wpjr0d 40 30 ( ( -LRB- cord-021917-z9wpjr0d 40 31 see see VB cord-021917-z9wpjr0d 40 32 Table Table NNP cord-021917-z9wpjr0d 40 33 64 64 CD cord-021917-z9wpjr0d 40 34 .1 .1 CD cord-021917-z9wpjr0d 40 35 ) ) -RRB- cord-021917-z9wpjr0d 40 36 . . . cord-021917-z9wpjr0d 41 1 Category category NN cord-021917-z9wpjr0d 41 2 A a DT cord-021917-z9wpjr0d 41 3 agents agent NNS cord-021917-z9wpjr0d 41 4 are be VBP cord-021917-z9wpjr0d 41 5 those those DT cord-021917-z9wpjr0d 41 6 believed believe VBN cord-021917-z9wpjr0d 41 7 to to TO cord-021917-z9wpjr0d 41 8 pose pose VB cord-021917-z9wpjr0d 41 9 the the DT cord-021917-z9wpjr0d 41 10 greatest great JJS cord-021917-z9wpjr0d 41 11 threat threat NN cord-021917-z9wpjr0d 41 12 in in IN cord-021917-z9wpjr0d 41 13 terms term NNS cord-021917-z9wpjr0d 41 14 of of IN cord-021917-z9wpjr0d 41 15 potential potential JJ cord-021917-z9wpjr0d 41 16 lethality lethality NN cord-021917-z9wpjr0d 41 17 , , , cord-021917-z9wpjr0d 41 18 ability ability NN cord-021917-z9wpjr0d 41 19 for for IN cord-021917-z9wpjr0d 41 20 widespread widespread JJ cord-021917-z9wpjr0d 41 21 dissemination dissemination NN cord-021917-z9wpjr0d 41 22 , , , cord-021917-z9wpjr0d 41 23 ability ability NN cord-021917-z9wpjr0d 41 24 for for IN cord-021917-z9wpjr0d 41 25 subsequent subsequent JJ cord-021917-z9wpjr0d 41 26 human human NN cord-021917-z9wpjr0d 41 27 - - HYPH cord-021917-z9wpjr0d 41 28 to to IN cord-021917-z9wpjr0d 41 29 - - HYPH cord-021917-z9wpjr0d 41 30 human human JJ cord-021917-z9wpjr0d 41 31 transmission transmission NN cord-021917-z9wpjr0d 41 32 , , , cord-021917-z9wpjr0d 41 33 and and CC cord-021917-z9wpjr0d 41 34 disruptive disruptive JJ cord-021917-z9wpjr0d 41 35 impact impact NN cord-021917-z9wpjr0d 41 36 on on IN cord-021917-z9wpjr0d 41 37 the the DT cord-021917-z9wpjr0d 41 38 community community NN cord-021917-z9wpjr0d 41 39 and and CC cord-021917-z9wpjr0d 41 40 the the DT cord-021917-z9wpjr0d 41 41 public public JJ cord-021917-z9wpjr0d 41 42 health health NN cord-021917-z9wpjr0d 41 43 system system NN cord-021917-z9wpjr0d 41 44 . . . cord-021917-z9wpjr0d 42 1 These these DT cord-021917-z9wpjr0d 42 2 agents agent NNS cord-021917-z9wpjr0d 42 3 include include VBP cord-021917-z9wpjr0d 42 4 Variola variola JJ cord-021917-z9wpjr0d 42 5 major major NN cord-021917-z9wpjr0d 42 6 ( ( -LRB- cord-021917-z9wpjr0d 42 7 smallpox smallpox NN cord-021917-z9wpjr0d 42 8 ) ) -RRB- cord-021917-z9wpjr0d 42 9 , , , cord-021917-z9wpjr0d 42 10 Bacillus bacillus NN cord-021917-z9wpjr0d 42 11 anthracis anthracis NN cord-021917-z9wpjr0d 42 12 ( ( -LRB- cord-021917-z9wpjr0d 42 13 anthrax anthrax NN cord-021917-z9wpjr0d 42 14 ) ) -RRB- cord-021917-z9wpjr0d 42 15 , , , cord-021917-z9wpjr0d 42 16 Yersinia Yersinia NNP cord-021917-z9wpjr0d 42 17 pestis pestis NN cord-021917-z9wpjr0d 42 18 ( ( -LRB- cord-021917-z9wpjr0d 42 19 plague plague NN cord-021917-z9wpjr0d 42 20 ) ) -RRB- cord-021917-z9wpjr0d 42 21 , , , cord-021917-z9wpjr0d 42 22 Clostridium clostridium NN cord-021917-z9wpjr0d 42 23 botulinum botulinum NN cord-021917-z9wpjr0d 42 24 ( ( -LRB- cord-021917-z9wpjr0d 42 25 botulism botulism NN cord-021917-z9wpjr0d 42 26 ) ) -RRB- cord-021917-z9wpjr0d 42 27 , , , cord-021917-z9wpjr0d 42 28 Francisella Francisella NNP cord-021917-z9wpjr0d 42 29 tularensis tularensis NNP cord-021917-z9wpjr0d 42 30 ( ( -LRB- cord-021917-z9wpjr0d 42 31 tularemia tularemia NN cord-021917-z9wpjr0d 42 32 ) ) -RRB- cord-021917-z9wpjr0d 42 33 , , , cord-021917-z9wpjr0d 42 34 and and CC cord-021917-z9wpjr0d 42 35 viral viral JJ cord-021917-z9wpjr0d 42 36 hemorrhagic hemorrhagic JJ cord-021917-z9wpjr0d 42 37 fevers fever NNS cord-021917-z9wpjr0d 42 38 ( ( -LRB- cord-021917-z9wpjr0d 42 39 VHFs VHFs NNP cord-021917-z9wpjr0d 42 40 ) ) -RRB- cord-021917-z9wpjr0d 42 41 . . . cord-021917-z9wpjr0d 43 1 This this DT cord-021917-z9wpjr0d 43 2 section section NN cord-021917-z9wpjr0d 43 3 provides provide VBZ cord-021917-z9wpjr0d 43 4 a a DT cord-021917-z9wpjr0d 43 5 brief brief JJ cord-021917-z9wpjr0d 43 6 summary summary NN cord-021917-z9wpjr0d 43 7 of of IN cord-021917-z9wpjr0d 43 8 the the DT cord-021917-z9wpjr0d 43 9 pathogenesis pathogenesis NN cord-021917-z9wpjr0d 43 10 and and CC cord-021917-z9wpjr0d 43 11 diagnosis diagnosis NN cord-021917-z9wpjr0d 43 12 of of IN cord-021917-z9wpjr0d 43 13 each each DT cord-021917-z9wpjr0d 43 14 category category NN cord-021917-z9wpjr0d 43 15 A a DT cord-021917-z9wpjr0d 43 16 agent agent NN cord-021917-z9wpjr0d 43 17 and and CC cord-021917-z9wpjr0d 43 18 also also RB cord-021917-z9wpjr0d 43 19 reviews review VBZ cord-021917-z9wpjr0d 43 20 current current JJ cord-021917-z9wpjr0d 43 21 recommendations recommendation NNS cord-021917-z9wpjr0d 43 22 for for IN cord-021917-z9wpjr0d 43 23 treatment treatment NN cord-021917-z9wpjr0d 43 24 . . . cord-021917-z9wpjr0d 44 1 Bacillus bacillus NN cord-021917-z9wpjr0d 44 2 anthracis anthracis NN cord-021917-z9wpjr0d 44 3 is be VBZ cord-021917-z9wpjr0d 44 4 acquired acquire VBN cord-021917-z9wpjr0d 44 5 from from IN cord-021917-z9wpjr0d 44 6 contact contact NN cord-021917-z9wpjr0d 44 7 with with IN cord-021917-z9wpjr0d 44 8 infected infected JJ cord-021917-z9wpjr0d 44 9 animals animal NNS cord-021917-z9wpjr0d 44 10 or or CC cord-021917-z9wpjr0d 44 11 animal animal NN cord-021917-z9wpjr0d 44 12 products product NNS cord-021917-z9wpjr0d 44 13 and and CC cord-021917-z9wpjr0d 44 14 causes cause VBZ cord-021917-z9wpjr0d 44 15 three three CD cord-021917-z9wpjr0d 44 16 forms form NNS cord-021917-z9wpjr0d 44 17 of of IN cord-021917-z9wpjr0d 44 18 disease disease NN cord-021917-z9wpjr0d 44 19 : : : cord-021917-z9wpjr0d 44 20 cutaneous cutaneous JJ cord-021917-z9wpjr0d 44 21 , , , cord-021917-z9wpjr0d 44 22 inhalational inhalational JJ cord-021917-z9wpjr0d 44 23 , , , cord-021917-z9wpjr0d 44 24 and and CC cord-021917-z9wpjr0d 44 25 gastrointestinal gastrointestinal JJ cord-021917-z9wpjr0d 44 26 . . . cord-021917-z9wpjr0d 45 1 Approximately approximately RB cord-021917-z9wpjr0d 45 2 2000 2000 CD cord-021917-z9wpjr0d 45 3 cases case NNS cord-021917-z9wpjr0d 45 4 of of IN cord-021917-z9wpjr0d 45 5 cutaneous cutaneous JJ cord-021917-z9wpjr0d 45 6 anthrax anthrax NN cord-021917-z9wpjr0d 45 7 occur occur VBP cord-021917-z9wpjr0d 45 8 annually annually RB cord-021917-z9wpjr0d 45 9 worldwide worldwide RB cord-021917-z9wpjr0d 45 10 . . . cord-021917-z9wpjr0d 46 1 Inhalational inhalational JJ cord-021917-z9wpjr0d 46 2 anthrax anthrax NN cord-021917-z9wpjr0d 46 3 has have VBZ cord-021917-z9wpjr0d 46 4 not not RB cord-021917-z9wpjr0d 46 5 occurred occur VBN cord-021917-z9wpjr0d 46 6 naturally naturally RB cord-021917-z9wpjr0d 46 7 within within IN cord-021917-z9wpjr0d 46 8 the the DT cord-021917-z9wpjr0d 46 9 United United NNP cord-021917-z9wpjr0d 46 10 States States NNP cord-021917-z9wpjr0d 46 11 since since IN cord-021917-z9wpjr0d 46 12 1976 1976 CD cord-021917-z9wpjr0d 46 13 ; ; : cord-021917-z9wpjr0d 46 14 any any DT cord-021917-z9wpjr0d 46 15 case case NN cord-021917-z9wpjr0d 46 16 must must MD cord-021917-z9wpjr0d 46 17 therefore therefore RB cord-021917-z9wpjr0d 46 18 be be VB cord-021917-z9wpjr0d 46 19 considered consider VBN cord-021917-z9wpjr0d 46 20 a a DT cord-021917-z9wpjr0d 46 21 possible possible JJ cord-021917-z9wpjr0d 46 22 sentinel sentinel JJ cord-021917-z9wpjr0d 46 23 case case NN cord-021917-z9wpjr0d 46 24 of of IN cord-021917-z9wpjr0d 46 25 a a DT cord-021917-z9wpjr0d 46 26 bioterrorist bioterrorist NN cord-021917-z9wpjr0d 46 27 event event NN cord-021917-z9wpjr0d 46 28 . . . cord-021917-z9wpjr0d 47 1 Gastrointestinal gastrointestinal JJ cord-021917-z9wpjr0d 47 2 anthrax anthrax NN cord-021917-z9wpjr0d 47 3 is be VBZ cord-021917-z9wpjr0d 47 4 uncommon uncommon JJ cord-021917-z9wpjr0d 47 5 in in IN cord-021917-z9wpjr0d 47 6 developed develop VBN cord-021917-z9wpjr0d 47 7 countries country NNS cord-021917-z9wpjr0d 47 8 and and CC cord-021917-z9wpjr0d 47 9 is be VBZ cord-021917-z9wpjr0d 47 10 not not RB cord-021917-z9wpjr0d 47 11 discussed discuss VBN cord-021917-z9wpjr0d 47 12 here here RB cord-021917-z9wpjr0d 47 13 . . . cord-021917-z9wpjr0d 48 1 Cutaneous cutaneous JJ cord-021917-z9wpjr0d 48 2 and and CC cord-021917-z9wpjr0d 48 3 inhalational inhalational JJ cord-021917-z9wpjr0d 48 4 anthrax anthrax NN cord-021917-z9wpjr0d 48 5 are be VBP cord-021917-z9wpjr0d 48 6 the the DT cord-021917-z9wpjr0d 48 7 forms form NNS cord-021917-z9wpjr0d 48 8 expected expect VBN cord-021917-z9wpjr0d 48 9 following follow VBG cord-021917-z9wpjr0d 48 10 an an DT cord-021917-z9wpjr0d 48 11 aerosol aerosol NN cord-021917-z9wpjr0d 48 12 release release NN cord-021917-z9wpjr0d 48 13 of of IN cord-021917-z9wpjr0d 48 14 spores spore NNS cord-021917-z9wpjr0d 48 15 , , , cord-021917-z9wpjr0d 48 16 with with IN cord-021917-z9wpjr0d 48 17 the the DT cord-021917-z9wpjr0d 48 18 latter latter JJ cord-021917-z9wpjr0d 48 19 being be VBG cord-021917-z9wpjr0d 48 20 the the DT cord-021917-z9wpjr0d 48 21 most most RBS cord-021917-z9wpjr0d 48 22 lethal lethal JJ cord-021917-z9wpjr0d 48 23 . . . cord-021917-z9wpjr0d 49 1 A a DT cord-021917-z9wpjr0d 49 2 1993 1993 CD cord-021917-z9wpjr0d 49 3 estimate estimate NN cord-021917-z9wpjr0d 49 4 by by IN cord-021917-z9wpjr0d 49 5 the the DT cord-021917-z9wpjr0d 49 6 U.S. U.S. NNP cord-021917-z9wpjr0d 49 7 Congressional Congressional NNP cord-021917-z9wpjr0d 49 8 Office Office NNP cord-021917-z9wpjr0d 49 9 of of IN cord-021917-z9wpjr0d 49 10 Technology Technology NNP cord-021917-z9wpjr0d 49 11 Assessment Assessment NNP cord-021917-z9wpjr0d 49 12 predicted predict VBD cord-021917-z9wpjr0d 49 13 that that IN cord-021917-z9wpjr0d 49 14 an an DT cord-021917-z9wpjr0d 49 15 aerosolized aerosolize VBN cord-021917-z9wpjr0d 49 16 release release NN cord-021917-z9wpjr0d 49 17 of of IN cord-021917-z9wpjr0d 49 18 100 100 CD cord-021917-z9wpjr0d 49 19 kg kg NNS cord-021917-z9wpjr0d 49 20 of of IN cord-021917-z9wpjr0d 49 21 " " `` cord-021917-z9wpjr0d 49 22 weaponized weaponized JJ cord-021917-z9wpjr0d 49 23 " " '' cord-021917-z9wpjr0d 49 24 anthrax anthrax NN cord-021917-z9wpjr0d 49 25 over over IN cord-021917-z9wpjr0d 49 26 a a DT cord-021917-z9wpjr0d 49 27 populated populated JJ cord-021917-z9wpjr0d 49 28 city city NN cord-021917-z9wpjr0d 49 29 would would MD cord-021917-z9wpjr0d 49 30 cause cause VB cord-021917-z9wpjr0d 49 31 130,000 130,000 CD cord-021917-z9wpjr0d 49 32 to to TO cord-021917-z9wpjr0d 49 33 3 3 CD cord-021917-z9wpjr0d 49 34 million million CD cord-021917-z9wpjr0d 49 35 deaths death NNS cord-021917-z9wpjr0d 49 36 , , , cord-021917-z9wpjr0d 49 37 similar similar JJ cord-021917-z9wpjr0d 49 38 to to IN cord-021917-z9wpjr0d 49 39 the the DT cord-021917-z9wpjr0d 49 40 mortality mortality NN cord-021917-z9wpjr0d 49 41 of of IN cord-021917-z9wpjr0d 49 42 a a DT cord-021917-z9wpjr0d 49 43 thermonuclear thermonuclear NN cord-021917-z9wpjr0d 49 44 detonation detonation NN cord-021917-z9wpjr0d 49 45 . . . cord-021917-z9wpjr0d 50 1 Inhalational inhalational JJ cord-021917-z9wpjr0d 50 2 anthrax anthrax NN cord-021917-z9wpjr0d 50 3 results result VBZ cord-021917-z9wpjr0d 50 4 from from IN cord-021917-z9wpjr0d 50 5 spore spore NN cord-021917-z9wpjr0d 50 6 particles particle NNS cord-021917-z9wpjr0d 50 7 1 1 CD cord-021917-z9wpjr0d 50 8 to to IN cord-021917-z9wpjr0d 50 9 5 5 CD cord-021917-z9wpjr0d 50 10 mm mm NNS cord-021917-z9wpjr0d 50 11 in in IN cord-021917-z9wpjr0d 50 12 diameter diameter NN cord-021917-z9wpjr0d 50 13 entering enter VBG cord-021917-z9wpjr0d 50 14 the the DT cord-021917-z9wpjr0d 50 15 alveolar alveolar JJ cord-021917-z9wpjr0d 50 16 spaces space NNS cord-021917-z9wpjr0d 50 17 and and CC cord-021917-z9wpjr0d 50 18 being be VBG cord-021917-z9wpjr0d 50 19 transported transport VBN cord-021917-z9wpjr0d 50 20 by by IN cord-021917-z9wpjr0d 50 21 macrophages macrophage NNS cord-021917-z9wpjr0d 50 22 to to IN cord-021917-z9wpjr0d 50 23 mediastinal mediastinal JJ cord-021917-z9wpjr0d 50 24 lymph lymph NN cord-021917-z9wpjr0d 50 25 nodes node NNS cord-021917-z9wpjr0d 50 26 . . . cord-021917-z9wpjr0d 51 1 After after IN cord-021917-z9wpjr0d 51 2 an an DT cord-021917-z9wpjr0d 51 3 incubation incubation NN cord-021917-z9wpjr0d 51 4 period period NN cord-021917-z9wpjr0d 51 5 that that WDT cord-021917-z9wpjr0d 51 6 ranges range VBZ cord-021917-z9wpjr0d 51 7 from from IN cord-021917-z9wpjr0d 51 8 2 2 CD cord-021917-z9wpjr0d 51 9 days day NNS cord-021917-z9wpjr0d 51 10 to to IN cord-021917-z9wpjr0d 51 11 7 7 CD cord-021917-z9wpjr0d 51 12 _SP cord-021917-z9wpjr0d 51 13 www.acponline.org/bioterro www.acponline.org/bioterro NN cord-021917-z9wpjr0d 52 1 www.upmc-biosecurity.org www.upmc-biosecurity.org NNP cord-021917-z9wpjr0d 53 1 www.shea-online.org www.shea-online.org NNP cord-021917-z9wpjr0d 53 2 www.cdc.gov www.cdc.gov NNP cord-021917-z9wpjr0d 53 3 weeks week NNS cord-021917-z9wpjr0d 53 4 ( ( -LRB- cord-021917-z9wpjr0d 53 5 median median NN cord-021917-z9wpjr0d 53 6 of of IN cord-021917-z9wpjr0d 53 7 4 4 CD cord-021917-z9wpjr0d 53 8 days day NNS cord-021917-z9wpjr0d 53 9 during during IN cord-021917-z9wpjr0d 53 10 the the DT cord-021917-z9wpjr0d 53 11 2001 2001 CD cord-021917-z9wpjr0d 53 12 cases case NNS cord-021917-z9wpjr0d 53 13 and and CC cord-021917-z9wpjr0d 53 14 up up IN cord-021917-z9wpjr0d 53 15 to to TO cord-021917-z9wpjr0d 53 16 60 60 CD cord-021917-z9wpjr0d 53 17 days day NNS cord-021917-z9wpjr0d 53 18 after after IN cord-021917-z9wpjr0d 53 19 the the DT cord-021917-z9wpjr0d 53 20 release release NN cord-021917-z9wpjr0d 53 21 of of IN cord-021917-z9wpjr0d 53 22 spores spore NNS cord-021917-z9wpjr0d 53 23 in in IN cord-021917-z9wpjr0d 53 24 Sverdlovsk Sverdlovsk NNP cord-021917-z9wpjr0d 53 25 in in IN cord-021917-z9wpjr0d 53 26 1979 1979 CD cord-021917-z9wpjr0d 53 27 ) ) -RRB- cord-021917-z9wpjr0d 54 1 , , , cord-021917-z9wpjr0d 54 2 germination germination NN cord-021917-z9wpjr0d 54 3 occurs occur VBZ cord-021917-z9wpjr0d 54 4 , , , cord-021917-z9wpjr0d 54 5 with with IN cord-021917-z9wpjr0d 54 6 the the DT cord-021917-z9wpjr0d 54 7 vegetative vegetative JJ cord-021917-z9wpjr0d 54 8 bacilli bacilli NN cord-021917-z9wpjr0d 54 9 producing produce VBG cord-021917-z9wpjr0d 54 10 two two CD cord-021917-z9wpjr0d 54 11 toxinslethal toxinslethal NN cord-021917-z9wpjr0d 54 12 toxin toxin NN cord-021917-z9wpjr0d 54 13 and and CC cord-021917-z9wpjr0d 54 14 edema edema NN cord-021917-z9wpjr0d 54 15 toxin toxin NN cord-021917-z9wpjr0d 54 16 . . . cord-021917-z9wpjr0d 55 1 Initial initial JJ cord-021917-z9wpjr0d 55 2 symptoms symptom NNS cord-021917-z9wpjr0d 55 3 of of IN cord-021917-z9wpjr0d 55 4 inhalational inhalational JJ cord-021917-z9wpjr0d 55 5 anthrax anthrax NN cord-021917-z9wpjr0d 55 6 are be VBP cord-021917-z9wpjr0d 55 7 nonspecific nonspecific JJ cord-021917-z9wpjr0d 55 8 : : : cord-021917-z9wpjr0d 55 9 fevers fever NNS cord-021917-z9wpjr0d 55 10 , , , cord-021917-z9wpjr0d 55 11 chills chill NNS cord-021917-z9wpjr0d 55 12 , , , cord-021917-z9wpjr0d 55 13 drenching drench VBG cord-021917-z9wpjr0d 55 14 sweats sweat NNS cord-021917-z9wpjr0d 55 15 , , , cord-021917-z9wpjr0d 55 16 nonproductive nonproductive JJ cord-021917-z9wpjr0d 55 17 cough cough NN cord-021917-z9wpjr0d 55 18 , , , cord-021917-z9wpjr0d 55 19 dyspnea dyspnea NN cord-021917-z9wpjr0d 55 20 , , , cord-021917-z9wpjr0d 55 21 nausea nausea NN cord-021917-z9wpjr0d 55 22 , , , cord-021917-z9wpjr0d 55 23 vomiting vomit VBG cord-021917-z9wpjr0d 55 24 , , , cord-021917-z9wpjr0d 55 25 and and CC cord-021917-z9wpjr0d 55 26 fatigue fatigue NN cord-021917-z9wpjr0d 55 27 . . . cord-021917-z9wpjr0d 56 1 Hemorrhagic hemorrhagic JJ cord-021917-z9wpjr0d 56 2 thoracic thoracic JJ cord-021917-z9wpjr0d 56 3 lymphadenitis lymphadenitis NN cord-021917-z9wpjr0d 56 4 and and CC cord-021917-z9wpjr0d 56 5 mediastinitis mediastinitis NNP cord-021917-z9wpjr0d 56 6 develop develop VB cord-021917-z9wpjr0d 56 7 , , , cord-021917-z9wpjr0d 56 8 and and CC cord-021917-z9wpjr0d 56 9 hemorrhagic hemorrhagic JJ cord-021917-z9wpjr0d 56 10 pleural pleural JJ cord-021917-z9wpjr0d 56 11 effusions effusion NNS cord-021917-z9wpjr0d 56 12 with with IN cord-021917-z9wpjr0d 56 13 compressive compressive JJ cord-021917-z9wpjr0d 56 14 atelactasis atelactasis NN cord-021917-z9wpjr0d 56 15 are be VBP cord-021917-z9wpjr0d 56 16 common common JJ cord-021917-z9wpjr0d 56 17 . . . cord-021917-z9wpjr0d 57 1 Hemorrhagic hemorrhagic JJ cord-021917-z9wpjr0d 57 2 meningitis meningitis NN cord-021917-z9wpjr0d 57 3 may may MD cord-021917-z9wpjr0d 57 4 also also RB cord-021917-z9wpjr0d 57 5 occur occur VB cord-021917-z9wpjr0d 57 6 . . . cord-021917-z9wpjr0d 58 1 Patients patient NNS cord-021917-z9wpjr0d 58 2 may may MD cord-021917-z9wpjr0d 58 3 rapidly rapidly RB cord-021917-z9wpjr0d 58 4 develop develop VB cord-021917-z9wpjr0d 58 5 hemodynamic hemodynamic JJ cord-021917-z9wpjr0d 58 6 collapse collapse NN cord-021917-z9wpjr0d 58 7 , , , cord-021917-z9wpjr0d 58 8 which which WDT cord-021917-z9wpjr0d 58 9 typically typically RB cord-021917-z9wpjr0d 58 10 has have VBZ cord-021917-z9wpjr0d 58 11 been be VBN cord-021917-z9wpjr0d 58 12 refractory refractory JJ cord-021917-z9wpjr0d 58 13 to to IN cord-021917-z9wpjr0d 58 14 treatment treatment NN cord-021917-z9wpjr0d 58 15 if if IN cord-021917-z9wpjr0d 58 16 it -PRON- PRP cord-021917-z9wpjr0d 58 17 develops develop VBZ cord-021917-z9wpjr0d 58 18 prior prior RB cord-021917-z9wpjr0d 58 19 to to IN cord-021917-z9wpjr0d 58 20 antimicrobial antimicrobial JJ cord-021917-z9wpjr0d 58 21 administration administration NN cord-021917-z9wpjr0d 58 22 . . . cord-021917-z9wpjr0d 59 1 Diagnosis diagnosis NN cord-021917-z9wpjr0d 59 2 is be VBZ cord-021917-z9wpjr0d 59 3 predicated predicate VBN cord-021917-z9wpjr0d 59 4 on on IN cord-021917-z9wpjr0d 59 5 a a DT cord-021917-z9wpjr0d 59 6 high high JJ cord-021917-z9wpjr0d 59 7 index index NN cord-021917-z9wpjr0d 59 8 of of IN cord-021917-z9wpjr0d 59 9 suspicion suspicion NN cord-021917-z9wpjr0d 59 10 . . . cord-021917-z9wpjr0d 60 1 In in IN cord-021917-z9wpjr0d 60 2 the the DT cord-021917-z9wpjr0d 60 3 2001 2001 CD cord-021917-z9wpjr0d 60 4 attacks attack NNS cord-021917-z9wpjr0d 60 5 , , , cord-021917-z9wpjr0d 60 6 all all DT cord-021917-z9wpjr0d 60 7 patients patient NNS cord-021917-z9wpjr0d 60 8 with with IN cord-021917-z9wpjr0d 60 9 inhalational inhalational JJ cord-021917-z9wpjr0d 60 10 anthrax anthrax NN cord-021917-z9wpjr0d 60 11 had have VBD cord-021917-z9wpjr0d 60 12 an an DT cord-021917-z9wpjr0d 60 13 abnormal abnormal JJ cord-021917-z9wpjr0d 60 14 chest chest NN cord-021917-z9wpjr0d 60 15 radiograph radiograph NN cord-021917-z9wpjr0d 60 16 or or CC cord-021917-z9wpjr0d 60 17 thoracic thoracic JJ cord-021917-z9wpjr0d 60 18 computed compute VBN cord-021917-z9wpjr0d 60 19 tomography tomography NN cord-021917-z9wpjr0d 60 20 scan scan NN cord-021917-z9wpjr0d 60 21 . . . cord-021917-z9wpjr0d 61 1 Mediastinal Mediastinal NNP cord-021917-z9wpjr0d 61 2 widening widen VBG cord-021917-z9wpjr0d 61 3 due due IN cord-021917-z9wpjr0d 61 4 to to IN cord-021917-z9wpjr0d 61 5 lymphadenopathy lymphadenopathy JJ cord-021917-z9wpjr0d 61 6 and and CC cord-021917-z9wpjr0d 61 7 large large JJ cord-021917-z9wpjr0d 61 8 bilateral bilateral JJ cord-021917-z9wpjr0d 61 9 pleural pleural JJ cord-021917-z9wpjr0d 61 10 effusions effusion NNS cord-021917-z9wpjr0d 61 11 were be VBD cord-021917-z9wpjr0d 61 12 the the DT cord-021917-z9wpjr0d 61 13 most most RBS cord-021917-z9wpjr0d 61 14 common common JJ cord-021917-z9wpjr0d 61 15 features feature NNS cord-021917-z9wpjr0d 61 16 ( ( -LRB- cord-021917-z9wpjr0d 61 17 Figs fig NNS cord-021917-z9wpjr0d 61 18 . . . cord-021917-z9wpjr0d 61 19 64.2 64.2 CD cord-021917-z9wpjr0d 61 20 and and CC cord-021917-z9wpjr0d 61 21 64.3 64.3 CD cord-021917-z9wpjr0d 61 22 ) ) -RRB- cord-021917-z9wpjr0d 61 23 . . . cord-021917-z9wpjr0d 62 1 These these DT cord-021917-z9wpjr0d 62 2 findings finding NNS cord-021917-z9wpjr0d 62 3 in in IN cord-021917-z9wpjr0d 62 4 the the DT cord-021917-z9wpjr0d 62 5 setting setting NN cord-021917-z9wpjr0d 62 6 of of IN cord-021917-z9wpjr0d 62 7 a a DT cord-021917-z9wpjr0d 62 8 previously previously RB cord-021917-z9wpjr0d 62 9 healthy healthy JJ cord-021917-z9wpjr0d 62 10 patient patient NN cord-021917-z9wpjr0d 62 11 with with IN cord-021917-z9wpjr0d 62 12 the the DT cord-021917-z9wpjr0d 62 13 abrupt abrupt JJ cord-021917-z9wpjr0d 62 14 development development NN cord-021917-z9wpjr0d 62 15 of of IN cord-021917-z9wpjr0d 62 16 sepsis sepsis NN cord-021917-z9wpjr0d 62 17 should should MD cord-021917-z9wpjr0d 62 18 raise raise VB cord-021917-z9wpjr0d 62 19 suspicion suspicion NN cord-021917-z9wpjr0d 62 20 of of IN cord-021917-z9wpjr0d 62 21 anthrax anthrax NN cord-021917-z9wpjr0d 62 22 infection infection NN cord-021917-z9wpjr0d 62 23 . . . cord-021917-z9wpjr0d 63 1 Sputum Sputum NNP cord-021917-z9wpjr0d 63 2 Gram Gram NNP cord-021917-z9wpjr0d 63 3 stain stain NN cord-021917-z9wpjr0d 63 4 and and CC cord-021917-z9wpjr0d 63 5 culture culture NN cord-021917-z9wpjr0d 63 6 are be VBP cord-021917-z9wpjr0d 63 7 rarely rarely RB cord-021917-z9wpjr0d 63 8 positive positive JJ cord-021917-z9wpjr0d 63 9 . . . cord-021917-z9wpjr0d 64 1 Blood blood NN cord-021917-z9wpjr0d 64 2 cultures culture NNS cord-021917-z9wpjr0d 64 3 may may MD cord-021917-z9wpjr0d 64 4 yield yield VB cord-021917-z9wpjr0d 64 5 a a DT cord-021917-z9wpjr0d 64 6 diagnosis diagnosis NN cord-021917-z9wpjr0d 64 7 but but CC cord-021917-z9wpjr0d 64 8 require require VBP cord-021917-z9wpjr0d 64 9 hours hour NNS cord-021917-z9wpjr0d 64 10 to to IN cord-021917-z9wpjr0d 64 11 days day NNS cord-021917-z9wpjr0d 64 12 to to TO cord-021917-z9wpjr0d 64 13 grow grow VB cord-021917-z9wpjr0d 64 14 the the DT cord-021917-z9wpjr0d 64 15 organism organism NN cord-021917-z9wpjr0d 64 16 . . . cord-021917-z9wpjr0d 65 1 As as IN cord-021917-z9wpjr0d 65 2 in in IN cord-021917-z9wpjr0d 65 3 many many JJ cord-021917-z9wpjr0d 65 4 infections infection NNS cord-021917-z9wpjr0d 65 5 , , , cord-021917-z9wpjr0d 65 6 blood blood NN cord-021917-z9wpjr0d 65 7 cultures culture NNS cord-021917-z9wpjr0d 65 8 lose lose VBP cord-021917-z9wpjr0d 65 9 diagnostic diagnostic JJ cord-021917-z9wpjr0d 65 10 utility utility NN cord-021917-z9wpjr0d 65 11 if if IN cord-021917-z9wpjr0d 65 12 obtained obtain VBN cord-021917-z9wpjr0d 65 13 after after IN cord-021917-z9wpjr0d 65 14 antibiotic antibiotic JJ cord-021917-z9wpjr0d 65 15 administration administration NN cord-021917-z9wpjr0d 65 16 . . . cord-021917-z9wpjr0d 66 1 Hemorrhagic hemorrhagic JJ cord-021917-z9wpjr0d 66 2 meningitis meningitis NN cord-021917-z9wpjr0d 66 3 was be VBD cord-021917-z9wpjr0d 66 4 common common JJ cord-021917-z9wpjr0d 66 5 ( ( -LRB- cord-021917-z9wpjr0d 66 6 50 50 CD cord-021917-z9wpjr0d 66 7 % % NN cord-021917-z9wpjr0d 66 8 of of IN cord-021917-z9wpjr0d 66 9 patients patient NNS cord-021917-z9wpjr0d 66 10 ) ) -RRB- cord-021917-z9wpjr0d 66 11 during during IN cord-021917-z9wpjr0d 66 12 the the DT cord-021917-z9wpjr0d 66 13 Sverdlovsk Sverdlovsk NNP cord-021917-z9wpjr0d 66 14 incident incident NN cord-021917-z9wpjr0d 66 15 but but CC cord-021917-z9wpjr0d 66 16 was be VBD cord-021917-z9wpjr0d 66 17 only only RB cord-021917-z9wpjr0d 66 18 confirmed confirm VBN cord-021917-z9wpjr0d 66 19 in in IN cord-021917-z9wpjr0d 66 20 1 1 CD cord-021917-z9wpjr0d 66 21 of of IN cord-021917-z9wpjr0d 66 22 11 11 CD cord-021917-z9wpjr0d 66 23 patients patient NNS cord-021917-z9wpjr0d 66 24 in in IN cord-021917-z9wpjr0d 66 25 2001 2001 CD cord-021917-z9wpjr0d 66 26 . . . cord-021917-z9wpjr0d 67 1 Patients patient NNS cord-021917-z9wpjr0d 67 2 suffering suffer VBG cord-021917-z9wpjr0d 67 3 from from IN cord-021917-z9wpjr0d 67 4 inhalational inhalational JJ cord-021917-z9wpjr0d 67 5 anthrax anthrax NN cord-021917-z9wpjr0d 67 6 are be VBP cord-021917-z9wpjr0d 67 7 likely likely JJ cord-021917-z9wpjr0d 67 8 to to TO cord-021917-z9wpjr0d 67 9 require require VB cord-021917-z9wpjr0d 67 10 ICU ICU NNP cord-021917-z9wpjr0d 67 11 care care NN cord-021917-z9wpjr0d 67 12 but but CC cord-021917-z9wpjr0d 67 13 do do VBP cord-021917-z9wpjr0d 67 14 not not RB cord-021917-z9wpjr0d 67 15 require require VB cord-021917-z9wpjr0d 67 16 respiratory respiratory JJ cord-021917-z9wpjr0d 67 17 isolation isolation NN cord-021917-z9wpjr0d 67 18 . . . cord-021917-z9wpjr0d 68 1 Antibiotics antibiotic NNS cord-021917-z9wpjr0d 68 2 must must MD cord-021917-z9wpjr0d 68 3 be be VB cord-021917-z9wpjr0d 68 4 started start VBN cord-021917-z9wpjr0d 68 5 as as RB cord-021917-z9wpjr0d 68 6 soon soon RB cord-021917-z9wpjr0d 68 7 as as IN cord-021917-z9wpjr0d 68 8 possible possible JJ cord-021917-z9wpjr0d 68 9 without without IN cord-021917-z9wpjr0d 68 10 waiting wait VBG cord-021917-z9wpjr0d 68 11 for for IN cord-021917-z9wpjr0d 68 12 diagnostic diagnostic JJ cord-021917-z9wpjr0d 68 13 confirmation confirmation NN cord-021917-z9wpjr0d 68 14 . . . cord-021917-z9wpjr0d 69 1 Treatment treatment NN cord-021917-z9wpjr0d 69 2 recommendations recommendation NNS cord-021917-z9wpjr0d 69 3 are be VBP cord-021917-z9wpjr0d 69 4 summarized summarize VBN cord-021917-z9wpjr0d 69 5 in in IN cord-021917-z9wpjr0d 69 6 Table Table NNP cord-021917-z9wpjr0d 69 7 64 64 CD cord-021917-z9wpjr0d 69 8 .2 .2 CD cord-021917-z9wpjr0d 69 9 . . . cord-021917-z9wpjr0d 70 1 For for IN cord-021917-z9wpjr0d 70 2 adults adult NNS cord-021917-z9wpjr0d 70 3 , , , cord-021917-z9wpjr0d 70 4 combination combination NN cord-021917-z9wpjr0d 70 5 antimicrobial antimicrobial JJ cord-021917-z9wpjr0d 70 6 therapy therapy NN cord-021917-z9wpjr0d 70 7 with with IN cord-021917-z9wpjr0d 70 8 intravenous intravenous JJ cord-021917-z9wpjr0d 70 9 ciprofloxacin ciprofloxacin NN cord-021917-z9wpjr0d 70 10 and and CC cord-021917-z9wpjr0d 70 11 one one CD cord-021917-z9wpjr0d 70 12 or or CC cord-021917-z9wpjr0d 70 13 two two CD cord-021917-z9wpjr0d 70 14 other other JJ cord-021917-z9wpjr0d 70 15 agents agent NNS cord-021917-z9wpjr0d 70 16 is be VBZ cord-021917-z9wpjr0d 70 17 recommended recommend VBN cord-021917-z9wpjr0d 70 18 . . . cord-021917-z9wpjr0d 71 1 Given give VBN cord-021917-z9wpjr0d 71 2 the the DT cord-021917-z9wpjr0d 71 3 potential potential NN cord-021917-z9wpjr0d 71 4 for for IN cord-021917-z9wpjr0d 71 5 meningitis meningitis NN cord-021917-z9wpjr0d 71 6 , , , cord-021917-z9wpjr0d 71 7 agents agent NNS cord-021917-z9wpjr0d 71 8 with with IN cord-021917-z9wpjr0d 71 9 good good JJ cord-021917-z9wpjr0d 71 10 central central JJ cord-021917-z9wpjr0d 71 11 nervous nervous JJ cord-021917-z9wpjr0d 71 12 system system NN cord-021917-z9wpjr0d 71 13 penetration penetration NN cord-021917-z9wpjr0d 71 14 , , , cord-021917-z9wpjr0d 71 15 such such JJ cord-021917-z9wpjr0d 71 16 as as IN cord-021917-z9wpjr0d 71 17 rifampin rifampin NN cord-021917-z9wpjr0d 71 18 , , , cord-021917-z9wpjr0d 71 19 penicillin penicillin NN cord-021917-z9wpjr0d 71 20 , , , cord-021917-z9wpjr0d 71 21 or or CC cord-021917-z9wpjr0d 71 22 chloramphenicol chloramphenicol NNP cord-021917-z9wpjr0d 71 23 , , , cord-021917-z9wpjr0d 71 24 are be VBP cord-021917-z9wpjr0d 71 25 recommended recommend VBN cord-021917-z9wpjr0d 71 26 . . . cord-021917-z9wpjr0d 72 1 Clindamycin Clindamycin NNP cord-021917-z9wpjr0d 72 2 has have VBZ cord-021917-z9wpjr0d 72 3 been be VBN cord-021917-z9wpjr0d 72 4 administered administer VBN cord-021917-z9wpjr0d 72 5 for for IN cord-021917-z9wpjr0d 72 6 the the DT cord-021917-z9wpjr0d 72 7 theoretical theoretical JJ cord-021917-z9wpjr0d 72 8 benefit benefit NN cord-021917-z9wpjr0d 72 9 of of IN cord-021917-z9wpjr0d 72 10 reducing reduce VBG cord-021917-z9wpjr0d 72 11 toxin toxin NN cord-021917-z9wpjr0d 72 12 production production NN cord-021917-z9wpjr0d 72 13 by by IN cord-021917-z9wpjr0d 72 14 the the DT cord-021917-z9wpjr0d 72 15 vegetative vegetative JJ cord-021917-z9wpjr0d 72 16 bacilli bacilli NN cord-021917-z9wpjr0d 72 17 , , , cord-021917-z9wpjr0d 72 18 although although IN cord-021917-z9wpjr0d 72 19 this this DT cord-021917-z9wpjr0d 72 20 has have VBZ cord-021917-z9wpjr0d 72 21 been be VBN cord-021917-z9wpjr0d 72 22 done do VBN cord-021917-z9wpjr0d 72 23 in in IN cord-021917-z9wpjr0d 72 24 too too RB cord-021917-z9wpjr0d 72 25 few few JJ cord-021917-z9wpjr0d 72 26 instances instance NNS cord-021917-z9wpjr0d 72 27 to to TO cord-021917-z9wpjr0d 72 28 critically critically RB cord-021917-z9wpjr0d 72 29 evaluate evaluate VB cord-021917-z9wpjr0d 72 30 its -PRON- PRP$ cord-021917-z9wpjr0d 72 31 effectiveness effectiveness NN cord-021917-z9wpjr0d 72 32 . . . cord-021917-z9wpjr0d 73 1 A a DT cord-021917-z9wpjr0d 73 2 change change NN cord-021917-z9wpjr0d 73 3 to to IN cord-021917-z9wpjr0d 73 4 oral oral JJ cord-021917-z9wpjr0d 73 5 therapy therapy NN cord-021917-z9wpjr0d 73 6 is be VBZ cord-021917-z9wpjr0d 73 7 acceptable acceptable JJ cord-021917-z9wpjr0d 73 8 once once IN cord-021917-z9wpjr0d 73 9 the the DT cord-021917-z9wpjr0d 73 10 patient patient NN cord-021917-z9wpjr0d 73 11 is be VBZ cord-021917-z9wpjr0d 73 12 stable stable JJ cord-021917-z9wpjr0d 73 13 . . . cord-021917-z9wpjr0d 74 1 Therapy therapy NN cord-021917-z9wpjr0d 74 2 should should MD cord-021917-z9wpjr0d 74 3 continue continue VB cord-021917-z9wpjr0d 74 4 for for IN cord-021917-z9wpjr0d 74 5 60 60 CD cord-021917-z9wpjr0d 74 6 days day NNS cord-021917-z9wpjr0d 74 7 . . . cord-021917-z9wpjr0d 75 1 The the DT cord-021917-z9wpjr0d 75 2 concomitant concomitant JJ cord-021917-z9wpjr0d 75 3 use use NN cord-021917-z9wpjr0d 75 4 of of IN cord-021917-z9wpjr0d 75 5 an an DT cord-021917-z9wpjr0d 75 6 anthrax anthrax NN cord-021917-z9wpjr0d 75 7 vaccine vaccine NN cord-021917-z9wpjr0d 75 8 in in IN cord-021917-z9wpjr0d 75 9 a a DT cord-021917-z9wpjr0d 75 10 modified modify VBN cord-021917-z9wpjr0d 75 11 dosing dosing NN cord-021917-z9wpjr0d 75 12 regimen regimen NN cord-021917-z9wpjr0d 75 13 ( ( -LRB- cord-021917-z9wpjr0d 75 14 three three CD cord-021917-z9wpjr0d 75 15 doses dose NNS cord-021917-z9wpjr0d 75 16 within within IN cord-021917-z9wpjr0d 75 17 the the DT cord-021917-z9wpjr0d 75 18 first first JJ cord-021917-z9wpjr0d 75 19 month month NN cord-021917-z9wpjr0d 75 20 ) ) -RRB- cord-021917-z9wpjr0d 75 21 may may MD cord-021917-z9wpjr0d 75 22 be be VB cord-021917-z9wpjr0d 75 23 limited limit VBN cord-021917-z9wpjr0d 75 24 by by IN cord-021917-z9wpjr0d 75 25 availability availability NN cord-021917-z9wpjr0d 75 26 . . . cord-021917-z9wpjr0d 76 1 There there EX cord-021917-z9wpjr0d 76 2 is be VBZ cord-021917-z9wpjr0d 76 3 anecdotal anecdotal JJ cord-021917-z9wpjr0d 76 4 evidence evidence NN cord-021917-z9wpjr0d 76 5 that that IN cord-021917-z9wpjr0d 76 6 drainage drainage NN cord-021917-z9wpjr0d 76 7 of of IN cord-021917-z9wpjr0d 76 8 pleural pleural JJ cord-021917-z9wpjr0d 76 9 effusions effusion NNS cord-021917-z9wpjr0d 76 10 carries carry VBZ cord-021917-z9wpjr0d 76 11 some some DT cord-021917-z9wpjr0d 76 12 benefit benefit NN cord-021917-z9wpjr0d 76 13 . . . cord-021917-z9wpjr0d 77 1 Whether whether IN cord-021917-z9wpjr0d 77 2 the the DT cord-021917-z9wpjr0d 77 3 benefit benefit NN cord-021917-z9wpjr0d 77 4 is be VBZ cord-021917-z9wpjr0d 77 5 simply simply RB cord-021917-z9wpjr0d 77 6 reduction reduction NN cord-021917-z9wpjr0d 77 7 of of IN cord-021917-z9wpjr0d 77 8 pleural pleural JJ cord-021917-z9wpjr0d 77 9 fluid fluid NN cord-021917-z9wpjr0d 77 10 volume volume NN cord-021917-z9wpjr0d 77 11 to to TO cord-021917-z9wpjr0d 77 12 improve improve VB cord-021917-z9wpjr0d 77 13 oxygenation oxygenation NN cord-021917-z9wpjr0d 77 14 or or CC cord-021917-z9wpjr0d 77 15 actually actually RB cord-021917-z9wpjr0d 77 16 helps help VBZ cord-021917-z9wpjr0d 77 17 to to TO cord-021917-z9wpjr0d 77 18 reduce reduce VB cord-021917-z9wpjr0d 77 19 toxin toxin NN cord-021917-z9wpjr0d 77 20 burden burden NN cord-021917-z9wpjr0d 77 21 remains remain VBZ cord-021917-z9wpjr0d 77 22 uncertain uncertain JJ cord-021917-z9wpjr0d 77 23 . . . cord-021917-z9wpjr0d 78 1 During during IN cord-021917-z9wpjr0d 78 2 the the DT cord-021917-z9wpjr0d 78 3 2001 2001 CD cord-021917-z9wpjr0d 78 4 outbreak outbreak NN cord-021917-z9wpjr0d 78 5 , , , cord-021917-z9wpjr0d 78 6 pleural pleural JJ cord-021917-z9wpjr0d 78 7 drainage drainage NN cord-021917-z9wpjr0d 78 8 was be VBD cord-021917-z9wpjr0d 78 9 accomplished accomplish VBN cord-021917-z9wpjr0d 78 10 via via IN cord-021917-z9wpjr0d 78 11 serial serial JJ cord-021917-z9wpjr0d 78 12 thoracenteses thoracentese NNS cord-021917-z9wpjr0d 78 13 and and CC cord-021917-z9wpjr0d 78 14 tube tube NN cord-021917-z9wpjr0d 78 15 thoracostomy thoracostomy NN cord-021917-z9wpjr0d 78 16 . . . cord-021917-z9wpjr0d 79 1 Optimal optimal JJ cord-021917-z9wpjr0d 79 2 management management NN cord-021917-z9wpjr0d 79 3 may may MD cord-021917-z9wpjr0d 79 4 require require VB cord-021917-z9wpjr0d 79 5 tube tube NN cord-021917-z9wpjr0d 79 6 thoracostomy thoracostomy NN cord-021917-z9wpjr0d 79 7 due due IN cord-021917-z9wpjr0d 79 8 to to IN cord-021917-z9wpjr0d 79 9 the the DT cord-021917-z9wpjr0d 79 10 hemorrhagic hemorrhagic JJ cord-021917-z9wpjr0d 79 11 nature nature NN cord-021917-z9wpjr0d 79 12 of of IN cord-021917-z9wpjr0d 79 13 the the DT cord-021917-z9wpjr0d 79 14 fluid fluid NN cord-021917-z9wpjr0d 79 15 . . . cord-021917-z9wpjr0d 80 1 Historically historically RB cord-021917-z9wpjr0d 80 2 , , , cord-021917-z9wpjr0d 80 3 inhalational inhalational JJ cord-021917-z9wpjr0d 80 4 anthrax anthrax NN cord-021917-z9wpjr0d 80 5 had have VBD cord-021917-z9wpjr0d 80 6 a a DT cord-021917-z9wpjr0d 80 7 mortality mortality NN cord-021917-z9wpjr0d 80 8 rate rate NN cord-021917-z9wpjr0d 80 9 of of IN cord-021917-z9wpjr0d 80 10 approximately approximately RB cord-021917-z9wpjr0d 80 11 90 90 CD cord-021917-z9wpjr0d 80 12 % % NN cord-021917-z9wpjr0d 80 13 . . . cord-021917-z9wpjr0d 81 1 In in IN cord-021917-z9wpjr0d 81 2 the the DT cord-021917-z9wpjr0d 81 3 2001 2001 CD cord-021917-z9wpjr0d 81 4 attacks attack NNS cord-021917-z9wpjr0d 81 5 , , , cord-021917-z9wpjr0d 81 6 modern modern JJ cord-021917-z9wpjr0d 81 7 critical critical JJ cord-021917-z9wpjr0d 81 8 care care NN cord-021917-z9wpjr0d 81 9 interventions intervention NNS cord-021917-z9wpjr0d 81 10 and and CC cord-021917-z9wpjr0d 81 11 use use NN cord-021917-z9wpjr0d 81 12 of of IN cord-021917-z9wpjr0d 81 13 multiple multiple JJ cord-021917-z9wpjr0d 81 14 antimicrobial antimicrobial JJ cord-021917-z9wpjr0d 81 15 agents agent NNS cord-021917-z9wpjr0d 81 16 reduced reduce VBN cord-021917-z9wpjr0d 81 17 mortality mortality NN cord-021917-z9wpjr0d 81 18 to to IN cord-021917-z9wpjr0d 81 19 45 45 CD cord-021917-z9wpjr0d 81 20 % % NN cord-021917-z9wpjr0d 81 21 . . . cord-021917-z9wpjr0d 82 1 Cutaneous cutaneous JJ cord-021917-z9wpjr0d 82 2 anthrax anthrax NN cord-021917-z9wpjr0d 82 3 results result NNS cord-021917-z9wpjr0d 82 4 after after IN cord-021917-z9wpjr0d 82 5 the the DT cord-021917-z9wpjr0d 82 6 inoculation inoculation NN cord-021917-z9wpjr0d 82 7 of of IN cord-021917-z9wpjr0d 82 8 skin skin NN cord-021917-z9wpjr0d 82 9 with with IN cord-021917-z9wpjr0d 82 10 anthrax anthrax NN cord-021917-z9wpjr0d 82 11 spores spore NNS cord-021917-z9wpjr0d 82 12 . . . cord-021917-z9wpjr0d 83 1 These these DT cord-021917-z9wpjr0d 83 2 patients patient NNS cord-021917-z9wpjr0d 83 3 are be VBP cord-021917-z9wpjr0d 83 4 unlikely unlikely JJ cord-021917-z9wpjr0d 83 5 to to TO cord-021917-z9wpjr0d 83 6 require require VB cord-021917-z9wpjr0d 83 7 ICU ICU NNP cord-021917-z9wpjr0d 83 8 - - HYPH cord-021917-z9wpjr0d 83 9 level level NN cord-021917-z9wpjr0d 83 10 care care NN cord-021917-z9wpjr0d 83 11 if if IN cord-021917-z9wpjr0d 83 12 they -PRON- PRP cord-021917-z9wpjr0d 83 13 are be VBP cord-021917-z9wpjr0d 83 14 treated treat VBN cord-021917-z9wpjr0d 83 15 promptly promptly RB cord-021917-z9wpjr0d 83 16 . . . cord-021917-z9wpjr0d 84 1 Two two CD cord-021917-z9wpjr0d 84 2 exceptions exception NNS cord-021917-z9wpjr0d 84 3 are be VBP cord-021917-z9wpjr0d 84 4 the the DT cord-021917-z9wpjr0d 84 5 possibilities possibility NNS cord-021917-z9wpjr0d 84 6 of of IN cord-021917-z9wpjr0d 84 7 airway airway NN cord-021917-z9wpjr0d 84 8 compromise compromise NN cord-021917-z9wpjr0d 84 9 due due IN cord-021917-z9wpjr0d 84 10 to to IN cord-021917-z9wpjr0d 84 11 a a DT cord-021917-z9wpjr0d 84 12 neck neck NN cord-021917-z9wpjr0d 84 13 lesion lesion NN cord-021917-z9wpjr0d 84 14 with with IN cord-021917-z9wpjr0d 84 15 resulting result VBG cord-021917-z9wpjr0d 84 16 edema edema NN cord-021917-z9wpjr0d 84 17 or or CC cord-021917-z9wpjr0d 84 18 postoperative postoperative JJ cord-021917-z9wpjr0d 84 19 management management NN cord-021917-z9wpjr0d 84 20 of of IN cord-021917-z9wpjr0d 84 21 a a DT cord-021917-z9wpjr0d 84 22 compartment compartment NN cord-021917-z9wpjr0d 84 23 syndrome syndrome NN cord-021917-z9wpjr0d 84 24 . . . cord-021917-z9wpjr0d 85 1 Local local JJ cord-021917-z9wpjr0d 85 2 edema edema NN cord-021917-z9wpjr0d 85 3 is be VBZ cord-021917-z9wpjr0d 85 4 the the DT cord-021917-z9wpjr0d 85 5 first first JJ cord-021917-z9wpjr0d 85 6 feature feature NN cord-021917-z9wpjr0d 85 7 of of IN cord-021917-z9wpjr0d 85 8 the the DT cord-021917-z9wpjr0d 85 9 condition condition NN cord-021917-z9wpjr0d 85 10 , , , cord-021917-z9wpjr0d 85 11 with with IN cord-021917-z9wpjr0d 85 12 the the DT cord-021917-z9wpjr0d 85 13 subsequent subsequent JJ cord-021917-z9wpjr0d 85 14 appearance appearance NN cord-021917-z9wpjr0d 85 15 of of IN cord-021917-z9wpjr0d 85 16 a a DT cord-021917-z9wpjr0d 85 17 macule macule NN cord-021917-z9wpjr0d 85 18 or or CC cord-021917-z9wpjr0d 85 19 papule papule NNP cord-021917-z9wpjr0d 85 20 that that IN cord-021917-z9wpjr0d 85 21 rapidly rapidly RB cord-021917-z9wpjr0d 85 22 ulcerates ulcerates NNP cord-021917-z9wpjr0d 85 23 and and CC cord-021917-z9wpjr0d 85 24 develops develop VBZ cord-021917-z9wpjr0d 85 25 into into IN cord-021917-z9wpjr0d 85 26 a a DT cord-021917-z9wpjr0d 85 27 painless painless JJ cord-021917-z9wpjr0d 85 28 black black JJ cord-021917-z9wpjr0d 85 29 eschar eschar NN cord-021917-z9wpjr0d 85 30 ( ( -LRB- cord-021917-z9wpjr0d 85 31 Fig fig NN cord-021917-z9wpjr0d 85 32 . . . cord-021917-z9wpjr0d 85 33 64.4 64.4 CD cord-021917-z9wpjr0d 85 34 ) ) -RRB- cord-021917-z9wpjr0d 85 35 . . . cord-021917-z9wpjr0d 86 1 Systemic systemic JJ cord-021917-z9wpjr0d 86 2 disease disease NN cord-021917-z9wpjr0d 86 3 , , , cord-021917-z9wpjr0d 86 4 including include VBG cord-021917-z9wpjr0d 86 5 lymphadenopathy lymphadenopathy NNP cord-021917-z9wpjr0d 86 6 and and CC cord-021917-z9wpjr0d 86 7 lymphangitis lymphangitis NNP cord-021917-z9wpjr0d 86 8 , , , cord-021917-z9wpjr0d 86 9 can can MD cord-021917-z9wpjr0d 86 10 follow follow VB cord-021917-z9wpjr0d 86 11 . . . cord-021917-z9wpjr0d 87 1 In in IN cord-021917-z9wpjr0d 87 2 the the DT cord-021917-z9wpjr0d 87 3 absence absence NN cord-021917-z9wpjr0d 87 4 of of IN cord-021917-z9wpjr0d 87 5 antibiotic antibiotic JJ cord-021917-z9wpjr0d 87 6 therapy therapy NN cord-021917-z9wpjr0d 87 7 , , , cord-021917-z9wpjr0d 87 8 mortality mortality NN cord-021917-z9wpjr0d 87 9 has have VBZ cord-021917-z9wpjr0d 87 10 been be VBN cord-021917-z9wpjr0d 87 11 reported report VBN cord-021917-z9wpjr0d 87 12 to to TO cord-021917-z9wpjr0d 87 13 be be VB cord-021917-z9wpjr0d 87 14 as as RB cord-021917-z9wpjr0d 87 15 high high JJ cord-021917-z9wpjr0d 87 16 as as IN cord-021917-z9wpjr0d 87 17 20 20 CD cord-021917-z9wpjr0d 87 18 % % NN cord-021917-z9wpjr0d 87 19 ; ; , cord-021917-z9wpjr0d 87 20 death death NN cord-021917-z9wpjr0d 87 21 is be VBZ cord-021917-z9wpjr0d 87 22 rare rare JJ cord-021917-z9wpjr0d 87 23 if if IN cord-021917-z9wpjr0d 87 24 adequate adequate JJ cord-021917-z9wpjr0d 87 25 treatment treatment NN cord-021917-z9wpjr0d 87 26 is be VBZ cord-021917-z9wpjr0d 87 27 instituted institute VBN cord-021917-z9wpjr0d 87 28 . . . cord-021917-z9wpjr0d 88 1 Between between IN cord-021917-z9wpjr0d 88 2 1347 1347 CD cord-021917-z9wpjr0d 88 3 and and CC cord-021917-z9wpjr0d 88 4 the the DT cord-021917-z9wpjr0d 88 5 early early JJ cord-021917-z9wpjr0d 88 6 1350s 1350 NNS cord-021917-z9wpjr0d 88 7 , , , cord-021917-z9wpjr0d 88 8 Y. Y. NNP cord-021917-z9wpjr0d 88 9 pestis pestis NN cord-021917-z9wpjr0d 88 10 , , , cord-021917-z9wpjr0d 88 11 the the DT cord-021917-z9wpjr0d 88 12 causative causative JJ cord-021917-z9wpjr0d 88 13 agent agent NN cord-021917-z9wpjr0d 88 14 of of IN cord-021917-z9wpjr0d 88 15 plague plague NN cord-021917-z9wpjr0d 88 16 , , , cord-021917-z9wpjr0d 88 17 swept sweep VBN cord-021917-z9wpjr0d 88 18 through through IN cord-021917-z9wpjr0d 88 19 Europe Europe NNP cord-021917-z9wpjr0d 88 20 , , , cord-021917-z9wpjr0d 88 21 eventually eventually RB cord-021917-z9wpjr0d 88 22 killing kill VBG cord-021917-z9wpjr0d 88 23 20 20 CD cord-021917-z9wpjr0d 88 24 to to TO cord-021917-z9wpjr0d 88 25 30 30 CD cord-021917-z9wpjr0d 88 26 million million CD cord-021917-z9wpjr0d 88 27 people people NNS cord-021917-z9wpjr0d 88 28 - - HYPH cord-021917-z9wpjr0d 88 29 one one CD cord-021917-z9wpjr0d 88 30 - - HYPH cord-021917-z9wpjr0d 88 31 third third NN cord-021917-z9wpjr0d 88 32 of of IN cord-021917-z9wpjr0d 88 33 the the DT cord-021917-z9wpjr0d 88 34 population population NN cord-021917-z9wpjr0d 88 35 . . . cord-021917-z9wpjr0d 89 1 Plague plague NN cord-021917-z9wpjr0d 89 2 continues continue VBZ cord-021917-z9wpjr0d 89 3 to to TO cord-021917-z9wpjr0d 89 4 occur occur VB cord-021917-z9wpjr0d 89 5 naturally naturally RB cord-021917-z9wpjr0d 89 6 as as IN cord-021917-z9wpjr0d 89 7 an an DT cord-021917-z9wpjr0d 89 8 insect insect NN cord-021917-z9wpjr0d 89 9 - - HYPH cord-021917-z9wpjr0d 89 10 borne bear VBN cord-021917-z9wpjr0d 89 11 illness illness NN cord-021917-z9wpjr0d 89 12 , , , cord-021917-z9wpjr0d 89 13 infecting infect VBG cord-021917-z9wpjr0d 89 14 approxi approxi NNP cord-021917-z9wpjr0d 89 15 - - HYPH cord-021917-z9wpjr0d 89 16 Bioterrorism Bioterrorism NNP cord-021917-z9wpjr0d 89 17 and and CC cord-021917-z9wpjr0d 89 18 the the DT cord-021917-z9wpjr0d 89 19 Intensive Intensive NNP cord-021917-z9wpjr0d 89 20 Care Care NNP cord-021917-z9wpjr0d 89 21 Unit Unit NNP cord-021917-z9wpjr0d 90 1 mately mately NNP cord-021917-z9wpjr0d 90 2 1700 1700 CD cord-021917-z9wpjr0d 90 3 people people NNS cord-021917-z9wpjr0d 90 4 annually annually RB cord-021917-z9wpjr0d 90 5 worldwide worldwide RB cord-021917-z9wpjr0d 90 6 . . . cord-021917-z9wpjr0d 91 1 In in IN cord-021917-z9wpjr0d 91 2 the the DT cord-021917-z9wpjr0d 91 3 United United NNP cord-021917-z9wpjr0d 91 4 States States NNP cord-021917-z9wpjr0d 91 5 , , , cord-021917-z9wpjr0d 91 6 most most JJS cord-021917-z9wpjr0d 91 7 cases case NNS cord-021917-z9wpjr0d 91 8 occur occur VBP cord-021917-z9wpjr0d 91 9 in in IN cord-021917-z9wpjr0d 91 10 the the DT cord-021917-z9wpjr0d 91 11 rural rural JJ cord-021917-z9wpjr0d 91 12 states state NNS cord-021917-z9wpjr0d 91 13 of of IN cord-021917-z9wpjr0d 91 14 the the DT cord-021917-z9wpjr0d 91 15 Southwest Southwest NNP cord-021917-z9wpjr0d 91 16 . . . cord-021917-z9wpjr0d 92 1 Plague plague NN cord-021917-z9wpjr0d 92 2 occurs occur VBZ cord-021917-z9wpjr0d 92 3 in in IN cord-021917-z9wpjr0d 92 4 three three CD cord-021917-z9wpjr0d 92 5 forms form NNS cord-021917-z9wpjr0d 92 6 : : : cord-021917-z9wpjr0d 92 7 bubonic bubonic NNP cord-021917-z9wpjr0d 92 8 , , , cord-021917-z9wpjr0d 92 9 septicemic septicemic NNP cord-021917-z9wpjr0d 92 10 , , , cord-021917-z9wpjr0d 92 11 and and CC cord-021917-z9wpjr0d 92 12 pneumonic pneumonic NN cord-021917-z9wpjr0d 92 13 . . . cord-021917-z9wpjr0d 93 1 Naturally naturally RB cord-021917-z9wpjr0d 93 2 occurring occur VBG cord-021917-z9wpjr0d 93 3 bubonic bubonic NN cord-021917-z9wpjr0d 93 4 plague plague NN cord-021917-z9wpjr0d 93 5 occurs occur VBZ cord-021917-z9wpjr0d 93 6 when when WRB cord-021917-z9wpjr0d 93 7 infected infect VBN cord-021917-z9wpjr0d 93 8 fleas flea NNS cord-021917-z9wpjr0d 93 9 bite bite VBP cord-021917-z9wpjr0d 93 10 a a DT cord-021917-z9wpjr0d 93 11 human human NN cord-021917-z9wpjr0d 93 12 and and CC cord-021917-z9wpjr0d 93 13 typically typically RB cord-021917-z9wpjr0d 93 14 results result VBZ cord-021917-z9wpjr0d 93 15 in in IN cord-021917-z9wpjr0d 93 16 enlarged enlarged JJ cord-021917-z9wpjr0d 93 17 lymph lymph NN cord-021917-z9wpjr0d 93 18 nodes node NNS cord-021917-z9wpjr0d 93 19 ( ( -LRB- cord-021917-z9wpjr0d 93 20 bubo bubo NNP cord-021917-z9wpjr0d 93 21 ) ) -RRB- cord-021917-z9wpjr0d 93 22 and and CC cord-021917-z9wpjr0d 93 23 severe severe JJ cord-021917-z9wpjr0d 93 24 sepsis sepsis NN cord-021917-z9wpjr0d 93 25 . . . cord-021917-z9wpjr0d 94 1 A a DT cord-021917-z9wpjr0d 94 2 smaller small JJR cord-021917-z9wpjr0d 94 3 percentage percentage NN cord-021917-z9wpjr0d 94 4 of of IN cord-021917-z9wpjr0d 94 5 patients patient NNS cord-021917-z9wpjr0d 94 6 may may MD cord-021917-z9wpjr0d 94 7 develop develop VB cord-021917-z9wpjr0d 94 8 sepsis sepsis NN cord-021917-z9wpjr0d 94 9 without without IN cord-021917-z9wpjr0d 94 10 bubo bubo NN cord-021917-z9wpjr0d 94 11 formation formation NN cord-021917-z9wpjr0d 94 12 , , , cord-021917-z9wpjr0d 94 13 and and CC cord-021917-z9wpjr0d 94 14 this this DT cord-021917-z9wpjr0d 94 15 is be VBZ cord-021917-z9wpjr0d 94 16 termed term VBN cord-021917-z9wpjr0d 94 17 primary primary JJ cord-021917-z9wpjr0d 94 18 septicemic septicemic JJ cord-021917-z9wpjr0d 94 19 plague plague NN cord-021917-z9wpjr0d 94 20 . . . cord-021917-z9wpjr0d 95 1 Rarely rarely RB cord-021917-z9wpjr0d 95 2 , , , cord-021917-z9wpjr0d 95 3 patients patient NNS cord-021917-z9wpjr0d 95 4 with with IN cord-021917-z9wpjr0d 95 5 bubonic bubonic NN cord-021917-z9wpjr0d 95 6 or or CC cord-021917-z9wpjr0d 95 7 septicemic septicemic JJ cord-021917-z9wpjr0d 95 8 plague plague NN cord-021917-z9wpjr0d 95 9 develop develop VBP cord-021917-z9wpjr0d 95 10 pneumonia pneumonia NN cord-021917-z9wpjr0d 95 11 , , , cord-021917-z9wpjr0d 95 12 and and CC cord-021917-z9wpjr0d 95 13 this this DT cord-021917-z9wpjr0d 95 14 is be VBZ cord-021917-z9wpjr0d 95 15 termed term VBN cord-021917-z9wpjr0d 95 16 secondary secondary JJ cord-021917-z9wpjr0d 95 17 pneumonic pneumonic JJ cord-021917-z9wpjr0d 95 18 plague plague NN cord-021917-z9wpjr0d 95 19 . . . cord-021917-z9wpjr0d 96 1 Patients patient NNS cord-021917-z9wpjr0d 96 2 with with IN cord-021917-z9wpjr0d 96 3 pneumonic pneumonic JJ cord-021917-z9wpjr0d 96 4 plague plague NN cord-021917-z9wpjr0d 96 5 can can MD cord-021917-z9wpjr0d 96 6 transmit transmit VB cord-021917-z9wpjr0d 96 7 disease disease NN cord-021917-z9wpjr0d 96 8 through through IN cord-021917-z9wpjr0d 96 9 respiratory respiratory JJ cord-021917-z9wpjr0d 96 10 droplets droplet NNS cord-021917-z9wpjr0d 96 11 . . . cord-021917-z9wpjr0d 97 1 Those those DT cord-021917-z9wpjr0d 97 2 who who WP cord-021917-z9wpjr0d 97 3 contract contract VBP cord-021917-z9wpjr0d 97 4 pneumonic pneumonic JJ cord-021917-z9wpjr0d 97 5 plague plague NN cord-021917-z9wpjr0d 97 6 from from IN cord-021917-z9wpjr0d 97 7 person person NN cord-021917-z9wpjr0d 97 8 - - HYPH cord-021917-z9wpjr0d 97 9 to to IN cord-021917-z9wpjr0d 97 10 - - HYPH cord-021917-z9wpjr0d 97 11 person person NN cord-021917-z9wpjr0d 97 12 transmission transmission NN cord-021917-z9wpjr0d 97 13 are be VBP cord-021917-z9wpjr0d 97 14 considered consider VBN cord-021917-z9wpjr0d 97 15 to to TO cord-021917-z9wpjr0d 97 16 have have VB cord-021917-z9wpjr0d 97 17 primary primary JJ cord-021917-z9wpjr0d 97 18 pneumonic pneumonic JJ cord-021917-z9wpjr0d 97 19 plague plague NN cord-021917-z9wpjr0d 97 20 and and CC cord-021917-z9wpjr0d 97 21 do do VBP cord-021917-z9wpjr0d 97 22 not not RB cord-021917-z9wpjr0d 97 23 develop develop VB cord-021917-z9wpjr0d 97 24 buboes bubo NNS cord-021917-z9wpjr0d 97 25 . . . cord-021917-z9wpjr0d 98 1 Both both DT cord-021917-z9wpjr0d 98 2 primary primary JJ cord-021917-z9wpjr0d 98 3 and and CC cord-021917-z9wpjr0d 98 4 secondary secondary JJ cord-021917-z9wpjr0d 98 5 pneumonic pneumonic JJ cord-021917-z9wpjr0d 98 6 plague plague NN cord-021917-z9wpjr0d 98 7 are be VBP cord-021917-z9wpjr0d 98 8 transmissible transmissible JJ cord-021917-z9wpjr0d 98 9 from from IN cord-021917-z9wpjr0d 98 10 person person NN cord-021917-z9wpjr0d 98 11 to to IN cord-021917-z9wpjr0d 98 12 person person NN cord-021917-z9wpjr0d 98 13 . . . cord-021917-z9wpjr0d 99 1 The the DT cord-021917-z9wpjr0d 99 2 intentional intentional JJ cord-021917-z9wpjr0d 99 3 release release NN cord-021917-z9wpjr0d 99 4 of of IN cord-021917-z9wpjr0d 99 5 aerosolized aerosolize VBN cord-021917-z9wpjr0d 99 6 plague plague NN cord-021917-z9wpjr0d 99 7 would would MD cord-021917-z9wpjr0d 99 8 result result VB cord-021917-z9wpjr0d 99 9 in in IN cord-021917-z9wpjr0d 99 10 primary primary JJ cord-021917-z9wpjr0d 99 11 pneumonic pneumonic JJ cord-021917-z9wpjr0d 99 12 plague plague NN cord-021917-z9wpjr0d 99 13 , , , cord-021917-z9wpjr0d 99 14 a a DT cord-021917-z9wpjr0d 99 15 condition condition NN cord-021917-z9wpjr0d 99 16 that that WDT cord-021917-z9wpjr0d 99 17 is be VBZ cord-021917-z9wpjr0d 99 18 rare rare JJ cord-021917-z9wpjr0d 99 19 in in IN cord-021917-z9wpjr0d 99 20 naturally naturally RB cord-021917-z9wpjr0d 99 21 occurring occur VBG cord-021917-z9wpjr0d 99 22 plague plague NN cord-021917-z9wpjr0d 99 23 . . . cord-021917-z9wpjr0d 100 1 World World NNP cord-021917-z9wpjr0d 100 2 Health Health NNP cord-021917-z9wpjr0d 100 3 Organization Organization NNP cord-021917-z9wpjr0d 100 4 ( ( -LRB- cord-021917-z9wpjr0d 100 5 WHO who WP cord-021917-z9wpjr0d 100 6 ) ) -RRB- cord-021917-z9wpjr0d 100 7 estimates estimate VBZ cord-021917-z9wpjr0d 100 8 from from IN cord-021917-z9wpjr0d 100 9 1970 1970 CD cord-021917-z9wpjr0d 100 10 predict predict VBP cord-021917-z9wpjr0d 100 11 that that IN cord-021917-z9wpjr0d 100 12 50 50 CD cord-021917-z9wpjr0d 100 13 kg kg NNS cord-021917-z9wpjr0d 100 14 of of IN cord-021917-z9wpjr0d 100 15 Y. Y. NNP cord-021917-z9wpjr0d 100 16 pestis pestis NN cord-021917-z9wpjr0d 100 17 released release VBN cord-021917-z9wpjr0d 100 18 over over IN cord-021917-z9wpjr0d 100 19 an an DT cord-021917-z9wpjr0d 100 20 urban urban JJ cord-021917-z9wpjr0d 100 21 area area NN cord-021917-z9wpjr0d 100 22 with with IN cord-021917-z9wpjr0d 100 23 5 5 CD cord-021917-z9wpjr0d 100 24 million million CD cord-021917-z9wpjr0d 100 25 inhabitants inhabitant NNS cord-021917-z9wpjr0d 100 26 would would MD cord-021917-z9wpjr0d 100 27 cause cause VB cord-021917-z9wpjr0d 100 28 pneumonic pneumonic JJ cord-021917-z9wpjr0d 100 29 plague plague NN cord-021917-z9wpjr0d 100 30 in in IN cord-021917-z9wpjr0d 100 31 150,000 150,000 CD cord-021917-z9wpjr0d 100 32 , , , cord-021917-z9wpjr0d 100 33 with with IN cord-021917-z9wpjr0d 100 34 36,000 36,000 CD cord-021917-z9wpjr0d 100 35 fatalities fatality NNS cord-021917-z9wpjr0d 100 36 . . . cord-021917-z9wpjr0d 101 1 Exposure exposure NN cord-021917-z9wpjr0d 101 2 is be VBZ cord-021917-z9wpjr0d 101 3 followed follow VBN cord-021917-z9wpjr0d 101 4 1 1 CD cord-021917-z9wpjr0d 101 5 to to TO cord-021917-z9wpjr0d 101 6 6 6 CD cord-021917-z9wpjr0d 101 7 days day NNS cord-021917-z9wpjr0d 101 8 later later RB cord-021917-z9wpjr0d 101 9 by by IN cord-021917-z9wpjr0d 101 10 fever fever NN cord-021917-z9wpjr0d 101 11 , , , cord-021917-z9wpjr0d 101 12 dyspnea dyspnea NN cord-021917-z9wpjr0d 101 13 , , , cord-021917-z9wpjr0d 101 14 and and CC cord-021917-z9wpjr0d 101 15 cough cough NN cord-021917-z9wpjr0d 101 16 with with IN cord-021917-z9wpjr0d 101 17 bloody bloody JJ cord-021917-z9wpjr0d 101 18 , , , cord-021917-z9wpjr0d 101 19 watery watery JJ cord-021917-z9wpjr0d 101 20 , , , cord-021917-z9wpjr0d 101 21 or or CC cord-021917-z9wpjr0d 101 22 purulent purulent JJ cord-021917-z9wpjr0d 101 23 sputum sputum NN cord-021917-z9wpjr0d 101 24 . . . cord-021917-z9wpjr0d 102 1 Gastrointestinal gastrointestinal JJ cord-021917-z9wpjr0d 102 2 symptoms symptom NNS cord-021917-z9wpjr0d 102 3 also also RB cord-021917-z9wpjr0d 102 4 occur occur VBP cord-021917-z9wpjr0d 102 5 . . . cord-021917-z9wpjr0d 103 1 Cervical cervical JJ cord-021917-z9wpjr0d 103 2 buboes bubo NNS cord-021917-z9wpjr0d 103 3 are be VBP cord-021917-z9wpjr0d 103 4 rare rare JJ cord-021917-z9wpjr0d 103 5 . . . cord-021917-z9wpjr0d 104 1 Pneumonia pneumonia NN cord-021917-z9wpjr0d 104 2 progresses progress VBZ cord-021917-z9wpjr0d 104 3 rapidly rapidly RB cord-021917-z9wpjr0d 104 4 with with IN cord-021917-z9wpjr0d 104 5 unilateral unilateral JJ cord-021917-z9wpjr0d 104 6 or or CC cord-021917-z9wpjr0d 104 7 bilateral bilateral JJ cord-021917-z9wpjr0d 104 8 infiltrates infiltrate NNS cord-021917-z9wpjr0d 104 9 or or CC cord-021917-z9wpjr0d 104 10 consolidation consolidation NN cord-021917-z9wpjr0d 104 11 . . . cord-021917-z9wpjr0d 105 1 Severe severe JJ cord-021917-z9wpjr0d 105 2 sepsis sepsis NN cord-021917-z9wpjr0d 105 3 and and CC cord-021917-z9wpjr0d 105 4 septic septic JJ cord-021917-z9wpjr0d 105 5 shock shock NN cord-021917-z9wpjr0d 105 6 develop develop VBP cord-021917-z9wpjr0d 105 7 with with IN cord-021917-z9wpjr0d 105 8 leukocytosis leukocytosis NN cord-021917-z9wpjr0d 105 9 , , , cord-021917-z9wpjr0d 105 10 multisystem multisystem JJ cord-021917-z9wpjr0d 105 11 organ organ NN cord-021917-z9wpjr0d 105 12 failure failure NN cord-021917-z9wpjr0d 105 13 , , , cord-021917-z9wpjr0d 105 14 and and CC cord-021917-z9wpjr0d 105 15 disseminated disseminate VBN cord-021917-z9wpjr0d 105 16 intravascular intravascular JJ cord-021917-z9wpjr0d 105 17 coagulation coagulation NN cord-021917-z9wpjr0d 105 18 . . . cord-021917-z9wpjr0d 106 1 In in IN cord-021917-z9wpjr0d 106 2 the the DT cord-021917-z9wpjr0d 106 3 absence absence NN cord-021917-z9wpjr0d 106 4 of of IN cord-021917-z9wpjr0d 106 5 therapy therapy NN cord-021917-z9wpjr0d 106 6 , , , cord-021917-z9wpjr0d 106 7 irreversible irreversible JJ cord-021917-z9wpjr0d 106 8 shock shock NN cord-021917-z9wpjr0d 106 9 and and CC cord-021917-z9wpjr0d 106 10 death death NN cord-021917-z9wpjr0d 106 11 occur occur VBP cord-021917-z9wpjr0d 106 12 2 2 CD cord-021917-z9wpjr0d 106 13 to to TO cord-021917-z9wpjr0d 106 14 6 6 CD cord-021917-z9wpjr0d 106 15 days day NNS cord-021917-z9wpjr0d 106 16 after after IN cord-021917-z9wpjr0d 106 17 exposure exposure NN cord-021917-z9wpjr0d 106 18 . . . cord-021917-z9wpjr0d 107 1 A a DT cord-021917-z9wpjr0d 107 2 bioterrorist bioterrorist NN cord-021917-z9wpjr0d 107 3 attack attack NN cord-021917-z9wpjr0d 107 4 with with IN cord-021917-z9wpjr0d 107 5 aerosolized aerosolized JJ cord-021917-z9wpjr0d 107 6 plague plague NN cord-021917-z9wpjr0d 107 7 would would MD cord-021917-z9wpjr0d 107 8 likely likely RB cord-021917-z9wpjr0d 107 9 present present VB cord-021917-z9wpjr0d 107 10 as as IN cord-021917-z9wpjr0d 107 11 an an DT cord-021917-z9wpjr0d 107 12 outbreak outbreak NN cord-021917-z9wpjr0d 107 13 of of IN cord-021917-z9wpjr0d 107 14 severe severe JJ cord-021917-z9wpjr0d 107 15 pneumonia pneumonia NN cord-021917-z9wpjr0d 107 16 and and CC cord-021917-z9wpjr0d 107 17 sepsis sepsis NN cord-021917-z9wpjr0d 107 18 . . . cord-021917-z9wpjr0d 108 1 Diagnosis diagnosis NN cord-021917-z9wpjr0d 108 2 depends depend VBZ cord-021917-z9wpjr0d 108 3 on on IN cord-021917-z9wpjr0d 108 4 standard standard JJ cord-021917-z9wpjr0d 108 5 microbiologic microbiologic JJ cord-021917-z9wpjr0d 108 6 studies study NNS cord-021917-z9wpjr0d 108 7 , , , cord-021917-z9wpjr0d 108 8 with with IN cord-021917-z9wpjr0d 108 9 confirmatory confirmatory JJ cord-021917-z9wpjr0d 108 10 tests test NNS cord-021917-z9wpjr0d 108 11 available available JJ cord-021917-z9wpjr0d 108 12 only only RB cord-021917-z9wpjr0d 108 13 at at IN cord-021917-z9wpjr0d 108 14 select select JJ cord-021917-z9wpjr0d 108 15 laboratories laboratory NNS cord-021917-z9wpjr0d 108 16 . . . cord-021917-z9wpjr0d 109 1 Hence hence RB cord-021917-z9wpjr0d 109 2 , , , cord-021917-z9wpjr0d 109 3 unless unless IN cord-021917-z9wpjr0d 109 4 epidemiologic epidemiologic JJ cord-021917-z9wpjr0d 109 5 clues clue NNS cord-021917-z9wpjr0d 109 6 alert alert VBP cord-021917-z9wpjr0d 109 7 health health NN cord-021917-z9wpjr0d 109 8 care care NN cord-021917-z9wpjr0d 109 9 workers worker NNS cord-021917-z9wpjr0d 109 10 that that IN cord-021917-z9wpjr0d 109 11 these these DT cord-021917-z9wpjr0d 109 12 patients patient NNS cord-021917-z9wpjr0d 109 13 do do VBP cord-021917-z9wpjr0d 109 14 not not RB cord-021917-z9wpjr0d 109 15 have have VB cord-021917-z9wpjr0d 109 16 community community NN cord-021917-z9wpjr0d 109 17 - - HYPH cord-021917-z9wpjr0d 109 18 acquired acquire VBN cord-021917-z9wpjr0d 109 19 pneumonia pneumonia NN cord-021917-z9wpjr0d 109 20 , , , cord-021917-z9wpjr0d 109 21 the the DT cord-021917-z9wpjr0d 109 22 first first JJ cord-021917-z9wpjr0d 109 23 group group NN cord-021917-z9wpjr0d 109 24 of of IN cord-021917-z9wpjr0d 109 25 patients patient NNS cord-021917-z9wpjr0d 109 26 will will MD cord-021917-z9wpjr0d 109 27 likely likely RB cord-021917-z9wpjr0d 109 28 be be VB cord-021917-z9wpjr0d 109 29 cared care VBN cord-021917-z9wpjr0d 109 30 for for IN cord-021917-z9wpjr0d 109 31 with with IN cord-021917-z9wpjr0d 109 32 the the DT cord-021917-z9wpjr0d 109 33 hospital hospital NN cord-021917-z9wpjr0d 109 34 's 's POS cord-021917-z9wpjr0d 109 35 usual usual JJ cord-021917-z9wpjr0d 109 36 infection infection NN cord-021917-z9wpjr0d 109 37 control control NN cord-021917-z9wpjr0d 109 38 policies policy NNS cord-021917-z9wpjr0d 109 39 for for IN cord-021917-z9wpjr0d 109 40 this this DT cord-021917-z9wpjr0d 109 41 condition condition NN cord-021917-z9wpjr0d 109 42 . . . cord-021917-z9wpjr0d 110 1 Unless unless IN cord-021917-z9wpjr0d 110 2 droplet droplet NN cord-021917-z9wpjr0d 110 3 precautions precaution NNS cord-021917-z9wpjr0d 110 4 are be VBP cord-021917-z9wpjr0d 110 5 commonly commonly RB cord-021917-z9wpjr0d 110 6 used use VBN cord-021917-z9wpjr0d 110 7 and and CC cord-021917-z9wpjr0d 110 8 strictly strictly RB cord-021917-z9wpjr0d 110 9 adhered adhere VBN cord-021917-z9wpjr0d 110 10 to to IN cord-021917-z9wpjr0d 110 11 , , , cord-021917-z9wpjr0d 110 12 a a DT cord-021917-z9wpjr0d 110 13 number number NN cord-021917-z9wpjr0d 110 14 of of IN cord-021917-z9wpjr0d 110 15 health health NN cord-021917-z9wpjr0d 110 16 care care NN cord-021917-z9wpjr0d 110 17 workers worker NNS cord-021917-z9wpjr0d 110 18 and and CC cord-021917-z9wpjr0d 110 19 addi- addi- JJ cord-021917-z9wpjr0d 110 20 tional tional JJ cord-021917-z9wpjr0d 110 21 patients patient NNS cord-021917-z9wpjr0d 110 22 may may MD cord-021917-z9wpjr0d 110 23 be be VB cord-021917-z9wpjr0d 110 24 exposed expose VBN cord-021917-z9wpjr0d 110 25 to to IN cord-021917-z9wpjr0d 110 26 plague plague NN cord-021917-z9wpjr0d 110 27 early early RB cord-021917-z9wpjr0d 110 28 in in IN cord-021917-z9wpjr0d 110 29 the the DT cord-021917-z9wpjr0d 110 30 outbreak outbreak NN cord-021917-z9wpjr0d 110 31 . . . cord-021917-z9wpjr0d 111 1 Therapeutic therapeutic JJ cord-021917-z9wpjr0d 111 2 recommendations recommendation NNS cord-021917-z9wpjr0d 111 3 for for IN cord-021917-z9wpjr0d 111 4 pneumonic pneumonic JJ cord-021917-z9wpjr0d 111 5 plague plague NN cord-021917-z9wpjr0d 111 6 appear appear VBP cord-021917-z9wpjr0d 111 7 in in IN cord-021917-z9wpjr0d 111 8 Table Table NNP cord-021917-z9wpjr0d 111 9 64 64 CD cord-021917-z9wpjr0d 111 10 .2 .2 CD cord-021917-z9wpjr0d 111 11 . . . cord-021917-z9wpjr0d 112 1 Streptomycin Streptomycin NNS cord-021917-z9wpjr0d 112 2 and and CC cord-021917-z9wpjr0d 112 3 gentamicin gentamicin NNS cord-021917-z9wpjr0d 112 4 are be VBP cord-021917-z9wpjr0d 112 5 the the DT cord-021917-z9wpjr0d 112 6 first first JJ cord-021917-z9wpjr0d 112 7 - - HYPH cord-021917-z9wpjr0d 112 8 line line NN cord-021917-z9wpjr0d 112 9 agents agent NNS cord-021917-z9wpjr0d 112 10 . . . cord-021917-z9wpjr0d 113 1 Doxycycline Doxycycline NNP cord-021917-z9wpjr0d 113 2 , , , cord-021917-z9wpjr0d 113 3 ciprofloxacin ciprofloxacin NN cord-021917-z9wpjr0d 113 4 , , , cord-021917-z9wpjr0d 113 5 and and CC cord-021917-z9wpjr0d 113 6 chloramphenicol chloramphenicol NN cord-021917-z9wpjr0d 113 7 are be VBP cord-021917-z9wpjr0d 113 8 alternative alternative JJ cord-021917-z9wpjr0d 113 9 choices choice NNS cord-021917-z9wpjr0d 113 10 . . . cord-021917-z9wpjr0d 114 1 In in IN cord-021917-z9wpjr0d 114 2 the the DT cord-021917-z9wpjr0d 114 3 event event NN cord-021917-z9wpjr0d 114 4 of of IN cord-021917-z9wpjr0d 114 5 a a DT cord-021917-z9wpjr0d 114 6 mass mass JJ cord-021917-z9wpjr0d 114 7 casualty casualty NN cord-021917-z9wpjr0d 114 8 situation situation NN cord-021917-z9wpjr0d 114 9 , , , cord-021917-z9wpjr0d 114 10 or or CC cord-021917-z9wpjr0d 114 11 for for IN cord-021917-z9wpjr0d 114 12 postexposure postexposure NN cord-021917-z9wpjr0d 114 13 prophylaxis prophylaxis NN cord-021917-z9wpjr0d 114 14 , , , cord-021917-z9wpjr0d 114 15 doxycycline doxycycline NN cord-021917-z9wpjr0d 114 16 or or CC cord-021917-z9wpjr0d 114 17 ciprofloxacin ciprofloxacin NN cord-021917-z9wpjr0d 114 18 are be VBP cord-021917-z9wpjr0d 114 19 the the DT cord-021917-z9wpjr0d 114 20 preferred preferred JJ cord-021917-z9wpjr0d 114 21 agents agent NNS cord-021917-z9wpjr0d 114 22 for for IN cord-021917-z9wpjr0d 114 23 adults adult NNS cord-021917-z9wpjr0d 114 24 . . . cord-021917-z9wpjr0d 115 1 Francisella Francisella NNP cord-021917-z9wpjr0d 115 2 tularensis tularensis NNP cord-021917-z9wpjr0d 115 3 is be VBZ cord-021917-z9wpjr0d 115 4 an an DT cord-021917-z9wpjr0d 115 5 extremely extremely RB cord-021917-z9wpjr0d 115 6 infectious infectious JJ cord-021917-z9wpjr0d 115 7 pathogen pathogen NN cord-021917-z9wpjr0d 115 8 ; ; : cord-021917-z9wpjr0d 115 9 exposure exposure NN cord-021917-z9wpjr0d 115 10 to to IN cord-021917-z9wpjr0d 115 11 as as RB cord-021917-z9wpjr0d 115 12 few few JJ cord-021917-z9wpjr0d 115 13 as as IN cord-021917-z9wpjr0d 115 14 10 10 CD cord-021917-z9wpjr0d 115 15 organisms organism NNS cord-021917-z9wpjr0d 115 16 can can MD cord-021917-z9wpjr0d 115 17 cause cause VB cord-021917-z9wpjr0d 115 18 tularemia tularemia NN cord-021917-z9wpjr0d 115 19 . . . cord-021917-z9wpjr0d 116 1 Naturally naturally RB cord-021917-z9wpjr0d 116 2 occurring occur VBG cord-021917-z9wpjr0d 116 3 throughout throughout IN cord-021917-z9wpjr0d 116 4 North North NNP cord-021917-z9wpjr0d 116 5 America America NNP cord-021917-z9wpjr0d 116 6 , , , cord-021917-z9wpjr0d 116 7 Europe Europe NNP cord-021917-z9wpjr0d 116 8 , , , cord-021917-z9wpjr0d 116 9 and and CC cord-021917-z9wpjr0d 116 10 Asia Asia NNP cord-021917-z9wpjr0d 116 11 , , , cord-021917-z9wpjr0d 116 12 tularemia tularemia NN cord-021917-z9wpjr0d 116 13 is be VBZ cord-021917-z9wpjr0d 116 14 transmitted transmit VBN cord-021917-z9wpjr0d 116 15 to to IN cord-021917-z9wpjr0d 116 16 humans human NNS cord-021917-z9wpjr0d 116 17 via via IN cord-021917-z9wpjr0d 116 18 arthropod arthropod JJ cord-021917-z9wpjr0d 116 19 bites bite NNS cord-021917-z9wpjr0d 116 20 , , , cord-021917-z9wpjr0d 116 21 contact contact NN cord-021917-z9wpjr0d 116 22 with with IN cord-021917-z9wpjr0d 116 23 small small JJ cord-021917-z9wpjr0d 116 24 mammals mammal NNS cord-021917-z9wpjr0d 116 25 or or CC cord-021917-z9wpjr0d 116 26 contaminated contaminate VBN cord-021917-z9wpjr0d 116 27 food food NN cord-021917-z9wpjr0d 116 28 , , , cord-021917-z9wpjr0d 116 29 and and CC cord-021917-z9wpjr0d 116 30 inhalation inhalation NN cord-021917-z9wpjr0d 116 31 . . . cord-021917-z9wpjr0d 117 1 Tularemia tularemia NN cord-021917-z9wpjr0d 117 2 can can MD cord-021917-z9wpjr0d 117 3 take take VB cord-021917-z9wpjr0d 117 4 many many JJ cord-021917-z9wpjr0d 117 5 clinical clinical JJ cord-021917-z9wpjr0d 117 6 forms form NNS cord-021917-z9wpjr0d 117 7 ( ( -LRB- cord-021917-z9wpjr0d 117 8 Box Box NNP cord-021917-z9wpjr0d 117 9 64.2 64.2 CD cord-021917-z9wpjr0d 117 10 ) ) -RRB- cord-021917-z9wpjr0d 117 11 . . . cord-021917-z9wpjr0d 118 1 Disease disease NN cord-021917-z9wpjr0d 118 2 manifestations manifestation NNS cord-021917-z9wpjr0d 118 3 depend depend VBP cord-021917-z9wpjr0d 118 4 on on IN cord-021917-z9wpjr0d 118 5 virulence virulence NN cord-021917-z9wpjr0d 118 6 , , , cord-021917-z9wpjr0d 118 7 dose dose NN cord-021917-z9wpjr0d 118 8 , , , cord-021917-z9wpjr0d 118 9 and and CC cord-021917-z9wpjr0d 118 10 site site NN cord-021917-z9wpjr0d 118 11 of of IN cord-021917-z9wpjr0d 118 12 infection infection NN cord-021917-z9wpjr0d 118 13 . . . cord-021917-z9wpjr0d 119 1 The the DT cord-021917-z9wpjr0d 119 2 disease disease NN cord-021917-z9wpjr0d 119 3 can can MD cord-021917-z9wpjr0d 119 4 begin begin VB cord-021917-z9wpjr0d 119 5 in in IN cord-021917-z9wpjr0d 119 6 the the DT cord-021917-z9wpjr0d 119 7 skin skin NN cord-021917-z9wpjr0d 119 8 , , , cord-021917-z9wpjr0d 119 9 starting start VBG cord-021917-z9wpjr0d 119 10 as as IN cord-021917-z9wpjr0d 119 11 a a DT cord-021917-z9wpjr0d 119 12 papule papule NN cord-021917-z9wpjr0d 119 13 and and CC cord-021917-z9wpjr0d 119 14 resulting result VBG cord-021917-z9wpjr0d 119 15 in in IN cord-021917-z9wpjr0d 119 16 an an DT cord-021917-z9wpjr0d 119 17 ulcer ulcer NN cord-021917-z9wpjr0d 119 18 , , , cord-021917-z9wpjr0d 119 19 and and CC cord-021917-z9wpjr0d 119 20 also also RB cord-021917-z9wpjr0d 119 21 involve involve VB cord-021917-z9wpjr0d 119 22 regional regional JJ cord-021917-z9wpjr0d 119 23 lymph lymph NN cord-021917-z9wpjr0d 119 24 nodes node NNS cord-021917-z9wpjr0d 119 25 ( ( -LRB- cord-021917-z9wpjr0d 119 26 ulceroglandular ulceroglandular NNP cord-021917-z9wpjr0d 119 27 ) ) -RRB- cord-021917-z9wpjr0d 119 28 . . . cord-021917-z9wpjr0d 120 1 If if IN cord-021917-z9wpjr0d 120 2 contaminated contaminated JJ cord-021917-z9wpjr0d 120 3 water water NN cord-021917-z9wpjr0d 120 4 is be VBZ cord-021917-z9wpjr0d 120 5 ingested ingest VBN cord-021917-z9wpjr0d 120 6 or or CC cord-021917-z9wpjr0d 120 7 contaminated contaminate VBN cord-021917-z9wpjr0d 120 8 droplets droplet NNS cord-021917-z9wpjr0d 120 9 are be VBP cord-021917-z9wpjr0d 120 10 inhaled inhale VBN cord-021917-z9wpjr0d 120 11 , , , cord-021917-z9wpjr0d 120 12 pharyngeal pharyngeal JJ cord-021917-z9wpjr0d 120 13 ulcers ulcer NNS cord-021917-z9wpjr0d 120 14 with with IN cord-021917-z9wpjr0d 120 15 cervical cervical JJ cord-021917-z9wpjr0d 120 16 lymphadenitis lymphadenitis NN cord-021917-z9wpjr0d 120 17 can can MD cord-021917-z9wpjr0d 120 18 occur occur VB cord-021917-z9wpjr0d 120 19 ( ( -LRB- cord-021917-z9wpjr0d 120 20 oropharyngeal oropharyngeal JJ cord-021917-z9wpjr0d 120 21 ) ) -RRB- cord-021917-z9wpjr0d 120 22 . . . cord-021917-z9wpjr0d 121 1 The the DT cord-021917-z9wpjr0d 121 2 eyes eye NNS cord-021917-z9wpjr0d 121 3 can can MD cord-021917-z9wpjr0d 121 4 be be VB cord-021917-z9wpjr0d 121 5 the the DT cord-021917-z9wpjr0d 121 6 initial initial JJ cord-021917-z9wpjr0d 121 7 portal portal NN cord-021917-z9wpjr0d 121 8 of of IN cord-021917-z9wpjr0d 121 9 entry entry NN cord-021917-z9wpjr0d 121 10 leading lead VBG cord-021917-z9wpjr0d 121 11 to to IN cord-021917-z9wpjr0d 121 12 chemosis chemosis NNP cord-021917-z9wpjr0d 121 13 and and CC cord-021917-z9wpjr0d 121 14 lymphadenitis lymphadenitis NNP cord-021917-z9wpjr0d 121 15 ( ( -LRB- cord-021917-z9wpjr0d 121 16 oculoglandular oculoglandular NNP cord-021917-z9wpjr0d 121 17 ) ) -RRB- cord-021917-z9wpjr0d 121 18 . . . cord-021917-z9wpjr0d 122 1 Sometimes sometimes RB cord-021917-z9wpjr0d 122 2 , , , cord-021917-z9wpjr0d 122 3 lymphadenitis lymphadenitis NNP cord-021917-z9wpjr0d 122 4 may may MD cord-021917-z9wpjr0d 122 5 occur occur VB cord-021917-z9wpjr0d 122 6 without without IN cord-021917-z9wpjr0d 122 7 ulceration ulceration NN cord-021917-z9wpjr0d 122 8 ( ( -LRB- cord-021917-z9wpjr0d 122 9 glandular glandular JJ cord-021917-z9wpjr0d 122 10 ) ) -RRB- cord-021917-z9wpjr0d 122 11 . . . cord-021917-z9wpjr0d 123 1 Inhalational inhalational JJ cord-021917-z9wpjr0d 123 2 tularemia tularemia NN cord-021917-z9wpjr0d 123 3 may may MD cord-021917-z9wpjr0d 123 4 also also RB cord-021917-z9wpjr0d 123 5 occur occur VB cord-021917-z9wpjr0d 123 6 naturally naturally RB cord-021917-z9wpjr0d 123 7 due due JJ cord-021917-z9wpjr0d 123 8 to to IN cord-021917-z9wpjr0d 123 9 aerosolization aerosolization NN cord-021917-z9wpjr0d 123 10 of of IN cord-021917-z9wpjr0d 123 11 contaminated contaminated JJ cord-021917-z9wpjr0d 123 12 materials material NNS cord-021917-z9wpjr0d 123 13 . . . cord-021917-z9wpjr0d 124 1 This this DT cord-021917-z9wpjr0d 124 2 clinical clinical JJ cord-021917-z9wpjr0d 124 3 scenario scenario NN cord-021917-z9wpjr0d 124 4 is be VBZ cord-021917-z9wpjr0d 124 5 the the DT cord-021917-z9wpjr0d 124 6 most most RBS cord-021917-z9wpjr0d 124 7 likely likely JJ cord-021917-z9wpjr0d 124 8 after after IN cord-021917-z9wpjr0d 124 9 an an DT cord-021917-z9wpjr0d 124 10 intentional intentional JJ cord-021917-z9wpjr0d 124 11 release release NN cord-021917-z9wpjr0d 124 12 , , , cord-021917-z9wpjr0d 124 13 since since IN cord-021917-z9wpjr0d 124 14 aerosol aerosol NN cord-021917-z9wpjr0d 124 15 release release NN cord-021917-z9wpjr0d 124 16 would would MD cord-021917-z9wpjr0d 124 17 be be VB cord-021917-z9wpjr0d 124 18 the the DT cord-021917-z9wpjr0d 124 19 most most RBS cord-021917-z9wpjr0d 124 20 likely likely JJ cord-021917-z9wpjr0d 124 21 method method NN cord-021917-z9wpjr0d 124 22 of of IN cord-021917-z9wpjr0d 124 23 dissemination dissemination NN cord-021917-z9wpjr0d 124 24 . . . cord-021917-z9wpjr0d 125 1 WHO who WP cord-021917-z9wpjr0d 125 2 estimated estimate VBD cord-021917-z9wpjr0d 125 3 that that IN cord-021917-z9wpjr0d 125 4 50 50 CD cord-021917-z9wpjr0d 125 5 kg kg NNS cord-021917-z9wpjr0d 125 6 of of IN cord-021917-z9wpjr0d 125 7 aerosolized aerosolize VBN cord-021917-z9wpjr0d 125 8 F. F. NNP cord-021917-z9wpjr0d 125 9 tularensis tularensis NN cord-021917-z9wpjr0d 125 10 in in IN cord-021917-z9wpjr0d 125 11 a a DT cord-021917-z9wpjr0d 125 12 city city NN cord-021917-z9wpjr0d 125 13 of of IN cord-021917-z9wpjr0d 125 14 5 5 CD cord-021917-z9wpjr0d 125 15 million million CD cord-021917-z9wpjr0d 125 16 would would MD cord-021917-z9wpjr0d 125 17 affect affect VB cord-021917-z9wpjr0d 125 18 250,000 250,000 CD cord-021917-z9wpjr0d 125 19 people people NNS cord-021917-z9wpjr0d 125 20 and and CC cord-021917-z9wpjr0d 125 21 cause cause VB cord-021917-z9wpjr0d 125 22 19,000 19,000 CD cord-021917-z9wpjr0d 125 23 deaths death NNS cord-021917-z9wpjr0d 125 24 . . . cord-021917-z9wpjr0d 126 1 After after IN cord-021917-z9wpjr0d 126 2 an an DT cord-021917-z9wpjr0d 126 3 incubation incubation NN cord-021917-z9wpjr0d 126 4 period period NN cord-021917-z9wpjr0d 126 5 of of IN cord-021917-z9wpjr0d 126 6 1 1 CD cord-021917-z9wpjr0d 126 7 to to TO cord-021917-z9wpjr0d 126 8 21 21 CD cord-021917-z9wpjr0d 126 9 days day NNS cord-021917-z9wpjr0d 126 10 , , , cord-021917-z9wpjr0d 126 11 abrupt abrupt JJ cord-021917-z9wpjr0d 126 12 fever fever NN cord-021917-z9wpjr0d 126 13 develops develop VBZ cord-021917-z9wpjr0d 126 14 , , , cord-021917-z9wpjr0d 126 15 accompanied accompany VBN cord-021917-z9wpjr0d 126 16 by by IN cord-021917-z9wpjr0d 126 17 influenza influenza NN cord-021917-z9wpjr0d 126 18 - - HYPH cord-021917-z9wpjr0d 126 19 like like JJ cord-021917-z9wpjr0d 126 20 symptoms symptom NNS cord-021917-z9wpjr0d 126 21 ( ( -LRB- cord-021917-z9wpjr0d 126 22 headache headache NN cord-021917-z9wpjr0d 126 23 , , , cord-021917-z9wpjr0d 126 24 chills chill NNS cord-021917-z9wpjr0d 126 25 , , , cord-021917-z9wpjr0d 126 26 rigors rigor NNS cord-021917-z9wpjr0d 126 27 , , , cord-021917-z9wpjr0d 126 28 myalgias myalgias NNP cord-021917-z9wpjr0d 126 29 , , , cord-021917-z9wpjr0d 126 30 coryza coryza NNP cord-021917-z9wpjr0d 126 31 , , , cord-021917-z9wpjr0d 126 32 and and CC cord-021917-z9wpjr0d 126 33 pharyngitis pharyngitis NN cord-021917-z9wpjr0d 126 34 ) ) -RRB- cord-021917-z9wpjr0d 126 35 . . . cord-021917-z9wpjr0d 127 1 Bronchiolitis Bronchiolitis NNP cord-021917-z9wpjr0d 127 2 , , , cord-021917-z9wpjr0d 127 3 pleuropneumonitis pleuropneumonitis NNP cord-021917-z9wpjr0d 127 4 , , , cord-021917-z9wpjr0d 127 5 and and CC cord-021917-z9wpjr0d 127 6 hilar hilar JJ cord-021917-z9wpjr0d 127 7 lymphadenitis lymphadenitis NN cord-021917-z9wpjr0d 127 8 would would MD cord-021917-z9wpjr0d 127 9 be be VB cord-021917-z9wpjr0d 127 10 expected expect VBN cord-021917-z9wpjr0d 127 11 , , , cord-021917-z9wpjr0d 127 12 although although IN cord-021917-z9wpjr0d 127 13 inhalational inhalational JJ cord-021917-z9wpjr0d 127 14 tularemia tularemia NN cord-021917-z9wpjr0d 127 15 can can MD cord-021917-z9wpjr0d 127 16 often often RB cord-021917-z9wpjr0d 127 17 present present VB cord-021917-z9wpjr0d 127 18 as as IN cord-021917-z9wpjr0d 127 19 a a DT cord-021917-z9wpjr0d 127 20 systemic systemic JJ cord-021917-z9wpjr0d 127 21 disease disease NN cord-021917-z9wpjr0d 127 22 without without IN cord-021917-z9wpjr0d 127 23 respiratory respiratory JJ cord-021917-z9wpjr0d 127 24 features feature NNS cord-021917-z9wpjr0d 127 25 . . . cord-021917-z9wpjr0d 128 1 Progressive progressive JJ cord-021917-z9wpjr0d 128 2 weakness weakness NN cord-021917-z9wpjr0d 128 3 , , , cord-021917-z9wpjr0d 128 4 fever fever NN cord-021917-z9wpjr0d 128 5 , , , cord-021917-z9wpjr0d 128 6 chills chill NNS cord-021917-z9wpjr0d 128 7 , , , cord-021917-z9wpjr0d 128 8 malaise malaise NN cord-021917-z9wpjr0d 128 9 , , , cord-021917-z9wpjr0d 128 10 and and CC cord-021917-z9wpjr0d 128 11 anorexia anorexia NN cord-021917-z9wpjr0d 128 12 rapidly rapidly RB cord-021917-z9wpjr0d 128 13 incapacitate incapacitate VB cord-021917-z9wpjr0d 128 14 victims victim NNS cord-021917-z9wpjr0d 128 15 . . . cord-021917-z9wpjr0d 129 1 Hematogenous Hematogenous NNP cord-021917-z9wpjr0d 129 2 spread spread NN cord-021917-z9wpjr0d 129 3 can can MD cord-021917-z9wpjr0d 129 4 lead lead VB cord-021917-z9wpjr0d 129 5 to to IN cord-021917-z9wpjr0d 129 6 pleuropneumonia pleuropneumonia NNP cord-021917-z9wpjr0d 129 7 , , , cord-021917-z9wpjr0d 129 8 sepsis sepsis NN cord-021917-z9wpjr0d 129 9 , , , cord-021917-z9wpjr0d 129 10 and and CC cord-021917-z9wpjr0d 129 11 meningitis meningitis NN cord-021917-z9wpjr0d 129 12 . . . cord-021917-z9wpjr0d 130 1 Sepsis sepsis NN cord-021917-z9wpjr0d 130 2 due due IN cord-021917-z9wpjr0d 130 3 to to IN cord-021917-z9wpjr0d 130 4 tularemia tularemia NN cord-021917-z9wpjr0d 130 5 may may MD cord-021917-z9wpjr0d 130 6 manifest manifest VB cord-021917-z9wpjr0d 130 7 as as IN cord-021917-z9wpjr0d 130 8 severe severe JJ cord-021917-z9wpjr0d 130 9 sepsis sepsis NN cord-021917-z9wpjr0d 130 10 or or CC cord-021917-z9wpjr0d 130 11 septic septic JJ cord-021917-z9wpjr0d 130 12 shock shock NN cord-021917-z9wpjr0d 130 13 . . . cord-021917-z9wpjr0d 131 1 Mortality mortality NN cord-021917-z9wpjr0d 131 2 without without IN cord-021917-z9wpjr0d 131 3 antibiotic antibiotic JJ cord-021917-z9wpjr0d 131 4 therapy therapy NN cord-021917-z9wpjr0d 131 5 can can MD cord-021917-z9wpjr0d 131 6 be be VB cord-021917-z9wpjr0d 131 7 as as RB cord-021917-z9wpjr0d 131 8 high high JJ cord-021917-z9wpjr0d 131 9 as as IN cord-021917-z9wpjr0d 131 10 30 30 CD cord-021917-z9wpjr0d 131 11 % % NN cord-021917-z9wpjr0d 131 12 to to TO cord-021917-z9wpjr0d 131 13 60 60 CD cord-021917-z9wpjr0d 131 14 % % NN cord-021917-z9wpjr0d 131 15 for for IN cord-021917-z9wpjr0d 131 16 pneumonic pneumonic NN cord-021917-z9wpjr0d 131 17 and and CC cord-021917-z9wpjr0d 131 18 septic septic JJ cord-021917-z9wpjr0d 131 19 tularemia tularemia NN cord-021917-z9wpjr0d 131 20 . . . cord-021917-z9wpjr0d 132 1 Current current JJ cord-021917-z9wpjr0d 132 2 antimicrobial antimicrobial JJ cord-021917-z9wpjr0d 132 3 therapy therapy NN cord-021917-z9wpjr0d 132 4 results result NNS cord-021917-z9wpjr0d 132 5 in in IN cord-021917-z9wpjr0d 132 6 a a DT cord-021917-z9wpjr0d 132 7 mortality mortality NN cord-021917-z9wpjr0d 132 8 rate rate NN cord-021917-z9wpjr0d 132 9 of of IN cord-021917-z9wpjr0d 132 10 less less JJR cord-021917-z9wpjr0d 132 11 than than IN cord-021917-z9wpjr0d 132 12 2 2 CD cord-021917-z9wpjr0d 132 13 % % NN cord-021917-z9wpjr0d 132 14 . . . cord-021917-z9wpjr0d 133 1 Rapid rapid JJ cord-021917-z9wpjr0d 133 2 diagnostic diagnostic JJ cord-021917-z9wpjr0d 133 3 testing testing NN cord-021917-z9wpjr0d 133 4 for for IN cord-021917-z9wpjr0d 133 5 tularemia tularemia NN cord-021917-z9wpjr0d 133 6 is be VBZ cord-021917-z9wpjr0d 133 7 not not RB cord-021917-z9wpjr0d 133 8 widely widely RB cord-021917-z9wpjr0d 133 9 available available JJ cord-021917-z9wpjr0d 133 10 . . . cord-021917-z9wpjr0d 134 1 The the DT cord-021917-z9wpjr0d 134 2 constellation constellation NN cord-021917-z9wpjr0d 134 3 of of IN cord-021917-z9wpjr0d 134 4 atypical atypical JJ cord-021917-z9wpjr0d 134 5 pneumonia pneumonia NN cord-021917-z9wpjr0d 134 6 , , , cord-021917-z9wpjr0d 134 7 pleuritis pleuritis NNP cord-021917-z9wpjr0d 134 8 , , , cord-021917-z9wpjr0d 134 9 and and CC cord-021917-z9wpjr0d 134 10 hilar hilar JJ cord-021917-z9wpjr0d 134 11 lymphadenopathy lymphadenopathy NN cord-021917-z9wpjr0d 134 12 in in IN cord-021917-z9wpjr0d 134 13 association association NN cord-021917-z9wpjr0d 134 14 with with IN cord-021917-z9wpjr0d 134 15 the the DT cord-021917-z9wpjr0d 134 16 previously previously RB cord-021917-z9wpjr0d 134 17 described describe VBN cord-021917-z9wpjr0d 134 18 symptoms symptom NNS cord-021917-z9wpjr0d 134 19 should should MD cord-021917-z9wpjr0d 134 20 raise raise VB cord-021917-z9wpjr0d 134 21 suspicion suspicion NN cord-021917-z9wpjr0d 134 22 for for IN cord-021917-z9wpjr0d 134 23 tularemia tularemia NN cord-021917-z9wpjr0d 134 24 . . . cord-021917-z9wpjr0d 135 1 In in IN cord-021917-z9wpjr0d 135 2 the the DT cord-021917-z9wpjr0d 135 3 wake wake NN cord-021917-z9wpjr0d 135 4 of of IN cord-021917-z9wpjr0d 135 5 a a DT cord-021917-z9wpjr0d 135 6 bioterrorist bioterrorist NN cord-021917-z9wpjr0d 135 7 attack attack NN cord-021917-z9wpjr0d 135 8 , , , cord-021917-z9wpjr0d 135 9 until until IN cord-021917-z9wpjr0d 135 10 a a DT cord-021917-z9wpjr0d 135 11 number number NN cord-021917-z9wpjr0d 135 12 of of IN cord-021917-z9wpjr0d 135 13 patients patient NNS cord-021917-z9wpjr0d 135 14 present present JJ cord-021917-z9wpjr0d 135 15 , , , cord-021917-z9wpjr0d 135 16 initial initial JJ cord-021917-z9wpjr0d 135 17 diagnosis diagnosis NN cord-021917-z9wpjr0d 135 18 may may MD cord-021917-z9wpjr0d 135 19 be be VB cord-021917-z9wpjr0d 135 20 delayed delay VBN cord-021917-z9wpjr0d 135 21 . . . cord-021917-z9wpjr0d 136 1 Most Most JJS cord-021917-z9wpjr0d 136 2 diagnoses diagnosis NNS cord-021917-z9wpjr0d 136 3 are be VBP cord-021917-z9wpjr0d 136 4 made make VBN cord-021917-z9wpjr0d 136 5 serologically serologically RB cord-021917-z9wpjr0d 136 6 with with IN cord-021917-z9wpjr0d 136 7 a a DT cord-021917-z9wpjr0d 136 8 fourfold fourfold JJ cord-021917-z9wpjr0d 136 9 rise rise NN cord-021917-z9wpjr0d 136 10 between between IN cord-021917-z9wpjr0d 136 11 acute acute JJ cord-021917-z9wpjr0d 136 12 and and CC cord-021917-z9wpjr0d 136 13 convalescent convalescent JJ cord-021917-z9wpjr0d 136 14 antibody antibody NN cord-021917-z9wpjr0d 136 15 titers titer NNS cord-021917-z9wpjr0d 136 16 . . . cord-021917-z9wpjr0d 137 1 Antibodies antibody NNS cord-021917-z9wpjr0d 137 2 are be VBP cord-021917-z9wpjr0d 137 3 slow slow JJ cord-021917-z9wpjr0d 137 4 to to TO cord-021917-z9wpjr0d 137 5 develop develop VB cord-021917-z9wpjr0d 137 6 : : : cord-021917-z9wpjr0d 137 7 Titers Titers NNP cord-021917-z9wpjr0d 137 8 will will MD cord-021917-z9wpjr0d 137 9 usually usually RB cord-021917-z9wpjr0d 137 10 be be VB cord-021917-z9wpjr0d 137 11 negative negative JJ cord-021917-z9wpjr0d 137 12 at at IN cord-021917-z9wpjr0d 137 13 1 1 CD cord-021917-z9wpjr0d 137 14 week week NN cord-021917-z9wpjr0d 137 15 , , , cord-021917-z9wpjr0d 137 16 positive positive JJ cord-021917-z9wpjr0d 137 17 at at IN cord-021917-z9wpjr0d 137 18 2 2 CD cord-021917-z9wpjr0d 137 19 weeks week NNS cord-021917-z9wpjr0d 137 20 , , , cord-021917-z9wpjr0d 137 21 and and CC cord-021917-z9wpjr0d 137 22 peak peak NN cord-021917-z9wpjr0d 137 23 in in IN cord-021917-z9wpjr0d 137 24 4 4 CD cord-021917-z9wpjr0d 137 25 to to TO cord-021917-z9wpjr0d 137 26 8 8 CD cord-021917-z9wpjr0d 137 27 weeks week NNS cord-021917-z9wpjr0d 137 28 . . . cord-021917-z9wpjr0d 138 1 Laboratories laboratory NNS cord-021917-z9wpjr0d 138 2 need need VBP cord-021917-z9wpjr0d 138 3 to to TO cord-021917-z9wpjr0d 138 4 be be VB cord-021917-z9wpjr0d 138 5 specifically specifically RB cord-021917-z9wpjr0d 138 6 notified notify VBN cord-021917-z9wpjr0d 138 7 if if IN cord-021917-z9wpjr0d 138 8 tularemia tularemia NN cord-021917-z9wpjr0d 138 9 is be VBZ cord-021917-z9wpjr0d 138 10 suspected suspect VBN cord-021917-z9wpjr0d 138 11 , , , cord-021917-z9wpjr0d 138 12 both both DT cord-021917-z9wpjr0d 138 13 to to TO cord-021917-z9wpjr0d 138 14 improve improve VB cord-021917-z9wpjr0d 138 15 diagnostic diagnostic JJ cord-021917-z9wpjr0d 138 16 accuracy accuracy NN cord-021917-z9wpjr0d 138 17 and and CC cord-021917-z9wpjr0d 138 18 to to TO cord-021917-z9wpjr0d 138 19 protect protect VB cord-021917-z9wpjr0d 138 20 laboratory laboratory NN cord-021917-z9wpjr0d 138 21 workers worker NNS cord-021917-z9wpjr0d 138 22 . . . cord-021917-z9wpjr0d 139 1 Polymerase polymerase NN cord-021917-z9wpjr0d 139 2 chain chain NN cord-021917-z9wpjr0d 139 3 reaction reaction NN cord-021917-z9wpjr0d 139 4 ( ( -LRB- cord-021917-z9wpjr0d 139 5 PCR PCR NNP cord-021917-z9wpjr0d 139 6 ) ) -RRB- cord-021917-z9wpjr0d 139 7 and and CC cord-021917-z9wpjr0d 139 8 antigen antigen NN cord-021917-z9wpjr0d 139 9 detection detection NN cord-021917-z9wpjr0d 139 10 are be VBP cord-021917-z9wpjr0d 139 11 rapid rapid JJ cord-021917-z9wpjr0d 139 12 and and CC cord-021917-z9wpjr0d 139 13 available available JJ cord-021917-z9wpjr0d 139 14 at at IN cord-021917-z9wpjr0d 139 15 reference reference NN cord-021917-z9wpjr0d 139 16 laboratories laboratory NNS cord-021917-z9wpjr0d 139 17 in in IN cord-021917-z9wpjr0d 139 18 the the DT cord-021917-z9wpjr0d 139 19 United United NNP cord-021917-z9wpjr0d 139 20 States States NNP cord-021917-z9wpjr0d 139 21 through through IN cord-021917-z9wpjr0d 139 22 the the DT cord-021917-z9wpjr0d 139 23 Laboratory Laboratory NNP cord-021917-z9wpjr0d 139 24 Response Response NNP cord-021917-z9wpjr0d 139 25 Network Network NNP cord-021917-z9wpjr0d 139 26 . . . cord-021917-z9wpjr0d 140 1 If if IN cord-021917-z9wpjr0d 140 2 the the DT cord-021917-z9wpjr0d 140 3 reference reference NN cord-021917-z9wpjr0d 140 4 lab lab NN cord-021917-z9wpjr0d 140 5 is be VBZ cord-021917-z9wpjr0d 140 6 alerted alert VBN cord-021917-z9wpjr0d 140 7 when when WRB cord-021917-z9wpjr0d 140 8 specimens specimen NNS cord-021917-z9wpjr0d 140 9 are be VBP cord-021917-z9wpjr0d 140 10 sent send VBN cord-021917-z9wpjr0d 140 11 , , , cord-021917-z9wpjr0d 140 12 an an DT cord-021917-z9wpjr0d 140 13 answer answer NN cord-021917-z9wpjr0d 140 14 can can MD cord-021917-z9wpjr0d 140 15 be be VB cord-021917-z9wpjr0d 140 16 given give VBN cord-021917-z9wpjr0d 140 17 within within IN cord-021917-z9wpjr0d 140 18 hours hour NNS cord-021917-z9wpjr0d 140 19 . . . cord-021917-z9wpjr0d 141 1 Treatment treatment NN cord-021917-z9wpjr0d 141 2 recommendations recommendation NNS cord-021917-z9wpjr0d 141 3 for for IN cord-021917-z9wpjr0d 141 4 tularemia tularemia NN cord-021917-z9wpjr0d 141 5 are be VBP cord-021917-z9wpjr0d 141 6 presented present VBN cord-021917-z9wpjr0d 141 7 in in IN cord-021917-z9wpjr0d 141 8 Table Table NNP cord-021917-z9wpjr0d 141 9 64 64 CD cord-021917-z9wpjr0d 141 10 .2 .2 CD cord-021917-z9wpjr0d 141 11 . . . cord-021917-z9wpjr0d 142 1 In in IN cord-021917-z9wpjr0d 142 2 the the DT cord-021917-z9wpjr0d 142 3 event event NN cord-021917-z9wpjr0d 142 4 of of IN cord-021917-z9wpjr0d 142 5 a a DT cord-021917-z9wpjr0d 142 6 contained contain VBN cord-021917-z9wpjr0d 142 7 casualty casualty NN cord-021917-z9wpjr0d 142 8 situation situation NN cord-021917-z9wpjr0d 142 9 , , , cord-021917-z9wpjr0d 142 10 streptomycin streptomycin NN cord-021917-z9wpjr0d 142 11 is be VBZ cord-021917-z9wpjr0d 142 12 the the DT cord-021917-z9wpjr0d 142 13 preferred preferred JJ cord-021917-z9wpjr0d 142 14 drug drug NN cord-021917-z9wpjr0d 142 15 , , , cord-021917-z9wpjr0d 142 16 with with IN cord-021917-z9wpjr0d 142 17 gentamicin gentamicin NNS cord-021917-z9wpjr0d 142 18 as as IN cord-021917-z9wpjr0d 142 19 a a DT cord-021917-z9wpjr0d 142 20 first first JJ cord-021917-z9wpjr0d 142 21 - - HYPH cord-021917-z9wpjr0d 142 22 line line NN cord-021917-z9wpjr0d 142 23 alternate alternate JJ cord-021917-z9wpjr0d 142 24 . . . cord-021917-z9wpjr0d 143 1 Doxycycline Doxycycline NNP cord-021917-z9wpjr0d 143 2 , , , cord-021917-z9wpjr0d 143 3 chloramphenicol chloramphenicol NN cord-021917-z9wpjr0d 143 4 , , , cord-021917-z9wpjr0d 143 5 and and CC cord-021917-z9wpjr0d 143 6 ciprofloxacin ciprofloxacin NN cord-021917-z9wpjr0d 143 7 are be VBP cord-021917-z9wpjr0d 143 8 acceptable acceptable JJ cord-021917-z9wpjr0d 143 9 alternates alternate NNS cord-021917-z9wpjr0d 143 10 . . . cord-021917-z9wpjr0d 144 1 For for IN cord-021917-z9wpjr0d 144 2 mass mass NN cord-021917-z9wpjr0d 144 3 casualties casualty NNS cord-021917-z9wpjr0d 144 4 and and CC cord-021917-z9wpjr0d 144 5 for for IN cord-021917-z9wpjr0d 144 6 postexposure postexposure NN cord-021917-z9wpjr0d 144 7 prophylaxis prophylaxis NN cord-021917-z9wpjr0d 144 8 , , , cord-021917-z9wpjr0d 144 9 oral oral JJ cord-021917-z9wpjr0d 144 10 doxycycline doxycycline NN cord-021917-z9wpjr0d 144 11 and and CC cord-021917-z9wpjr0d 144 12 ciprofloxacin ciprofloxacin NN cord-021917-z9wpjr0d 144 13 are be VBP cord-021917-z9wpjr0d 144 14 the the DT cord-021917-z9wpjr0d 144 15 recommended recommend VBN cord-021917-z9wpjr0d 144 16 agents agent NNS cord-021917-z9wpjr0d 144 17 . . . cord-021917-z9wpjr0d 145 1 Treatment treatment NN cord-021917-z9wpjr0d 145 2 with with IN cord-021917-z9wpjr0d 145 3 aminoglycosides aminoglycoside NNS cord-021917-z9wpjr0d 145 4 or or CC cord-021917-z9wpjr0d 145 5 fluoroquinolones fluoroquinolone NNS cord-021917-z9wpjr0d 145 6 should should MD cord-021917-z9wpjr0d 145 7 last last VB cord-021917-z9wpjr0d 145 8 10 10 CD cord-021917-z9wpjr0d 145 9 days day NNS cord-021917-z9wpjr0d 145 10 ; ; : cord-021917-z9wpjr0d 145 11 tetracyclines tetracycline NNS cord-021917-z9wpjr0d 145 12 and and CC cord-021917-z9wpjr0d 145 13 chloramphenicol chloramphenicol NN cord-021917-z9wpjr0d 145 14 require require VBP cord-021917-z9wpjr0d 145 15 a a DT cord-021917-z9wpjr0d 145 16 14-day 14-day CD cord-021917-z9wpjr0d 145 17 course course NN cord-021917-z9wpjr0d 145 18 . . . cord-021917-z9wpjr0d 146 1 Botulinum botulinum NN cord-021917-z9wpjr0d 146 2 toxin toxin NN cord-021917-z9wpjr0d 146 3 , , , cord-021917-z9wpjr0d 146 4 produced produce VBN cord-021917-z9wpjr0d 146 5 by by IN cord-021917-z9wpjr0d 146 6 the the DT cord-021917-z9wpjr0d 146 7 bacteria bacteria NNS cord-021917-z9wpjr0d 146 8 C. C. NNP cord-021917-z9wpjr0d 146 9 botulinum botulinum NN cord-021917-z9wpjr0d 146 10 and and CC cord-021917-z9wpjr0d 146 11 a a DT cord-021917-z9wpjr0d 146 12 few few JJ cord-021917-z9wpjr0d 146 13 other other JJ cord-021917-z9wpjr0d 146 14 Clostridium clostridium NN cord-021917-z9wpjr0d 146 15 species specie NNS cord-021917-z9wpjr0d 146 16 , , , cord-021917-z9wpjr0d 146 17 is be VBZ cord-021917-z9wpjr0d 146 18 the the DT cord-021917-z9wpjr0d 146 19 most most RBS cord-021917-z9wpjr0d 146 20 potent potent JJ cord-021917-z9wpjr0d 146 21 known know VBN cord-021917-z9wpjr0d 146 22 neurotoxin neurotoxin NN cord-021917-z9wpjr0d 146 23 . . . cord-021917-z9wpjr0d 147 1 Botulinum botulinum NN cord-021917-z9wpjr0d 147 2 toxin toxin NN cord-021917-z9wpjr0d 147 3 inactivates inactivate VBZ cord-021917-z9wpjr0d 147 4 proteins protein NNS cord-021917-z9wpjr0d 147 5 necessary necessary JJ cord-021917-z9wpjr0d 147 6 for for IN cord-021917-z9wpjr0d 147 7 the the DT cord-021917-z9wpjr0d 147 8 release release NN cord-021917-z9wpjr0d 147 9 of of IN cord-021917-z9wpjr0d 147 10 acetylcholine acetylcholine NN cord-021917-z9wpjr0d 147 11 into into IN cord-021917-z9wpjr0d 147 12 the the DT cord-021917-z9wpjr0d 147 13 neuromuscular neuromuscular JJ cord-021917-z9wpjr0d 147 14 junction junction NN cord-021917-z9wpjr0d 147 15 . . . cord-021917-z9wpjr0d 148 1 The the DT cord-021917-z9wpjr0d 148 2 toxin toxin NN cord-021917-z9wpjr0d 148 3 could could MD cord-021917-z9wpjr0d 148 4 be be VB cord-021917-z9wpjr0d 148 5 disseminated disseminate VBN cord-021917-z9wpjr0d 148 6 as as IN cord-021917-z9wpjr0d 148 7 an an DT cord-021917-z9wpjr0d 148 8 aerosolized aerosolize VBN cord-021917-z9wpjr0d 148 9 agent agent NN cord-021917-z9wpjr0d 148 10 or or CC cord-021917-z9wpjr0d 148 11 as as IN cord-021917-z9wpjr0d 148 12 a a DT cord-021917-z9wpjr0d 148 13 food food NN cord-021917-z9wpjr0d 148 14 contaminant contaminant NN cord-021917-z9wpjr0d 148 15 . . . cord-021917-z9wpjr0d 149 1 Fewer few JJR cord-021917-z9wpjr0d 149 2 than than IN cord-021917-z9wpjr0d 149 3 200 200 CD cord-021917-z9wpjr0d 149 4 naturally naturally RB cord-021917-z9wpjr0d 149 5 occurring occur VBG cord-021917-z9wpjr0d 149 6 cases case NNS cord-021917-z9wpjr0d 149 7 of of IN cord-021917-z9wpjr0d 149 8 botulism botulism NN cord-021917-z9wpjr0d 149 9 occur occur VBP cord-021917-z9wpjr0d 149 10 annually annually RB cord-021917-z9wpjr0d 149 11 in in IN cord-021917-z9wpjr0d 149 12 the the DT cord-021917-z9wpjr0d 149 13 United United NNP cord-021917-z9wpjr0d 149 14 States States NNP cord-021917-z9wpjr0d 149 15 . . . cord-021917-z9wpjr0d 150 1 The the DT cord-021917-z9wpjr0d 150 2 use use NN cord-021917-z9wpjr0d 150 3 of of IN cord-021917-z9wpjr0d 150 4 botulinum botulinum NN cord-021917-z9wpjr0d 150 5 toxin toxin NN cord-021917-z9wpjr0d 150 6 by by IN cord-021917-z9wpjr0d 150 7 terrorists terrorist NNS cord-021917-z9wpjr0d 150 8 would would MD cord-021917-z9wpjr0d 150 9 result result VB cord-021917-z9wpjr0d 150 10 in in IN cord-021917-z9wpjr0d 150 11 inhalational inhalational JJ cord-021917-z9wpjr0d 150 12 botulism botulism NN cord-021917-z9wpjr0d 150 13 or or CC cord-021917-z9wpjr0d 150 14 foodborne foodborne JJ cord-021917-z9wpjr0d 150 15 botulism botulism NN cord-021917-z9wpjr0d 150 16 , , , cord-021917-z9wpjr0d 150 17 depending depend VBG cord-021917-z9wpjr0d 150 18 on on IN cord-021917-z9wpjr0d 150 19 the the DT cord-021917-z9wpjr0d 150 20 mode mode NN cord-021917-z9wpjr0d 150 21 of of IN cord-021917-z9wpjr0d 150 22 dispersal dispersal NN cord-021917-z9wpjr0d 150 23 . . . cord-021917-z9wpjr0d 151 1 The the DT cord-021917-z9wpjr0d 151 2 neurologic neurologic JJ cord-021917-z9wpjr0d 151 3 signs sign NNS cord-021917-z9wpjr0d 151 4 are be VBP cord-021917-z9wpjr0d 151 5 identical identical JJ cord-021917-z9wpjr0d 151 6 regardless regardless RB cord-021917-z9wpjr0d 151 7 of of IN cord-021917-z9wpjr0d 151 8 whether whether IN cord-021917-z9wpjr0d 151 9 the the DT cord-021917-z9wpjr0d 151 10 toxin toxin NN cord-021917-z9wpjr0d 151 11 enters enter VBZ cord-021917-z9wpjr0d 151 12 the the DT cord-021917-z9wpjr0d 151 13 body body NN cord-021917-z9wpjr0d 151 14 via via IN cord-021917-z9wpjr0d 151 15 the the DT cord-021917-z9wpjr0d 151 16 lungs lung NNS cord-021917-z9wpjr0d 151 17 or or CC cord-021917-z9wpjr0d 151 18 the the DT cord-021917-z9wpjr0d 151 19 digestive digestive JJ cord-021917-z9wpjr0d 151 20 tract tract NN cord-021917-z9wpjr0d 151 21 . . . cord-021917-z9wpjr0d 152 1 Intestinal intestinal JJ cord-021917-z9wpjr0d 152 2 botulism botulism NN cord-021917-z9wpjr0d 152 3 may may MD cord-021917-z9wpjr0d 152 4 be be VB cord-021917-z9wpjr0d 152 5 preceded precede VBN cord-021917-z9wpjr0d 152 6 by by IN cord-021917-z9wpjr0d 152 7 gastrointestinal gastrointestinal JJ cord-021917-z9wpjr0d 152 8 complaints complaint NNS cord-021917-z9wpjr0d 152 9 . . . cord-021917-z9wpjr0d 153 1 Symptoms symptom NNS cord-021917-z9wpjr0d 153 2 appear appear VBP cord-021917-z9wpjr0d 153 3 approximately approximately RB cord-021917-z9wpjr0d 153 4 12 12 CD cord-021917-z9wpjr0d 153 5 to to TO cord-021917-z9wpjr0d 153 6 72 72 CD cord-021917-z9wpjr0d 153 7 hours hour NNS cord-021917-z9wpjr0d 153 8 after after IN cord-021917-z9wpjr0d 153 9 exposure exposure NN cord-021917-z9wpjr0d 153 10 . . . cord-021917-z9wpjr0d 154 1 Botulism botulism NN cord-021917-z9wpjr0d 154 2 presents present VBZ cord-021917-z9wpjr0d 154 3 as as IN cord-021917-z9wpjr0d 154 4 an an DT cord-021917-z9wpjr0d 154 5 acute acute JJ cord-021917-z9wpjr0d 154 6 , , , cord-021917-z9wpjr0d 154 7 symmetric symmetric JJ cord-021917-z9wpjr0d 154 8 , , , cord-021917-z9wpjr0d 154 9 descending descend VBG cord-021917-z9wpjr0d 154 10 flaccid flaccid JJ cord-021917-z9wpjr0d 154 11 paralysis paralysis NN cord-021917-z9wpjr0d 154 12 . . . cord-021917-z9wpjr0d 155 1 There there EX cord-021917-z9wpjr0d 155 2 is be VBZ cord-021917-z9wpjr0d 155 3 no no DT cord-021917-z9wpjr0d 155 4 associated associate VBN cord-021917-z9wpjr0d 155 5 fever fever NN cord-021917-z9wpjr0d 155 6 , , , cord-021917-z9wpjr0d 155 7 and and CC cord-021917-z9wpjr0d 155 8 the the DT cord-021917-z9wpjr0d 155 9 bulbar bulbar JJ cord-021917-z9wpjr0d 155 10 musculature musculature NN cord-021917-z9wpjr0d 155 11 is be VBZ cord-021917-z9wpjr0d 155 12 always always RB cord-021917-z9wpjr0d 155 13 affected affect VBN cord-021917-z9wpjr0d 155 14 first first RB cord-021917-z9wpjr0d 155 15 . . . cord-021917-z9wpjr0d 156 1 Presenting present VBG cord-021917-z9wpjr0d 156 2 complaints complaint NNS cord-021917-z9wpjr0d 156 3 and and CC cord-021917-z9wpjr0d 156 4 findings finding NNS cord-021917-z9wpjr0d 156 5 are be VBP cord-021917-z9wpjr0d 156 6 related relate VBN cord-021917-z9wpjr0d 156 7 to to IN cord-021917-z9wpjr0d 156 8 cranial cranial JJ cord-021917-z9wpjr0d 156 9 nerve nerve NN cord-021917-z9wpjr0d 156 10 palsies palsy NNS cord-021917-z9wpjr0d 156 11 and and CC cord-021917-z9wpjr0d 156 12 include include VBP cord-021917-z9wpjr0d 156 13 diplopia diplopia NN cord-021917-z9wpjr0d 156 14 , , , cord-021917-z9wpjr0d 156 15 dysarthria dysarthria NN cord-021917-z9wpjr0d 156 16 , , , cord-021917-z9wpjr0d 156 17 dysphonia dysphonia NN cord-021917-z9wpjr0d 156 18 , , , cord-021917-z9wpjr0d 156 19 and and CC cord-021917-z9wpjr0d 156 20 dysphagia dysphagia NN cord-021917-z9wpjr0d 156 21 . . . cord-021917-z9wpjr0d 157 1 Hypotonia Hypotonia NNP cord-021917-z9wpjr0d 157 2 and and CC cord-021917-z9wpjr0d 157 3 generalized generalize VBN cord-021917-z9wpjr0d 157 4 weakness weakness NN cord-021917-z9wpjr0d 157 5 ensue ensue NN cord-021917-z9wpjr0d 157 6 . . . cord-021917-z9wpjr0d 158 1 Loss loss NN cord-021917-z9wpjr0d 158 2 of of IN cord-021917-z9wpjr0d 158 3 airway airway NN cord-021917-z9wpjr0d 158 4 protection protection NN cord-021917-z9wpjr0d 158 5 may may MD cord-021917-z9wpjr0d 158 6 necessitate necessitate VB cord-021917-z9wpjr0d 158 7 intubation intubation NN cord-021917-z9wpjr0d 158 8 , , , cord-021917-z9wpjr0d 158 9 and and CC cord-021917-z9wpjr0d 158 10 respiratory respiratory JJ cord-021917-z9wpjr0d 158 11 muscle muscle NN cord-021917-z9wpjr0d 158 12 paralysis paralysis NN cord-021917-z9wpjr0d 158 13 may may MD cord-021917-z9wpjr0d 158 14 require require VB cord-021917-z9wpjr0d 158 15 mechanical mechanical JJ cord-021917-z9wpjr0d 158 16 ventilation ventilation NN cord-021917-z9wpjr0d 158 17 . . . cord-021917-z9wpjr0d 159 1 The the DT cord-021917-z9wpjr0d 159 2 course course NN cord-021917-z9wpjr0d 159 3 is be VBZ cord-021917-z9wpjr0d 159 4 variable variable JJ cord-021917-z9wpjr0d 159 5 and and CC cord-021917-z9wpjr0d 159 6 may may MD cord-021917-z9wpjr0d 159 7 require require VB cord-021917-z9wpjr0d 159 8 months month NNS cord-021917-z9wpjr0d 159 9 of of IN cord-021917-z9wpjr0d 159 10 mechanical mechanical JJ cord-021917-z9wpjr0d 159 11 ventilation ventilation NN cord-021917-z9wpjr0d 159 12 . . . cord-021917-z9wpjr0d 160 1 During during IN cord-021917-z9wpjr0d 160 2 small small JJ cord-021917-z9wpjr0d 160 3 outbreaks outbreak NNS cord-021917-z9wpjr0d 160 4 with with IN cord-021917-z9wpjr0d 160 5 sufficient sufficient JJ cord-021917-z9wpjr0d 160 6 medical medical JJ cord-021917-z9wpjr0d 160 7 resources resource NNS cord-021917-z9wpjr0d 160 8 , , , cord-021917-z9wpjr0d 160 9 serial serial JJ cord-021917-z9wpjr0d 160 10 measurement measurement NN cord-021917-z9wpjr0d 160 11 of of IN cord-021917-z9wpjr0d 160 12 vital vital JJ cord-021917-z9wpjr0d 160 13 capacity capacity NN cord-021917-z9wpjr0d 160 14 can can MD cord-021917-z9wpjr0d 160 15 help help VB cord-021917-z9wpjr0d 160 16 identify identify VB cord-021917-z9wpjr0d 160 17 patients patient NNS cord-021917-z9wpjr0d 160 18 with with IN cord-021917-z9wpjr0d 160 19 respiratory respiratory JJ cord-021917-z9wpjr0d 160 20 muscle muscle NN cord-021917-z9wpjr0d 160 21 weakness weakness NN cord-021917-z9wpjr0d 160 22 . . . cord-021917-z9wpjr0d 161 1 Elevation elevation NN cord-021917-z9wpjr0d 161 2 of of IN cord-021917-z9wpjr0d 161 3 PaCO PaCO NNP cord-021917-z9wpjr0d 161 4 2 2 CD cord-021917-z9wpjr0d 161 5 is be VBZ cord-021917-z9wpjr0d 161 6 a a DT cord-021917-z9wpjr0d 161 7 late late JJ cord-021917-z9wpjr0d 161 8 finding finding NN cord-021917-z9wpjr0d 161 9 , , , cord-021917-z9wpjr0d 161 10 and and CC cord-021917-z9wpjr0d 161 11 positive positive JJ cord-021917-z9wpjr0d 161 12 pressure pressure NN cord-021917-z9wpjr0d 161 13 ventilation ventilation NN cord-021917-z9wpjr0d 161 14 should should MD cord-021917-z9wpjr0d 161 15 be be VB cord-021917-z9wpjr0d 161 16 instituted institute VBN cord-021917-z9wpjr0d 161 17 prior prior RB cord-021917-z9wpjr0d 161 18 to to IN cord-021917-z9wpjr0d 161 19 frank frank JJ cord-021917-z9wpjr0d 161 20 ventilatory ventilatory JJ cord-021917-z9wpjr0d 161 21 failure failure NN cord-021917-z9wpjr0d 161 22 . . . cord-021917-z9wpjr0d 162 1 Notably notably RB cord-021917-z9wpjr0d 162 2 , , , cord-021917-z9wpjr0d 162 3 cognitive cognitive JJ cord-021917-z9wpjr0d 162 4 function function NN cord-021917-z9wpjr0d 162 5 is be VBZ cord-021917-z9wpjr0d 162 6 not not RB cord-021917-z9wpjr0d 162 7 affected affect VBN cord-021917-z9wpjr0d 162 8 ; ; : cord-021917-z9wpjr0d 162 9 patients patient NNS cord-021917-z9wpjr0d 162 10 are be VBP cord-021917-z9wpjr0d 162 11 completely completely RB cord-021917-z9wpjr0d 162 12 awake awake JJ cord-021917-z9wpjr0d 162 13 and and CC cord-021917-z9wpjr0d 162 14 alert alert JJ cord-021917-z9wpjr0d 162 15 . . . cord-021917-z9wpjr0d 163 1 A a DT cord-021917-z9wpjr0d 163 2 fever fever NN cord-021917-z9wpjr0d 163 3 should should MD cord-021917-z9wpjr0d 163 4 raise raise VB cord-021917-z9wpjr0d 163 5 suspicion suspicion NN cord-021917-z9wpjr0d 163 6 of of IN cord-021917-z9wpjr0d 163 7 secondary secondary JJ cord-021917-z9wpjr0d 163 8 infection infection NN cord-021917-z9wpjr0d 163 9 or or CC cord-021917-z9wpjr0d 163 10 an an DT cord-021917-z9wpjr0d 163 11 alternative alternative JJ cord-021917-z9wpjr0d 163 12 diagnosis diagnosis NN cord-021917-z9wpjr0d 163 13 . . . cord-021917-z9wpjr0d 164 1 The the DT cord-021917-z9wpjr0d 164 2 diagnosis diagnosis NN cord-021917-z9wpjr0d 164 3 of of IN cord-021917-z9wpjr0d 164 4 botulinum botulinum NN cord-021917-z9wpjr0d 164 5 intoxication intoxication NN cord-021917-z9wpjr0d 164 6 is be VBZ cord-021917-z9wpjr0d 164 7 clinical clinical JJ cord-021917-z9wpjr0d 164 8 and and CC cord-021917-z9wpjr0d 164 9 is be VBZ cord-021917-z9wpjr0d 164 10 classically classically RB cord-021917-z9wpjr0d 164 11 described describe VBN cord-021917-z9wpjr0d 164 12 as as IN cord-021917-z9wpjr0d 164 13 the the DT cord-021917-z9wpjr0d 164 14 triad triad NN cord-021917-z9wpjr0d 164 15 of of IN cord-021917-z9wpjr0d 164 16 symmetric symmetric JJ cord-021917-z9wpjr0d 164 17 cranial cranial JJ cord-021917-z9wpjr0d 164 18 neuropathies neuropathy NNS cord-021917-z9wpjr0d 164 19 with with IN cord-021917-z9wpjr0d 164 20 descending descend VBG cord-021917-z9wpjr0d 164 21 paralysis paralysis NN cord-021917-z9wpjr0d 164 22 , , , cord-021917-z9wpjr0d 164 23 clear clear JJ cord-021917-z9wpjr0d 164 24 sensorium sensorium NN cord-021917-z9wpjr0d 164 25 , , , cord-021917-z9wpjr0d 164 26 and and CC cord-021917-z9wpjr0d 164 27 lack lack NN cord-021917-z9wpjr0d 164 28 of of IN cord-021917-z9wpjr0d 164 29 fever fever NN cord-021917-z9wpjr0d 164 30 . . . cord-021917-z9wpjr0d 165 1 Other other JJ cord-021917-z9wpjr0d 165 2 diagnoses diagnosis NNS cord-021917-z9wpjr0d 165 3 to to TO cord-021917-z9wpjr0d 165 4 consider consider VB cord-021917-z9wpjr0d 165 5 are be VBP cord-021917-z9wpjr0d 165 6 listed list VBN cord-021917-z9wpjr0d 165 7 in in IN cord-021917-z9wpjr0d 165 8 Box Box NNP cord-021917-z9wpjr0d 165 9 64.3 64.3 CD cord-021917-z9wpjr0d 165 10 . . . cord-021917-z9wpjr0d 166 1 In in IN cord-021917-z9wpjr0d 166 2 developed develop VBN cord-021917-z9wpjr0d 166 3 nations nation NNS cord-021917-z9wpjr0d 166 4 , , , cord-021917-z9wpjr0d 166 5 the the DT cord-021917-z9wpjr0d 166 6 occurrence occurrence NN cord-021917-z9wpjr0d 166 7 of of IN cord-021917-z9wpjr0d 166 8 a a DT cord-021917-z9wpjr0d 166 9 number number NN cord-021917-z9wpjr0d 166 10 of of IN cord-021917-z9wpjr0d 166 11 temporally temporally RB cord-021917-z9wpjr0d 166 12 related relate VBN cord-021917-z9wpjr0d 166 13 cases case NNS cord-021917-z9wpjr0d 166 14 of of IN cord-021917-z9wpjr0d 166 15 acute acute JJ cord-021917-z9wpjr0d 166 16 paralysis paralysis NN cord-021917-z9wpjr0d 166 17 points point NNS cord-021917-z9wpjr0d 166 18 to to IN cord-021917-z9wpjr0d 166 19 botulinum botulinum NN cord-021917-z9wpjr0d 166 20 intoxication intoxication NN cord-021917-z9wpjr0d 166 21 . . . cord-021917-z9wpjr0d 167 1 The the DT cord-021917-z9wpjr0d 167 2 edrophonium edrophonium NN cord-021917-z9wpjr0d 167 3 or or CC cord-021917-z9wpjr0d 167 4 " " `` cord-021917-z9wpjr0d 167 5 Tensilon Tensilon NNP cord-021917-z9wpjr0d 167 6 " " '' cord-021917-z9wpjr0d 167 7 test test NN cord-021917-z9wpjr0d 167 8 may may MD cord-021917-z9wpjr0d 167 9 be be VB cord-021917-z9wpjr0d 167 10 transiently transiently RB cord-021917-z9wpjr0d 167 11 positive positive JJ cord-021917-z9wpjr0d 167 12 in in IN cord-021917-z9wpjr0d 167 13 botulism botulism NN cord-021917-z9wpjr0d 167 14 , , , cord-021917-z9wpjr0d 167 15 although although IN cord-021917-z9wpjr0d 167 16 it -PRON- PRP cord-021917-z9wpjr0d 167 17 still still RB cord-021917-z9wpjr0d 167 18 may may MD cord-021917-z9wpjr0d 167 19 be be VB cord-021917-z9wpjr0d 167 20 helpful helpful JJ cord-021917-z9wpjr0d 167 21 in in IN cord-021917-z9wpjr0d 167 22 distinguishing distinguish VBG cord-021917-z9wpjr0d 167 23 it -PRON- PRP cord-021917-z9wpjr0d 167 24 from from IN cord-021917-z9wpjr0d 167 25 myasthenia myasthenia NN cord-021917-z9wpjr0d 167 26 gravis gravis NN cord-021917-z9wpjr0d 167 27 . . . cord-021917-z9wpjr0d 168 1 CSF CSF NNP cord-021917-z9wpjr0d 168 2 is be VBZ cord-021917-z9wpjr0d 168 3 generally generally RB cord-021917-z9wpjr0d 168 4 normal normal JJ cord-021917-z9wpjr0d 168 5 in in IN cord-021917-z9wpjr0d 168 6 botulism botulism NN cord-021917-z9wpjr0d 168 7 . . . cord-021917-z9wpjr0d 169 1 An an DT cord-021917-z9wpjr0d 169 2 electromyogram electromyogram NNP cord-021917-z9wpjr0d 169 3 demonstrating demonstrate VBG cord-021917-z9wpjr0d 169 4 an an DT cord-021917-z9wpjr0d 169 5 incremental incremental JJ cord-021917-z9wpjr0d 169 6 Glandular Glandular NNP cord-021917-z9wpjr0d 169 7 Ulceroglandular Ulceroglandular NNP cord-021917-z9wpjr0d 169 8 Oculoglandular Oculoglandular NNP cord-021917-z9wpjr0d 169 9 Oropharyngeal Oropharyngeal NNP cord-021917-z9wpjr0d 169 10 Pneumonic Pneumonic NNP cord-021917-z9wpjr0d 169 11 Septic Septic NNP cord-021917-z9wpjr0d 169 12 response response NN cord-021917-z9wpjr0d 169 13 with with IN cord-021917-z9wpjr0d 169 14 repetitive repetitive JJ cord-021917-z9wpjr0d 169 15 stimulation stimulation NN cord-021917-z9wpjr0d 169 16 at at IN cord-021917-z9wpjr0d 169 17 50 50 CD cord-021917-z9wpjr0d 169 18 Hz Hz NNS cord-021917-z9wpjr0d 169 19 may may MD cord-021917-z9wpjr0d 169 20 suggest suggest VB cord-021917-z9wpjr0d 169 21 botulism botulism NN cord-021917-z9wpjr0d 169 22 when when WRB cord-021917-z9wpjr0d 169 23 the the DT cord-021917-z9wpjr0d 169 24 conduction conduction NN cord-021917-z9wpjr0d 169 25 velocity velocity NN cord-021917-z9wpjr0d 169 26 and and CC cord-021917-z9wpjr0d 169 27 sensory sensory JJ cord-021917-z9wpjr0d 169 28 nerves nerve NNS cord-021917-z9wpjr0d 169 29 are be VBP cord-021917-z9wpjr0d 169 30 normal normal JJ cord-021917-z9wpjr0d 169 31 . . . cord-021917-z9wpjr0d 170 1 Culture culture NN cord-021917-z9wpjr0d 170 2 of of IN cord-021917-z9wpjr0d 170 3 stool stool NN cord-021917-z9wpjr0d 170 4 or or CC cord-021917-z9wpjr0d 170 5 gastric gastric JJ cord-021917-z9wpjr0d 170 6 contents content NNS cord-021917-z9wpjr0d 170 7 ( ( -LRB- cord-021917-z9wpjr0d 170 8 for for IN cord-021917-z9wpjr0d 170 9 foodborne foodborne JJ cord-021917-z9wpjr0d 170 10 exposure exposure NN cord-021917-z9wpjr0d 170 11 ) ) -RRB- cord-021917-z9wpjr0d 170 12 may may MD cord-021917-z9wpjr0d 170 13 yield yield VB cord-021917-z9wpjr0d 170 14 Clostridium clostridium NN cord-021917-z9wpjr0d 170 15 . . . cord-021917-z9wpjr0d 171 1 Confirmation confirmation NN cord-021917-z9wpjr0d 171 2 usually usually RB cord-021917-z9wpjr0d 171 3 requires require VBZ cord-021917-z9wpjr0d 171 4 the the DT cord-021917-z9wpjr0d 171 5 mouse mouse NN cord-021917-z9wpjr0d 171 6 bioassay bioassay NN cord-021917-z9wpjr0d 171 7 ( ( -LRB- cord-021917-z9wpjr0d 171 8 mice mouse NNS cord-021917-z9wpjr0d 171 9 are be VBP cord-021917-z9wpjr0d 171 10 exposed expose VBN cord-021917-z9wpjr0d 171 11 to to IN cord-021917-z9wpjr0d 171 12 samples sample NNS cord-021917-z9wpjr0d 171 13 and and CC cord-021917-z9wpjr0d 171 14 those those DT cord-021917-z9wpjr0d 171 15 given give VBN cord-021917-z9wpjr0d 171 16 polyvalent polyvalent JJ cord-021917-z9wpjr0d 171 17 and and CC cord-021917-z9wpjr0d 171 18 specific specific JJ cord-021917-z9wpjr0d 171 19 antitoxin antitoxin NN cord-021917-z9wpjr0d 171 20 survive survive VB cord-021917-z9wpjr0d 171 21 ) ) -RRB- cord-021917-z9wpjr0d 171 22 but but CC cord-021917-z9wpjr0d 171 23 takes take VBZ cord-021917-z9wpjr0d 171 24 several several JJ cord-021917-z9wpjr0d 171 25 days day NNS cord-021917-z9wpjr0d 171 26 . . . cord-021917-z9wpjr0d 172 1 Samples sample NNS cord-021917-z9wpjr0d 172 2 for for IN cord-021917-z9wpjr0d 172 3 the the DT cord-021917-z9wpjr0d 172 4 mouse mouse NN cord-021917-z9wpjr0d 172 5 bioassay bioassay NN cord-021917-z9wpjr0d 172 6 must must MD cord-021917-z9wpjr0d 172 7 be be VB cord-021917-z9wpjr0d 172 8 collected collect VBN cord-021917-z9wpjr0d 172 9 prior prior RB cord-021917-z9wpjr0d 172 10 to to IN cord-021917-z9wpjr0d 172 11 the the DT cord-021917-z9wpjr0d 172 12 patient patient NN cord-021917-z9wpjr0d 172 13 's 's POS cord-021917-z9wpjr0d 172 14 receiving receive VBG cord-021917-z9wpjr0d 172 15 antitoxin antitoxin NN cord-021917-z9wpjr0d 172 16 . . . cord-021917-z9wpjr0d 173 1 A a DT cord-021917-z9wpjr0d 173 2 clinician clinician NN cord-021917-z9wpjr0d 173 3 who who WP cord-021917-z9wpjr0d 173 4 suspects suspect VBZ cord-021917-z9wpjr0d 173 5 botulism botulism NN cord-021917-z9wpjr0d 173 6 must must MD cord-021917-z9wpjr0d 173 7 immediately immediately RB cord-021917-z9wpjr0d 173 8 notify notify VB cord-021917-z9wpjr0d 173 9 local local JJ cord-021917-z9wpjr0d 173 10 public public JJ cord-021917-z9wpjr0d 173 11 health health NN cord-021917-z9wpjr0d 173 12 authorities authority NNS cord-021917-z9wpjr0d 173 13 to to TO cord-021917-z9wpjr0d 173 14 aid aid VB cord-021917-z9wpjr0d 173 15 with with IN cord-021917-z9wpjr0d 173 16 epidemiologic epidemiologic JJ cord-021917-z9wpjr0d 173 17 and and CC cord-021917-z9wpjr0d 173 18 diagnostic diagnostic JJ cord-021917-z9wpjr0d 173 19 investigations investigation NNS cord-021917-z9wpjr0d 173 20 . . . cord-021917-z9wpjr0d 174 1 Most Most JJS cord-021917-z9wpjr0d 174 2 laboratory laboratory NN cord-021917-z9wpjr0d 174 3 testing testing NN cord-021917-z9wpjr0d 174 4 can can MD cord-021917-z9wpjr0d 174 5 not not RB cord-021917-z9wpjr0d 174 6 be be VB cord-021917-z9wpjr0d 174 7 performed perform VBN cord-021917-z9wpjr0d 174 8 at at IN cord-021917-z9wpjr0d 174 9 hospitals hospital NNS cord-021917-z9wpjr0d 174 10 . . . cord-021917-z9wpjr0d 175 1 Laboratories laboratory NNS cord-021917-z9wpjr0d 175 2 must must MD cord-021917-z9wpjr0d 175 3 be be VB cord-021917-z9wpjr0d 175 4 notified notify VBN cord-021917-z9wpjr0d 175 5 of of IN cord-021917-z9wpjr0d 175 6 suspicion suspicion NN cord-021917-z9wpjr0d 175 7 regarding regard VBG cord-021917-z9wpjr0d 175 8 botulism botulism NN cord-021917-z9wpjr0d 175 9 , , , cord-021917-z9wpjr0d 175 10 since since IN cord-021917-z9wpjr0d 175 11 samples sample NNS cord-021917-z9wpjr0d 175 12 can can MD cord-021917-z9wpjr0d 175 13 be be VB cord-021917-z9wpjr0d 175 14 potentially potentially RB cord-021917-z9wpjr0d 175 15 harmful harmful JJ cord-021917-z9wpjr0d 175 16 to to IN cord-021917-z9wpjr0d 175 17 laboratory laboratory NN cord-021917-z9wpjr0d 175 18 personnel personnel NNS cord-021917-z9wpjr0d 175 19 . . . cord-021917-z9wpjr0d 176 1 Specific specific JJ cord-021917-z9wpjr0d 176 2 therapy therapy NN cord-021917-z9wpjr0d 176 3 consists consist VBZ cord-021917-z9wpjr0d 176 4 of of IN cord-021917-z9wpjr0d 176 5 treatment treatment NN cord-021917-z9wpjr0d 176 6 with with IN cord-021917-z9wpjr0d 176 7 equine equine JJ cord-021917-z9wpjr0d 176 8 antitoxin antitoxin NN cord-021917-z9wpjr0d 176 9 ( ( -LRB- cord-021917-z9wpjr0d 176 10 see see VB cord-021917-z9wpjr0d 176 11 Table Table NNP cord-021917-z9wpjr0d 176 12 64 64 CD cord-021917-z9wpjr0d 176 13 .2 .2 CD cord-021917-z9wpjr0d 176 14 ) ) -RRB- cord-021917-z9wpjr0d 176 15 , , , cord-021917-z9wpjr0d 176 16 which which WDT cord-021917-z9wpjr0d 176 17 will will MD cord-021917-z9wpjr0d 176 18 not not RB cord-021917-z9wpjr0d 176 19 reverse reverse VB cord-021917-z9wpjr0d 176 20 extant extant JJ cord-021917-z9wpjr0d 176 21 paralysis paralysis NN cord-021917-z9wpjr0d 176 22 but but CC cord-021917-z9wpjr0d 176 23 may may MD cord-021917-z9wpjr0d 176 24 prevent prevent VB cord-021917-z9wpjr0d 176 25 progression progression NN cord-021917-z9wpjr0d 176 26 . . . cord-021917-z9wpjr0d 177 1 It -PRON- PRP cord-021917-z9wpjr0d 177 2 must must MD cord-021917-z9wpjr0d 177 3 therefore therefore RB cord-021917-z9wpjr0d 177 4 be be VB cord-021917-z9wpjr0d 177 5 administered administer VBN cord-021917-z9wpjr0d 177 6 as as RB cord-021917-z9wpjr0d 177 7 early early RB cord-021917-z9wpjr0d 177 8 as as IN cord-021917-z9wpjr0d 177 9 possible possible JJ cord-021917-z9wpjr0d 177 10 . . . cord-021917-z9wpjr0d 178 1 In in IN cord-021917-z9wpjr0d 178 2 mass mass JJ cord-021917-z9wpjr0d 178 3 casualty casualty NN cord-021917-z9wpjr0d 178 4 situations situation NNS cord-021917-z9wpjr0d 178 5 , , , cord-021917-z9wpjr0d 178 6 when when WRB cord-021917-z9wpjr0d 178 7 the the DT cord-021917-z9wpjr0d 178 8 antitoxin antitoxin NN cord-021917-z9wpjr0d 178 9 supply supply NN cord-021917-z9wpjr0d 178 10 may may MD cord-021917-z9wpjr0d 178 11 be be VB cord-021917-z9wpjr0d 178 12 limited limit VBN cord-021917-z9wpjr0d 178 13 , , , cord-021917-z9wpjr0d 178 14 patients patient NNS cord-021917-z9wpjr0d 178 15 with with IN cord-021917-z9wpjr0d 178 16 weakness weakness NN cord-021917-z9wpjr0d 178 17 but but CC cord-021917-z9wpjr0d 178 18 not not RB cord-021917-z9wpjr0d 178 19 yet yet RB cord-021917-z9wpjr0d 178 20 requiring require VBG cord-021917-z9wpjr0d 178 21 mechanical mechanical JJ cord-021917-z9wpjr0d 178 22 ventilation ventilation NN cord-021917-z9wpjr0d 178 23 may may MD cord-021917-z9wpjr0d 178 24 be be VB cord-021917-z9wpjr0d 178 25 the the DT cord-021917-z9wpjr0d 178 26 most most RBS cord-021917-z9wpjr0d 178 27 appropriate appropriate JJ cord-021917-z9wpjr0d 178 28 for for IN cord-021917-z9wpjr0d 178 29 antitoxin antitoxin NN cord-021917-z9wpjr0d 178 30 therapy therapy NN cord-021917-z9wpjr0d 178 31 . . . cord-021917-z9wpjr0d 179 1 Supportive supportive JJ cord-021917-z9wpjr0d 179 2 therapy therapy NN cord-021917-z9wpjr0d 179 3 is be VBZ cord-021917-z9wpjr0d 179 4 essential essential JJ cord-021917-z9wpjr0d 179 5 , , , cord-021917-z9wpjr0d 179 6 with with IN cord-021917-z9wpjr0d 179 7 a a DT cord-021917-z9wpjr0d 179 8 specific specific JJ cord-021917-z9wpjr0d 179 9 focus focus NN cord-021917-z9wpjr0d 179 10 on on IN cord-021917-z9wpjr0d 179 11 mechanical mechanical JJ cord-021917-z9wpjr0d 179 12 ventilation ventilation NN cord-021917-z9wpjr0d 179 13 and and CC cord-021917-z9wpjr0d 179 14 efforts effort NNS cord-021917-z9wpjr0d 179 15 to to TO cord-021917-z9wpjr0d 179 16 prevent prevent VB cord-021917-z9wpjr0d 179 17 complicating complicate VBG cord-021917-z9wpjr0d 179 18 events event NNS cord-021917-z9wpjr0d 179 19 ( ( -LRB- cord-021917-z9wpjr0d 179 20 e.g. e.g. RB cord-021917-z9wpjr0d 179 21 , , , cord-021917-z9wpjr0d 179 22 ventilator ventilator NN cord-021917-z9wpjr0d 179 23 - - HYPH cord-021917-z9wpjr0d 179 24 associated associate VBN cord-021917-z9wpjr0d 179 25 pneumonia pneumonia NN cord-021917-z9wpjr0d 179 26 , , , cord-021917-z9wpjr0d 179 27 venous venous JJ cord-021917-z9wpjr0d 179 28 thromboembolism thromboembolism NN cord-021917-z9wpjr0d 179 29 , , , cord-021917-z9wpjr0d 179 30 and and CC cord-021917-z9wpjr0d 179 31 decubitus decubitus NN cord-021917-z9wpjr0d 179 32 ulcers ulcer NNS cord-021917-z9wpjr0d 179 33 ) ) -RRB- cord-021917-z9wpjr0d 179 34 . . . cord-021917-z9wpjr0d 180 1 Nonventilated nonventilated JJ cord-021917-z9wpjr0d 180 2 patients patient NNS cord-021917-z9wpjr0d 180 3 should should MD cord-021917-z9wpjr0d 180 4 be be VB cord-021917-z9wpjr0d 180 5 placed place VBN cord-021917-z9wpjr0d 180 6 in in IN cord-021917-z9wpjr0d 180 7 the the DT cord-021917-z9wpjr0d 180 8 reverse reverse NN cord-021917-z9wpjr0d 180 9 Trendelenberg Trendelenberg NNP cord-021917-z9wpjr0d 180 10 position position NN cord-021917-z9wpjr0d 180 11 at at IN cord-021917-z9wpjr0d 180 12 20 20 CD cord-021917-z9wpjr0d 180 13 to to TO cord-021917-z9wpjr0d 180 14 25 25 CD cord-021917-z9wpjr0d 180 15 degrees degree NNS cord-021917-z9wpjr0d 180 16 to to TO cord-021917-z9wpjr0d 180 17 optimize optimize VB cord-021917-z9wpjr0d 180 18 respiratory respiratory JJ cord-021917-z9wpjr0d 180 19 muscle muscle NN cord-021917-z9wpjr0d 180 20 function function NN cord-021917-z9wpjr0d 180 21 and and CC cord-021917-z9wpjr0d 180 22 minimize minimize VB cord-021917-z9wpjr0d 180 23 the the DT cord-021917-z9wpjr0d 180 24 possibility possibility NN cord-021917-z9wpjr0d 180 25 of of IN cord-021917-z9wpjr0d 180 26 aspiration aspiration NN cord-021917-z9wpjr0d 180 27 Aminoglycosides aminoglycosides NN cord-021917-z9wpjr0d 180 28 and and CC cord-021917-z9wpjr0d 180 29 clindamycin clindamycin NN cord-021917-z9wpjr0d 180 30 should should MD cord-021917-z9wpjr0d 180 31 be be VB cord-021917-z9wpjr0d 180 32 avoided avoid VBN cord-021917-z9wpjr0d 180 33 because because IN cord-021917-z9wpjr0d 180 34 of of IN cord-021917-z9wpjr0d 180 35 the the DT cord-021917-z9wpjr0d 180 36 potential potential NN cord-021917-z9wpjr0d 180 37 for for IN cord-021917-z9wpjr0d 180 38 exacerbating exacerbate VBG cord-021917-z9wpjr0d 180 39 the the DT cord-021917-z9wpjr0d 180 40 neuromuscular neuromuscular JJ cord-021917-z9wpjr0d 180 41 blockade blockade NN cord-021917-z9wpjr0d 180 42 . . . cord-021917-z9wpjr0d 181 1 Mortality mortality NN cord-021917-z9wpjr0d 181 2 for for IN cord-021917-z9wpjr0d 181 3 foodborne foodborne JJ cord-021917-z9wpjr0d 181 4 botulism botulism NN cord-021917-z9wpjr0d 181 5 averages average NNS cord-021917-z9wpjr0d 181 6 6 6 CD cord-021917-z9wpjr0d 181 7 % % NN cord-021917-z9wpjr0d 181 8 . . . cord-021917-z9wpjr0d 182 1 The the DT cord-021917-z9wpjr0d 182 2 last last JJ cord-021917-z9wpjr0d 182 3 naturally naturally RB cord-021917-z9wpjr0d 182 4 occurring occur VBG cord-021917-z9wpjr0d 182 5 case case NN cord-021917-z9wpjr0d 182 6 of of IN cord-021917-z9wpjr0d 182 7 smallpox smallpox NN cord-021917-z9wpjr0d 182 8 was be VBD cord-021917-z9wpjr0d 182 9 identified identify VBN cord-021917-z9wpjr0d 182 10 in in IN cord-021917-z9wpjr0d 182 11 1977 1977 CD cord-021917-z9wpjr0d 182 12 , , , cord-021917-z9wpjr0d 182 13 and and CC cord-021917-z9wpjr0d 182 14 the the DT cord-021917-z9wpjr0d 182 15 last last JJ cord-021917-z9wpjr0d 182 16 case case NN cord-021917-z9wpjr0d 182 17 ( ( -LRB- cord-021917-z9wpjr0d 182 18 due due IN cord-021917-z9wpjr0d 182 19 to to IN cord-021917-z9wpjr0d 182 20 a a DT cord-021917-z9wpjr0d 182 21 laboratory laboratory NN cord-021917-z9wpjr0d 182 22 accident accident NN cord-021917-z9wpjr0d 182 23 ) ) -RRB- cord-021917-z9wpjr0d 182 24 was be VBD cord-021917-z9wpjr0d 182 25 in in IN cord-021917-z9wpjr0d 182 26 1978 1978 CD cord-021917-z9wpjr0d 182 27 . . . cord-021917-z9wpjr0d 183 1 Despite despite IN cord-021917-z9wpjr0d 183 2 worldwide worldwide JJ cord-021917-z9wpjr0d 183 3 eradication eradication NN cord-021917-z9wpjr0d 183 4 , , , cord-021917-z9wpjr0d 183 5 smallpox smallpox NN cord-021917-z9wpjr0d 183 6 continues continue VBZ cord-021917-z9wpjr0d 183 7 to to IN cord-021917-z9wpjr0d 183 8 concern concern NN cord-021917-z9wpjr0d 183 9 biodefense biodefense NN cord-021917-z9wpjr0d 183 10 experts expert NNS cord-021917-z9wpjr0d 183 11 due due JJ cord-021917-z9wpjr0d 183 12 to to IN cord-021917-z9wpjr0d 183 13 uncertainties uncertainty NNS cord-021917-z9wpjr0d 183 14 about about IN cord-021917-z9wpjr0d 183 15 available available JJ cord-021917-z9wpjr0d 183 16 stocks stock NNS cord-021917-z9wpjr0d 183 17 of of IN cord-021917-z9wpjr0d 183 18 the the DT cord-021917-z9wpjr0d 183 19 virus virus NN cord-021917-z9wpjr0d 183 20 . . . cord-021917-z9wpjr0d 184 1 Despite despite IN cord-021917-z9wpjr0d 184 2 the the DT cord-021917-z9wpjr0d 184 3 mortality mortality NN cord-021917-z9wpjr0d 184 4 rate rate NN cord-021917-z9wpjr0d 184 5 of of IN cord-021917-z9wpjr0d 184 6 smallpox smallpox NN cord-021917-z9wpjr0d 184 7 ( ( -LRB- cord-021917-z9wpjr0d 184 8 30 30 CD cord-021917-z9wpjr0d 184 9 % % NN cord-021917-z9wpjr0d 184 10 ) ) -RRB- cord-021917-z9wpjr0d 184 11 being be VBG cord-021917-z9wpjr0d 184 12 considerably considerably RB cord-021917-z9wpjr0d 184 13 lower low JJR cord-021917-z9wpjr0d 184 14 than than IN cord-021917-z9wpjr0d 184 15 those those DT cord-021917-z9wpjr0d 184 16 of of IN cord-021917-z9wpjr0d 184 17 other other JJ cord-021917-z9wpjr0d 184 18 bioweapons bioweapon NNS cord-021917-z9wpjr0d 184 19 agents agent NNS cord-021917-z9wpjr0d 184 20 , , , cord-021917-z9wpjr0d 184 21 its -PRON- PRP$ cord-021917-z9wpjr0d 184 22 potential potential NN cord-021917-z9wpjr0d 184 23 for for IN cord-021917-z9wpjr0d 184 24 harm harm NN cord-021917-z9wpjr0d 184 25 is be VBZ cord-021917-z9wpjr0d 184 26 still still RB cord-021917-z9wpjr0d 184 27 very very RB cord-021917-z9wpjr0d 184 28 high high JJ cord-021917-z9wpjr0d 184 29 because because IN cord-021917-z9wpjr0d 184 30 those those DT cord-021917-z9wpjr0d 184 31 who who WP cord-021917-z9wpjr0d 184 32 survive survive VBP cord-021917-z9wpjr0d 184 33 may may MD cord-021917-z9wpjr0d 184 34 be be VB cord-021917-z9wpjr0d 184 35 severely severely RB cord-021917-z9wpjr0d 184 36 deformed deformed JJ cord-021917-z9wpjr0d 184 37 or or CC cord-021917-z9wpjr0d 184 38 blinded blinded JJ cord-021917-z9wpjr0d 184 39 and and CC cord-021917-z9wpjr0d 184 40 no no DT cord-021917-z9wpjr0d 184 41 proven prove VBN cord-021917-z9wpjr0d 184 42 specific specific JJ cord-021917-z9wpjr0d 184 43 therapy therapy NN cord-021917-z9wpjr0d 184 44 exists exist VBZ cord-021917-z9wpjr0d 184 45 once once RB cord-021917-z9wpjr0d 184 46 exposed expose VBN cord-021917-z9wpjr0d 184 47 people people NNS cord-021917-z9wpjr0d 184 48 become become VBP cord-021917-z9wpjr0d 184 49 symptomatic symptomatic JJ cord-021917-z9wpjr0d 184 50 . . . cord-021917-z9wpjr0d 185 1 In in IN cord-021917-z9wpjr0d 185 2 addition addition NN cord-021917-z9wpjr0d 185 3 , , , cord-021917-z9wpjr0d 185 4 with with IN cord-021917-z9wpjr0d 185 5 cessation cessation NN cord-021917-z9wpjr0d 185 6 of of IN cord-021917-z9wpjr0d 185 7 worldwide worldwide JJ cord-021917-z9wpjr0d 185 8 vaccination vaccination NN cord-021917-z9wpjr0d 185 9 , , , cord-021917-z9wpjr0d 185 10 entire entire JJ cord-021917-z9wpjr0d 185 11 populations population NNS cord-021917-z9wpjr0d 185 12 and and CC cord-021917-z9wpjr0d 185 13 especially especially RB cord-021917-z9wpjr0d 185 14 younger young JJR cord-021917-z9wpjr0d 185 15 persons person NNS cord-021917-z9wpjr0d 185 16 are be VBP cord-021917-z9wpjr0d 185 17 susceptible susceptible JJ cord-021917-z9wpjr0d 185 18 to to IN cord-021917-z9wpjr0d 185 19 infection infection NN cord-021917-z9wpjr0d 185 20 . . . cord-021917-z9wpjr0d 186 1 The the DT cord-021917-z9wpjr0d 186 2 agent agent NN cord-021917-z9wpjr0d 186 3 of of IN cord-021917-z9wpjr0d 186 4 smallpox smallpox NN cord-021917-z9wpjr0d 186 5 , , , cord-021917-z9wpjr0d 186 6 the the DT cord-021917-z9wpjr0d 186 7 Variola Variola NNP cord-021917-z9wpjr0d 186 8 virus virus NN cord-021917-z9wpjr0d 186 9 , , , cord-021917-z9wpjr0d 186 10 belongs belong VBZ cord-021917-z9wpjr0d 186 11 to to IN cord-021917-z9wpjr0d 186 12 the the DT cord-021917-z9wpjr0d 186 13 orthopoxvirus orthopoxvirus NNP cord-021917-z9wpjr0d 186 14 family family NN cord-021917-z9wpjr0d 186 15 . . . cord-021917-z9wpjr0d 187 1 These these DT cord-021917-z9wpjr0d 187 2 viruses virus NNS cord-021917-z9wpjr0d 187 3 are be VBP cord-021917-z9wpjr0d 187 4 quite quite RB cord-021917-z9wpjr0d 187 5 stable stable JJ cord-021917-z9wpjr0d 187 6 in in IN cord-021917-z9wpjr0d 187 7 the the DT cord-021917-z9wpjr0d 187 8 environment environment NN cord-021917-z9wpjr0d 187 9 , , , cord-021917-z9wpjr0d 187 10 and and CC cord-021917-z9wpjr0d 187 11 hence hence RB cord-021917-z9wpjr0d 187 12 an an DT cord-021917-z9wpjr0d 187 13 aerosol aerosol NN cord-021917-z9wpjr0d 187 14 may may MD cord-021917-z9wpjr0d 187 15 be be VB cord-021917-z9wpjr0d 187 16 widely widely RB cord-021917-z9wpjr0d 187 17 dispersed disperse VBN cord-021917-z9wpjr0d 187 18 . . . cord-021917-z9wpjr0d 188 1 Any any DT cord-021917-z9wpjr0d 188 2 case case NN cord-021917-z9wpjr0d 188 3 of of IN cord-021917-z9wpjr0d 188 4 smallpox smallpox NN cord-021917-z9wpjr0d 188 5 would would MD cord-021917-z9wpjr0d 188 6 be be VB cord-021917-z9wpjr0d 188 7 an an DT cord-021917-z9wpjr0d 188 8 emergency emergency NN cord-021917-z9wpjr0d 188 9 and and CC cord-021917-z9wpjr0d 188 10 must must MD cord-021917-z9wpjr0d 188 11 be be VB cord-021917-z9wpjr0d 188 12 considered consider VBN cord-021917-z9wpjr0d 188 13 to to TO cord-021917-z9wpjr0d 188 14 be be VB cord-021917-z9wpjr0d 188 15 the the DT cord-021917-z9wpjr0d 188 16 result result NN cord-021917-z9wpjr0d 188 17 of of IN cord-021917-z9wpjr0d 188 18 a a DT cord-021917-z9wpjr0d 188 19 deliberate deliberate JJ cord-021917-z9wpjr0d 188 20 act act NN cord-021917-z9wpjr0d 188 21 . . . cord-021917-z9wpjr0d 189 1 The the DT cord-021917-z9wpjr0d 189 2 typical typical JJ cord-021917-z9wpjr0d 189 3 incubation incubation NN cord-021917-z9wpjr0d 189 4 period period NN cord-021917-z9wpjr0d 189 5 for for IN cord-021917-z9wpjr0d 189 6 smallpox smallpox NN cord-021917-z9wpjr0d 189 7 is be VBZ cord-021917-z9wpjr0d 189 8 7 7 CD cord-021917-z9wpjr0d 189 9 to to TO cord-021917-z9wpjr0d 189 10 17 17 CD cord-021917-z9wpjr0d 189 11 days day NNS cord-021917-z9wpjr0d 189 12 , , , cord-021917-z9wpjr0d 189 13 with with IN cord-021917-z9wpjr0d 189 14 an an DT cord-021917-z9wpjr0d 189 15 average average NN cord-021917-z9wpjr0d 189 16 of of IN cord-021917-z9wpjr0d 189 17 12 12 CD cord-021917-z9wpjr0d 189 18 to to TO cord-021917-z9wpjr0d 189 19 14 14 CD cord-021917-z9wpjr0d 189 20 days day NNS cord-021917-z9wpjr0d 189 21 for for IN cord-021917-z9wpjr0d 189 22 the the DT cord-021917-z9wpjr0d 189 23 majority majority NN cord-021917-z9wpjr0d 189 24 of of IN cord-021917-z9wpjr0d 189 25 patients patient NNS cord-021917-z9wpjr0d 189 26 . . . cord-021917-z9wpjr0d 190 1 Initial initial JJ cord-021917-z9wpjr0d 190 2 symptoms symptom NNS cord-021917-z9wpjr0d 190 3 include include VBP cord-021917-z9wpjr0d 190 4 fever fever NN cord-021917-z9wpjr0d 190 5 , , , cord-021917-z9wpjr0d 190 6 rigors rigor NNS cord-021917-z9wpjr0d 190 7 , , , cord-021917-z9wpjr0d 190 8 backache backache NN cord-021917-z9wpjr0d 190 9 , , , cord-021917-z9wpjr0d 190 10 and and CC cord-021917-z9wpjr0d 190 11 headache headache NN cord-021917-z9wpjr0d 190 12 . . . cord-021917-z9wpjr0d 191 1 Vomiting vomiting NN cord-021917-z9wpjr0d 191 2 and and CC cord-021917-z9wpjr0d 191 3 delirium delirium NN cord-021917-z9wpjr0d 191 4 may may MD cord-021917-z9wpjr0d 191 5 develop develop VB cord-021917-z9wpjr0d 191 6 in in IN cord-021917-z9wpjr0d 191 7 this this DT cord-021917-z9wpjr0d 191 8 prodromal prodromal JJ cord-021917-z9wpjr0d 191 9 phase phase NN cord-021917-z9wpjr0d 191 10 . . . cord-021917-z9wpjr0d 192 1 Two two CD cord-021917-z9wpjr0d 192 2 or or CC cord-021917-z9wpjr0d 192 3 3 3 CD cord-021917-z9wpjr0d 192 4 days day NNS cord-021917-z9wpjr0d 192 5 later later RB cord-021917-z9wpjr0d 192 6 , , , cord-021917-z9wpjr0d 192 7 a a DT cord-021917-z9wpjr0d 192 8 nonspecific nonspecific JJ cord-021917-z9wpjr0d 192 9 erythematous erythematous JJ cord-021917-z9wpjr0d 192 10 rash rash NN cord-021917-z9wpjr0d 192 11 begins begin VBZ cord-021917-z9wpjr0d 192 12 . . . cord-021917-z9wpjr0d 193 1 The the DT cord-021917-z9wpjr0d 193 2 rash rash JJ cord-021917-z9wpjr0d 193 3 first first RB cord-021917-z9wpjr0d 193 4 appears appear VBZ cord-021917-z9wpjr0d 193 5 in in IN cord-021917-z9wpjr0d 193 6 the the DT cord-021917-z9wpjr0d 193 7 mouth mouth NN cord-021917-z9wpjr0d 193 8 and and CC cord-021917-z9wpjr0d 193 9 throat throat NN cord-021917-z9wpjr0d 193 10 , , , cord-021917-z9wpjr0d 193 11 with with IN cord-021917-z9wpjr0d 193 12 red red JJ cord-021917-z9wpjr0d 193 13 spots spot NNS cord-021917-z9wpjr0d 193 14 appearing appear VBG cord-021917-z9wpjr0d 193 15 on on IN cord-021917-z9wpjr0d 193 16 the the DT cord-021917-z9wpjr0d 193 17 buccal buccal JJ cord-021917-z9wpjr0d 193 18 and and CC cord-021917-z9wpjr0d 193 19 pharyngeal pharyngeal JJ cord-021917-z9wpjr0d 193 20 surfaces surface NNS cord-021917-z9wpjr0d 193 21 . . . cord-021917-z9wpjr0d 194 1 The the DT cord-021917-z9wpjr0d 194 2 usual usual JJ cord-021917-z9wpjr0d 194 3 dictum dictum NN cord-021917-z9wpjr0d 194 4 is be VBZ cord-021917-z9wpjr0d 194 5 that that IN cord-021917-z9wpjr0d 194 6 a a DT cord-021917-z9wpjr0d 194 7 person person NN cord-021917-z9wpjr0d 194 8 is be VBZ cord-021917-z9wpjr0d 194 9 not not RB cord-021917-z9wpjr0d 194 10 contagious contagious JJ cord-021917-z9wpjr0d 194 11 until until IN cord-021917-z9wpjr0d 194 12 the the DT cord-021917-z9wpjr0d 194 13 rash rash NN cord-021917-z9wpjr0d 194 14 begins begin VBZ cord-021917-z9wpjr0d 194 15 . . . cord-021917-z9wpjr0d 195 1 In in IN cord-021917-z9wpjr0d 195 2 most most JJS cord-021917-z9wpjr0d 195 3 patients patient NNS cord-021917-z9wpjr0d 195 4 , , , cord-021917-z9wpjr0d 195 5 the the DT cord-021917-z9wpjr0d 195 6 macular macular NNP cord-021917-z9wpjr0d 195 7 lesions lesion NNS cord-021917-z9wpjr0d 195 8 become become VBP cord-021917-z9wpjr0d 195 9 papular papular NNP cord-021917-z9wpjr0d 195 10 followed follow VBN cord-021917-z9wpjr0d 195 11 by by IN cord-021917-z9wpjr0d 195 12 vesicles vesicle NNS cord-021917-z9wpjr0d 195 13 . . . cord-021917-z9wpjr0d 196 1 The the DT cord-021917-z9wpjr0d 196 2 lesions lesion NNS cord-021917-z9wpjr0d 196 3 then then RB cord-021917-z9wpjr0d 196 4 become become VBP cord-021917-z9wpjr0d 196 5 pustular pustular JJ cord-021917-z9wpjr0d 196 6 , , , cord-021917-z9wpjr0d 196 7 which which WDT cord-021917-z9wpjr0d 196 8 umbilicate umbilicate VBP cord-021917-z9wpjr0d 196 9 and and CC cord-021917-z9wpjr0d 196 10 are be VBP cord-021917-z9wpjr0d 196 11 deeply deeply RB cord-021917-z9wpjr0d 196 12 seated seat VBN cord-021917-z9wpjr0d 196 13 in in IN cord-021917-z9wpjr0d 196 14 the the DT cord-021917-z9wpjr0d 196 15 dermis dermis NN cord-021917-z9wpjr0d 196 16 . . . cord-021917-z9wpjr0d 197 1 The the DT cord-021917-z9wpjr0d 197 2 crops crop NNS cord-021917-z9wpjr0d 197 3 of of IN cord-021917-z9wpjr0d 197 4 lesions lesion NNS cord-021917-z9wpjr0d 197 5 appear appear VBP cord-021917-z9wpjr0d 197 6 at at IN cord-021917-z9wpjr0d 197 7 the the DT cord-021917-z9wpjr0d 197 8 same same JJ cord-021917-z9wpjr0d 197 9 time time NN cord-021917-z9wpjr0d 197 10 and and CC cord-021917-z9wpjr0d 197 11 are be VBP cord-021917-z9wpjr0d 197 12 all all RB cord-021917-z9wpjr0d 197 13 at at IN cord-021917-z9wpjr0d 197 14 the the DT cord-021917-z9wpjr0d 197 15 same same JJ cord-021917-z9wpjr0d 197 16 stage stage NN cord-021917-z9wpjr0d 197 17 on on IN cord-021917-z9wpjr0d 197 18 the the DT cord-021917-z9wpjr0d 197 19 affected affected JJ cord-021917-z9wpjr0d 197 20 part part NN cord-021917-z9wpjr0d 197 21 of of IN cord-021917-z9wpjr0d 197 22 the the DT cord-021917-z9wpjr0d 197 23 body body NN cord-021917-z9wpjr0d 197 24 ( ( -LRB- cord-021917-z9wpjr0d 197 25 Fig Fig NNP cord-021917-z9wpjr0d 197 26 . . . cord-021917-z9wpjr0d 197 27 64 64 CD cord-021917-z9wpjr0d 197 28 .5 .5 CD cord-021917-z9wpjr0d 197 29 ) ) -RRB- cord-021917-z9wpjr0d 197 30 . . . cord-021917-z9wpjr0d 198 1 They -PRON- PRP cord-021917-z9wpjr0d 198 2 usually usually RB cord-021917-z9wpjr0d 198 3 begin begin VBP cord-021917-z9wpjr0d 198 4 and and CC cord-021917-z9wpjr0d 198 5 are be VBP cord-021917-z9wpjr0d 198 6 more more RBR cord-021917-z9wpjr0d 198 7 concentrated concentrated JJ cord-021917-z9wpjr0d 198 8 on on IN cord-021917-z9wpjr0d 198 9 the the DT cord-021917-z9wpjr0d 198 10 face face NN cord-021917-z9wpjr0d 198 11 and and CC cord-021917-z9wpjr0d 198 12 limbs limb NNS cord-021917-z9wpjr0d 198 13 rather rather RB cord-021917-z9wpjr0d 198 14 than than IN cord-021917-z9wpjr0d 198 15 the the DT cord-021917-z9wpjr0d 198 16 trunk trunk NN cord-021917-z9wpjr0d 198 17 . . . cord-021917-z9wpjr0d 199 1 This this DT cord-021917-z9wpjr0d 199 2 is be VBZ cord-021917-z9wpjr0d 199 3 in in IN cord-021917-z9wpjr0d 199 4 contrast contrast NN cord-021917-z9wpjr0d 199 5 to to IN cord-021917-z9wpjr0d 199 6 primary primary JJ cord-021917-z9wpjr0d 199 7 varicella varicella NN cord-021917-z9wpjr0d 199 8 , , , cord-021917-z9wpjr0d 199 9 in in IN cord-021917-z9wpjr0d 199 10 which which WDT cord-021917-z9wpjr0d 199 11 lesions lesion NNS cord-021917-z9wpjr0d 199 12 on on IN cord-021917-z9wpjr0d 199 13 any any DT cord-021917-z9wpjr0d 199 14 given give VBN cord-021917-z9wpjr0d 199 15 part part NN cord-021917-z9wpjr0d 199 16 of of IN cord-021917-z9wpjr0d 199 17 the the DT cord-021917-z9wpjr0d 199 18 body body NN cord-021917-z9wpjr0d 199 19 are be VBP cord-021917-z9wpjr0d 199 20 in in IN cord-021917-z9wpjr0d 199 21 different different JJ cord-021917-z9wpjr0d 199 22 stages stage NNS cord-021917-z9wpjr0d 199 23 of of IN cord-021917-z9wpjr0d 199 24 development development NN cord-021917-z9wpjr0d 199 25 ( ( -LRB- cord-021917-z9wpjr0d 199 26 some some DT cord-021917-z9wpjr0d 199 27 macular macular JJ cord-021917-z9wpjr0d 199 28 , , , cord-021917-z9wpjr0d 199 29 some some DT cord-021917-z9wpjr0d 199 30 vesicular vesicular JJ cord-021917-z9wpjr0d 199 31 , , , cord-021917-z9wpjr0d 199 32 and and CC cord-021917-z9wpjr0d 199 33 some some DT cord-021917-z9wpjr0d 199 34 crusting crusting NN cord-021917-z9wpjr0d 199 35 ) ) -RRB- cord-021917-z9wpjr0d 199 36 and and CC cord-021917-z9wpjr0d 199 37 in in IN cord-021917-z9wpjr0d 199 38 which which WDT cord-021917-z9wpjr0d 199 39 the the DT cord-021917-z9wpjr0d 199 40 rash rash NN cord-021917-z9wpjr0d 199 41 begins begin VBZ cord-021917-z9wpjr0d 199 42 on on IN cord-021917-z9wpjr0d 199 43 the the DT cord-021917-z9wpjr0d 199 44 trunk trunk NN cord-021917-z9wpjr0d 199 45 and and CC cord-021917-z9wpjr0d 199 46 moves move VBZ cord-021917-z9wpjr0d 199 47 outward outward RB cord-021917-z9wpjr0d 199 48 . . . cord-021917-z9wpjr0d 200 1 After after IN cord-021917-z9wpjr0d 200 2 8 8 CD cord-021917-z9wpjr0d 200 3 to to TO cord-021917-z9wpjr0d 200 4 10 10 CD cord-021917-z9wpjr0d 200 5 days day NNS cord-021917-z9wpjr0d 200 6 , , , cord-021917-z9wpjr0d 200 7 scabs scab NNS cord-021917-z9wpjr0d 200 8 form form VBP cord-021917-z9wpjr0d 200 9 at at IN cord-021917-z9wpjr0d 200 10 the the DT cord-021917-z9wpjr0d 200 11 sites site NNS cord-021917-z9wpjr0d 200 12 of of IN cord-021917-z9wpjr0d 200 13 the the DT cord-021917-z9wpjr0d 200 14 pustules pustule NNS cord-021917-z9wpjr0d 200 15 . . . cord-021917-z9wpjr0d 201 1 In in IN cord-021917-z9wpjr0d 201 2 survivors survivor NNS cord-021917-z9wpjr0d 201 3 , , , cord-021917-z9wpjr0d 201 4 these these DT cord-021917-z9wpjr0d 201 5 become become VBP cord-021917-z9wpjr0d 201 6 depressed depressed JJ cord-021917-z9wpjr0d 201 7 depigmented depigmente VBN cord-021917-z9wpjr0d 201 8 scars scar NNS cord-021917-z9wpjr0d 201 9 . . . cord-021917-z9wpjr0d 202 1 Smallpox smallpox NN cord-021917-z9wpjr0d 202 2 lesions lesion NNS cord-021917-z9wpjr0d 202 3 also also RB cord-021917-z9wpjr0d 202 4 occur occur VBP cord-021917-z9wpjr0d 202 5 on on IN cord-021917-z9wpjr0d 202 6 the the DT cord-021917-z9wpjr0d 202 7 palms palm NNS cord-021917-z9wpjr0d 202 8 and and CC cord-021917-z9wpjr0d 202 9 soles sol NNS cord-021917-z9wpjr0d 202 10 , , , cord-021917-z9wpjr0d 202 11 which which WDT cord-021917-z9wpjr0d 202 12 rarely rarely RB cord-021917-z9wpjr0d 202 13 occurs occur VBZ cord-021917-z9wpjr0d 202 14 with with IN cord-021917-z9wpjr0d 202 15 chickenpox chickenpox NN cord-021917-z9wpjr0d 202 16 . . . cord-021917-z9wpjr0d 203 1 The the DT cord-021917-z9wpjr0d 203 2 previous previous JJ cord-021917-z9wpjr0d 203 3 description description NN cord-021917-z9wpjr0d 203 4 is be VBZ cord-021917-z9wpjr0d 203 5 seen see VBN cord-021917-z9wpjr0d 203 6 in in IN cord-021917-z9wpjr0d 203 7 more more JJR cord-021917-z9wpjr0d 203 8 than than IN cord-021917-z9wpjr0d 203 9 90 90 CD cord-021917-z9wpjr0d 203 10 % % NN cord-021917-z9wpjr0d 203 11 of of IN cord-021917-z9wpjr0d 203 12 smallpox smallpox NN cord-021917-z9wpjr0d 203 13 cases case NNS cord-021917-z9wpjr0d 203 14 , , , cord-021917-z9wpjr0d 203 15 but but CC cord-021917-z9wpjr0d 203 16 there there EX cord-021917-z9wpjr0d 203 17 are be VBP cord-021917-z9wpjr0d 203 18 less less RBR cord-021917-z9wpjr0d 203 19 common common JJ cord-021917-z9wpjr0d 203 20 forms form NNS cord-021917-z9wpjr0d 203 21 of of IN cord-021917-z9wpjr0d 203 22 smallpox smallpox NN cord-021917-z9wpjr0d 203 23 as as RB cord-021917-z9wpjr0d 203 24 well well RB cord-021917-z9wpjr0d 203 25 . . . cord-021917-z9wpjr0d 204 1 Hemorrhagic hemorrhagic JJ cord-021917-z9wpjr0d 204 2 smallpox smallpox NN cord-021917-z9wpjr0d 204 3 is be VBZ cord-021917-z9wpjr0d 204 4 uniformly uniformly RB cord-021917-z9wpjr0d 204 5 fatal fatal JJ cord-021917-z9wpjr0d 205 1 ( ( -LRB- cord-021917-z9wpjr0d 205 2 it -PRON- PRP cord-021917-z9wpjr0d 205 3 tends tend VBZ cord-021917-z9wpjr0d 205 4 to to TO cord-021917-z9wpjr0d 205 5 affect affect VB cord-021917-z9wpjr0d 205 6 pregnant pregnant JJ cord-021917-z9wpjr0d 205 7 women woman NNS cord-021917-z9wpjr0d 205 8 more more RBR cord-021917-z9wpjr0d 205 9 frequently frequently RB cord-021917-z9wpjr0d 205 10 ) ) -RRB- cord-021917-z9wpjr0d 205 11 , , , cord-021917-z9wpjr0d 205 12 and and CC cord-021917-z9wpjr0d 205 13 it -PRON- PRP cord-021917-z9wpjr0d 205 14 typically typically RB cord-021917-z9wpjr0d 205 15 has have VBZ cord-021917-z9wpjr0d 205 16 a a DT cord-021917-z9wpjr0d 205 17 shorter short JJR cord-021917-z9wpjr0d 205 18 incubation incubation NN cord-021917-z9wpjr0d 205 19 period period NN cord-021917-z9wpjr0d 205 20 and and CC cord-021917-z9wpjr0d 205 21 does do VBZ cord-021917-z9wpjr0d 205 22 not not RB cord-021917-z9wpjr0d 205 23 lead lead VB cord-021917-z9wpjr0d 205 24 to to IN cord-021917-z9wpjr0d 205 25 the the DT cord-021917-z9wpjr0d 205 26 classic classic JJ cord-021917-z9wpjr0d 205 27 rash rash NN cord-021917-z9wpjr0d 205 28 . . . cord-021917-z9wpjr0d 206 1 Instead instead RB cord-021917-z9wpjr0d 206 2 , , , cord-021917-z9wpjr0d 206 3 death death NN cord-021917-z9wpjr0d 206 4 follows follow VBZ cord-021917-z9wpjr0d 206 5 development development NN cord-021917-z9wpjr0d 206 6 of of IN cord-021917-z9wpjr0d 206 7 a a DT cord-021917-z9wpjr0d 206 8 hemorrhagic hemorrhagic JJ cord-021917-z9wpjr0d 206 9 rash rash NN cord-021917-z9wpjr0d 206 10 . . . cord-021917-z9wpjr0d 207 1 In in IN cord-021917-z9wpjr0d 207 2 the the DT cord-021917-z9wpjr0d 207 3 malignant malignant JJ cord-021917-z9wpjr0d 207 4 or or CC cord-021917-z9wpjr0d 207 5 flat flat JJ cord-021917-z9wpjr0d 207 6 form form NN cord-021917-z9wpjr0d 207 7 of of IN cord-021917-z9wpjr0d 207 8 smallpox smallpox NN cord-021917-z9wpjr0d 207 9 , , , cord-021917-z9wpjr0d 207 10 the the DT cord-021917-z9wpjr0d 207 11 disease disease NN cord-021917-z9wpjr0d 207 12 begins begin VBZ cord-021917-z9wpjr0d 207 13 classically classically RB cord-021917-z9wpjr0d 207 14 but but CC cord-021917-z9wpjr0d 207 15 does do VBZ cord-021917-z9wpjr0d 207 16 not not RB cord-021917-z9wpjr0d 207 17 progress progress VB cord-021917-z9wpjr0d 207 18 to to IN cord-021917-z9wpjr0d 207 19 pustules pustule NNS cord-021917-z9wpjr0d 207 20 . . . cord-021917-z9wpjr0d 208 1 Instead instead RB cord-021917-z9wpjr0d 208 2 , , , cord-021917-z9wpjr0d 208 3 the the DT cord-021917-z9wpjr0d 208 4 rash rash NN cord-021917-z9wpjr0d 208 5 is be VBZ cord-021917-z9wpjr0d 208 6 confluent confluent JJ cord-021917-z9wpjr0d 208 7 and and CC cord-021917-z9wpjr0d 208 8 may may MD cord-021917-z9wpjr0d 208 9 desquamate desquamate VB cord-021917-z9wpjr0d 208 10 . . . cord-021917-z9wpjr0d 209 1 Also also RB cord-021917-z9wpjr0d 209 2 , , , cord-021917-z9wpjr0d 209 3 Variola Variola NNP cord-021917-z9wpjr0d 209 4 minor minor NN cord-021917-z9wpjr0d 209 5 is be VBZ cord-021917-z9wpjr0d 209 6 a a DT cord-021917-z9wpjr0d 209 7 less less RBR cord-021917-z9wpjr0d 209 8 severe severe JJ cord-021917-z9wpjr0d 209 9 form form NN cord-021917-z9wpjr0d 209 10 of of IN cord-021917-z9wpjr0d 209 11 smallpox smallpox NN cord-021917-z9wpjr0d 209 12 . . . cord-021917-z9wpjr0d 210 1 Suspicion suspicion NN cord-021917-z9wpjr0d 210 2 of of IN cord-021917-z9wpjr0d 210 3 smallpox smallpox NN cord-021917-z9wpjr0d 210 4 must must MD cord-021917-z9wpjr0d 210 5 initially initially RB cord-021917-z9wpjr0d 210 6 be be VB cord-021917-z9wpjr0d 210 7 based base VBN cord-021917-z9wpjr0d 210 8 on on IN cord-021917-z9wpjr0d 210 9 clinical clinical JJ cord-021917-z9wpjr0d 210 10 findings finding NNS cord-021917-z9wpjr0d 210 11 ; ; : cord-021917-z9wpjr0d 210 12 the the DT cord-021917-z9wpjr0d 210 13 possibility possibility NN cord-021917-z9wpjr0d 210 14 of of IN cord-021917-z9wpjr0d 210 15 this this DT cord-021917-z9wpjr0d 210 16 disease disease NN cord-021917-z9wpjr0d 210 17 must must MD cord-021917-z9wpjr0d 210 18 be be VB cord-021917-z9wpjr0d 210 19 considered consider VBN cord-021917-z9wpjr0d 210 20 in in IN cord-021917-z9wpjr0d 210 21 any any DT cord-021917-z9wpjr0d 210 22 patient patient NN cord-021917-z9wpjr0d 210 23 displaying display VBG cord-021917-z9wpjr0d 210 24 fever fever NN cord-021917-z9wpjr0d 210 25 and and CC cord-021917-z9wpjr0d 210 26 a a DT cord-021917-z9wpjr0d 210 27 characteristic characteristic JJ cord-021917-z9wpjr0d 210 28 centrifugal centrifugal NN cord-021917-z9wpjr0d 210 29 and and CC cord-021917-z9wpjr0d 210 30 uniform uniform JJ cord-021917-z9wpjr0d 210 31 rash rash NN cord-021917-z9wpjr0d 210 32 . . . cord-021917-z9wpjr0d 211 1 Definitive definitive JJ cord-021917-z9wpjr0d 211 2 diagnosis diagnosis NN cord-021917-z9wpjr0d 211 3 requires require VBZ cord-021917-z9wpjr0d 211 4 specialized specialized JJ cord-021917-z9wpjr0d 211 5 diagnostic diagnostic JJ cord-021917-z9wpjr0d 211 6 techniques technique NNS cord-021917-z9wpjr0d 211 7 . . . cord-021917-z9wpjr0d 212 1 Electron electron NN cord-021917-z9wpjr0d 212 2 microscopy microscopy NN cord-021917-z9wpjr0d 212 3 can can MD cord-021917-z9wpjr0d 212 4 determine determine VB cord-021917-z9wpjr0d 212 5 whether whether IN cord-021917-z9wpjr0d 212 6 the the DT cord-021917-z9wpjr0d 212 7 virus virus NN cord-021917-z9wpjr0d 212 8 is be VBZ cord-021917-z9wpjr0d 212 9 an an DT cord-021917-z9wpjr0d 212 10 orthopox orthopox NN cord-021917-z9wpjr0d 212 11 , , , cord-021917-z9wpjr0d 212 12 and and CC cord-021917-z9wpjr0d 212 13 confirmatory confirmatory JJ cord-021917-z9wpjr0d 212 14 PCR pcr NN cord-021917-z9wpjr0d 212 15 techniques technique NNS cord-021917-z9wpjr0d 212 16 require require VBP cord-021917-z9wpjr0d 212 17 primers primer NNS cord-021917-z9wpjr0d 212 18 specific specific JJ cord-021917-z9wpjr0d 212 19 to to IN cord-021917-z9wpjr0d 212 20 Variola Variola NNP cord-021917-z9wpjr0d 212 21 . . . cord-021917-z9wpjr0d 213 1 Laboratory laboratory NN cord-021917-z9wpjr0d 213 2 confirmation confirmation NN cord-021917-z9wpjr0d 213 3 will will MD cord-021917-z9wpjr0d 213 4 likely likely RB cord-021917-z9wpjr0d 213 5 be be VB cord-021917-z9wpjr0d 213 6 required require VBN cord-021917-z9wpjr0d 213 7 for for IN cord-021917-z9wpjr0d 213 8 the the DT cord-021917-z9wpjr0d 213 9 sentinel sentinel JJ cord-021917-z9wpjr0d 213 10 cases case NNS cord-021917-z9wpjr0d 213 11 of of IN cord-021917-z9wpjr0d 213 12 an an DT cord-021917-z9wpjr0d 213 13 outbreak outbreak NN cord-021917-z9wpjr0d 213 14 . . . cord-021917-z9wpjr0d 214 1 After after IN cord-021917-z9wpjr0d 214 2 initial initial JJ cord-021917-z9wpjr0d 214 3 cases case NNS cord-021917-z9wpjr0d 214 4 are be VBP cord-021917-z9wpjr0d 214 5 confirmed confirm VBN cord-021917-z9wpjr0d 214 6 , , , cord-021917-z9wpjr0d 214 7 additional additional JJ cord-021917-z9wpjr0d 214 8 case case NN cord-021917-z9wpjr0d 214 9 identification identification NN cord-021917-z9wpjr0d 214 10 can can MD cord-021917-z9wpjr0d 214 11 be be VB cord-021917-z9wpjr0d 214 12 based base VBN cord-021917-z9wpjr0d 214 13 on on IN cord-021917-z9wpjr0d 214 14 clinically clinically RB cord-021917-z9wpjr0d 214 15 consistent consistent JJ cord-021917-z9wpjr0d 214 16 criteria criterion NNS cord-021917-z9wpjr0d 214 17 . . . cord-021917-z9wpjr0d 215 1 Miller Miller NNP cord-021917-z9wpjr0d 215 2 - - HYPH cord-021917-z9wpjr0d 215 3 Fisher Fisher NNP cord-021917-z9wpjr0d 215 4 variant variant NN cord-021917-z9wpjr0d 215 5 of of IN cord-021917-z9wpjr0d 215 6 Guillan Guillan NNP cord-021917-z9wpjr0d 215 7 - - HYPH cord-021917-z9wpjr0d 215 8 Barré Barré NNP cord-021917-z9wpjr0d 215 9 syndrome syndrome NN cord-021917-z9wpjr0d 215 10 Myasthenia myasthenia NN cord-021917-z9wpjr0d 215 11 gravis gravis NN cord-021917-z9wpjr0d 215 12 Tick tick VB cord-021917-z9wpjr0d 215 13 paralysis paralysis NN cord-021917-z9wpjr0d 215 14 Atropine atropine NN cord-021917-z9wpjr0d 215 15 poisoning poisoning NN cord-021917-z9wpjr0d 215 16 Paralytic Paralytic VBN cord-021917-z9wpjr0d 215 17 shellfish shellfish NN cord-021917-z9wpjr0d 215 18 / / SYM cord-021917-z9wpjr0d 215 19 puffer puffer NN cord-021917-z9wpjr0d 215 20 fish fish NN cord-021917-z9wpjr0d 215 21 poisoning poisoning NN cord-021917-z9wpjr0d 216 1 If if IN cord-021917-z9wpjr0d 216 2 an an DT cord-021917-z9wpjr0d 216 3 exposure exposure NN cord-021917-z9wpjr0d 216 4 to to IN cord-021917-z9wpjr0d 216 5 smallpox smallpox NN cord-021917-z9wpjr0d 216 6 is be VBZ cord-021917-z9wpjr0d 216 7 suspected suspect VBN cord-021917-z9wpjr0d 216 8 but but CC cord-021917-z9wpjr0d 216 9 the the DT cord-021917-z9wpjr0d 216 10 patient patient NN cord-021917-z9wpjr0d 216 11 is be VBZ cord-021917-z9wpjr0d 216 12 asymptomatic asymptomatic JJ cord-021917-z9wpjr0d 216 13 , , , cord-021917-z9wpjr0d 216 14 administration administration NN cord-021917-z9wpjr0d 216 15 of of IN cord-021917-z9wpjr0d 216 16 the the DT cord-021917-z9wpjr0d 216 17 Vaccinia Vaccinia NNP cord-021917-z9wpjr0d 216 18 virus virus NN cord-021917-z9wpjr0d 216 19 within within IN cord-021917-z9wpjr0d 216 20 a a DT cord-021917-z9wpjr0d 216 21 few few JJ cord-021917-z9wpjr0d 216 22 days day NNS cord-021917-z9wpjr0d 216 23 from from IN cord-021917-z9wpjr0d 216 24 exposure exposure NN cord-021917-z9wpjr0d 216 25 can can MD cord-021917-z9wpjr0d 216 26 prevent prevent VB cord-021917-z9wpjr0d 216 27 or or CC cord-021917-z9wpjr0d 216 28 greatly greatly RB cord-021917-z9wpjr0d 216 29 diminish diminish VB cord-021917-z9wpjr0d 216 30 the the DT cord-021917-z9wpjr0d 216 31 severity severity NN cord-021917-z9wpjr0d 216 32 of of IN cord-021917-z9wpjr0d 216 33 the the DT cord-021917-z9wpjr0d 216 34 illness illness NN cord-021917-z9wpjr0d 216 35 . . . cord-021917-z9wpjr0d 217 1 Once once IN cord-021917-z9wpjr0d 217 2 the the DT cord-021917-z9wpjr0d 217 3 disease disease NN cord-021917-z9wpjr0d 217 4 develops develop VBZ cord-021917-z9wpjr0d 217 5 , , , cord-021917-z9wpjr0d 217 6 however however RB cord-021917-z9wpjr0d 217 7 , , , cord-021917-z9wpjr0d 217 8 specific specific JJ cord-021917-z9wpjr0d 217 9 therapeutic therapeutic JJ cord-021917-z9wpjr0d 217 10 options option NNS cord-021917-z9wpjr0d 217 11 are be VBP cord-021917-z9wpjr0d 217 12 limited limited JJ cord-021917-z9wpjr0d 217 13 ( ( -LRB- cord-021917-z9wpjr0d 217 14 see see VB cord-021917-z9wpjr0d 217 15 Table Table NNP cord-021917-z9wpjr0d 217 16 64 64 CD cord-021917-z9wpjr0d 217 17 .2 .2 CD cord-021917-z9wpjr0d 217 18 ) ) -RRB- cord-021917-z9wpjr0d 217 19 . . . cord-021917-z9wpjr0d 218 1 There there EX cord-021917-z9wpjr0d 218 2 is be VBZ cord-021917-z9wpjr0d 218 3 evidence evidence NN cord-021917-z9wpjr0d 218 4 that that IN cord-021917-z9wpjr0d 218 5 cidofovir cidofovir NNS cord-021917-z9wpjr0d 218 6 may may MD cord-021917-z9wpjr0d 218 7 have have VB cord-021917-z9wpjr0d 218 8 activity activity NN cord-021917-z9wpjr0d 218 9 against against IN cord-021917-z9wpjr0d 218 10 the the DT cord-021917-z9wpjr0d 218 11 Variola Variola NNP cord-021917-z9wpjr0d 218 12 virus virus NN cord-021917-z9wpjr0d 218 13 , , , cord-021917-z9wpjr0d 218 14 although although IN cord-021917-z9wpjr0d 218 15 the the DT cord-021917-z9wpjr0d 218 16 evidence evidence NN cord-021917-z9wpjr0d 218 17 is be VBZ cord-021917-z9wpjr0d 218 18 based base VBN cord-021917-z9wpjr0d 218 19 on on IN cord-021917-z9wpjr0d 218 20 alternative alternative JJ cord-021917-z9wpjr0d 218 21 orthopox orthopox NN cord-021917-z9wpjr0d 218 22 disease disease NN cord-021917-z9wpjr0d 218 23 models model NNS cord-021917-z9wpjr0d 218 24 and and CC cord-021917-z9wpjr0d 218 25 in in IN cord-021917-z9wpjr0d 218 26 vitro vitro FW cord-021917-z9wpjr0d 218 27 assays assay NNS cord-021917-z9wpjr0d 218 28 . . . cord-021917-z9wpjr0d 219 1 Supportive supportive JJ cord-021917-z9wpjr0d 219 2 care care NN cord-021917-z9wpjr0d 219 3 for for IN cord-021917-z9wpjr0d 219 4 critically critically RB cord-021917-z9wpjr0d 219 5 ill ill JJ cord-021917-z9wpjr0d 219 6 patients patient NNS cord-021917-z9wpjr0d 219 7 may may MD cord-021917-z9wpjr0d 219 8 limit limit VB cord-021917-z9wpjr0d 219 9 mortality mortality NN cord-021917-z9wpjr0d 219 10 , , , cord-021917-z9wpjr0d 219 11 but but CC cord-021917-z9wpjr0d 219 12 since since IN cord-021917-z9wpjr0d 219 13 the the DT cord-021917-z9wpjr0d 219 14 last last JJ cord-021917-z9wpjr0d 219 15 case case NN cord-021917-z9wpjr0d 219 16 occurred occur VBD cord-021917-z9wpjr0d 219 17 more more JJR cord-021917-z9wpjr0d 219 18 than than IN cord-021917-z9wpjr0d 219 19 25 25 CD cord-021917-z9wpjr0d 219 20 years year NNS cord-021917-z9wpjr0d 219 21 ago ago RB cord-021917-z9wpjr0d 219 22 , , , cord-021917-z9wpjr0d 219 23 it -PRON- PRP cord-021917-z9wpjr0d 219 24 is be VBZ cord-021917-z9wpjr0d 219 25 uncertain uncertain JJ cord-021917-z9wpjr0d 219 26 what what WP cord-021917-z9wpjr0d 219 27 effect effect NN cord-021917-z9wpjr0d 219 28 modern modern JJ cord-021917-z9wpjr0d 219 29 critical critical JJ cord-021917-z9wpjr0d 219 30 care care NN cord-021917-z9wpjr0d 219 31 will will MD cord-021917-z9wpjr0d 219 32 have have VB cord-021917-z9wpjr0d 219 33 on on IN cord-021917-z9wpjr0d 219 34 outcomes outcome NNS cord-021917-z9wpjr0d 219 35 . . . cord-021917-z9wpjr0d 220 1 Mortality mortality NN cord-021917-z9wpjr0d 220 2 is be VBZ cord-021917-z9wpjr0d 220 3 expected expect VBN cord-021917-z9wpjr0d 220 4 to to TO cord-021917-z9wpjr0d 220 5 be be VB cord-021917-z9wpjr0d 220 6 approximately approximately RB cord-021917-z9wpjr0d 220 7 30 30 CD cord-021917-z9wpjr0d 220 8 % % NN cord-021917-z9wpjr0d 220 9 , , , cord-021917-z9wpjr0d 220 10 with with IN cord-021917-z9wpjr0d 220 11 far far RB cord-021917-z9wpjr0d 220 12 greater great JJR cord-021917-z9wpjr0d 220 13 rates rate NNS cord-021917-z9wpjr0d 220 14 of of IN cord-021917-z9wpjr0d 220 15 disfigurement disfigurement NN cord-021917-z9wpjr0d 220 16 or or CC cord-021917-z9wpjr0d 220 17 disability disability NN cord-021917-z9wpjr0d 220 18 . . . cord-021917-z9wpjr0d 221 1 Secondary secondary JJ cord-021917-z9wpjr0d 221 2 transmission transmission NN cord-021917-z9wpjr0d 221 3 is be VBZ cord-021917-z9wpjr0d 221 4 most most RBS cord-021917-z9wpjr0d 221 5 likely likely JJ cord-021917-z9wpjr0d 221 6 to to TO cord-021917-z9wpjr0d 221 7 occur occur VB cord-021917-z9wpjr0d 221 8 through through IN cord-021917-z9wpjr0d 221 9 close close JJ cord-021917-z9wpjr0d 221 10 contact contact NN cord-021917-z9wpjr0d 221 11 with with IN cord-021917-z9wpjr0d 221 12 symptomatic symptomatic JJ cord-021917-z9wpjr0d 221 13 patients patient NNS cord-021917-z9wpjr0d 221 14 ( ( -LRB- cord-021917-z9wpjr0d 221 15 e.g. e.g. RB cord-021917-z9wpjr0d 221 16 , , , cord-021917-z9wpjr0d 221 17 droplet droplet NN cord-021917-z9wpjr0d 221 18 and and CC cord-021917-z9wpjr0d 221 19 contact contact NN cord-021917-z9wpjr0d 221 20 transmission transmission NN cord-021917-z9wpjr0d 221 21 ) ) -RRB- cord-021917-z9wpjr0d 221 22 , , , cord-021917-z9wpjr0d 221 23 although although IN cord-021917-z9wpjr0d 221 24 fomite fomite NN cord-021917-z9wpjr0d 221 25 and and CC cord-021917-z9wpjr0d 221 26 airborne airborne JJ cord-021917-z9wpjr0d 221 27 transmission transmission NN cord-021917-z9wpjr0d 221 28 have have VBP cord-021917-z9wpjr0d 221 29 been be VBN cord-021917-z9wpjr0d 221 30 documented document VBN cord-021917-z9wpjr0d 221 31 . . . cord-021917-z9wpjr0d 222 1 Patients patient NNS cord-021917-z9wpjr0d 222 2 with with IN cord-021917-z9wpjr0d 222 3 a a DT cord-021917-z9wpjr0d 222 4 cough cough NN cord-021917-z9wpjr0d 222 5 may may MD cord-021917-z9wpjr0d 222 6 be be VB cord-021917-z9wpjr0d 222 7 more more RBR cord-021917-z9wpjr0d 222 8 likely likely JJ cord-021917-z9wpjr0d 222 9 to to TO cord-021917-z9wpjr0d 222 10 transmit transmit VB cord-021917-z9wpjr0d 222 11 droplet droplet NN cord-021917-z9wpjr0d 222 12 nuclei nucleus NNS cord-021917-z9wpjr0d 222 13 ( ( -LRB- cord-021917-z9wpjr0d 222 14 i.e. i.e. FW cord-021917-z9wpjr0d 222 15 , , , cord-021917-z9wpjr0d 222 16 airborne airborne JJ cord-021917-z9wpjr0d 222 17 transmission transmission NN cord-021917-z9wpjr0d 222 18 ) ) -RRB- cord-021917-z9wpjr0d 222 19 , , , cord-021917-z9wpjr0d 222 20 and and CC cord-021917-z9wpjr0d 222 21 those those DT cord-021917-z9wpjr0d 222 22 with with IN cord-021917-z9wpjr0d 222 23 atypical atypical JJ cord-021917-z9wpjr0d 222 24 disease disease NN cord-021917-z9wpjr0d 222 25 courses course NNS cord-021917-z9wpjr0d 222 26 ( ( -LRB- cord-021917-z9wpjr0d 222 27 e.g. e.g. RB cord-021917-z9wpjr0d 222 28 , , , cord-021917-z9wpjr0d 222 29 hemorrhagic hemorrhagic JJ cord-021917-z9wpjr0d 222 30 and and CC cord-021917-z9wpjr0d 222 31 malignant malignant JJ cord-021917-z9wpjr0d 222 32 ) ) -RRB- cord-021917-z9wpjr0d 222 33 may may MD cord-021917-z9wpjr0d 222 34 be be VB cord-021917-z9wpjr0d 222 35 more more RBR cord-021917-z9wpjr0d 222 36 difficult difficult JJ cord-021917-z9wpjr0d 222 37 to to TO cord-021917-z9wpjr0d 222 38 identify identify VB cord-021917-z9wpjr0d 222 39 , , , cord-021917-z9wpjr0d 222 40 so so RB cord-021917-z9wpjr0d 222 41 unprotected unprotected JJ cord-021917-z9wpjr0d 222 42 exposure exposure NN cord-021917-z9wpjr0d 222 43 of of IN cord-021917-z9wpjr0d 222 44 health health NN cord-021917-z9wpjr0d 222 45 care care NN cord-021917-z9wpjr0d 222 46 workers worker NNS cord-021917-z9wpjr0d 222 47 may may MD cord-021917-z9wpjr0d 222 48 be be VB cord-021917-z9wpjr0d 222 49 more more RBR cord-021917-z9wpjr0d 222 50 likely likely JJ cord-021917-z9wpjr0d 222 51 . . . cord-021917-z9wpjr0d 223 1 The the DT cord-021917-z9wpjr0d 223 2 viral viral JJ cord-021917-z9wpjr0d 223 3 hemorrhagic hemorrhagic JJ cord-021917-z9wpjr0d 223 4 fevers fever NNS cord-021917-z9wpjr0d 223 5 believed believe VBN cord-021917-z9wpjr0d 223 6 to to TO cord-021917-z9wpjr0d 223 7 be be VB cord-021917-z9wpjr0d 223 8 possible possible JJ cord-021917-z9wpjr0d 223 9 agents agent NNS cord-021917-z9wpjr0d 223 10 of of IN cord-021917-z9wpjr0d 223 11 BT BT NNP cord-021917-z9wpjr0d 223 12 are be VBP cord-021917-z9wpjr0d 223 13 listed list VBN cord-021917-z9wpjr0d 223 14 in in IN cord-021917-z9wpjr0d 223 15 Box Box NNP cord-021917-z9wpjr0d 223 16 64.4 64.4 CD cord-021917-z9wpjr0d 223 17 . . . cord-021917-z9wpjr0d 224 1 The the DT cord-021917-z9wpjr0d 224 2 filoviruses filovirus NNS cord-021917-z9wpjr0d 224 3 and and CC cord-021917-z9wpjr0d 224 4 arenaviruses arenavirus NNS cord-021917-z9wpjr0d 224 5 are be VBP cord-021917-z9wpjr0d 224 6 transmissible transmissible JJ cord-021917-z9wpjr0d 224 7 from from IN cord-021917-z9wpjr0d 224 8 person person NN cord-021917-z9wpjr0d 224 9 to to IN cord-021917-z9wpjr0d 224 10 person person NN cord-021917-z9wpjr0d 224 11 . . . cord-021917-z9wpjr0d 225 1 Although although IN cord-021917-z9wpjr0d 225 2 the the DT cord-021917-z9wpjr0d 225 3 limited limited JJ cord-021917-z9wpjr0d 225 4 information information NN cord-021917-z9wpjr0d 225 5 available available JJ cord-021917-z9wpjr0d 225 6 suggests suggest VBZ cord-021917-z9wpjr0d 225 7 that that IN cord-021917-z9wpjr0d 225 8 transmission transmission NN cord-021917-z9wpjr0d 225 9 is be VBZ cord-021917-z9wpjr0d 225 10 primarily primarily RB cord-021917-z9wpjr0d 225 11 via via IN cord-021917-z9wpjr0d 225 12 infected infected JJ cord-021917-z9wpjr0d 225 13 body body NN cord-021917-z9wpjr0d 225 14 fluids fluid NNS cord-021917-z9wpjr0d 225 15 , , , cord-021917-z9wpjr0d 225 16 mucosal mucosal JJ cord-021917-z9wpjr0d 225 17 transmission transmission NN cord-021917-z9wpjr0d 225 18 has have VBZ cord-021917-z9wpjr0d 225 19 been be VBN cord-021917-z9wpjr0d 225 20 documented document VBN cord-021917-z9wpjr0d 225 21 in in IN cord-021917-z9wpjr0d 225 22 experimental experimental JJ cord-021917-z9wpjr0d 225 23 animals animal NNS cord-021917-z9wpjr0d 225 24 and and CC cord-021917-z9wpjr0d 225 25 airborne airborne JJ cord-021917-z9wpjr0d 225 26 or or CC cord-021917-z9wpjr0d 225 27 droplet droplet NN cord-021917-z9wpjr0d 225 28 transmission transmission NN cord-021917-z9wpjr0d 225 29 has have VBZ cord-021917-z9wpjr0d 225 30 been be VBN cord-021917-z9wpjr0d 225 31 suggested suggest VBN cord-021917-z9wpjr0d 225 32 in in IN cord-021917-z9wpjr0d 225 33 several several JJ cord-021917-z9wpjr0d 225 34 outbreaks outbreak NNS cord-021917-z9wpjr0d 225 35 . . . cord-021917-z9wpjr0d 226 1 Clinical clinical JJ cord-021917-z9wpjr0d 226 2 manifestations manifestation NNS cord-021917-z9wpjr0d 226 3 will will MD cord-021917-z9wpjr0d 226 4 vary vary VB cord-021917-z9wpjr0d 226 5 with with IN cord-021917-z9wpjr0d 226 6 the the DT cord-021917-z9wpjr0d 226 7 particular particular JJ cord-021917-z9wpjr0d 226 8 virus virus NN cord-021917-z9wpjr0d 226 9 . . . cord-021917-z9wpjr0d 227 1 In in IN cord-021917-z9wpjr0d 227 2 general general JJ cord-021917-z9wpjr0d 227 3 , , , cord-021917-z9wpjr0d 227 4 the the DT cord-021917-z9wpjr0d 227 5 VHFs vhf NNS cord-021917-z9wpjr0d 227 6 have have VBP cord-021917-z9wpjr0d 227 7 an an DT cord-021917-z9wpjr0d 227 8 incubation incubation NN cord-021917-z9wpjr0d 227 9 period period NN cord-021917-z9wpjr0d 227 10 ranging range VBG cord-021917-z9wpjr0d 227 11 from from IN cord-021917-z9wpjr0d 227 12 2 2 CD cord-021917-z9wpjr0d 227 13 to to TO cord-021917-z9wpjr0d 227 14 21 21 CD cord-021917-z9wpjr0d 227 15 days day NNS cord-021917-z9wpjr0d 227 16 ( ( -LRB- cord-021917-z9wpjr0d 227 17 commonly commonly RB cord-021917-z9wpjr0d 227 18 , , , cord-021917-z9wpjr0d 227 19 5 5 CD cord-021917-z9wpjr0d 227 20 - - SYM cord-021917-z9wpjr0d 227 21 10 10 CD cord-021917-z9wpjr0d 227 22 days day NNS cord-021917-z9wpjr0d 227 23 ) ) -RRB- cord-021917-z9wpjr0d 227 24 . . . cord-021917-z9wpjr0d 228 1 Initial initial JJ cord-021917-z9wpjr0d 228 2 symptoms symptom NNS cord-021917-z9wpjr0d 228 3 are be VBP cord-021917-z9wpjr0d 228 4 nonspecific nonspecific JJ cord-021917-z9wpjr0d 228 5 and and CC cord-021917-z9wpjr0d 228 6 may may MD cord-021917-z9wpjr0d 228 7 last last VB cord-021917-z9wpjr0d 228 8 up up IN cord-021917-z9wpjr0d 228 9 to to TO cord-021917-z9wpjr0d 228 10 1 1 CD cord-021917-z9wpjr0d 228 11 week week NN cord-021917-z9wpjr0d 228 12 . . . cord-021917-z9wpjr0d 229 1 Fever fever NN cord-021917-z9wpjr0d 229 2 , , , cord-021917-z9wpjr0d 229 3 malaise malaise NN cord-021917-z9wpjr0d 229 4 , , , cord-021917-z9wpjr0d 229 5 headache headache NN cord-021917-z9wpjr0d 229 6 , , , cord-021917-z9wpjr0d 229 7 myal myal NN cord-021917-z9wpjr0d 229 8 - - HYPH cord-021917-z9wpjr0d 229 9 gias gias NNP cord-021917-z9wpjr0d 229 10 , , , cord-021917-z9wpjr0d 229 11 arthralgias arthralgias NNP cord-021917-z9wpjr0d 229 12 , , , cord-021917-z9wpjr0d 229 13 nausea nausea NN cord-021917-z9wpjr0d 229 14 , , , cord-021917-z9wpjr0d 229 15 and and CC cord-021917-z9wpjr0d 229 16 gastrointestinal gastrointestinal JJ cord-021917-z9wpjr0d 229 17 complaints complaint NNS cord-021917-z9wpjr0d 229 18 are be VBP cord-021917-z9wpjr0d 229 19 prominent prominent JJ cord-021917-z9wpjr0d 229 20 . . . cord-021917-z9wpjr0d 230 1 A a DT cord-021917-z9wpjr0d 230 2 rash rash NN cord-021917-z9wpjr0d 230 3 may may MD cord-021917-z9wpjr0d 230 4 be be VB cord-021917-z9wpjr0d 230 5 present present JJ cord-021917-z9wpjr0d 230 6 . . . cord-021917-z9wpjr0d 231 1 On on IN cord-021917-z9wpjr0d 231 2 exam exam NN cord-021917-z9wpjr0d 231 3 , , , cord-021917-z9wpjr0d 231 4 patients patient NNS cord-021917-z9wpjr0d 231 5 are be VBP cord-021917-z9wpjr0d 231 6 typically typically RB cord-021917-z9wpjr0d 231 7 febrile febrile JJ cord-021917-z9wpjr0d 231 8 , , , cord-021917-z9wpjr0d 231 9 relatively relatively RB cord-021917-z9wpjr0d 231 10 bradycardic bradycardic JJ cord-021917-z9wpjr0d 231 11 , , , cord-021917-z9wpjr0d 231 12 hypotensive hypotensive JJ cord-021917-z9wpjr0d 231 13 , , , cord-021917-z9wpjr0d 231 14 and and CC cord-021917-z9wpjr0d 231 15 tachypnic tachypnic NNP cord-021917-z9wpjr0d 231 16 . . . cord-021917-z9wpjr0d 232 1 As as IN cord-021917-z9wpjr0d 232 2 the the DT cord-021917-z9wpjr0d 232 3 disease disease NN cord-021917-z9wpjr0d 232 4 progresses progress VBZ cord-021917-z9wpjr0d 232 5 , , , cord-021917-z9wpjr0d 232 6 hemorrhagic hemorrhagic JJ cord-021917-z9wpjr0d 232 7 manifestations manifestation NNS cord-021917-z9wpjr0d 232 8 , , , cord-021917-z9wpjr0d 232 9 such such JJ cord-021917-z9wpjr0d 232 10 as as IN cord-021917-z9wpjr0d 232 11 petechiae petechia NNS cord-021917-z9wpjr0d 232 12 , , , cord-021917-z9wpjr0d 232 13 mucosal mucosal JJ cord-021917-z9wpjr0d 232 14 bleeding bleeding NN cord-021917-z9wpjr0d 232 15 , , , cord-021917-z9wpjr0d 232 16 hematuria hematuria NN cord-021917-z9wpjr0d 232 17 , , , cord-021917-z9wpjr0d 232 18 hematemesis hematemesis NN cord-021917-z9wpjr0d 232 19 , , , cord-021917-z9wpjr0d 232 20 and and CC cord-021917-z9wpjr0d 232 21 melena melena NN cord-021917-z9wpjr0d 232 22 , , , cord-021917-z9wpjr0d 232 23 may may MD cord-021917-z9wpjr0d 232 24 appear appear VB cord-021917-z9wpjr0d 232 25 . . . cord-021917-z9wpjr0d 233 1 Eventually eventually RB cord-021917-z9wpjr0d 233 2 , , , cord-021917-z9wpjr0d 233 3 disseminated disseminate VBN cord-021917-z9wpjr0d 233 4 intravascular intravascular JJ cord-021917-z9wpjr0d 233 5 coagulation coagulation NN cord-021917-z9wpjr0d 233 6 , , , cord-021917-z9wpjr0d 233 7 multiorgan multiorgan NN cord-021917-z9wpjr0d 233 8 system system NN cord-021917-z9wpjr0d 233 9 failure failure NN cord-021917-z9wpjr0d 233 10 , , , cord-021917-z9wpjr0d 233 11 and and CC cord-021917-z9wpjr0d 233 12 shock shock NN cord-021917-z9wpjr0d 233 13 may may MD cord-021917-z9wpjr0d 233 14 develop develop VB cord-021917-z9wpjr0d 233 15 . . . cord-021917-z9wpjr0d 234 1 Mortality mortality NN cord-021917-z9wpjr0d 234 2 rates rate NNS cord-021917-z9wpjr0d 234 3 vary vary VBP cord-021917-z9wpjr0d 234 4 greatly greatly RB cord-021917-z9wpjr0d 234 5 , , , cord-021917-z9wpjr0d 234 6 but but CC cord-021917-z9wpjr0d 234 7 in in IN cord-021917-z9wpjr0d 234 8 the the DT cord-021917-z9wpjr0d 234 9 case case NN cord-021917-z9wpjr0d 234 10 of of IN cord-021917-z9wpjr0d 234 11 Ebola Ebola NNP cord-021917-z9wpjr0d 234 12 virus virus NN cord-021917-z9wpjr0d 234 13 they -PRON- PRP cord-021917-z9wpjr0d 234 14 may may MD cord-021917-z9wpjr0d 234 15 be be VB cord-021917-z9wpjr0d 234 16 as as RB cord-021917-z9wpjr0d 234 17 high high JJ cord-021917-z9wpjr0d 234 18 as as IN cord-021917-z9wpjr0d 234 19 90 90 CD cord-021917-z9wpjr0d 234 20 % % NN cord-021917-z9wpjr0d 234 21 . . . cord-021917-z9wpjr0d 235 1 Confirmatory confirmatory JJ cord-021917-z9wpjr0d 235 2 diagnosis diagnosis NN cord-021917-z9wpjr0d 235 3 of of IN cord-021917-z9wpjr0d 235 4 VHFs vhf NNS cord-021917-z9wpjr0d 235 5 must must MD cord-021917-z9wpjr0d 235 6 be be VB cord-021917-z9wpjr0d 235 7 made make VBN cord-021917-z9wpjr0d 235 8 at at IN cord-021917-z9wpjr0d 235 9 specialized specialized JJ cord-021917-z9wpjr0d 235 10 laboratories laboratory NNS cord-021917-z9wpjr0d 235 11 . . . cord-021917-z9wpjr0d 236 1 The the DT cord-021917-z9wpjr0d 236 2 diagnosis diagnosis NN cord-021917-z9wpjr0d 236 3 must must MD cord-021917-z9wpjr0d 236 4 be be VB cord-021917-z9wpjr0d 236 5 suspected suspect VBN cord-021917-z9wpjr0d 236 6 in in IN cord-021917-z9wpjr0d 236 7 any any DT cord-021917-z9wpjr0d 236 8 patient patient NN cord-021917-z9wpjr0d 236 9 presenting present VBG cord-021917-z9wpjr0d 236 10 with with IN cord-021917-z9wpjr0d 236 11 acute acute JJ cord-021917-z9wpjr0d 236 12 fever fever NN cord-021917-z9wpjr0d 236 13 , , , cord-021917-z9wpjr0d 236 14 severe severe JJ cord-021917-z9wpjr0d 236 15 illness illness NN cord-021917-z9wpjr0d 236 16 , , , cord-021917-z9wpjr0d 236 17 and and CC cord-021917-z9wpjr0d 236 18 hemorrhagic hemorrhagic JJ cord-021917-z9wpjr0d 236 19 manifestations manifestation NNS cord-021917-z9wpjr0d 236 20 . . . cord-021917-z9wpjr0d 237 1 Any any DT cord-021917-z9wpjr0d 237 2 patient patient NN cord-021917-z9wpjr0d 237 3 who who WP cord-021917-z9wpjr0d 237 4 presents present VBZ cord-021917-z9wpjr0d 237 5 with with IN cord-021917-z9wpjr0d 237 6 a a DT cord-021917-z9wpjr0d 237 7 VHF vhf NN cord-021917-z9wpjr0d 237 8 who who WP cord-021917-z9wpjr0d 237 9 does do VBZ cord-021917-z9wpjr0d 237 10 not not RB cord-021917-z9wpjr0d 237 11 have have VB cord-021917-z9wpjr0d 237 12 a a DT cord-021917-z9wpjr0d 237 13 travel travel NN cord-021917-z9wpjr0d 237 14 , , , cord-021917-z9wpjr0d 237 15 contact contact NN cord-021917-z9wpjr0d 237 16 , , , cord-021917-z9wpjr0d 237 17 or or CC cord-021917-z9wpjr0d 237 18 exposure exposure NN cord-021917-z9wpjr0d 237 19 history history NN cord-021917-z9wpjr0d 237 20 consistent consistent JJ cord-021917-z9wpjr0d 237 21 with with IN cord-021917-z9wpjr0d 237 22 the the DT cord-021917-z9wpjr0d 237 23 known know VBN cord-021917-z9wpjr0d 237 24 natural natural JJ cord-021917-z9wpjr0d 237 25 occurrence occurrence NN cord-021917-z9wpjr0d 237 26 of of IN cord-021917-z9wpjr0d 237 27 these these DT cord-021917-z9wpjr0d 237 28 illnesses illness NNS cord-021917-z9wpjr0d 237 29 must must MD cord-021917-z9wpjr0d 237 30 be be VB cord-021917-z9wpjr0d 237 31 considered consider VBN cord-021917-z9wpjr0d 237 32 as as IN cord-021917-z9wpjr0d 237 33 the the DT cord-021917-z9wpjr0d 237 34 possible possible JJ cord-021917-z9wpjr0d 237 35 victim victim NN cord-021917-z9wpjr0d 237 36 of of IN cord-021917-z9wpjr0d 237 37 a a DT cord-021917-z9wpjr0d 237 38 BT BT NNP cord-021917-z9wpjr0d 237 39 attack attack NN cord-021917-z9wpjr0d 237 40 . . . cord-021917-z9wpjr0d 238 1 Unfortunately unfortunately RB cord-021917-z9wpjr0d 238 2 , , , cord-021917-z9wpjr0d 238 3 VHFs vhf NNS cord-021917-z9wpjr0d 238 4 have have VBP cord-021917-z9wpjr0d 238 5 a a DT cord-021917-z9wpjr0d 238 6 high high JJ cord-021917-z9wpjr0d 238 7 lethality lethality NN cord-021917-z9wpjr0d 238 8 and and CC cord-021917-z9wpjr0d 238 9 supportive supportive JJ cord-021917-z9wpjr0d 238 10 therapy therapy NN cord-021917-z9wpjr0d 238 11 is be VBZ cord-021917-z9wpjr0d 238 12 the the DT cord-021917-z9wpjr0d 238 13 only only JJ cord-021917-z9wpjr0d 238 14 treatment treatment NN cord-021917-z9wpjr0d 238 15 ( ( -LRB- cord-021917-z9wpjr0d 238 16 see see VB cord-021917-z9wpjr0d 238 17 Table Table NNP cord-021917-z9wpjr0d 238 18 64 64 CD cord-021917-z9wpjr0d 238 19 .2 .2 CD cord-021917-z9wpjr0d 238 20 ) ) -RRB- cord-021917-z9wpjr0d 238 21 . . . cord-021917-z9wpjr0d 239 1 There there EX cord-021917-z9wpjr0d 239 2 is be VBZ cord-021917-z9wpjr0d 239 3 evidence evidence NN cord-021917-z9wpjr0d 239 4 that that IN cord-021917-z9wpjr0d 239 5 ribavirin ribavirin NN cord-021917-z9wpjr0d 239 6 may may MD cord-021917-z9wpjr0d 239 7 have have VB cord-021917-z9wpjr0d 239 8 some some DT cord-021917-z9wpjr0d 239 9 effect effect NN cord-021917-z9wpjr0d 239 10 against against IN cord-021917-z9wpjr0d 239 11 Arenaviridae Arenaviridae NNP cord-021917-z9wpjr0d 239 12 and and CC cord-021917-z9wpjr0d 239 13 Bunyaviridae Bunyaviridae NNP cord-021917-z9wpjr0d 239 14 . . . cord-021917-z9wpjr0d 240 1 No no DT cord-021917-z9wpjr0d 240 2 therapies therapy NNS cord-021917-z9wpjr0d 240 3 have have VBP cord-021917-z9wpjr0d 240 4 been be VBN cord-021917-z9wpjr0d 240 5 shown show VBN cord-021917-z9wpjr0d 240 6 to to TO cord-021917-z9wpjr0d 240 7 be be VB cord-021917-z9wpjr0d 240 8 effective effective JJ cord-021917-z9wpjr0d 240 9 against against IN cord-021917-z9wpjr0d 240 10 the the DT cord-021917-z9wpjr0d 240 11 filoviruses filovirus NNS cord-021917-z9wpjr0d 240 12 or or CC cord-021917-z9wpjr0d 240 13 flaviviruses flavivirus NNS cord-021917-z9wpjr0d 240 14 . . . cord-021917-z9wpjr0d 241 1 Additionally additionally RB cord-021917-z9wpjr0d 241 2 , , , cord-021917-z9wpjr0d 241 3 there there EX cord-021917-z9wpjr0d 241 4 is be VBZ cord-021917-z9wpjr0d 241 5 no no DT cord-021917-z9wpjr0d 241 6 recommended recommend VBN cord-021917-z9wpjr0d 241 7 agent agent NN cord-021917-z9wpjr0d 241 8 or or CC cord-021917-z9wpjr0d 241 9 vaccine vaccine NN cord-021917-z9wpjr0d 241 10 for for IN cord-021917-z9wpjr0d 241 11 postexposure postexposure NN cord-021917-z9wpjr0d 241 12 prophylaxis prophylaxis NN cord-021917-z9wpjr0d 241 13 to to IN cord-021917-z9wpjr0d 241 14 any any DT cord-021917-z9wpjr0d 241 15 of of IN cord-021917-z9wpjr0d 241 16 the the DT cord-021917-z9wpjr0d 241 17 VHFs vhf NNS cord-021917-z9wpjr0d 241 18 . . . cord-021917-z9wpjr0d 242 1 Many many JJ cord-021917-z9wpjr0d 242 2 of of IN cord-021917-z9wpjr0d 242 3 the the DT cord-021917-z9wpjr0d 242 4 operational operational JJ cord-021917-z9wpjr0d 242 5 functions function NNS cord-021917-z9wpjr0d 242 6 for for IN cord-021917-z9wpjr0d 242 7 the the DT cord-021917-z9wpjr0d 242 8 response response NN cord-021917-z9wpjr0d 242 9 to to IN cord-021917-z9wpjr0d 242 10 bioterrorism bioterrorism NN cord-021917-z9wpjr0d 242 11 events event NNS cord-021917-z9wpjr0d 242 12 are be VBP cord-021917-z9wpjr0d 242 13 similar similar JJ cord-021917-z9wpjr0d 242 14 to to IN cord-021917-z9wpjr0d 242 15 those those DT cord-021917-z9wpjr0d 242 16 for for IN cord-021917-z9wpjr0d 242 17 other other JJ cord-021917-z9wpjr0d 242 18 disasters disaster NNS cord-021917-z9wpjr0d 242 19 ( ( -LRB- cord-021917-z9wpjr0d 242 20 intentional intentional JJ cord-021917-z9wpjr0d 242 21 or or CC cord-021917-z9wpjr0d 242 22 natural natural JJ cord-021917-z9wpjr0d 242 23 ) ) -RRB- cord-021917-z9wpjr0d 242 24 , , , cord-021917-z9wpjr0d 242 25 such such JJ cord-021917-z9wpjr0d 242 26 as as IN cord-021917-z9wpjr0d 242 27 requiring require VBG cord-021917-z9wpjr0d 242 28 coordination coordination NN cord-021917-z9wpjr0d 242 29 and and CC cord-021917-z9wpjr0d 242 30 communication communication NN cord-021917-z9wpjr0d 242 31 among among IN cord-021917-z9wpjr0d 242 32 a a DT cord-021917-z9wpjr0d 242 33 number number NN cord-021917-z9wpjr0d 242 34 of of IN cord-021917-z9wpjr0d 242 35 government government NN cord-021917-z9wpjr0d 242 36 agencies agency NNS cord-021917-z9wpjr0d 242 37 , , , cord-021917-z9wpjr0d 242 38 professions profession NNS cord-021917-z9wpjr0d 242 39 , , , cord-021917-z9wpjr0d 242 40 citizens citizen NNS cord-021917-z9wpjr0d 242 41 , , , cord-021917-z9wpjr0d 242 42 and and CC cord-021917-z9wpjr0d 242 43 community community NN cord-021917-z9wpjr0d 242 44 stakeholders stakeholder NNS cord-021917-z9wpjr0d 242 45 for for IN cord-021917-z9wpjr0d 242 46 the the DT cord-021917-z9wpjr0d 242 47 response response NN cord-021917-z9wpjr0d 242 48 . . . cord-021917-z9wpjr0d 243 1 However however RB cord-021917-z9wpjr0d 243 2 , , , cord-021917-z9wpjr0d 243 3 bioterrorism bioterrorism NN cord-021917-z9wpjr0d 243 4 events event NNS cord-021917-z9wpjr0d 243 5 pose pose VBP cord-021917-z9wpjr0d 243 6 specific specific JJ cord-021917-z9wpjr0d 243 7 challenges challenge NNS cord-021917-z9wpjr0d 243 8 for for IN cord-021917-z9wpjr0d 243 9 the the DT cord-021917-z9wpjr0d 243 10 medical medical JJ cord-021917-z9wpjr0d 243 11 response response NN cord-021917-z9wpjr0d 243 12 that that WDT cord-021917-z9wpjr0d 243 13 may may MD cord-021917-z9wpjr0d 243 14 be be VB cord-021917-z9wpjr0d 243 15 serious serious JJ cord-021917-z9wpjr0d 243 16 enough enough RB cord-021917-z9wpjr0d 243 17 that that IN cord-021917-z9wpjr0d 243 18 if if IN cord-021917-z9wpjr0d 243 19 not not RB cord-021917-z9wpjr0d 243 20 addressed address VBN cord-021917-z9wpjr0d 243 21 may may MD cord-021917-z9wpjr0d 243 22 shut shut VB cord-021917-z9wpjr0d 243 23 down down RP cord-021917-z9wpjr0d 243 24 hospitals hospital NNS cord-021917-z9wpjr0d 243 25 and and CC cord-021917-z9wpjr0d 243 26 leave leave VB cord-021917-z9wpjr0d 243 27 many many JJ cord-021917-z9wpjr0d 243 28 victims victim NNS cord-021917-z9wpjr0d 243 29 without without IN cord-021917-z9wpjr0d 243 30 adequate adequate JJ cord-021917-z9wpjr0d 243 31 options option NNS cord-021917-z9wpjr0d 243 32 for for IN cord-021917-z9wpjr0d 243 33 health health NN cord-021917-z9wpjr0d 243 34 care care NN cord-021917-z9wpjr0d 243 35 ( ( -LRB- cord-021917-z9wpjr0d 243 36 Table table NN cord-021917-z9wpjr0d 243 37 64 64 CD cord-021917-z9wpjr0d 243 38 .3 .3 NFP cord-021917-z9wpjr0d 243 39 ) ) -RRB- cord-021917-z9wpjr0d 243 40 . . . cord-021917-z9wpjr0d 244 1 Recognizing recognize VBG cord-021917-z9wpjr0d 244 2 that that IN cord-021917-z9wpjr0d 244 3 a a DT cord-021917-z9wpjr0d 244 4 conventional conventional JJ cord-021917-z9wpjr0d 244 5 disaster disaster NN cord-021917-z9wpjr0d 244 6 has have VBZ cord-021917-z9wpjr0d 244 7 occurred occur VBN cord-021917-z9wpjr0d 244 8 is be VBZ cord-021917-z9wpjr0d 244 9 usually usually RB cord-021917-z9wpjr0d 244 10 immediate immediate JJ cord-021917-z9wpjr0d 244 11 , , , cord-021917-z9wpjr0d 244 12 and and CC cord-021917-z9wpjr0d 244 13 these these DT cord-021917-z9wpjr0d 244 14 events event NNS cord-021917-z9wpjr0d 244 15 are be VBP cord-021917-z9wpjr0d 244 16 limited limit VBN cord-021917-z9wpjr0d 244 17 both both CC cord-021917-z9wpjr0d 244 18 geographically geographically RB cord-021917-z9wpjr0d 244 19 and and CC cord-021917-z9wpjr0d 244 20 temporally temporally RB cord-021917-z9wpjr0d 244 21 . . . cord-021917-z9wpjr0d 245 1 Casualties casualty NNS cord-021917-z9wpjr0d 245 2 have have VBP cord-021917-z9wpjr0d 245 3 traumatic traumatic JJ cord-021917-z9wpjr0d 245 4 injuries injury NNS cord-021917-z9wpjr0d 245 5 , , , cord-021917-z9wpjr0d 245 6 and and CC cord-021917-z9wpjr0d 245 7 a a DT cord-021917-z9wpjr0d 245 8 large large JJ cord-021917-z9wpjr0d 245 9 portion portion NN cord-021917-z9wpjr0d 245 10 of of IN cord-021917-z9wpjr0d 245 11 the the DT cord-021917-z9wpjr0d 245 12 survivors survivor NNS cord-021917-z9wpjr0d 245 13 are be VBP cord-021917-z9wpjr0d 245 14 taken take VBN cord-021917-z9wpjr0d 245 15 to to IN cord-021917-z9wpjr0d 245 16 the the DT cord-021917-z9wpjr0d 245 17 nearest near JJS cord-021917-z9wpjr0d 245 18 health health NN cord-021917-z9wpjr0d 245 19 care care NN cord-021917-z9wpjr0d 245 20 facility facility NN cord-021917-z9wpjr0d 245 21 . . . cord-021917-z9wpjr0d 246 1 Within within IN cord-021917-z9wpjr0d 246 2 hours hour NNS cord-021917-z9wpjr0d 246 3 to to IN cord-021917-z9wpjr0d 246 4 a a DT cord-021917-z9wpjr0d 246 5 few few JJ cord-021917-z9wpjr0d 246 6 days day NNS cord-021917-z9wpjr0d 246 7 , , , cord-021917-z9wpjr0d 246 8 the the DT cord-021917-z9wpjr0d 246 9 number number NN cord-021917-z9wpjr0d 246 10 of of IN cord-021917-z9wpjr0d 246 11 expected expect VBN cord-021917-z9wpjr0d 246 12 casualties casualty NNS cord-021917-z9wpjr0d 246 13 is be VBZ cord-021917-z9wpjr0d 246 14 usually usually RB cord-021917-z9wpjr0d 246 15 known know VBN cord-021917-z9wpjr0d 246 16 . . . cord-021917-z9wpjr0d 247 1 Immediate immediate JJ cord-021917-z9wpjr0d 247 2 death death NN cord-021917-z9wpjr0d 247 3 rates rate NNS cord-021917-z9wpjr0d 247 4 may may MD cord-021917-z9wpjr0d 247 5 be be VB cord-021917-z9wpjr0d 247 6 high high JJ cord-021917-z9wpjr0d 247 7 , , , cord-021917-z9wpjr0d 247 8 especially especially RB cord-021917-z9wpjr0d 247 9 with with IN cord-021917-z9wpjr0d 247 10 structural structural JJ cord-021917-z9wpjr0d 247 11 collapse collapse NN cord-021917-z9wpjr0d 247 12 , , , cord-021917-z9wpjr0d 247 13 but but CC cord-021917-z9wpjr0d 247 14 typically typically RB cord-021917-z9wpjr0d 247 15 only only RB cord-021917-z9wpjr0d 247 16 a a DT cord-021917-z9wpjr0d 247 17 small small JJ cord-021917-z9wpjr0d 247 18 Bioterrorism Bioterrorism NNP cord-021917-z9wpjr0d 247 19 and and CC cord-021917-z9wpjr0d 247 20 the the DT cord-021917-z9wpjr0d 247 21 Intensive Intensive NNP cord-021917-z9wpjr0d 247 22 Care Care NNP cord-021917-z9wpjr0d 247 23 Unit Unit NNP cord-021917-z9wpjr0d 247 24 fraction fraction NN cord-021917-z9wpjr0d 247 25 of of IN cord-021917-z9wpjr0d 247 26 survivors survivor NNS cord-021917-z9wpjr0d 247 27 are be VBP cord-021917-z9wpjr0d 247 28 critically critically RB cord-021917-z9wpjr0d 247 29 ill ill JJ cord-021917-z9wpjr0d 248 1 ( ( -LRB- cord-021917-z9wpjr0d 248 2 injury injury NN cord-021917-z9wpjr0d 248 3 severity severity NN cord-021917-z9wpjr0d 248 4 score score NN cord-021917-z9wpjr0d 248 5 > > XX cord-021917-z9wpjr0d 248 6 15 15 CD cord-021917-z9wpjr0d 248 7 ) ) -RRB- cord-021917-z9wpjr0d 248 8 . . . cord-021917-z9wpjr0d 249 1 Enclosed enclose VBN cord-021917-z9wpjr0d 249 2 space space NN cord-021917-z9wpjr0d 249 3 explosions explosion NNS cord-021917-z9wpjr0d 249 4 may may MD cord-021917-z9wpjr0d 249 5 lead lead VB cord-021917-z9wpjr0d 249 6 to to IN cord-021917-z9wpjr0d 249 7 higher high JJR cord-021917-z9wpjr0d 249 8 proportions proportion NNS cord-021917-z9wpjr0d 249 9 of of IN cord-021917-z9wpjr0d 249 10 survivors survivor NNS cord-021917-z9wpjr0d 249 11 with with IN cord-021917-z9wpjr0d 249 12 critical critical JJ cord-021917-z9wpjr0d 249 13 injuries injury NNS cord-021917-z9wpjr0d 249 14 , , , cord-021917-z9wpjr0d 249 15 but but CC cord-021917-z9wpjr0d 249 16 the the DT cord-021917-z9wpjr0d 249 17 absolute absolute JJ cord-021917-z9wpjr0d 249 18 number number NN cord-021917-z9wpjr0d 249 19 of of IN cord-021917-z9wpjr0d 249 20 critically critically RB cord-021917-z9wpjr0d 249 21 ill ill JJ cord-021917-z9wpjr0d 249 22 patients patient NNS cord-021917-z9wpjr0d 249 23 is be VBZ cord-021917-z9wpjr0d 249 24 usually usually RB cord-021917-z9wpjr0d 249 25 less less JJR cord-021917-z9wpjr0d 249 26 than than IN cord-021917-z9wpjr0d 249 27 100 100 CD cord-021917-z9wpjr0d 249 28 . . . cord-021917-z9wpjr0d 250 1 After after IN cord-021917-z9wpjr0d 250 2 the the DT cord-021917-z9wpjr0d 250 3 initial initial JJ cord-021917-z9wpjr0d 250 4 chaotic chaotic JJ cord-021917-z9wpjr0d 250 5 response response NN cord-021917-z9wpjr0d 250 6 period period NN cord-021917-z9wpjr0d 250 7 , , , cord-021917-z9wpjr0d 250 8 medical medical JJ cord-021917-z9wpjr0d 250 9 staff staff NN cord-021917-z9wpjr0d 250 10 and and CC cord-021917-z9wpjr0d 250 11 equipment equipment NN cord-021917-z9wpjr0d 250 12 are be VBP cord-021917-z9wpjr0d 250 13 usually usually RB cord-021917-z9wpjr0d 250 14 not not RB cord-021917-z9wpjr0d 250 15 in in IN cord-021917-z9wpjr0d 250 16 short short JJ cord-021917-z9wpjr0d 250 17 supply supply NN cord-021917-z9wpjr0d 250 18 . . . cord-021917-z9wpjr0d 251 1 If if IN cord-021917-z9wpjr0d 251 2 local local JJ cord-021917-z9wpjr0d 251 3 hospitals hospital NNS cord-021917-z9wpjr0d 251 4 are be VBP cord-021917-z9wpjr0d 251 5 overwhelmed overwhelmed JJ cord-021917-z9wpjr0d 251 6 , , , cord-021917-z9wpjr0d 251 7 additional additional JJ cord-021917-z9wpjr0d 251 8 staff staff NN cord-021917-z9wpjr0d 251 9 and and CC cord-021917-z9wpjr0d 251 10 resources resource NNS cord-021917-z9wpjr0d 251 11 can can MD cord-021917-z9wpjr0d 251 12 be be VB cord-021917-z9wpjr0d 251 13 transported transport VBN cord-021917-z9wpjr0d 251 14 to to IN cord-021917-z9wpjr0d 251 15 the the DT cord-021917-z9wpjr0d 251 16 disaster disaster NN cord-021917-z9wpjr0d 251 17 area area NN cord-021917-z9wpjr0d 251 18 , , , cord-021917-z9wpjr0d 251 19 or or CC cord-021917-z9wpjr0d 251 20 patients patient NNS cord-021917-z9wpjr0d 251 21 can can MD cord-021917-z9wpjr0d 251 22 be be VB cord-021917-z9wpjr0d 251 23 evacuated evacuate VBN cord-021917-z9wpjr0d 251 24 to to IN cord-021917-z9wpjr0d 251 25 unaffected unaffected JJ cord-021917-z9wpjr0d 251 26 areas area NNS cord-021917-z9wpjr0d 251 27 . . . cord-021917-z9wpjr0d 252 1 The the DT cord-021917-z9wpjr0d 252 2 recovery recovery NN cord-021917-z9wpjr0d 252 3 plans plan VBZ cord-021917-z9wpjr0d 252 4 for for IN cord-021917-z9wpjr0d 252 5 the the DT cord-021917-z9wpjr0d 252 6 affected affected JJ cord-021917-z9wpjr0d 252 7 health health NN cord-021917-z9wpjr0d 252 8 care care NN cord-021917-z9wpjr0d 252 9 facilities facility NNS cord-021917-z9wpjr0d 252 10 are be VBP cord-021917-z9wpjr0d 252 11 usually usually RB cord-021917-z9wpjr0d 252 12 initiated initiate VBN cord-021917-z9wpjr0d 252 13 within within IN cord-021917-z9wpjr0d 252 14 the the DT cord-021917-z9wpjr0d 252 15 same same JJ cord-021917-z9wpjr0d 252 16 day day NN cord-021917-z9wpjr0d 252 17 or or CC cord-021917-z9wpjr0d 252 18 a a DT cord-021917-z9wpjr0d 252 19 few few JJ cord-021917-z9wpjr0d 252 20 days day NNS cord-021917-z9wpjr0d 252 21 following follow VBG cord-021917-z9wpjr0d 252 22 a a DT cord-021917-z9wpjr0d 252 23 conventional conventional JJ cord-021917-z9wpjr0d 252 24 disaster disaster NN cord-021917-z9wpjr0d 252 25 . . . cord-021917-z9wpjr0d 253 1 Unlike unlike IN cord-021917-z9wpjr0d 253 2 conventional conventional JJ cord-021917-z9wpjr0d 253 3 disasters disaster NNS cord-021917-z9wpjr0d 253 4 , , , cord-021917-z9wpjr0d 253 5 a a DT cord-021917-z9wpjr0d 253 6 release release NN cord-021917-z9wpjr0d 253 7 of of IN cord-021917-z9wpjr0d 253 8 a a DT cord-021917-z9wpjr0d 253 9 bioweapons bioweapon NNS cord-021917-z9wpjr0d 253 10 agent agent NN cord-021917-z9wpjr0d 253 11 may may MD cord-021917-z9wpjr0d 253 12 go go VB cord-021917-z9wpjr0d 253 13 undetected undetected JJ cord-021917-z9wpjr0d 253 14 . . . cord-021917-z9wpjr0d 254 1 In in IN cord-021917-z9wpjr0d 254 2 such such JJ cord-021917-z9wpjr0d 254 3 situations situation NNS cord-021917-z9wpjr0d 254 4 , , , cord-021917-z9wpjr0d 254 5 exposed expose VBN cord-021917-z9wpjr0d 254 6 people people NNS cord-021917-z9wpjr0d 254 7 would would MD cord-021917-z9wpjr0d 254 8 present present VB cord-021917-z9wpjr0d 254 9 for for IN cord-021917-z9wpjr0d 254 10 medical medical JJ cord-021917-z9wpjr0d 254 11 care care NN cord-021917-z9wpjr0d 254 12 after after IN cord-021917-z9wpjr0d 254 13 the the DT cord-021917-z9wpjr0d 254 14 incubation incubation NN cord-021917-z9wpjr0d 254 15 period period NN cord-021917-z9wpjr0d 254 16 has have VBZ cord-021917-z9wpjr0d 254 17 passed pass VBN cord-021917-z9wpjr0d 254 18 . . . cord-021917-z9wpjr0d 255 1 Since since IN cord-021917-z9wpjr0d 255 2 people people NNS cord-021917-z9wpjr0d 255 3 travel travel VBP cord-021917-z9wpjr0d 255 4 extensively extensively RB cord-021917-z9wpjr0d 255 5 in in IN cord-021917-z9wpjr0d 255 6 developed develop VBN cord-021917-z9wpjr0d 255 7 countries country NNS cord-021917-z9wpjr0d 255 8 , , , cord-021917-z9wpjr0d 255 9 and and CC cord-021917-z9wpjr0d 255 10 most most JJS cord-021917-z9wpjr0d 255 11 incubation incubation NN cord-021917-z9wpjr0d 255 12 periods period NNS cord-021917-z9wpjr0d 255 13 are be VBP cord-021917-z9wpjr0d 255 14 days day NNS cord-021917-z9wpjr0d 255 15 to to IN cord-021917-z9wpjr0d 255 16 weeks week NNS cord-021917-z9wpjr0d 255 17 , , , cord-021917-z9wpjr0d 255 18 patients patient NNS cord-021917-z9wpjr0d 255 19 are be VBP cord-021917-z9wpjr0d 255 20 likely likely JJ cord-021917-z9wpjr0d 255 21 to to TO cord-021917-z9wpjr0d 255 22 present present VB cord-021917-z9wpjr0d 255 23 to to IN cord-021917-z9wpjr0d 255 24 a a DT cord-021917-z9wpjr0d 255 25 number number NN cord-021917-z9wpjr0d 255 26 of of IN cord-021917-z9wpjr0d 255 27 hospitals hospital NNS cord-021917-z9wpjr0d 255 28 rather rather RB cord-021917-z9wpjr0d 255 29 than than IN cord-021917-z9wpjr0d 255 30 to to IN cord-021917-z9wpjr0d 255 31 the the DT cord-021917-z9wpjr0d 255 32 facility facility NN cord-021917-z9wpjr0d 255 33 located locate VBN cord-021917-z9wpjr0d 255 34 closest close RBS cord-021917-z9wpjr0d 255 35 to to IN cord-021917-z9wpjr0d 255 36 the the DT cord-021917-z9wpjr0d 255 37 release release NN cord-021917-z9wpjr0d 255 38 . . . cord-021917-z9wpjr0d 256 1 Having have VBG cord-021917-z9wpjr0d 256 2 patients patient NNS cord-021917-z9wpjr0d 256 3 distributed distribute VBN cord-021917-z9wpjr0d 256 4 to to IN cord-021917-z9wpjr0d 256 5 a a DT cord-021917-z9wpjr0d 256 6 number number NN cord-021917-z9wpjr0d 256 7 of of IN cord-021917-z9wpjr0d 256 8 hospitals hospital NNS cord-021917-z9wpjr0d 256 9 may may MD cord-021917-z9wpjr0d 256 10 lead lead VB cord-021917-z9wpjr0d 256 11 to to IN cord-021917-z9wpjr0d 256 12 delayed delay VBN cord-021917-z9wpjr0d 256 13 recognition recognition NN cord-021917-z9wpjr0d 256 14 that that IN cord-021917-z9wpjr0d 256 15 a a DT cord-021917-z9wpjr0d 256 16 BT BT NNP cord-021917-z9wpjr0d 256 17 event event NN cord-021917-z9wpjr0d 256 18 has have VBZ cord-021917-z9wpjr0d 256 19 occurred occur VBN cord-021917-z9wpjr0d 256 20 . . . cord-021917-z9wpjr0d 257 1 In in IN cord-021917-z9wpjr0d 257 2 addition addition NN cord-021917-z9wpjr0d 257 3 , , , cord-021917-z9wpjr0d 257 4 most most JJS cord-021917-z9wpjr0d 257 5 diseases disease NNS cord-021917-z9wpjr0d 257 6 resulting result VBG cord-021917-z9wpjr0d 257 7 from from IN cord-021917-z9wpjr0d 257 8 serious serious JJ cord-021917-z9wpjr0d 257 9 bioweapons bioweapon NNS cord-021917-z9wpjr0d 257 10 agents agent NNS cord-021917-z9wpjr0d 257 11 initially initially RB cord-021917-z9wpjr0d 257 12 cause cause VBP cord-021917-z9wpjr0d 257 13 symptoms symptom NNS cord-021917-z9wpjr0d 257 14 and and CC cord-021917-z9wpjr0d 257 15 signs sign NNS cord-021917-z9wpjr0d 257 16 that that WDT cord-021917-z9wpjr0d 257 17 are be VBP cord-021917-z9wpjr0d 257 18 commonly commonly RB cord-021917-z9wpjr0d 257 19 seen see VBN cord-021917-z9wpjr0d 257 20 every every DT cord-021917-z9wpjr0d 257 21 day day NN cord-021917-z9wpjr0d 257 22 in in IN cord-021917-z9wpjr0d 257 23 hospital hospital NN cord-021917-z9wpjr0d 257 24 emergency emergency NN cord-021917-z9wpjr0d 257 25 departments department NNS cord-021917-z9wpjr0d 257 26 and and CC cord-021917-z9wpjr0d 257 27 outpatient outpatient NN cord-021917-z9wpjr0d 257 28 clinics clinic NNS cord-021917-z9wpjr0d 257 29 . . . cord-021917-z9wpjr0d 258 1 There there EX cord-021917-z9wpjr0d 258 2 may may MD cord-021917-z9wpjr0d 258 3 be be VB cord-021917-z9wpjr0d 258 4 no no DT cord-021917-z9wpjr0d 258 5 pathognomonic pathognomonic JJ cord-021917-z9wpjr0d 258 6 signs sign NNS cord-021917-z9wpjr0d 258 7 that that IN cord-021917-z9wpjr0d 258 8 a a DT cord-021917-z9wpjr0d 258 9 bioterrorist bioterrorist NN cord-021917-z9wpjr0d 258 10 event event NN cord-021917-z9wpjr0d 258 11 occurred occur VBD cord-021917-z9wpjr0d 258 12 in in IN cord-021917-z9wpjr0d 258 13 the the DT cord-021917-z9wpjr0d 258 14 sentinel sentinel JJ cord-021917-z9wpjr0d 258 15 patients patient NNS cord-021917-z9wpjr0d 258 16 initially initially RB cord-021917-z9wpjr0d 258 17 presenting present VBG cord-021917-z9wpjr0d 258 18 with with IN cord-021917-z9wpjr0d 258 19 respiratory respiratory JJ cord-021917-z9wpjr0d 258 20 failure failure NN cord-021917-z9wpjr0d 258 21 or or CC cord-021917-z9wpjr0d 258 22 hemodynamic hemodynamic JJ cord-021917-z9wpjr0d 258 23 collapse collapse NN cord-021917-z9wpjr0d 258 24 . . . cord-021917-z9wpjr0d 259 1 No no DT cord-021917-z9wpjr0d 259 2 diagnostic diagnostic JJ cord-021917-z9wpjr0d 259 3 tests test NNS cord-021917-z9wpjr0d 259 4 are be VBP cord-021917-z9wpjr0d 259 5 available available JJ cord-021917-z9wpjr0d 259 6 to to TO cord-021917-z9wpjr0d 259 7 help help VB cord-021917-z9wpjr0d 259 8 clinicians clinician NNS cord-021917-z9wpjr0d 259 9 rapidly rapidly RB cord-021917-z9wpjr0d 259 10 diagnose diagnose VB cord-021917-z9wpjr0d 259 11 most most JJS cord-021917-z9wpjr0d 259 12 diseases disease NNS cord-021917-z9wpjr0d 259 13 , , , cord-021917-z9wpjr0d 259 14 so so IN cord-021917-z9wpjr0d 259 15 a a DT cord-021917-z9wpjr0d 259 16 BT BT NNP cord-021917-z9wpjr0d 259 17 event event NN cord-021917-z9wpjr0d 259 18 may may MD cord-021917-z9wpjr0d 259 19 go go VB cord-021917-z9wpjr0d 259 20 unnoticed unnoticed JJ cord-021917-z9wpjr0d 259 21 until until IN cord-021917-z9wpjr0d 259 22 scores score NNS cord-021917-z9wpjr0d 259 23 of of IN cord-021917-z9wpjr0d 259 24 ill ill JJ cord-021917-z9wpjr0d 259 25 victims victim NNS cord-021917-z9wpjr0d 259 26 arrive arrive VBP cord-021917-z9wpjr0d 259 27 at at IN cord-021917-z9wpjr0d 259 28 hospitals hospital NNS cord-021917-z9wpjr0d 259 29 . . . cord-021917-z9wpjr0d 260 1 The the DT cord-021917-z9wpjr0d 260 2 presentation presentation NN cord-021917-z9wpjr0d 260 3 of of IN cord-021917-z9wpjr0d 260 4 multiple multiple JJ cord-021917-z9wpjr0d 260 5 previously previously RB cord-021917-z9wpjr0d 260 6 healthy healthy JJ cord-021917-z9wpjr0d 260 7 patients patient NNS cord-021917-z9wpjr0d 260 8 with with IN cord-021917-z9wpjr0d 260 9 unusual unusual JJ cord-021917-z9wpjr0d 260 10 and and CC cord-021917-z9wpjr0d 260 11 severe severe JJ cord-021917-z9wpjr0d 260 12 symptoms symptom NNS cord-021917-z9wpjr0d 260 13 should should MD cord-021917-z9wpjr0d 260 14 prompt prompt VB cord-021917-z9wpjr0d 260 15 suspicion suspicion NN cord-021917-z9wpjr0d 260 16 . . . cord-021917-z9wpjr0d 261 1 Because because IN cord-021917-z9wpjr0d 261 2 of of IN cord-021917-z9wpjr0d 261 3 the the DT cord-021917-z9wpjr0d 261 4 specialized specialized JJ cord-021917-z9wpjr0d 261 5 diagnostic diagnostic JJ cord-021917-z9wpjr0d 261 6 techniques technique NNS cord-021917-z9wpjr0d 261 7 required require VBN cord-021917-z9wpjr0d 261 8 for for IN cord-021917-z9wpjr0d 261 9 these these DT cord-021917-z9wpjr0d 261 10 organisms organism NNS cord-021917-z9wpjr0d 261 11 , , , cord-021917-z9wpjr0d 261 12 and and CC cord-021917-z9wpjr0d 261 13 the the DT cord-021917-z9wpjr0d 261 14 biosafety biosafety NN cord-021917-z9wpjr0d 261 15 precautions precaution NNS cord-021917-z9wpjr0d 261 16 that that WDT cord-021917-z9wpjr0d 261 17 are be VBP cord-021917-z9wpjr0d 261 18 frequently frequently RB cord-021917-z9wpjr0d 261 19 beyond beyond IN cord-021917-z9wpjr0d 261 20 the the DT cord-021917-z9wpjr0d 261 21 capabilities capability NNS cord-021917-z9wpjr0d 261 22 of of IN cord-021917-z9wpjr0d 261 23 most most JJS cord-021917-z9wpjr0d 261 24 hospital hospital NN cord-021917-z9wpjr0d 261 25 - - HYPH cord-021917-z9wpjr0d 261 26 based base VBN cord-021917-z9wpjr0d 261 27 clinical clinical JJ cord-021917-z9wpjr0d 261 28 laboratories laboratory NNS cord-021917-z9wpjr0d 261 29 , , , cord-021917-z9wpjr0d 261 30 confirmatory confirmatory JJ cord-021917-z9wpjr0d 261 31 diagnostic diagnostic JJ cord-021917-z9wpjr0d 261 32 testing testing NN cord-021917-z9wpjr0d 261 33 for for IN cord-021917-z9wpjr0d 261 34 the the DT cord-021917-z9wpjr0d 261 35 category category NN cord-021917-z9wpjr0d 262 1 A a DT cord-021917-z9wpjr0d 262 2 agents agent NNS cord-021917-z9wpjr0d 262 3 in in IN cord-021917-z9wpjr0d 262 4 the the DT cord-021917-z9wpjr0d 262 5 United United NNP cord-021917-z9wpjr0d 262 6 States States NNP cord-021917-z9wpjr0d 262 7 is be VBZ cord-021917-z9wpjr0d 262 8 handled handle VBN cord-021917-z9wpjr0d 262 9 at at IN cord-021917-z9wpjr0d 262 10 laboratories laboratory NNS cord-021917-z9wpjr0d 262 11 of of IN cord-021917-z9wpjr0d 262 12 the the DT cord-021917-z9wpjr0d 262 13 National National NNP cord-021917-z9wpjr0d 262 14 Laboratory Laboratory NNP cord-021917-z9wpjr0d 262 15 Response Response NNP cord-021917-z9wpjr0d 262 16 Network Network NNP cord-021917-z9wpjr0d 262 17 , , , cord-021917-z9wpjr0d 262 18 which which WDT cord-021917-z9wpjr0d 262 19 includes include VBZ cord-021917-z9wpjr0d 262 20 local local JJ cord-021917-z9wpjr0d 262 21 and and CC cord-021917-z9wpjr0d 262 22 state state NN cord-021917-z9wpjr0d 262 23 labs lab NNS cord-021917-z9wpjr0d 262 24 as as RB cord-021917-z9wpjr0d 262 25 well well RB cord-021917-z9wpjr0d 262 26 as as IN cord-021917-z9wpjr0d 262 27 federal federal JJ cord-021917-z9wpjr0d 262 28 facilities facility NNS cord-021917-z9wpjr0d 262 29 , , , cord-021917-z9wpjr0d 262 30 such such JJ cord-021917-z9wpjr0d 262 31 as as IN cord-021917-z9wpjr0d 262 32 the the DT cord-021917-z9wpjr0d 262 33 U.S. U.S. NNP cord-021917-z9wpjr0d 262 34 Army Army NNP cord-021917-z9wpjr0d 262 35 Medical Medical NNP cord-021917-z9wpjr0d 262 36 Research Research NNP cord-021917-z9wpjr0d 262 37 Institute Institute NNP cord-021917-z9wpjr0d 262 38 of of IN cord-021917-z9wpjr0d 262 39 Infectious Infectious NNP cord-021917-z9wpjr0d 262 40 Diseases Diseases NNPS cord-021917-z9wpjr0d 262 41 and and CC cord-021917-z9wpjr0d 262 42 the the DT cord-021917-z9wpjr0d 262 43 CDC CDC NNP cord-021917-z9wpjr0d 262 44 . . . cord-021917-z9wpjr0d 263 1 There there EX cord-021917-z9wpjr0d 263 2 will will MD cord-021917-z9wpjr0d 263 3 necessarily necessarily RB cord-021917-z9wpjr0d 263 4 be be VB cord-021917-z9wpjr0d 263 5 a a DT cord-021917-z9wpjr0d 263 6 delay delay NN cord-021917-z9wpjr0d 263 7 in in IN cord-021917-z9wpjr0d 263 8 final final JJ cord-021917-z9wpjr0d 263 9 diagnosis diagnosis NN cord-021917-z9wpjr0d 263 10 because because IN cord-021917-z9wpjr0d 263 11 samples sample NNS cord-021917-z9wpjr0d 263 12 for for IN cord-021917-z9wpjr0d 263 13 confirmatory confirmatory JJ cord-021917-z9wpjr0d 263 14 testing testing NN cord-021917-z9wpjr0d 263 15 must must MD cord-021917-z9wpjr0d 263 16 be be VB cord-021917-z9wpjr0d 263 17 sent send VBN cord-021917-z9wpjr0d 263 18 to to IN cord-021917-z9wpjr0d 263 19 off off IN cord-021917-z9wpjr0d 263 20 - - HYPH cord-021917-z9wpjr0d 263 21 site site NN cord-021917-z9wpjr0d 263 22 laboratories laboratory NNS cord-021917-z9wpjr0d 263 23 . . . cord-021917-z9wpjr0d 264 1 This this DT cord-021917-z9wpjr0d 264 2 increases increase VBZ cord-021917-z9wpjr0d 264 3 the the DT cord-021917-z9wpjr0d 264 4 importance importance NN cord-021917-z9wpjr0d 264 5 of of IN cord-021917-z9wpjr0d 264 6 accurate accurate JJ cord-021917-z9wpjr0d 264 7 clinical clinical JJ cord-021917-z9wpjr0d 264 8 diagnoses diagnosis NNS cord-021917-z9wpjr0d 264 9 and and CC cord-021917-z9wpjr0d 264 10 proceeding proceed VBG cord-021917-z9wpjr0d 264 11 with with IN cord-021917-z9wpjr0d 264 12 management management NN cord-021917-z9wpjr0d 264 13 on on IN cord-021917-z9wpjr0d 264 14 the the DT cord-021917-z9wpjr0d 264 15 basis basis NN cord-021917-z9wpjr0d 264 16 of of IN cord-021917-z9wpjr0d 264 17 clinical clinical JJ cord-021917-z9wpjr0d 264 18 suspicion suspicion NN cord-021917-z9wpjr0d 264 19 . . . cord-021917-z9wpjr0d 265 1 Prompt prompt JJ cord-021917-z9wpjr0d 265 2 diagnosis diagnosis NN cord-021917-z9wpjr0d 265 3 is be VBZ cord-021917-z9wpjr0d 265 4 critical critical JJ cord-021917-z9wpjr0d 265 5 not not RB cord-021917-z9wpjr0d 265 6 only only RB cord-021917-z9wpjr0d 265 7 for for IN cord-021917-z9wpjr0d 265 8 appropriate appropriate JJ cord-021917-z9wpjr0d 265 9 care care NN cord-021917-z9wpjr0d 265 10 of of IN cord-021917-z9wpjr0d 265 11 individual individual JJ cord-021917-z9wpjr0d 265 12 patients patient NNS cord-021917-z9wpjr0d 265 13 but but CC cord-021917-z9wpjr0d 265 14 also also RB cord-021917-z9wpjr0d 265 15 for for IN cord-021917-z9wpjr0d 265 16 instituting institute VBG cord-021917-z9wpjr0d 265 17 an an DT cord-021917-z9wpjr0d 265 18 epidemiological epidemiological JJ cord-021917-z9wpjr0d 265 19 investigation investigation NN cord-021917-z9wpjr0d 265 20 . . . cord-021917-z9wpjr0d 266 1 The the DT cord-021917-z9wpjr0d 266 2 community community NN cord-021917-z9wpjr0d 266 3 or or CC cord-021917-z9wpjr0d 266 4 nationwide nationwide JJ cord-021917-z9wpjr0d 266 5 response response NN cord-021917-z9wpjr0d 266 6 hinges hinge NNS cord-021917-z9wpjr0d 266 7 on on IN cord-021917-z9wpjr0d 266 8 the the DT cord-021917-z9wpjr0d 266 9 results result NNS cord-021917-z9wpjr0d 266 10 of of IN cord-021917-z9wpjr0d 266 11 this this DT cord-021917-z9wpjr0d 266 12 rapid rapid JJ cord-021917-z9wpjr0d 266 13 investigation investigation NN cord-021917-z9wpjr0d 266 14 . . . cord-021917-z9wpjr0d 267 1 Once once IN cord-021917-z9wpjr0d 267 2 the the DT cord-021917-z9wpjr0d 267 3 source source NN cord-021917-z9wpjr0d 267 4 , , , cord-021917-z9wpjr0d 267 5 agent agent NN cord-021917-z9wpjr0d 267 6 , , , cord-021917-z9wpjr0d 267 7 and and CC cord-021917-z9wpjr0d 267 8 location location NN cord-021917-z9wpjr0d 267 9 of of IN cord-021917-z9wpjr0d 267 10 a a DT cord-021917-z9wpjr0d 267 11 BT BT NNP cord-021917-z9wpjr0d 267 12 attack attack NN cord-021917-z9wpjr0d 267 13 have have VBP cord-021917-z9wpjr0d 267 14 been be VBN cord-021917-z9wpjr0d 267 15 deduced deduce VBN cord-021917-z9wpjr0d 267 16 , , , cord-021917-z9wpjr0d 267 17 other other JJ cord-021917-z9wpjr0d 267 18 clinicians clinician NNS cord-021917-z9wpjr0d 267 19 can can MD cord-021917-z9wpjr0d 267 20 be be VB cord-021917-z9wpjr0d 267 21 notified notify VBN cord-021917-z9wpjr0d 267 22 , , , cord-021917-z9wpjr0d 267 23 resources resource NNS cord-021917-z9wpjr0d 267 24 can can MD cord-021917-z9wpjr0d 267 25 be be VB cord-021917-z9wpjr0d 267 26 mobilized mobilize VBN cord-021917-z9wpjr0d 267 27 , , , cord-021917-z9wpjr0d 267 28 and and CC cord-021917-z9wpjr0d 267 29 the the DT cord-021917-z9wpjr0d 267 30 at at IN cord-021917-z9wpjr0d 267 31 - - HYPH cord-021917-z9wpjr0d 267 32 risk risk NN cord-021917-z9wpjr0d 267 33 population population NN cord-021917-z9wpjr0d 267 34 can can MD cord-021917-z9wpjr0d 267 35 receive receive VB cord-021917-z9wpjr0d 267 36 postexposure postexposure NN cord-021917-z9wpjr0d 267 37 prophylaxis prophylaxis NN cord-021917-z9wpjr0d 267 38 . . . cord-021917-z9wpjr0d 268 1 The the DT cord-021917-z9wpjr0d 268 2 difficulties difficulty NNS cord-021917-z9wpjr0d 268 3 of of IN cord-021917-z9wpjr0d 268 4 recognizing recognize VBG cord-021917-z9wpjr0d 268 5 initial initial JJ cord-021917-z9wpjr0d 268 6 exposures exposure NNS cord-021917-z9wpjr0d 268 7 to to IN cord-021917-z9wpjr0d 268 8 a a DT cord-021917-z9wpjr0d 268 9 BT BT NNP cord-021917-z9wpjr0d 268 10 attack attack NN cord-021917-z9wpjr0d 268 11 have have VBP cord-021917-z9wpjr0d 268 12 profound profound JJ cord-021917-z9wpjr0d 268 13 implications implication NNS cord-021917-z9wpjr0d 268 14 for for IN cord-021917-z9wpjr0d 268 15 hospital hospital NN cord-021917-z9wpjr0d 268 16 functionality functionality NN cord-021917-z9wpjr0d 268 17 , , , cord-021917-z9wpjr0d 268 18 particularly particularly RB cord-021917-z9wpjr0d 268 19 if if IN cord-021917-z9wpjr0d 268 20 the the DT cord-021917-z9wpjr0d 268 21 pathogen pathogen NN cord-021917-z9wpjr0d 268 22 is be VBZ cord-021917-z9wpjr0d 268 23 contagious contagious JJ cord-021917-z9wpjr0d 268 24 . . . cord-021917-z9wpjr0d 269 1 Health health NN cord-021917-z9wpjr0d 269 2 care care NN cord-021917-z9wpjr0d 269 3 workers worker NNS cord-021917-z9wpjr0d 269 4 ( ( -LRB- cord-021917-z9wpjr0d 269 5 HCWs HCWs NNPS cord-021917-z9wpjr0d 269 6 ) ) -RRB- cord-021917-z9wpjr0d 269 7 and and CC cord-021917-z9wpjr0d 269 8 other other JJ cord-021917-z9wpjr0d 269 9 patients patient NNS cord-021917-z9wpjr0d 269 10 without without IN cord-021917-z9wpjr0d 269 11 adequate adequate JJ cord-021917-z9wpjr0d 269 12 infection infection NN cord-021917-z9wpjr0d 269 13 control control NN cord-021917-z9wpjr0d 269 14 protections protection NNS cord-021917-z9wpjr0d 269 15 may may MD cord-021917-z9wpjr0d 269 16 be be VB cord-021917-z9wpjr0d 269 17 exposed expose VBN cord-021917-z9wpjr0d 269 18 to to IN cord-021917-z9wpjr0d 269 19 contagious contagious JJ cord-021917-z9wpjr0d 269 20 patients patient NNS cord-021917-z9wpjr0d 269 21 . . . cord-021917-z9wpjr0d 270 1 During during IN cord-021917-z9wpjr0d 270 2 an an DT cord-021917-z9wpjr0d 270 3 outbreak outbreak NN cord-021917-z9wpjr0d 270 4 of of IN cord-021917-z9wpjr0d 270 5 severe severe JJ cord-021917-z9wpjr0d 270 6 acute acute JJ cord-021917-z9wpjr0d 270 7 respiratory respiratory JJ cord-021917-z9wpjr0d 270 8 syndrome syndrome NN cord-021917-z9wpjr0d 270 9 ( ( -LRB- cord-021917-z9wpjr0d 270 10 SARS SARS NNP cord-021917-z9wpjr0d 270 11 ) ) -RRB- cord-021917-z9wpjr0d 270 12 , , , cord-021917-z9wpjr0d 270 13 unprotected unprotected JJ cord-021917-z9wpjr0d 270 14 exposure exposure NN cord-021917-z9wpjr0d 270 15 of of IN cord-021917-z9wpjr0d 270 16 HCWs hcw NNS cord-021917-z9wpjr0d 270 17 and and CC cord-021917-z9wpjr0d 270 18 hospitalized hospitalize VBD cord-021917-z9wpjr0d 270 19 patients patient NNS cord-021917-z9wpjr0d 270 20 to to IN cord-021917-z9wpjr0d 270 21 patients patient NNS cord-021917-z9wpjr0d 270 22 with with IN cord-021917-z9wpjr0d 270 23 SARS SARS NNP cord-021917-z9wpjr0d 270 24 was be VBD cord-021917-z9wpjr0d 270 25 thought think VBN cord-021917-z9wpjr0d 270 26 to to TO cord-021917-z9wpjr0d 270 27 be be VB cord-021917-z9wpjr0d 270 28 the the DT cord-021917-z9wpjr0d 270 29 major major JJ cord-021917-z9wpjr0d 270 30 risk risk NN cord-021917-z9wpjr0d 270 31 to to IN cord-021917-z9wpjr0d 270 32 a a DT cord-021917-z9wpjr0d 270 33 hospital hospital NN cord-021917-z9wpjr0d 270 34 remaining remain VBG cord-021917-z9wpjr0d 270 35 open open JJ cord-021917-z9wpjr0d 270 36 . . . cord-021917-z9wpjr0d 271 1 Most Most JJS cord-021917-z9wpjr0d 271 2 victims victim NNS cord-021917-z9wpjr0d 271 3 of of IN cord-021917-z9wpjr0d 271 4 serious serious JJ cord-021917-z9wpjr0d 271 5 bioweapons bioweapon NNS cord-021917-z9wpjr0d 271 6 attacks attack NNS cord-021917-z9wpjr0d 271 7 ( ( -LRB- cord-021917-z9wpjr0d 271 8 e.g. e.g. RB cord-021917-z9wpjr0d 271 9 , , , cord-021917-z9wpjr0d 271 10 anthrax anthrax NN cord-021917-z9wpjr0d 271 11 , , , cord-021917-z9wpjr0d 271 12 plague plague NN cord-021917-z9wpjr0d 271 13 , , , cord-021917-z9wpjr0d 271 14 smallpox smallpox NN cord-021917-z9wpjr0d 271 15 , , , cord-021917-z9wpjr0d 271 16 botulism botulism NN cord-021917-z9wpjr0d 271 17 toxin toxin NN cord-021917-z9wpjr0d 271 18 , , , cord-021917-z9wpjr0d 271 19 tularemia tularemia NN cord-021917-z9wpjr0d 271 20 , , , cord-021917-z9wpjr0d 271 21 and and CC cord-021917-z9wpjr0d 271 22 VHFs VHFs NNP cord-021917-z9wpjr0d 271 23 ) ) -RRB- cord-021917-z9wpjr0d 271 24 will will MD cord-021917-z9wpjr0d 271 25 develop develop VB cord-021917-z9wpjr0d 271 26 illness illness NN cord-021917-z9wpjr0d 271 27 that that WDT cord-021917-z9wpjr0d 271 28 is be VBZ cord-021917-z9wpjr0d 271 29 rapidly rapidly RB cord-021917-z9wpjr0d 271 30 progressive progressive JJ cord-021917-z9wpjr0d 271 31 ( ( -LRB- cord-021917-z9wpjr0d 271 32 ultimately ultimately RB cord-021917-z9wpjr0d 271 33 requiring require VBG cord-021917-z9wpjr0d 271 34 mechanical mechanical JJ cord-021917-z9wpjr0d 271 35 ventilation ventilation NN cord-021917-z9wpjr0d 271 36 , , , cord-021917-z9wpjr0d 271 37 hemodynamic hemodynamic JJ cord-021917-z9wpjr0d 271 38 support support NN cord-021917-z9wpjr0d 271 39 , , , cord-021917-z9wpjr0d 271 40 or or CC cord-021917-z9wpjr0d 271 41 other other JJ cord-021917-z9wpjr0d 271 42 aggressive aggressive JJ cord-021917-z9wpjr0d 271 43 therapeutic therapeutic JJ cord-021917-z9wpjr0d 271 44 interventions intervention NNS cord-021917-z9wpjr0d 271 45 ) ) -RRB- cord-021917-z9wpjr0d 271 46 if if IN cord-021917-z9wpjr0d 271 47 they -PRON- PRP cord-021917-z9wpjr0d 271 48 do do VBP cord-021917-z9wpjr0d 271 49 not not RB cord-021917-z9wpjr0d 271 50 receive receive VB cord-021917-z9wpjr0d 271 51 early early JJ cord-021917-z9wpjr0d 271 52 medical medical JJ cord-021917-z9wpjr0d 271 53 intervention intervention NN cord-021917-z9wpjr0d 271 54 or or CC cord-021917-z9wpjr0d 271 55 if if IN cord-021917-z9wpjr0d 271 56 no no DT cord-021917-z9wpjr0d 271 57 disease disease NN cord-021917-z9wpjr0d 271 58 - - HYPH cord-021917-z9wpjr0d 271 59 specific specific JJ cord-021917-z9wpjr0d 271 60 medical medical JJ cord-021917-z9wpjr0d 271 61 countermeasures countermeasure NNS cord-021917-z9wpjr0d 271 62 exist exist VBP cord-021917-z9wpjr0d 271 63 . . . cord-021917-z9wpjr0d 272 1 These these DT cord-021917-z9wpjr0d 272 2 critically critically RB cord-021917-z9wpjr0d 272 3 ill ill JJ cord-021917-z9wpjr0d 272 4 patients patient NNS cord-021917-z9wpjr0d 272 5 will will MD cord-021917-z9wpjr0d 272 6 also also RB cord-021917-z9wpjr0d 272 7 likely likely RB cord-021917-z9wpjr0d 272 8 require require VB cord-021917-z9wpjr0d 272 9 extended extend VBN cord-021917-z9wpjr0d 272 10 critical critical JJ cord-021917-z9wpjr0d 272 11 care care NN cord-021917-z9wpjr0d 272 12 for for IN cord-021917-z9wpjr0d 272 13 survival survival NN cord-021917-z9wpjr0d 272 14 . . . cord-021917-z9wpjr0d 273 1 Few few JJ cord-021917-z9wpjr0d 273 2 hospitals hospital NNS cord-021917-z9wpjr0d 273 3 can can MD cord-021917-z9wpjr0d 273 4 provide provide VB cord-021917-z9wpjr0d 273 5 even even RB cord-021917-z9wpjr0d 273 6 usual usual JJ cord-021917-z9wpjr0d 273 7 critical critical JJ cord-021917-z9wpjr0d 273 8 care care NN cord-021917-z9wpjr0d 273 9 services service NNS cord-021917-z9wpjr0d 273 10 for for IN cord-021917-z9wpjr0d 273 11 an an DT cord-021917-z9wpjr0d 273 12 additional additional JJ cord-021917-z9wpjr0d 273 13 100 100 CD cord-021917-z9wpjr0d 273 14 critically critically RB cord-021917-z9wpjr0d 273 15 ill ill JJ cord-021917-z9wpjr0d 273 16 BT BT NNP cord-021917-z9wpjr0d 273 17 victims victim NNS cord-021917-z9wpjr0d 273 18 , , , cord-021917-z9wpjr0d 273 19 especially especially RB cord-021917-z9wpjr0d 273 20 if if IN cord-021917-z9wpjr0d 273 21 the the DT cord-021917-z9wpjr0d 273 22 pathogen pathogen NN cord-021917-z9wpjr0d 273 23 is be VBZ cord-021917-z9wpjr0d 273 24 contagious contagious JJ cord-021917-z9wpjr0d 273 25 . . . cord-021917-z9wpjr0d 274 1 In in IN cord-021917-z9wpjr0d 274 2 the the DT cord-021917-z9wpjr0d 274 3 aftermath aftermath NN cord-021917-z9wpjr0d 274 4 of of IN cord-021917-z9wpjr0d 274 5 a a DT cord-021917-z9wpjr0d 274 6 BT BT NNP cord-021917-z9wpjr0d 274 7 event event NN cord-021917-z9wpjr0d 274 8 , , , cord-021917-z9wpjr0d 274 9 it -PRON- PRP cord-021917-z9wpjr0d 274 10 may may MD cord-021917-z9wpjr0d 274 11 be be VB cord-021917-z9wpjr0d 274 12 very very RB cord-021917-z9wpjr0d 274 13 difficult difficult JJ cord-021917-z9wpjr0d 274 14 to to TO cord-021917-z9wpjr0d 274 15 ascertain ascertain VB cord-021917-z9wpjr0d 274 16 the the DT cord-021917-z9wpjr0d 274 17 extent extent NN cord-021917-z9wpjr0d 274 18 of of IN cord-021917-z9wpjr0d 274 19 the the DT cord-021917-z9wpjr0d 274 20 exposure exposure NN cord-021917-z9wpjr0d 274 21 . . . cord-021917-z9wpjr0d 275 1 Incubation incubation NN cord-021917-z9wpjr0d 275 2 periods period NNS cord-021917-z9wpjr0d 275 3 have have VBP cord-021917-z9wpjr0d 275 4 a a DT cord-021917-z9wpjr0d 275 5 range range NN cord-021917-z9wpjr0d 275 6 , , , cord-021917-z9wpjr0d 275 7 so so CC cord-021917-z9wpjr0d 275 8 the the DT cord-021917-z9wpjr0d 275 9 first first JJ cord-021917-z9wpjr0d 275 10 cases case NNS cord-021917-z9wpjr0d 275 11 may may MD cord-021917-z9wpjr0d 275 12 simply simply RB cord-021917-z9wpjr0d 275 13 represent represent VB cord-021917-z9wpjr0d 275 14 the the DT cord-021917-z9wpjr0d 275 15 tails tail NNS cord-021917-z9wpjr0d 275 16 of of IN cord-021917-z9wpjr0d 275 17 the the DT cord-021917-z9wpjr0d 275 18 Gaussian gaussian JJ cord-021917-z9wpjr0d 275 19 distribution distribution NN cord-021917-z9wpjr0d 275 20 , , , cord-021917-z9wpjr0d 275 21 and and CC cord-021917-z9wpjr0d 275 22 many many JJ cord-021917-z9wpjr0d 275 23 more more JJR cord-021917-z9wpjr0d 275 24 patients patient NNS cord-021917-z9wpjr0d 275 25 may may MD cord-021917-z9wpjr0d 275 26 require require VB cord-021917-z9wpjr0d 275 27 care care NN cord-021917-z9wpjr0d 275 28 in in IN cord-021917-z9wpjr0d 275 29 the the DT cord-021917-z9wpjr0d 275 30 following follow VBG cord-021917-z9wpjr0d 275 31 days day NNS cord-021917-z9wpjr0d 275 32 . . . cord-021917-z9wpjr0d 276 1 Some some DT cord-021917-z9wpjr0d 276 2 ill ill JJ cord-021917-z9wpjr0d 276 3 patients patient NNS cord-021917-z9wpjr0d 276 4 may may MD cord-021917-z9wpjr0d 276 5 go go VB cord-021917-z9wpjr0d 276 6 unrecognized unrecognized JJ cord-021917-z9wpjr0d 276 7 as as IN cord-021917-z9wpjr0d 276 8 cases case NNS cord-021917-z9wpjr0d 276 9 , , , cord-021917-z9wpjr0d 276 10 and and CC cord-021917-z9wpjr0d 276 11 patients patient NNS cord-021917-z9wpjr0d 276 12 may may MD cord-021917-z9wpjr0d 276 13 arrive arrive VB cord-021917-z9wpjr0d 276 14 at at IN cord-021917-z9wpjr0d 276 15 hospitals hospital NNS cord-021917-z9wpjr0d 276 16 in in IN cord-021917-z9wpjr0d 276 17 a a DT cord-021917-z9wpjr0d 276 18 larger large JJR cord-021917-z9wpjr0d 276 19 geographical geographical JJ cord-021917-z9wpjr0d 276 20 area area NN cord-021917-z9wpjr0d 276 21 than than IN cord-021917-z9wpjr0d 276 22 is be VBZ cord-021917-z9wpjr0d 276 23 typical typical JJ cord-021917-z9wpjr0d 276 24 after after IN cord-021917-z9wpjr0d 276 25 a a DT cord-021917-z9wpjr0d 276 26 conventional conventional JJ cord-021917-z9wpjr0d 276 27 disaster disaster NN cord-021917-z9wpjr0d 276 28 . . . cord-021917-z9wpjr0d 277 1 The the DT cord-021917-z9wpjr0d 277 2 initially initially RB cord-021917-z9wpjr0d 277 3 affected affect VBN cord-021917-z9wpjr0d 277 4 area area NN cord-021917-z9wpjr0d 277 5 may may MD cord-021917-z9wpjr0d 277 6 be be VB cord-021917-z9wpjr0d 277 7 quickly quickly RB cord-021917-z9wpjr0d 277 8 overwhelmed overwhelmed JJ cord-021917-z9wpjr0d 277 9 because because IN cord-021917-z9wpjr0d 277 10 of of IN cord-021917-z9wpjr0d 277 11 shortages shortage NNS cord-021917-z9wpjr0d 277 12 of of IN cord-021917-z9wpjr0d 277 13 critical critical JJ cord-021917-z9wpjr0d 277 14 care care NN cord-021917-z9wpjr0d 277 15 resources resource NNS cord-021917-z9wpjr0d 277 16 . . . cord-021917-z9wpjr0d 278 1 The the DT cord-021917-z9wpjr0d 278 2 unaffected unaffected JJ cord-021917-z9wpjr0d 278 3 regions region NNS cord-021917-z9wpjr0d 278 4 may may MD cord-021917-z9wpjr0d 278 5 choose choose VB cord-021917-z9wpjr0d 278 6 to to TO cord-021917-z9wpjr0d 278 7 wait wait VB cord-021917-z9wpjr0d 278 8 to to TO cord-021917-z9wpjr0d 278 9 offer offer VB cord-021917-z9wpjr0d 278 10 help help NN cord-021917-z9wpjr0d 278 11 until until IN cord-021917-z9wpjr0d 278 12 the the DT cord-021917-z9wpjr0d 278 13 size size NN cord-021917-z9wpjr0d 278 14 of of IN cord-021917-z9wpjr0d 278 15 the the DT cord-021917-z9wpjr0d 278 16 event event NN cord-021917-z9wpjr0d 278 17 becomes become VBZ cord-021917-z9wpjr0d 278 18 better well RBR cord-021917-z9wpjr0d 278 19 delineated delineate VBN cord-021917-z9wpjr0d 278 20 so so IN cord-021917-z9wpjr0d 278 21 that that IN cord-021917-z9wpjr0d 278 22 they -PRON- PRP cord-021917-z9wpjr0d 278 23 do do VBP cord-021917-z9wpjr0d 278 24 not not RB cord-021917-z9wpjr0d 278 25 send send VB cord-021917-z9wpjr0d 278 26 staff staff NN cord-021917-z9wpjr0d 278 27 and and CC cord-021917-z9wpjr0d 278 28 resources resource NNS cord-021917-z9wpjr0d 278 29 away away RB cord-021917-z9wpjr0d 278 30 until until IN cord-021917-z9wpjr0d 278 31 they -PRON- PRP cord-021917-z9wpjr0d 278 32 are be VBP cord-021917-z9wpjr0d 278 33 certain certain JJ cord-021917-z9wpjr0d 278 34 they -PRON- PRP cord-021917-z9wpjr0d 278 35 were be VBD cord-021917-z9wpjr0d 278 36 unaffected unaffected JJ cord-021917-z9wpjr0d 278 37 . . . cord-021917-z9wpjr0d 279 1 Furthermore furthermore RB cord-021917-z9wpjr0d 279 2 , , , cord-021917-z9wpjr0d 279 3 if if IN cord-021917-z9wpjr0d 279 4 the the DT cord-021917-z9wpjr0d 279 5 pathogen pathogen NN cord-021917-z9wpjr0d 279 6 is be VBZ cord-021917-z9wpjr0d 279 7 contagious contagious JJ cord-021917-z9wpjr0d 279 8 , , , cord-021917-z9wpjr0d 279 9 resources resource NNS cord-021917-z9wpjr0d 279 10 in in IN cord-021917-z9wpjr0d 279 11 affected affect VBN cord-021917-z9wpjr0d 279 12 areas area NNS cord-021917-z9wpjr0d 279 13 may may MD cord-021917-z9wpjr0d 279 14 be be VB cord-021917-z9wpjr0d 280 1 more more RBR cord-021917-z9wpjr0d 280 2 rapidly rapidly RB cord-021917-z9wpjr0d 280 3 overwhelmed overwhelmed JJ cord-021917-z9wpjr0d 280 4 and and CC cord-021917-z9wpjr0d 280 5 unaffected unaffected JJ cord-021917-z9wpjr0d 280 6 regions region NNS cord-021917-z9wpjr0d 280 7 may may MD cord-021917-z9wpjr0d 280 8 be be VB cord-021917-z9wpjr0d 280 9 even even RB cord-021917-z9wpjr0d 280 10 less less RBR cord-021917-z9wpjr0d 280 11 likely likely JJ cord-021917-z9wpjr0d 280 12 to to TO cord-021917-z9wpjr0d 280 13 provide provide VB cord-021917-z9wpjr0d 280 14 help help NN cord-021917-z9wpjr0d 280 15 . . . cord-021917-z9wpjr0d 281 1 BT BT NNP cord-021917-z9wpjr0d 281 2 attacks attack NNS cord-021917-z9wpjr0d 281 3 resulting result VBG cord-021917-z9wpjr0d 281 4 in in IN cord-021917-z9wpjr0d 281 5 a a DT cord-021917-z9wpjr0d 281 6 disproportion disproportion NN cord-021917-z9wpjr0d 281 7 of of IN cord-021917-z9wpjr0d 281 8 critically critically RB cord-021917-z9wpjr0d 281 9 ill ill JJ cord-021917-z9wpjr0d 281 10 victims victim NNS cord-021917-z9wpjr0d 281 11 to to IN cord-021917-z9wpjr0d 281 12 available available JJ cord-021917-z9wpjr0d 281 13 ICU ICU NNP cord-021917-z9wpjr0d 281 14 beds bed NNS cord-021917-z9wpjr0d 281 15 are be VBP cord-021917-z9wpjr0d 281 16 plausible plausible JJ cord-021917-z9wpjr0d 281 17 . . . cord-021917-z9wpjr0d 282 1 If if IN cord-021917-z9wpjr0d 282 2 such such PDT cord-021917-z9wpjr0d 282 3 an an DT cord-021917-z9wpjr0d 282 4 event event NN cord-021917-z9wpjr0d 282 5 occurred occur VBD cord-021917-z9wpjr0d 282 6 today today NN cord-021917-z9wpjr0d 282 7 , , , cord-021917-z9wpjr0d 282 8 many many JJ cord-021917-z9wpjr0d 282 9 critically critically RB cord-021917-z9wpjr0d 282 10 ill ill JJ cord-021917-z9wpjr0d 282 11 patients patient NNS cord-021917-z9wpjr0d 282 12 would would MD cord-021917-z9wpjr0d 282 13 have have VB cord-021917-z9wpjr0d 282 14 to to TO cord-021917-z9wpjr0d 282 15 forgo forgo VB cord-021917-z9wpjr0d 282 16 potentially potentially RB cord-021917-z9wpjr0d 282 17 life life NN cord-021917-z9wpjr0d 282 18 - - HYPH cord-021917-z9wpjr0d 282 19 sustaining sustain VBG cord-021917-z9wpjr0d 282 20 critical critical JJ cord-021917-z9wpjr0d 282 21 care care NN cord-021917-z9wpjr0d 282 22 interventions intervention NNS cord-021917-z9wpjr0d 282 23 . . . cord-021917-z9wpjr0d 283 1 Hospitals hospital NNS cord-021917-z9wpjr0d 283 2 can can MD cord-021917-z9wpjr0d 283 3 plan plan VB cord-021917-z9wpjr0d 283 4 to to TO cord-021917-z9wpjr0d 283 5 give give VB cord-021917-z9wpjr0d 283 6 traditional traditional JJ cord-021917-z9wpjr0d 283 7 standards standard NNS cord-021917-z9wpjr0d 283 8 of of IN cord-021917-z9wpjr0d 283 9 critical critical JJ cord-021917-z9wpjr0d 283 10 care care NN cord-021917-z9wpjr0d 283 11 to to IN cord-021917-z9wpjr0d 283 12 the the DT cord-021917-z9wpjr0d 283 13 few few JJ cord-021917-z9wpjr0d 283 14 who who WP cord-021917-z9wpjr0d 283 15 are be VBP cord-021917-z9wpjr0d 283 16 fortunate fortunate JJ cord-021917-z9wpjr0d 283 17 to to TO cord-021917-z9wpjr0d 283 18 arrive arrive VB cord-021917-z9wpjr0d 283 19 early early RB cord-021917-z9wpjr0d 283 20 during during IN cord-021917-z9wpjr0d 283 21 the the DT cord-021917-z9wpjr0d 283 22 event event NN cord-021917-z9wpjr0d 283 23 , , , cord-021917-z9wpjr0d 283 24 or or CC cord-021917-z9wpjr0d 283 25 they -PRON- PRP cord-021917-z9wpjr0d 283 26 can can MD cord-021917-z9wpjr0d 283 27 modify modify VB cord-021917-z9wpjr0d 283 28 critical critical JJ cord-021917-z9wpjr0d 283 29 care care NN cord-021917-z9wpjr0d 283 30 so so IN cord-021917-z9wpjr0d 283 31 that that IN cord-021917-z9wpjr0d 283 32 more more JJR cord-021917-z9wpjr0d 283 33 patients patient NNS cord-021917-z9wpjr0d 283 34 have have VBP cord-021917-z9wpjr0d 283 35 access access NN cord-021917-z9wpjr0d 283 36 to to IN cord-021917-z9wpjr0d 283 37 some some DT cord-021917-z9wpjr0d 283 38 of of IN cord-021917-z9wpjr0d 283 39 the the DT cord-021917-z9wpjr0d 283 40 most most RBS cord-021917-z9wpjr0d 283 41 important important JJ cord-021917-z9wpjr0d 283 42 critical critical JJ cord-021917-z9wpjr0d 283 43 care care NN cord-021917-z9wpjr0d 283 44 interventions intervention NNS cord-021917-z9wpjr0d 283 45 ( ( -LRB- cord-021917-z9wpjr0d 283 46 e.g. e.g. RB cord-021917-z9wpjr0d 283 47 , , , cord-021917-z9wpjr0d 283 48 mechanical mechanical JJ cord-021917-z9wpjr0d 283 49 ventilation ventilation NN cord-021917-z9wpjr0d 283 50 ) ) -RRB- cord-021917-z9wpjr0d 283 51 . . . cord-021917-z9wpjr0d 284 1 Methods method NNS cord-021917-z9wpjr0d 284 2 to to TO cord-021917-z9wpjr0d 284 3 decide decide VB cord-021917-z9wpjr0d 284 4 who who WP cord-021917-z9wpjr0d 284 5 should should MD cord-021917-z9wpjr0d 284 6 get get VB cord-021917-z9wpjr0d 284 7 critical critical JJ cord-021917-z9wpjr0d 284 8 care care NN cord-021917-z9wpjr0d 284 9 ( ( -LRB- cord-021917-z9wpjr0d 284 10 e.g. e.g. RB cord-021917-z9wpjr0d 284 11 , , , cord-021917-z9wpjr0d 284 12 triage triage NN cord-021917-z9wpjr0d 284 13 algorithms algorithm NNS cord-021917-z9wpjr0d 284 14 ) ) -RRB- cord-021917-z9wpjr0d 284 15 , , , cord-021917-z9wpjr0d 284 16 what what WDT cord-021917-z9wpjr0d 284 17 critical critical JJ cord-021917-z9wpjr0d 284 18 care care NN cord-021917-z9wpjr0d 284 19 interventions intervention NNS cord-021917-z9wpjr0d 284 20 should should MD cord-021917-z9wpjr0d 284 21 be be VB cord-021917-z9wpjr0d 284 22 provided provide VBN cord-021917-z9wpjr0d 284 23 , , , cord-021917-z9wpjr0d 284 24 who who WP cord-021917-z9wpjr0d 284 25 should should MD cord-021917-z9wpjr0d 284 26 provide provide VB cord-021917-z9wpjr0d 284 27 critical critical JJ cord-021917-z9wpjr0d 284 28 care care NN cord-021917-z9wpjr0d 284 29 , , , cord-021917-z9wpjr0d 284 30 and and CC cord-021917-z9wpjr0d 284 31 where where WRB cord-021917-z9wpjr0d 284 32 critical critical JJ cord-021917-z9wpjr0d 284 33 care care NN cord-021917-z9wpjr0d 284 34 should should MD cord-021917-z9wpjr0d 284 35 be be VB cord-021917-z9wpjr0d 284 36 provided provide VBN cord-021917-z9wpjr0d 284 37 need need VBP cord-021917-z9wpjr0d 284 38 to to TO cord-021917-z9wpjr0d 284 39 be be VB cord-021917-z9wpjr0d 284 40 addressed address VBN cord-021917-z9wpjr0d 284 41 before before IN cord-021917-z9wpjr0d 284 42 a a DT cord-021917-z9wpjr0d 284 43 BT BT NNP cord-021917-z9wpjr0d 284 44 event event NN cord-021917-z9wpjr0d 284 45 . . . cord-021917-z9wpjr0d 285 1 Through through IN cord-021917-z9wpjr0d 285 2 such such JJ cord-021917-z9wpjr0d 285 3 planning planning NN cord-021917-z9wpjr0d 285 4 , , , cord-021917-z9wpjr0d 285 5 hospitals hospital NNS cord-021917-z9wpjr0d 285 6 may may MD cord-021917-z9wpjr0d 285 7 " " `` cord-021917-z9wpjr0d 285 8 gracefully gracefully RB cord-021917-z9wpjr0d 285 9 degrade degrade VB cord-021917-z9wpjr0d 285 10 " " '' cord-021917-z9wpjr0d 285 11 services service NNS cord-021917-z9wpjr0d 285 12 rather rather RB cord-021917-z9wpjr0d 285 13 than than IN cord-021917-z9wpjr0d 285 14 ceasing cease VBG cord-021917-z9wpjr0d 285 15 to to TO cord-021917-z9wpjr0d 285 16 function function VB cord-021917-z9wpjr0d 285 17 when when WRB cord-021917-z9wpjr0d 285 18 overwhelmed overwhelm VBN cord-021917-z9wpjr0d 285 19 . . . cord-021917-z9wpjr0d 286 1 All all DT cord-021917-z9wpjr0d 286 2 efforts effort NNS cord-021917-z9wpjr0d 286 3 must must MD cord-021917-z9wpjr0d 286 4 be be VB cord-021917-z9wpjr0d 286 5 made make VBN cord-021917-z9wpjr0d 286 6 to to TO cord-021917-z9wpjr0d 286 7 provide provide VB cord-021917-z9wpjr0d 286 8 disease disease NN cord-021917-z9wpjr0d 286 9 - - HYPH cord-021917-z9wpjr0d 286 10 specific specific JJ cord-021917-z9wpjr0d 286 11 therapies therapy NNS cord-021917-z9wpjr0d 286 12 to to IN cord-021917-z9wpjr0d 286 13 victims victim NNS cord-021917-z9wpjr0d 286 14 of of IN cord-021917-z9wpjr0d 286 15 bioterrorism bioterrorism NN cord-021917-z9wpjr0d 286 16 . . . cord-021917-z9wpjr0d 287 1 Unfortunately unfortunately RB cord-021917-z9wpjr0d 287 2 , , , cord-021917-z9wpjr0d 287 3 not not RB cord-021917-z9wpjr0d 287 4 all all DT cord-021917-z9wpjr0d 287 5 of of IN cord-021917-z9wpjr0d 287 6 the the DT cord-021917-z9wpjr0d 287 7 serious serious JJ cord-021917-z9wpjr0d 287 8 bioweapons bioweapon NNS cord-021917-z9wpjr0d 287 9 agents agent NNS cord-021917-z9wpjr0d 287 10 have have VBP cord-021917-z9wpjr0d 287 11 effective effective JJ cord-021917-z9wpjr0d 287 12 treatments treatment NNS cord-021917-z9wpjr0d 287 13 , , , cord-021917-z9wpjr0d 287 14 and and CC cord-021917-z9wpjr0d 287 15 for for IN cord-021917-z9wpjr0d 287 16 those those DT cord-021917-z9wpjr0d 287 17 with with IN cord-021917-z9wpjr0d 287 18 treatments treatment NNS cord-021917-z9wpjr0d 287 19 there there EX cord-021917-z9wpjr0d 287 20 is be VBZ cord-021917-z9wpjr0d 287 21 concern concern NN cord-021917-z9wpjr0d 287 22 about about IN cord-021917-z9wpjr0d 287 23 development development NN cord-021917-z9wpjr0d 287 24 of of IN cord-021917-z9wpjr0d 287 25 antimicrobialresistant antimicrobialresistant JJ cord-021917-z9wpjr0d 287 26 strains strain NNS cord-021917-z9wpjr0d 287 27 . . . cord-021917-z9wpjr0d 288 1 Systems system NNS cord-021917-z9wpjr0d 288 2 must must MD cord-021917-z9wpjr0d 288 3 be be VB cord-021917-z9wpjr0d 288 4 in in IN cord-021917-z9wpjr0d 288 5 place place NN cord-021917-z9wpjr0d 288 6 for for IN cord-021917-z9wpjr0d 288 7 testing test VBG cord-021917-z9wpjr0d 288 8 new new JJ cord-021917-z9wpjr0d 288 9 treatments treatment NNS cord-021917-z9wpjr0d 288 10 during during IN cord-021917-z9wpjr0d 288 11 an an DT cord-021917-z9wpjr0d 288 12 outbreak outbreak NN cord-021917-z9wpjr0d 288 13 so so IN cord-021917-z9wpjr0d 288 14 that that IN cord-021917-z9wpjr0d 288 15 effective effective JJ cord-021917-z9wpjr0d 288 16 treatments treatment NNS cord-021917-z9wpjr0d 288 17 can can MD cord-021917-z9wpjr0d 288 18 be be VB cord-021917-z9wpjr0d 288 19 rapidly rapidly RB cord-021917-z9wpjr0d 288 20 communicated communicate VBN cord-021917-z9wpjr0d 288 21 to to IN cord-021917-z9wpjr0d 288 22 other other JJ cord-021917-z9wpjr0d 288 23 clinicians clinician NNS cord-021917-z9wpjr0d 288 24 and and CC cord-021917-z9wpjr0d 288 25 ineffective ineffective JJ cord-021917-z9wpjr0d 288 26 or or CC cord-021917-z9wpjr0d 288 27 harmful harmful JJ cord-021917-z9wpjr0d 288 28 treatments treatment NNS cord-021917-z9wpjr0d 288 29 can can MD cord-021917-z9wpjr0d 288 30 be be VB cord-021917-z9wpjr0d 288 31 rapidly rapidly RB cord-021917-z9wpjr0d 288 32 withdrawn withdraw VBN cord-021917-z9wpjr0d 288 33 . . . cord-021917-z9wpjr0d 289 1 Methodological methodological JJ cord-021917-z9wpjr0d 289 2 issues issue NNS cord-021917-z9wpjr0d 289 3 , , , cord-021917-z9wpjr0d 289 4 ethical ethical JJ cord-021917-z9wpjr0d 289 5 concerns concern NNS cord-021917-z9wpjr0d 289 6 , , , cord-021917-z9wpjr0d 289 7 skeleton skeleton NN cord-021917-z9wpjr0d 289 8 protocol protocol NN cord-021917-z9wpjr0d 289 9 development development NN cord-021917-z9wpjr0d 289 10 , , , cord-021917-z9wpjr0d 289 11 and and CC cord-021917-z9wpjr0d 289 12 information information NN cord-021917-z9wpjr0d 289 13 technology technology NN cord-021917-z9wpjr0d 289 14 systems system NNS cord-021917-z9wpjr0d 289 15 capable capable JJ cord-021917-z9wpjr0d 289 16 of of IN cord-021917-z9wpjr0d 289 17 making make VBG cord-021917-z9wpjr0d 289 18 data datum NNS cord-021917-z9wpjr0d 289 19 rapidly rapidly RB cord-021917-z9wpjr0d 289 20 available available JJ cord-021917-z9wpjr0d 289 21 for for IN cord-021917-z9wpjr0d 289 22 analysis analysis NN cord-021917-z9wpjr0d 289 23 should should MD cord-021917-z9wpjr0d 289 24 all all DT cord-021917-z9wpjr0d 289 25 be be VB cord-021917-z9wpjr0d 289 26 developed develop VBN cord-021917-z9wpjr0d 289 27 and and CC cord-021917-z9wpjr0d 289 28 made make VBN cord-021917-z9wpjr0d 289 29 functional functional JJ cord-021917-z9wpjr0d 289 30 before before IN cord-021917-z9wpjr0d 289 31 a a DT cord-021917-z9wpjr0d 289 32 disaster disaster NN cord-021917-z9wpjr0d 289 33 . . . cord-021917-z9wpjr0d 290 1 Patients patient NNS cord-021917-z9wpjr0d 290 2 seriously seriously RB cord-021917-z9wpjr0d 290 3 ill ill RB cord-021917-z9wpjr0d 290 4 due due IN cord-021917-z9wpjr0d 290 5 to to IN cord-021917-z9wpjr0d 290 6 a a DT cord-021917-z9wpjr0d 290 7 bioweapons bioweapon NNS cord-021917-z9wpjr0d 290 8 agent agent NN cord-021917-z9wpjr0d 290 9 , , , cord-021917-z9wpjr0d 290 10 regardless regardless RB cord-021917-z9wpjr0d 290 11 of of IN cord-021917-z9wpjr0d 290 12 whether whether IN cord-021917-z9wpjr0d 290 13 a a DT cord-021917-z9wpjr0d 290 14 specific specific JJ cord-021917-z9wpjr0d 290 15 therapy therapy NN cord-021917-z9wpjr0d 290 16 exists exist VBZ cord-021917-z9wpjr0d 290 17 , , , cord-021917-z9wpjr0d 290 18 will will MD cord-021917-z9wpjr0d 290 19 likely likely RB cord-021917-z9wpjr0d 290 20 require require VB cord-021917-z9wpjr0d 290 21 extensive extensive JJ cord-021917-z9wpjr0d 290 22 supportive supportive JJ cord-021917-z9wpjr0d 290 23 care care NN cord-021917-z9wpjr0d 290 24 , , , cord-021917-z9wpjr0d 290 25 including include VBG cord-021917-z9wpjr0d 290 26 interventions intervention NNS cord-021917-z9wpjr0d 290 27 traditionally traditionally RB cord-021917-z9wpjr0d 290 28 provided provide VBN cord-021917-z9wpjr0d 290 29 in in IN cord-021917-z9wpjr0d 290 30 ICUs ICUs NNP cord-021917-z9wpjr0d 290 31 . . . cord-021917-z9wpjr0d 291 1 For for IN cord-021917-z9wpjr0d 291 2 small small JJ cord-021917-z9wpjr0d 291 3 - - HYPH cord-021917-z9wpjr0d 291 4 scale scale NN cord-021917-z9wpjr0d 291 5 events event NNS cord-021917-z9wpjr0d 291 6 with with IN cord-021917-z9wpjr0d 291 7 few few JJ cord-021917-z9wpjr0d 291 8 critically critically RB cord-021917-z9wpjr0d 291 9 ill ill JJ cord-021917-z9wpjr0d 291 10 patients patient NNS cord-021917-z9wpjr0d 291 11 , , , cord-021917-z9wpjr0d 291 12 traditional traditional JJ cord-021917-z9wpjr0d 291 13 ICU ICU NNP cord-021917-z9wpjr0d 291 14 care care NN cord-021917-z9wpjr0d 291 15 will will MD cord-021917-z9wpjr0d 291 16 likely likely RB cord-021917-z9wpjr0d 291 17 be be VB cord-021917-z9wpjr0d 291 18 provided provide VBN cord-021917-z9wpjr0d 291 19 . . . cord-021917-z9wpjr0d 292 1 For for IN cord-021917-z9wpjr0d 292 2 larger large JJR cord-021917-z9wpjr0d 292 3 events event NNS cord-021917-z9wpjr0d 292 4 , , , cord-021917-z9wpjr0d 292 5 deci- deci- JJ cord-021917-z9wpjr0d 292 6 sions sion NNS cord-021917-z9wpjr0d 292 7 regarding regard VBG cord-021917-z9wpjr0d 292 8 which which WDT cord-021917-z9wpjr0d 292 9 supportive supportive JJ cord-021917-z9wpjr0d 292 10 care care NN cord-021917-z9wpjr0d 292 11 practices practice NNS cord-021917-z9wpjr0d 292 12 to to TO cord-021917-z9wpjr0d 292 13 continue continue VB cord-021917-z9wpjr0d 292 14 and and CC cord-021917-z9wpjr0d 292 15 which which WDT cord-021917-z9wpjr0d 292 16 to to TO cord-021917-z9wpjr0d 292 17 forgo forgo VB cord-021917-z9wpjr0d 292 18 will will MD cord-021917-z9wpjr0d 292 19 depend depend VB cord-021917-z9wpjr0d 292 20 on on IN cord-021917-z9wpjr0d 292 21 the the DT cord-021917-z9wpjr0d 292 22 number number NN cord-021917-z9wpjr0d 292 23 of of IN cord-021917-z9wpjr0d 292 24 patients patient NNS cord-021917-z9wpjr0d 292 25 relative relative JJ cord-021917-z9wpjr0d 292 26 to to IN cord-021917-z9wpjr0d 292 27 the the DT cord-021917-z9wpjr0d 292 28 available available JJ cord-021917-z9wpjr0d 292 29 resources resource NNS cord-021917-z9wpjr0d 292 30 . . . cord-021917-z9wpjr0d 293 1 Supportive supportive JJ cord-021917-z9wpjr0d 293 2 care care NN cord-021917-z9wpjr0d 293 3 that that WDT cord-021917-z9wpjr0d 293 4 is be VBZ cord-021917-z9wpjr0d 293 5 deemed deem VBN cord-021917-z9wpjr0d 293 6 most most RBS cord-021917-z9wpjr0d 293 7 important important JJ cord-021917-z9wpjr0d 293 8 can can MD cord-021917-z9wpjr0d 293 9 be be VB cord-021917-z9wpjr0d 293 10 better well RBR cord-021917-z9wpjr0d 293 11 maintained maintain VBN cord-021917-z9wpjr0d 293 12 if if IN cord-021917-z9wpjr0d 293 13 advanced advanced JJ cord-021917-z9wpjr0d 293 14 planning planning NN cord-021917-z9wpjr0d 293 15 and and CC cord-021917-z9wpjr0d 293 16 preparedness preparedness NN cord-021917-z9wpjr0d 293 17 are be VBP cord-021917-z9wpjr0d 293 18 undertaken undertake VBN cord-021917-z9wpjr0d 293 19 . . . cord-021917-z9wpjr0d 294 1 ICU ICU NNP cord-021917-z9wpjr0d 294 2 physicians physician NNS cord-021917-z9wpjr0d 294 3 should should MD cord-021917-z9wpjr0d 294 4 alert alert VB cord-021917-z9wpjr0d 294 5 their -PRON- PRP$ cord-021917-z9wpjr0d 294 6 hospitals hospital NNS cord-021917-z9wpjr0d 294 7 to to IN cord-021917-z9wpjr0d 294 8 the the DT cord-021917-z9wpjr0d 294 9 potential potential JJ cord-021917-z9wpjr0d 294 10 need need NN cord-021917-z9wpjr0d 294 11 for for IN cord-021917-z9wpjr0d 294 12 rapid rapid JJ cord-021917-z9wpjr0d 294 13 acquisition acquisition NN cord-021917-z9wpjr0d 294 14 of of IN cord-021917-z9wpjr0d 294 15 additional additional JJ cord-021917-z9wpjr0d 294 16 mechanical mechanical JJ cord-021917-z9wpjr0d 294 17 ventilators ventilator NNS cord-021917-z9wpjr0d 294 18 , , , cord-021917-z9wpjr0d 294 19 noninvasive noninvasive JJ cord-021917-z9wpjr0d 294 20 respiratory respiratory JJ cord-021917-z9wpjr0d 294 21 aids aid NNS cord-021917-z9wpjr0d 294 22 , , , cord-021917-z9wpjr0d 294 23 oxygen oxygen NN cord-021917-z9wpjr0d 294 24 , , , cord-021917-z9wpjr0d 294 25 palliative palliative JJ cord-021917-z9wpjr0d 294 26 medications medication NNS cord-021917-z9wpjr0d 294 27 , , , cord-021917-z9wpjr0d 294 28 and and CC cord-021917-z9wpjr0d 294 29 specialized specialized JJ cord-021917-z9wpjr0d 294 30 staff staff NN cord-021917-z9wpjr0d 294 31 in in IN cord-021917-z9wpjr0d 294 32 the the DT cord-021917-z9wpjr0d 294 33 event event NN cord-021917-z9wpjr0d 294 34 of of IN cord-021917-z9wpjr0d 294 35 a a DT cord-021917-z9wpjr0d 294 36 BT BT NNP cord-021917-z9wpjr0d 294 37 attack attack NN cord-021917-z9wpjr0d 294 38 . . . cord-021917-z9wpjr0d 295 1 Perhaps perhaps RB cord-021917-z9wpjr0d 295 2 the the DT cord-021917-z9wpjr0d 295 3 most most RBS cord-021917-z9wpjr0d 295 4 critical critical JJ cord-021917-z9wpjr0d 295 5 aspect aspect NN cord-021917-z9wpjr0d 295 6 of of IN cord-021917-z9wpjr0d 295 7 caring care VBG cord-021917-z9wpjr0d 295 8 for for IN cord-021917-z9wpjr0d 295 9 victims victim NNS cord-021917-z9wpjr0d 295 10 of of IN cord-021917-z9wpjr0d 295 11 a a DT cord-021917-z9wpjr0d 295 12 biologic biologic JJ cord-021917-z9wpjr0d 295 13 attack attack NN cord-021917-z9wpjr0d 295 14 or or CC cord-021917-z9wpjr0d 295 15 an an DT cord-021917-z9wpjr0d 295 16 emerging emerge VBG cord-021917-z9wpjr0d 295 17 infective infective JJ cord-021917-z9wpjr0d 295 18 disease disease NN cord-021917-z9wpjr0d 295 19 in in IN cord-021917-z9wpjr0d 295 20 an an DT cord-021917-z9wpjr0d 295 21 ICU ICU NNP cord-021917-z9wpjr0d 295 22 is be VBZ cord-021917-z9wpjr0d 295 23 the the DT cord-021917-z9wpjr0d 295 24 prevention prevention NN cord-021917-z9wpjr0d 295 25 of of IN cord-021917-z9wpjr0d 295 26 secondary secondary JJ cord-021917-z9wpjr0d 295 27 transmission transmission NN cord-021917-z9wpjr0d 295 28 . . . cord-021917-z9wpjr0d 296 1 In in IN cord-021917-z9wpjr0d 296 2 the the DT cord-021917-z9wpjr0d 296 3 SARS SARS NNP cord-021917-z9wpjr0d 296 4 outbreak outbreak NN cord-021917-z9wpjr0d 296 5 of of IN cord-021917-z9wpjr0d 296 6 2003 2003 CD cord-021917-z9wpjr0d 296 7 , , , cord-021917-z9wpjr0d 296 8 77 77 CD cord-021917-z9wpjr0d 296 9 % % NN cord-021917-z9wpjr0d 296 10 of of IN cord-021917-z9wpjr0d 296 11 cases case NNS cord-021917-z9wpjr0d 296 12 in in IN cord-021917-z9wpjr0d 296 13 Canada Canada NNP cord-021917-z9wpjr0d 296 14 resulted result VBD cord-021917-z9wpjr0d 296 15 from from IN cord-021917-z9wpjr0d 296 16 in in IN cord-021917-z9wpjr0d 296 17 - - HYPH cord-021917-z9wpjr0d 296 18 hospital hospital NN cord-021917-z9wpjr0d 296 19 exposure exposure NN cord-021917-z9wpjr0d 296 20 . . . cord-021917-z9wpjr0d 297 1 In in IN cord-021917-z9wpjr0d 297 2 Taiwan Taiwan NNP cord-021917-z9wpjr0d 297 3 , , , cord-021917-z9wpjr0d 297 4 the the DT cord-021917-z9wpjr0d 297 5 percentage percentage NN cord-021917-z9wpjr0d 297 6 of of IN cord-021917-z9wpjr0d 297 7 hospital hospital NN cord-021917-z9wpjr0d 297 8 - - HYPH cord-021917-z9wpjr0d 297 9 acquired acquire VBN cord-021917-z9wpjr0d 297 10 cases case NNS cord-021917-z9wpjr0d 297 11 was be VBD cord-021917-z9wpjr0d 297 12 94 94 CD cord-021917-z9wpjr0d 297 13 % % NN cord-021917-z9wpjr0d 297 14 . . . cord-021917-z9wpjr0d 298 1 These these DT cord-021917-z9wpjr0d 298 2 data datum NNS cord-021917-z9wpjr0d 298 3 include include VBP cord-021917-z9wpjr0d 298 4 other other JJ cord-021917-z9wpjr0d 298 5 patients patient NNS cord-021917-z9wpjr0d 298 6 in in IN cord-021917-z9wpjr0d 298 7 the the DT cord-021917-z9wpjr0d 298 8 hospital hospital NN cord-021917-z9wpjr0d 298 9 who who WP cord-021917-z9wpjr0d 298 10 contracted contract VBD cord-021917-z9wpjr0d 298 11 the the DT cord-021917-z9wpjr0d 298 12 disease disease NN cord-021917-z9wpjr0d 298 13 as as RB cord-021917-z9wpjr0d 298 14 well well RB cord-021917-z9wpjr0d 298 15 as as IN cord-021917-z9wpjr0d 298 16 health health NN cord-021917-z9wpjr0d 298 17 care care NN cord-021917-z9wpjr0d 298 18 workers worker NNS cord-021917-z9wpjr0d 298 19 who who WP cord-021917-z9wpjr0d 298 20 suffered suffer VBD cord-021917-z9wpjr0d 298 21 occupational occupational JJ cord-021917-z9wpjr0d 298 22 exposures exposure NNS cord-021917-z9wpjr0d 298 23 . . . cord-021917-z9wpjr0d 299 1 Category category NN cord-021917-z9wpjr0d 299 2 A a DT cord-021917-z9wpjr0d 299 3 biologic biologic JJ cord-021917-z9wpjr0d 299 4 agents agent NNS cord-021917-z9wpjr0d 299 5 that that WDT cord-021917-z9wpjr0d 299 6 are be VBP cord-021917-z9wpjr0d 299 7 transmissible transmissible JJ cord-021917-z9wpjr0d 299 8 from from IN cord-021917-z9wpjr0d 299 9 person person NN cord-021917-z9wpjr0d 299 10 to to IN cord-021917-z9wpjr0d 299 11 person person NN cord-021917-z9wpjr0d 299 12 are be VBP cord-021917-z9wpjr0d 299 13 listed list VBN cord-021917-z9wpjr0d 299 14 in in IN cord-021917-z9wpjr0d 299 15 Box Box NNP cord-021917-z9wpjr0d 299 16 64.5 64.5 CD cord-021917-z9wpjr0d 299 17 . . . cord-021917-z9wpjr0d 300 1 Effective effective JJ cord-021917-z9wpjr0d 300 2 infection infection NN cord-021917-z9wpjr0d 300 3 control control NN cord-021917-z9wpjr0d 300 4 measures measure NNS cord-021917-z9wpjr0d 300 5 are be VBP cord-021917-z9wpjr0d 300 6 paramount paramount JJ cord-021917-z9wpjr0d 300 7 in in IN cord-021917-z9wpjr0d 300 8 preventing prevent VBG cord-021917-z9wpjr0d 300 9 the the DT cord-021917-z9wpjr0d 300 10 spread spread NN cord-021917-z9wpjr0d 300 11 of of IN cord-021917-z9wpjr0d 300 12 disease disease NN cord-021917-z9wpjr0d 300 13 through through IN cord-021917-z9wpjr0d 300 14 the the DT cord-021917-z9wpjr0d 300 15 hospital hospital NN cord-021917-z9wpjr0d 300 16 and and CC cord-021917-z9wpjr0d 300 17 , , , cord-021917-z9wpjr0d 300 18 by by IN cord-021917-z9wpjr0d 300 19 extension extension NN cord-021917-z9wpjr0d 300 20 , , , cord-021917-z9wpjr0d 300 21 into into IN cord-021917-z9wpjr0d 300 22 the the DT cord-021917-z9wpjr0d 300 23 community community NN cord-021917-z9wpjr0d 300 24 . . . cord-021917-z9wpjr0d 301 1 Infection infection NN cord-021917-z9wpjr0d 301 2 control control NN cord-021917-z9wpjr0d 301 3 is be VBZ cord-021917-z9wpjr0d 301 4 particularly particularly RB cord-021917-z9wpjr0d 301 5 important important JJ cord-021917-z9wpjr0d 301 6 in in IN cord-021917-z9wpjr0d 301 7 the the DT cord-021917-z9wpjr0d 301 8 ICU ICU NNP cord-021917-z9wpjr0d 301 9 , , , cord-021917-z9wpjr0d 301 10 in in IN cord-021917-z9wpjr0d 301 11 which which WDT cord-021917-z9wpjr0d 301 12 a a DT cord-021917-z9wpjr0d 301 13 " " `` cord-021917-z9wpjr0d 301 14 perfect perfect JJ cord-021917-z9wpjr0d 301 15 storm storm NN cord-021917-z9wpjr0d 301 16 " " '' cord-021917-z9wpjr0d 301 17 for for IN cord-021917-z9wpjr0d 301 18 the the DT cord-021917-z9wpjr0d 301 19 rapid rapid JJ cord-021917-z9wpjr0d 301 20 spread spread NN cord-021917-z9wpjr0d 301 21 of of IN cord-021917-z9wpjr0d 301 22 an an DT cord-021917-z9wpjr0d 301 23 infection infection NN cord-021917-z9wpjr0d 301 24 exists exist VBZ cord-021917-z9wpjr0d 301 25 . . . cord-021917-z9wpjr0d 302 1 Victims victim NNS cord-021917-z9wpjr0d 302 2 of of IN cord-021917-z9wpjr0d 302 3 a a DT cord-021917-z9wpjr0d 302 4 bioterrorist bioterrorist NN cord-021917-z9wpjr0d 302 5 attack attack NN cord-021917-z9wpjr0d 302 6 who who WP cord-021917-z9wpjr0d 302 7 require require VBP cord-021917-z9wpjr0d 302 8 ICU ICU NNP cord-021917-z9wpjr0d 302 9 - - HYPH cord-021917-z9wpjr0d 302 10 level level NN cord-021917-z9wpjr0d 302 11 care care NN cord-021917-z9wpjr0d 302 12 may may MD cord-021917-z9wpjr0d 302 13 be be VB cord-021917-z9wpjr0d 302 14 more more RBR cord-021917-z9wpjr0d 302 15 contagious contagious JJ cord-021917-z9wpjr0d 302 16 than than IN cord-021917-z9wpjr0d 302 17 those those DT cord-021917-z9wpjr0d 302 18 who who WP cord-021917-z9wpjr0d 302 19 are be VBP cord-021917-z9wpjr0d 302 20 less less RBR cord-021917-z9wpjr0d 302 21 sick sick JJ cord-021917-z9wpjr0d 302 22 due due IN cord-021917-z9wpjr0d 302 23 to to IN cord-021917-z9wpjr0d 302 24 higher high JJR cord-021917-z9wpjr0d 302 25 levels level NNS cord-021917-z9wpjr0d 302 26 of of IN cord-021917-z9wpjr0d 302 27 viremia viremia NN cord-021917-z9wpjr0d 302 28 or or CC cord-021917-z9wpjr0d 302 29 bacteremia bacteremia NN cord-021917-z9wpjr0d 302 30 . . . cord-021917-z9wpjr0d 303 1 Invasive invasive JJ cord-021917-z9wpjr0d 303 2 procedures procedure NNS cord-021917-z9wpjr0d 303 3 with with IN cord-021917-z9wpjr0d 303 4 their -PRON- PRP$ cord-021917-z9wpjr0d 303 5 attendant attendant NN cord-021917-z9wpjr0d 303 6 risks risk NNS cord-021917-z9wpjr0d 303 7 of of IN cord-021917-z9wpjr0d 303 8 splashing splashing NN cord-021917-z9wpjr0d 303 9 or or CC cord-021917-z9wpjr0d 303 10 aerosolization aerosolization NN cord-021917-z9wpjr0d 303 11 of of IN cord-021917-z9wpjr0d 303 12 blood blood NN cord-021917-z9wpjr0d 303 13 , , , cord-021917-z9wpjr0d 303 14 respiratory respiratory JJ cord-021917-z9wpjr0d 303 15 secretions secretion NNS cord-021917-z9wpjr0d 303 16 , , , cord-021917-z9wpjr0d 303 17 or or CC cord-021917-z9wpjr0d 303 18 other other JJ cord-021917-z9wpjr0d 303 19 bodily bodily JJ cord-021917-z9wpjr0d 303 20 fluids fluid NNS cord-021917-z9wpjr0d 303 21 are be VBP cord-021917-z9wpjr0d 303 22 more more RBR cord-021917-z9wpjr0d 303 23 commonly commonly RB cord-021917-z9wpjr0d 303 24 performed perform VBN cord-021917-z9wpjr0d 303 25 on on IN cord-021917-z9wpjr0d 303 26 critically critically RB cord-021917-z9wpjr0d 303 27 ill ill JJ cord-021917-z9wpjr0d 303 28 patients patient NNS cord-021917-z9wpjr0d 303 29 . . . cord-021917-z9wpjr0d 304 1 Staff staff NN cord-021917-z9wpjr0d 304 2 members member NNS cord-021917-z9wpjr0d 304 3 in in IN cord-021917-z9wpjr0d 304 4 an an DT cord-021917-z9wpjr0d 304 5 ICU ICU NNP cord-021917-z9wpjr0d 304 6 are be VBP cord-021917-z9wpjr0d 304 7 often often RB cord-021917-z9wpjr0d 304 8 called call VBN cord-021917-z9wpjr0d 304 9 on on RP cord-021917-z9wpjr0d 304 10 to to TO cord-021917-z9wpjr0d 304 11 rapidly rapidly RB cord-021917-z9wpjr0d 304 12 complete complete VB cord-021917-z9wpjr0d 304 13 a a DT cord-021917-z9wpjr0d 304 14 number number NN cord-021917-z9wpjr0d 304 15 of of IN cord-021917-z9wpjr0d 304 16 tasks task NNS cord-021917-z9wpjr0d 304 17 in in IN cord-021917-z9wpjr0d 304 18 stressful stressful JJ cord-021917-z9wpjr0d 304 19 conditions condition NNS cord-021917-z9wpjr0d 304 20 , , , cord-021917-z9wpjr0d 304 21 a a DT cord-021917-z9wpjr0d 304 22 situation situation NN cord-021917-z9wpjr0d 304 23 conducive conducive JJ cord-021917-z9wpjr0d 304 24 to to IN cord-021917-z9wpjr0d 304 25 errors error NNS cord-021917-z9wpjr0d 304 26 in in IN cord-021917-z9wpjr0d 304 27 infection infection NN cord-021917-z9wpjr0d 304 28 - - HYPH cord-021917-z9wpjr0d 304 29 control control NN cord-021917-z9wpjr0d 304 30 practices practice NNS cord-021917-z9wpjr0d 304 31 . . . cord-021917-z9wpjr0d 305 1 Since since IN cord-021917-z9wpjr0d 305 2 critically critically RB cord-021917-z9wpjr0d 305 3 ill ill JJ cord-021917-z9wpjr0d 305 4 patients patient NNS cord-021917-z9wpjr0d 305 5 require require VBP cord-021917-z9wpjr0d 305 6 a a DT cord-021917-z9wpjr0d 305 7 high high JJ cord-021917-z9wpjr0d 305 8 level level NN cord-021917-z9wpjr0d 305 9 of of IN cord-021917-z9wpjr0d 305 10 frequent frequent JJ cord-021917-z9wpjr0d 305 11 care care NN cord-021917-z9wpjr0d 305 12 , , , cord-021917-z9wpjr0d 305 13 cumulative cumulative JJ cord-021917-z9wpjr0d 305 14 exposure exposure NN cord-021917-z9wpjr0d 305 15 to to IN cord-021917-z9wpjr0d 305 16 staff staff NN cord-021917-z9wpjr0d 305 17 may may MD cord-021917-z9wpjr0d 305 18 be be VB cord-021917-z9wpjr0d 305 19 higher high JJR cord-021917-z9wpjr0d 305 20 than than IN cord-021917-z9wpjr0d 305 21 in in IN cord-021917-z9wpjr0d 305 22 other other JJ cord-021917-z9wpjr0d 305 23 areas area NNS cord-021917-z9wpjr0d 305 24 of of IN cord-021917-z9wpjr0d 305 25 the the DT cord-021917-z9wpjr0d 305 26 hospital hospital NN cord-021917-z9wpjr0d 305 27 . . . cord-021917-z9wpjr0d 306 1 Finally finally RB cord-021917-z9wpjr0d 306 2 , , , cord-021917-z9wpjr0d 306 3 other other JJ cord-021917-z9wpjr0d 306 4 patients patient NNS cord-021917-z9wpjr0d 306 5 in in IN cord-021917-z9wpjr0d 306 6 the the DT cord-021917-z9wpjr0d 306 7 ICU ICU NNP cord-021917-z9wpjr0d 306 8 are be VBP cord-021917-z9wpjr0d 306 9 immunocompromised immunocompromise VBN cord-021917-z9wpjr0d 306 10 by by IN cord-021917-z9wpjr0d 306 11 virtue virtue NN cord-021917-z9wpjr0d 306 12 of of IN cord-021917-z9wpjr0d 306 13 their -PRON- PRP$ cord-021917-z9wpjr0d 306 14 own own JJ cord-021917-z9wpjr0d 306 15 critical critical JJ cord-021917-z9wpjr0d 306 16 illnesses illness NNS cord-021917-z9wpjr0d 306 17 , , , cord-021917-z9wpjr0d 306 18 notwithstanding notwithstanding IN cord-021917-z9wpjr0d 306 19 the the DT cord-021917-z9wpjr0d 306 20 disproportionate disproportionate JJ cord-021917-z9wpjr0d 306 21 number number NN cord-021917-z9wpjr0d 306 22 of of IN cord-021917-z9wpjr0d 306 23 ICU ICU NNP cord-021917-z9wpjr0d 306 24 patients patient NNS cord-021917-z9wpjr0d 306 25 who who WP cord-021917-z9wpjr0d 306 26 are be VBP cord-021917-z9wpjr0d 306 27 immunosuppressed immunosuppressed JJ cord-021917-z9wpjr0d 306 28 secondary secondary JJ cord-021917-z9wpjr0d 306 29 to to IN cord-021917-z9wpjr0d 306 30 organ organ NN cord-021917-z9wpjr0d 306 31 transplantation transplantation NN cord-021917-z9wpjr0d 306 32 , , , cord-021917-z9wpjr0d 306 33 oncologic oncologic JJ cord-021917-z9wpjr0d 306 34 conditions condition NNS cord-021917-z9wpjr0d 306 35 , , , cord-021917-z9wpjr0d 306 36 or or CC cord-021917-z9wpjr0d 306 37 infection infection NN cord-021917-z9wpjr0d 306 38 with with IN cord-021917-z9wpjr0d 306 39 the the DT cord-021917-z9wpjr0d 306 40 human human JJ cord-021917-z9wpjr0d 306 41 immunodeficiency immunodeficiency NN cord-021917-z9wpjr0d 306 42 virus virus NN cord-021917-z9wpjr0d 306 43 ( ( -LRB- cord-021917-z9wpjr0d 306 44 HIV HIV NNP cord-021917-z9wpjr0d 306 45 ) ) -RRB- cord-021917-z9wpjr0d 306 46 . . . cord-021917-z9wpjr0d 307 1 One one CD cord-021917-z9wpjr0d 307 2 of of IN cord-021917-z9wpjr0d 307 3 the the DT cord-021917-z9wpjr0d 307 4 mainstays mainstay NNS cord-021917-z9wpjr0d 307 5 of of IN cord-021917-z9wpjr0d 307 6 management management NN cord-021917-z9wpjr0d 307 7 of of IN cord-021917-z9wpjr0d 307 8 a a DT cord-021917-z9wpjr0d 307 9 chemical chemical JJ cord-021917-z9wpjr0d 307 10 incident incident NN cord-021917-z9wpjr0d 307 11 is be VBZ cord-021917-z9wpjr0d 307 12 rapid rapid JJ cord-021917-z9wpjr0d 307 13 and and CC cord-021917-z9wpjr0d 307 14 effective effective JJ cord-021917-z9wpjr0d 307 15 decontamination decontamination NN cord-021917-z9wpjr0d 307 16 of of IN cord-021917-z9wpjr0d 307 17 victims victim NNS cord-021917-z9wpjr0d 307 18 . . . cord-021917-z9wpjr0d 308 1 Decontamination decontamination NN cord-021917-z9wpjr0d 308 2 serves serve VBZ cord-021917-z9wpjr0d 308 3 both both DT cord-021917-z9wpjr0d 308 4 to to TO cord-021917-z9wpjr0d 308 5 limit limit VB cord-021917-z9wpjr0d 308 6 the the DT cord-021917-z9wpjr0d 308 7 total total JJ cord-021917-z9wpjr0d 308 8 dose dose NN cord-021917-z9wpjr0d 308 9 of of IN cord-021917-z9wpjr0d 308 10 chemical chemical JJ cord-021917-z9wpjr0d 308 11 agent agent NN cord-021917-z9wpjr0d 308 12 received receive VBN cord-021917-z9wpjr0d 308 13 by by IN cord-021917-z9wpjr0d 308 14 the the DT cord-021917-z9wpjr0d 308 15 victims victim NNS cord-021917-z9wpjr0d 308 16 and and CC cord-021917-z9wpjr0d 308 17 to to TO cord-021917-z9wpjr0d 308 18 protect protect VB cord-021917-z9wpjr0d 308 19 health health NN cord-021917-z9wpjr0d 308 20 care care NN cord-021917-z9wpjr0d 308 21 workers worker NNS cord-021917-z9wpjr0d 308 22 from from IN cord-021917-z9wpjr0d 308 23 remnant remnant JJ cord-021917-z9wpjr0d 308 24 chemicals chemical NNS cord-021917-z9wpjr0d 308 25 on on IN cord-021917-z9wpjr0d 308 26 patient patient JJ cord-021917-z9wpjr0d 308 27 skin skin NN cord-021917-z9wpjr0d 308 28 or or CC cord-021917-z9wpjr0d 308 29 clothing clothing NN cord-021917-z9wpjr0d 308 30 . . . cord-021917-z9wpjr0d 309 1 Patients patient NNS cord-021917-z9wpjr0d 309 2 will will MD cord-021917-z9wpjr0d 309 3 not not RB cord-021917-z9wpjr0d 309 4 present present VB cord-021917-z9wpjr0d 309 5 for for IN cord-021917-z9wpjr0d 309 6 medical medical JJ cord-021917-z9wpjr0d 309 7 care care NN cord-021917-z9wpjr0d 309 8 after after IN cord-021917-z9wpjr0d 309 9 release release NN cord-021917-z9wpjr0d 309 10 of of IN cord-021917-z9wpjr0d 309 11 a a DT cord-021917-z9wpjr0d 309 12 biologic biologic JJ cord-021917-z9wpjr0d 309 13 agent agent NN cord-021917-z9wpjr0d 309 14 until until IN cord-021917-z9wpjr0d 309 15 the the DT cord-021917-z9wpjr0d 309 16 incubation incubation NN cord-021917-z9wpjr0d 309 17 period period NN cord-021917-z9wpjr0d 309 18 passes pass VBZ cord-021917-z9wpjr0d 309 19 . . . cord-021917-z9wpjr0d 310 1 Decontamination decontamination NN cord-021917-z9wpjr0d 310 2 is be VBZ cord-021917-z9wpjr0d 310 3 not not RB cord-021917-z9wpjr0d 310 4 necessary necessary JJ cord-021917-z9wpjr0d 310 5 for for IN cord-021917-z9wpjr0d 310 6 these these DT cord-021917-z9wpjr0d 310 7 patients patient NNS cord-021917-z9wpjr0d 310 8 , , , cord-021917-z9wpjr0d 310 9 since since IN cord-021917-z9wpjr0d 310 10 they -PRON- PRP cord-021917-z9wpjr0d 310 11 are be VBP cord-021917-z9wpjr0d 310 12 not not RB cord-021917-z9wpjr0d 310 13 likely likely JJ cord-021917-z9wpjr0d 310 14 to to TO cord-021917-z9wpjr0d 310 15 be be VB cord-021917-z9wpjr0d 310 16 grossly grossly RB cord-021917-z9wpjr0d 310 17 conta conta NN cord-021917-z9wpjr0d 310 18 - - HYPH cord-021917-z9wpjr0d 310 19 minated minated JJ cord-021917-z9wpjr0d 310 20 at at IN cord-021917-z9wpjr0d 310 21 the the DT cord-021917-z9wpjr0d 310 22 time time NN cord-021917-z9wpjr0d 310 23 of of IN cord-021917-z9wpjr0d 310 24 presentation presentation NN cord-021917-z9wpjr0d 310 25 . . . cord-021917-z9wpjr0d 311 1 For for IN cord-021917-z9wpjr0d 311 2 an an DT cord-021917-z9wpjr0d 311 3 overt overt JJ cord-021917-z9wpjr0d 311 4 attack attack NN cord-021917-z9wpjr0d 311 5 , , , cord-021917-z9wpjr0d 311 6 if if IN cord-021917-z9wpjr0d 311 7 the the DT cord-021917-z9wpjr0d 311 8 patient patient NN cord-021917-z9wpjr0d 311 9 is be VBZ cord-021917-z9wpjr0d 311 10 grossly grossly RB cord-021917-z9wpjr0d 311 11 contaminated contaminate VBN cord-021917-z9wpjr0d 311 12 and and CC cord-021917-z9wpjr0d 311 13 there there EX cord-021917-z9wpjr0d 311 14 is be VBZ cord-021917-z9wpjr0d 311 15 concern concern NN cord-021917-z9wpjr0d 311 16 about about IN cord-021917-z9wpjr0d 311 17 secondary secondary JJ cord-021917-z9wpjr0d 311 18 aerosolization aerosolization NN cord-021917-z9wpjr0d 311 19 , , , cord-021917-z9wpjr0d 311 20 it -PRON- PRP cord-021917-z9wpjr0d 311 21 becomes become VBZ cord-021917-z9wpjr0d 311 22 reasonable reasonable JJ cord-021917-z9wpjr0d 311 23 to to TO cord-021917-z9wpjr0d 311 24 decontaminate decontaminate VB cord-021917-z9wpjr0d 311 25 the the DT cord-021917-z9wpjr0d 311 26 patient patient NN cord-021917-z9wpjr0d 311 27 . . . cord-021917-z9wpjr0d 312 1 Since since IN cord-021917-z9wpjr0d 312 2 T2 T2 NNP cord-021917-z9wpjr0d 312 3 mycotoxin mycotoxin NN cord-021917-z9wpjr0d 312 4 can can MD cord-021917-z9wpjr0d 312 5 be be VB cord-021917-z9wpjr0d 312 6 transdermally transdermally RB cord-021917-z9wpjr0d 312 7 absorbed absorb VBN cord-021917-z9wpjr0d 312 8 , , , cord-021917-z9wpjr0d 312 9 decontamination decontamination NN cord-021917-z9wpjr0d 312 10 of of IN cord-021917-z9wpjr0d 312 11 patients patient NNS cord-021917-z9wpjr0d 312 12 grossly grossly RB cord-021917-z9wpjr0d 312 13 contaminated contaminate VBN cord-021917-z9wpjr0d 312 14 with with IN cord-021917-z9wpjr0d 312 15 this this DT cord-021917-z9wpjr0d 312 16 agent agent NN cord-021917-z9wpjr0d 312 17 is be VBZ cord-021917-z9wpjr0d 312 18 also also RB cord-021917-z9wpjr0d 312 19 warranted warrant VBN cord-021917-z9wpjr0d 312 20 . . . cord-021917-z9wpjr0d 313 1 If if IN cord-021917-z9wpjr0d 313 2 possible possible JJ cord-021917-z9wpjr0d 313 3 , , , cord-021917-z9wpjr0d 313 4 symptomatic symptomatic JJ cord-021917-z9wpjr0d 313 5 victims victim NNS cord-021917-z9wpjr0d 313 6 of of IN cord-021917-z9wpjr0d 313 7 a a DT cord-021917-z9wpjr0d 313 8 communicable communicable JJ cord-021917-z9wpjr0d 313 9 bioterrorism bioterrorism NN cord-021917-z9wpjr0d 313 10 agent agent NN cord-021917-z9wpjr0d 313 11 should should MD cord-021917-z9wpjr0d 313 12 be be VB cord-021917-z9wpjr0d 313 13 placed place VBN cord-021917-z9wpjr0d 313 14 in in IN cord-021917-z9wpjr0d 313 15 a a DT cord-021917-z9wpjr0d 313 16 private private JJ cord-021917-z9wpjr0d 313 17 room room NN cord-021917-z9wpjr0d 313 18 to to TO cord-021917-z9wpjr0d 313 19 prevent prevent VB cord-021917-z9wpjr0d 313 20 exposure exposure NN cord-021917-z9wpjr0d 313 21 to to IN cord-021917-z9wpjr0d 313 22 other other JJ cord-021917-z9wpjr0d 313 23 patients patient NNS cord-021917-z9wpjr0d 313 24 . . . cord-021917-z9wpjr0d 314 1 In in IN cord-021917-z9wpjr0d 314 2 the the DT cord-021917-z9wpjr0d 314 3 case case NN cord-021917-z9wpjr0d 314 4 of of IN cord-021917-z9wpjr0d 314 5 smallpox smallpox NN cord-021917-z9wpjr0d 314 6 or or CC cord-021917-z9wpjr0d 314 7 a a DT cord-021917-z9wpjr0d 314 8 viral viral JJ cord-021917-z9wpjr0d 314 9 hemorrhagic hemorrhagic JJ cord-021917-z9wpjr0d 314 10 fever fever NN cord-021917-z9wpjr0d 314 11 , , , cord-021917-z9wpjr0d 314 12 rooms room NNS cord-021917-z9wpjr0d 314 13 should should MD cord-021917-z9wpjr0d 314 14 be be VB cord-021917-z9wpjr0d 314 15 under under IN cord-021917-z9wpjr0d 314 16 negative negative JJ cord-021917-z9wpjr0d 314 17 pressure pressure NN cord-021917-z9wpjr0d 314 18 and and CC cord-021917-z9wpjr0d 314 19 equipped equip VBN cord-021917-z9wpjr0d 314 20 with with IN cord-021917-z9wpjr0d 314 21 high high JJ cord-021917-z9wpjr0d 314 22 - - HYPH cord-021917-z9wpjr0d 314 23 efficiency efficiency NN cord-021917-z9wpjr0d 314 24 particulate particulate NN cord-021917-z9wpjr0d 314 25 air air NN cord-021917-z9wpjr0d 314 26 ( ( -LRB- cord-021917-z9wpjr0d 314 27 HEPA HEPA NNP cord-021917-z9wpjr0d 314 28 ) ) -RRB- cord-021917-z9wpjr0d 314 29 filtration filtration NN cord-021917-z9wpjr0d 314 30 . . . cord-021917-z9wpjr0d 315 1 The the DT cord-021917-z9wpjr0d 315 2 exhaust exhaust NN cord-021917-z9wpjr0d 315 3 air air NN cord-021917-z9wpjr0d 315 4 from from IN cord-021917-z9wpjr0d 315 5 these these DT cord-021917-z9wpjr0d 315 6 rooms room NNS cord-021917-z9wpjr0d 315 7 should should MD cord-021917-z9wpjr0d 315 8 be be VB cord-021917-z9wpjr0d 315 9 expelled expel VBN cord-021917-z9wpjr0d 315 10 directly directly RB cord-021917-z9wpjr0d 315 11 to to IN cord-021917-z9wpjr0d 315 12 the the DT cord-021917-z9wpjr0d 315 13 outside outside NN cord-021917-z9wpjr0d 315 14 , , , cord-021917-z9wpjr0d 315 15 and and CC cord-021917-z9wpjr0d 315 16 the the DT cord-021917-z9wpjr0d 315 17 ventilation ventilation NN cord-021917-z9wpjr0d 315 18 system system NN cord-021917-z9wpjr0d 315 19 should should MD cord-021917-z9wpjr0d 315 20 not not RB cord-021917-z9wpjr0d 315 21 be be VB cord-021917-z9wpjr0d 315 22 shared share VBN cord-021917-z9wpjr0d 315 23 with with IN cord-021917-z9wpjr0d 315 24 other other JJ cord-021917-z9wpjr0d 315 25 areas area NNS cord-021917-z9wpjr0d 315 26 of of IN cord-021917-z9wpjr0d 315 27 the the DT cord-021917-z9wpjr0d 315 28 hospital hospital NN cord-021917-z9wpjr0d 315 29 . . . cord-021917-z9wpjr0d 316 1 Documented document VBN cord-021917-z9wpjr0d 316 2 cases case NNS cord-021917-z9wpjr0d 316 3 of of IN cord-021917-z9wpjr0d 316 4 smallpox smallpox NN cord-021917-z9wpjr0d 316 5 transmission transmission NN cord-021917-z9wpjr0d 316 6 have have VBP cord-021917-z9wpjr0d 316 7 occurred occur VBN cord-021917-z9wpjr0d 316 8 through through IN cord-021917-z9wpjr0d 316 9 ventilation ventilation NN cord-021917-z9wpjr0d 316 10 systems system NNS cord-021917-z9wpjr0d 316 11 . . . cord-021917-z9wpjr0d 317 1 Although although IN cord-021917-z9wpjr0d 317 2 the the DT cord-021917-z9wpjr0d 317 3 number number NN cord-021917-z9wpjr0d 317 4 of of IN cord-021917-z9wpjr0d 317 5 airborne airborne JJ cord-021917-z9wpjr0d 317 6 infection infection NN cord-021917-z9wpjr0d 317 7 isolation isolation NN cord-021917-z9wpjr0d 317 8 ( ( -LRB- cord-021917-z9wpjr0d 317 9 AII AII NNP cord-021917-z9wpjr0d 317 10 ) ) -RRB- cord-021917-z9wpjr0d 317 11 rooms room NNS cord-021917-z9wpjr0d 317 12 in in IN cord-021917-z9wpjr0d 317 13 most most JJS cord-021917-z9wpjr0d 317 14 hospitals hospital NNS cord-021917-z9wpjr0d 317 15 is be VBZ cord-021917-z9wpjr0d 317 16 few few JJ cord-021917-z9wpjr0d 317 17 , , , cord-021917-z9wpjr0d 317 18 there there EX cord-021917-z9wpjr0d 317 19 are be VBP cord-021917-z9wpjr0d 317 20 engineering engineering NN cord-021917-z9wpjr0d 317 21 modifications modification NNS cord-021917-z9wpjr0d 317 22 to to TO cord-021917-z9wpjr0d 317 23 increase increase VB cord-021917-z9wpjr0d 317 24 modified modify VBN cord-021917-z9wpjr0d 317 25 AII aii NN cord-021917-z9wpjr0d 317 26 capacity capacity NN cord-021917-z9wpjr0d 317 27 during during IN cord-021917-z9wpjr0d 317 28 an an DT cord-021917-z9wpjr0d 317 29 outbreak outbreak NN cord-021917-z9wpjr0d 317 30 . . . cord-021917-z9wpjr0d 318 1 Planning plan VBG cord-021917-z9wpjr0d 318 2 for for IN cord-021917-z9wpjr0d 318 3 these these DT cord-021917-z9wpjr0d 318 4 modifications modification NNS cord-021917-z9wpjr0d 318 5 before before IN cord-021917-z9wpjr0d 318 6 an an DT cord-021917-z9wpjr0d 318 7 event event NN cord-021917-z9wpjr0d 318 8 is be VBZ cord-021917-z9wpjr0d 318 9 critical critical JJ cord-021917-z9wpjr0d 318 10 . . . cord-021917-z9wpjr0d 319 1 Assuming assume VBG cord-021917-z9wpjr0d 319 2 a a DT cord-021917-z9wpjr0d 319 3 large large JJ cord-021917-z9wpjr0d 319 4 outbreak outbreak NN cord-021917-z9wpjr0d 319 5 of of IN cord-021917-z9wpjr0d 319 6 disease disease NN cord-021917-z9wpjr0d 319 7 , , , cord-021917-z9wpjr0d 319 8 patients patient NNS cord-021917-z9wpjr0d 319 9 should should MD cord-021917-z9wpjr0d 319 10 be be VB cord-021917-z9wpjr0d 319 11 grouped group VBN cord-021917-z9wpjr0d 319 12 together together RB cord-021917-z9wpjr0d 319 13 not not RB cord-021917-z9wpjr0d 319 14 only only RB cord-021917-z9wpjr0d 319 15 with with IN cord-021917-z9wpjr0d 319 16 respect respect NN cord-021917-z9wpjr0d 319 17 to to IN cord-021917-z9wpjr0d 319 18 location location NN cord-021917-z9wpjr0d 319 19 but but CC cord-021917-z9wpjr0d 319 20 also also RB cord-021917-z9wpjr0d 319 21 with with IN cord-021917-z9wpjr0d 319 22 respect respect NN cord-021917-z9wpjr0d 319 23 to to IN cord-021917-z9wpjr0d 319 24 nursing nursing NN cord-021917-z9wpjr0d 319 25 staff staff NN cord-021917-z9wpjr0d 319 26 , , , cord-021917-z9wpjr0d 319 27 physicians physician NNS cord-021917-z9wpjr0d 319 28 , , , cord-021917-z9wpjr0d 319 29 and and CC cord-021917-z9wpjr0d 319 30 equipment equipment NN cord-021917-z9wpjr0d 319 31 . . . cord-021917-z9wpjr0d 320 1 If if IN cord-021917-z9wpjr0d 320 2 no no DT cord-021917-z9wpjr0d 320 3 diagnostic diagnostic JJ cord-021917-z9wpjr0d 320 4 test test NN cord-021917-z9wpjr0d 320 5 exists exist VBZ cord-021917-z9wpjr0d 320 6 , , , cord-021917-z9wpjr0d 320 7 care care NN cord-021917-z9wpjr0d 320 8 must must MD cord-021917-z9wpjr0d 320 9 be be VB cord-021917-z9wpjr0d 320 10 taken take VBN cord-021917-z9wpjr0d 320 11 to to TO cord-021917-z9wpjr0d 320 12 minimize minimize VB cord-021917-z9wpjr0d 320 13 exposure exposure NN cord-021917-z9wpjr0d 320 14 of of IN cord-021917-z9wpjr0d 320 15 uninfected uninfected JJ cord-021917-z9wpjr0d 320 16 patients patient NNS cord-021917-z9wpjr0d 320 17 with with IN cord-021917-z9wpjr0d 320 18 similar similar JJ cord-021917-z9wpjr0d 320 19 signs sign NNS cord-021917-z9wpjr0d 320 20 or or CC cord-021917-z9wpjr0d 320 21 symptoms symptom NNS cord-021917-z9wpjr0d 320 22 who who WP cord-021917-z9wpjr0d 320 23 may may MD cord-021917-z9wpjr0d 320 24 be be VB cord-021917-z9wpjr0d 320 25 inadvertently inadvertently RB cord-021917-z9wpjr0d 320 26 housed house VBN cord-021917-z9wpjr0d 320 27 in in IN cord-021917-z9wpjr0d 320 28 the the DT cord-021917-z9wpjr0d 320 29 same same JJ cord-021917-z9wpjr0d 320 30 location location NN cord-021917-z9wpjr0d 320 31 . . . cord-021917-z9wpjr0d 321 1 Although although IN cord-021917-z9wpjr0d 321 2 friends friend NNS cord-021917-z9wpjr0d 321 3 and and CC cord-021917-z9wpjr0d 321 4 family family NN cord-021917-z9wpjr0d 321 5 undoubtedly undoubtedly RB cord-021917-z9wpjr0d 321 6 bring bring VBP cord-021917-z9wpjr0d 321 7 much much JJ cord-021917-z9wpjr0d 321 8 comfort comfort NN cord-021917-z9wpjr0d 321 9 and and CC cord-021917-z9wpjr0d 321 10 support support NN cord-021917-z9wpjr0d 321 11 to to TO cord-021917-z9wpjr0d 321 12 critically critically RB cord-021917-z9wpjr0d 321 13 ill ill VB cord-021917-z9wpjr0d 321 14 patients patient NNS cord-021917-z9wpjr0d 321 15 , , , cord-021917-z9wpjr0d 321 16 in in IN cord-021917-z9wpjr0d 321 17 the the DT cord-021917-z9wpjr0d 321 18 face face NN cord-021917-z9wpjr0d 321 19 of of IN cord-021917-z9wpjr0d 321 20 an an DT cord-021917-z9wpjr0d 321 21 infectious infectious JJ cord-021917-z9wpjr0d 321 22 disease disease NN cord-021917-z9wpjr0d 321 23 they -PRON- PRP cord-021917-z9wpjr0d 321 24 become become VBP cord-021917-z9wpjr0d 321 25 both both DT cord-021917-z9wpjr0d 321 26 potential potential JJ cord-021917-z9wpjr0d 321 27 victims victim NNS cord-021917-z9wpjr0d 321 28 and and CC cord-021917-z9wpjr0d 321 29 potential potential JJ cord-021917-z9wpjr0d 321 30 vectors vector NNS cord-021917-z9wpjr0d 321 31 . . . cord-021917-z9wpjr0d 322 1 Visitors visitor NNS cord-021917-z9wpjr0d 322 2 of of IN cord-021917-z9wpjr0d 322 3 victims victim NNS cord-021917-z9wpjr0d 322 4 of of IN cord-021917-z9wpjr0d 322 5 bioterrorism bioterrorism NN cord-021917-z9wpjr0d 322 6 with with IN cord-021917-z9wpjr0d 322 7 contagious contagious JJ cord-021917-z9wpjr0d 322 8 agents agent NNS cord-021917-z9wpjr0d 322 9 , , , cord-021917-z9wpjr0d 322 10 or or CC cord-021917-z9wpjr0d 322 11 victims victim NNS cord-021917-z9wpjr0d 322 12 of of IN cord-021917-z9wpjr0d 322 13 an an DT cord-021917-z9wpjr0d 322 14 emerging emerge VBG cord-021917-z9wpjr0d 322 15 infectious infectious JJ cord-021917-z9wpjr0d 322 16 disease disease NN cord-021917-z9wpjr0d 322 17 , , , cord-021917-z9wpjr0d 322 18 must must MD cord-021917-z9wpjr0d 322 19 be be VB cord-021917-z9wpjr0d 322 20 kept keep VBN cord-021917-z9wpjr0d 322 21 to to IN cord-021917-z9wpjr0d 322 22 an an DT cord-021917-z9wpjr0d 322 23 absolute absolute JJ cord-021917-z9wpjr0d 322 24 minimum minimum NN cord-021917-z9wpjr0d 322 25 . . . cord-021917-z9wpjr0d 323 1 They -PRON- PRP cord-021917-z9wpjr0d 323 2 must must MD cord-021917-z9wpjr0d 323 3 be be VB cord-021917-z9wpjr0d 323 4 instructed instruct VBN cord-021917-z9wpjr0d 323 5 and and CC cord-021917-z9wpjr0d 323 6 supervised supervise VBN cord-021917-z9wpjr0d 323 7 in in IN cord-021917-z9wpjr0d 323 8 the the DT cord-021917-z9wpjr0d 323 9 use use NN cord-021917-z9wpjr0d 323 10 of of IN cord-021917-z9wpjr0d 323 11 proper proper JJ cord-021917-z9wpjr0d 323 12 protective protective JJ cord-021917-z9wpjr0d 323 13 equipment equipment NN cord-021917-z9wpjr0d 323 14 and and CC cord-021917-z9wpjr0d 323 15 notified notify VBD cord-021917-z9wpjr0d 323 16 that that IN cord-021917-z9wpjr0d 323 17 they -PRON- PRP cord-021917-z9wpjr0d 323 18 must must MD cord-021917-z9wpjr0d 323 19 seek seek VB cord-021917-z9wpjr0d 323 20 treatment treatment NN cord-021917-z9wpjr0d 323 21 immediately immediately RB cord-021917-z9wpjr0d 323 22 if if IN cord-021917-z9wpjr0d 323 23 they -PRON- PRP cord-021917-z9wpjr0d 323 24 develop develop VBP cord-021917-z9wpjr0d 323 25 symptoms symptom NNS cord-021917-z9wpjr0d 323 26 . . . cord-021917-z9wpjr0d 324 1 In in IN cord-021917-z9wpjr0d 324 2 extreme extreme JJ cord-021917-z9wpjr0d 324 3 circumstances circumstance NNS cord-021917-z9wpjr0d 324 4 , , , cord-021917-z9wpjr0d 324 5 it -PRON- PRP cord-021917-z9wpjr0d 324 6 may may MD cord-021917-z9wpjr0d 324 7 be be VB cord-021917-z9wpjr0d 324 8 necessary necessary JJ cord-021917-z9wpjr0d 324 9 to to TO cord-021917-z9wpjr0d 324 10 completely completely RB cord-021917-z9wpjr0d 324 11 preclude preclude VB cord-021917-z9wpjr0d 324 12 friends friend NNS cord-021917-z9wpjr0d 324 13 and and CC cord-021917-z9wpjr0d 324 14 family family NN cord-021917-z9wpjr0d 324 15 from from IN cord-021917-z9wpjr0d 324 16 visiting visit VBG cord-021917-z9wpjr0d 324 17 patients patient NNS cord-021917-z9wpjr0d 324 18 . . . cord-021917-z9wpjr0d 325 1 Health health NN cord-021917-z9wpjr0d 325 2 care care NN cord-021917-z9wpjr0d 325 3 providers provider NNS cord-021917-z9wpjr0d 325 4 are be VBP cord-021917-z9wpjr0d 325 5 accustomed accustomed JJ cord-021917-z9wpjr0d 325 6 to to IN cord-021917-z9wpjr0d 325 7 putting put VBG cord-021917-z9wpjr0d 325 8 the the DT cord-021917-z9wpjr0d 325 9 welfare welfare NN cord-021917-z9wpjr0d 325 10 of of IN cord-021917-z9wpjr0d 325 11 the the DT cord-021917-z9wpjr0d 325 12 patient patient NN cord-021917-z9wpjr0d 325 13 ahead ahead RB cord-021917-z9wpjr0d 325 14 of of IN cord-021917-z9wpjr0d 325 15 their -PRON- PRP$ cord-021917-z9wpjr0d 325 16 own own JJ cord-021917-z9wpjr0d 325 17 ; ; : cord-021917-z9wpjr0d 325 18 patient patient JJ cord-021917-z9wpjr0d 325 19 care care NN cord-021917-z9wpjr0d 325 20 , , , cord-021917-z9wpjr0d 325 21 particularly particularly RB cord-021917-z9wpjr0d 325 22 in in IN cord-021917-z9wpjr0d 325 23 emergency emergency NN cord-021917-z9wpjr0d 325 24 situations situation NNS cord-021917-z9wpjr0d 325 25 , , , cord-021917-z9wpjr0d 325 26 is be VBZ cord-021917-z9wpjr0d 325 27 often often RB cord-021917-z9wpjr0d 325 28 carried carry VBN cord-021917-z9wpjr0d 325 29 out out RP cord-021917-z9wpjr0d 325 30 without without IN cord-021917-z9wpjr0d 325 31 adequate adequate JJ cord-021917-z9wpjr0d 325 32 protective protective JJ cord-021917-z9wpjr0d 325 33 equipment equipment NN cord-021917-z9wpjr0d 325 34 . . . cord-021917-z9wpjr0d 326 1 This this DT cord-021917-z9wpjr0d 326 2 can can MD cord-021917-z9wpjr0d 326 3 not not RB cord-021917-z9wpjr0d 326 4 be be VB cord-021917-z9wpjr0d 326 5 allowed allow VBN cord-021917-z9wpjr0d 326 6 in in IN cord-021917-z9wpjr0d 326 7 the the DT cord-021917-z9wpjr0d 326 8 case case NN cord-021917-z9wpjr0d 326 9 of of IN cord-021917-z9wpjr0d 326 10 extremely extremely RB cord-021917-z9wpjr0d 326 11 contagious contagious JJ cord-021917-z9wpjr0d 326 12 agents agent NNS cord-021917-z9wpjr0d 326 13 , , , cord-021917-z9wpjr0d 326 14 even even RB cord-021917-z9wpjr0d 326 15 in in IN cord-021917-z9wpjr0d 326 16 an an DT cord-021917-z9wpjr0d 326 17 emergency emergency NN cord-021917-z9wpjr0d 326 18 or or CC cord-021917-z9wpjr0d 326 19 " " `` cord-021917-z9wpjr0d 326 20 code code NN cord-021917-z9wpjr0d 326 21 " " '' cord-021917-z9wpjr0d 326 22 situation situation NN cord-021917-z9wpjr0d 326 23 . . . cord-021917-z9wpjr0d 327 1 A a DT cord-021917-z9wpjr0d 327 2 health health NN cord-021917-z9wpjr0d 327 3 care care NN cord-021917-z9wpjr0d 327 4 provider provider NN cord-021917-z9wpjr0d 327 5 who who WP cord-021917-z9wpjr0d 327 6 has have VBZ cord-021917-z9wpjr0d 327 7 contact contact NN cord-021917-z9wpjr0d 327 8 with with IN cord-021917-z9wpjr0d 327 9 a a DT cord-021917-z9wpjr0d 327 10 patient patient NN cord-021917-z9wpjr0d 327 11 without without IN cord-021917-z9wpjr0d 327 12 suitable suitable JJ cord-021917-z9wpjr0d 327 13 protective protective JJ cord-021917-z9wpjr0d 327 14 gear gear NN cord-021917-z9wpjr0d 327 15 risks risk NNS cord-021917-z9wpjr0d 327 16 not not RB cord-021917-z9wpjr0d 327 17 only only RB cord-021917-z9wpjr0d 327 18 his -PRON- PRP$ cord-021917-z9wpjr0d 327 19 or or CC cord-021917-z9wpjr0d 327 20 her -PRON- PRP$ cord-021917-z9wpjr0d 327 21 own own JJ cord-021917-z9wpjr0d 327 22 health health NN cord-021917-z9wpjr0d 327 23 but but CC cord-021917-z9wpjr0d 327 24 also also RB cord-021917-z9wpjr0d 327 25 the the DT cord-021917-z9wpjr0d 327 26 health health NN cord-021917-z9wpjr0d 327 27 of of IN cord-021917-z9wpjr0d 327 28 other other JJ cord-021917-z9wpjr0d 327 29 patients patient NNS cord-021917-z9wpjr0d 327 30 , , , cord-021917-z9wpjr0d 327 31 coworkers coworker NNS cord-021917-z9wpjr0d 327 32 , , , cord-021917-z9wpjr0d 327 33 visitors visitor NNS cord-021917-z9wpjr0d 327 34 , , , cord-021917-z9wpjr0d 327 35 and and CC cord-021917-z9wpjr0d 327 36 their -PRON- PRP$ cord-021917-z9wpjr0d 327 37 own own JJ cord-021917-z9wpjr0d 327 38 families family NNS cord-021917-z9wpjr0d 327 39 . . . cord-021917-z9wpjr0d 328 1 Individual individual JJ cord-021917-z9wpjr0d 328 2 patient patient NN cord-021917-z9wpjr0d 328 3 care care NN cord-021917-z9wpjr0d 328 4 issues issue NNS cord-021917-z9wpjr0d 328 5 must must MD cord-021917-z9wpjr0d 328 6 be be VB cord-021917-z9wpjr0d 328 7 secondary secondary JJ cord-021917-z9wpjr0d 328 8 to to TO cord-021917-z9wpjr0d 328 9 adequate adequate JJ cord-021917-z9wpjr0d 328 10 infection infection NN cord-021917-z9wpjr0d 328 11 control control NN cord-021917-z9wpjr0d 328 12 practices practice NNS cord-021917-z9wpjr0d 328 13 , , , cord-021917-z9wpjr0d 328 14 lest lest IN cord-021917-z9wpjr0d 328 15 an an DT cord-021917-z9wpjr0d 328 16 epidemic epidemic NN cord-021917-z9wpjr0d 328 17 of of IN cord-021917-z9wpjr0d 328 18 smallpox smallpox NN cord-021917-z9wpjr0d 328 19 , , , cord-021917-z9wpjr0d 328 20 SARS SARS NNP cord-021917-z9wpjr0d 328 21 , , , cord-021917-z9wpjr0d 328 22 plague plague NN cord-021917-z9wpjr0d 328 23 , , , cord-021917-z9wpjr0d 328 24 or or CC cord-021917-z9wpjr0d 328 25 viral viral JJ cord-021917-z9wpjr0d 328 26 hemorrhagic hemorrhagic JJ cord-021917-z9wpjr0d 328 27 fever fever NN cord-021917-z9wpjr0d 328 28 spread spread VBN cord-021917-z9wpjr0d 328 29 unchecked unchecked JJ cord-021917-z9wpjr0d 328 30 . . . cord-021917-z9wpjr0d 329 1 The the DT cord-021917-z9wpjr0d 329 2 CDC CDC NNP cord-021917-z9wpjr0d 329 3 has have VBZ cord-021917-z9wpjr0d 329 4 developed develop VBN cord-021917-z9wpjr0d 329 5 categories category NNS cord-021917-z9wpjr0d 329 6 of of IN cord-021917-z9wpjr0d 329 7 precaution precaution NN cord-021917-z9wpjr0d 329 8 that that WDT cord-021917-z9wpjr0d 329 9 are be VBP cord-021917-z9wpjr0d 329 10 to to TO cord-021917-z9wpjr0d 329 11 be be VB cord-021917-z9wpjr0d 329 12 applied apply VBN cord-021917-z9wpjr0d 329 13 to to IN cord-021917-z9wpjr0d 329 14 patients patient NNS cord-021917-z9wpjr0d 329 15 with with IN cord-021917-z9wpjr0d 329 16 potentially potentially RB cord-021917-z9wpjr0d 329 17 communicable communicable JJ cord-021917-z9wpjr0d 329 18 diseases disease NNS cord-021917-z9wpjr0d 329 19 ( ( -LRB- cord-021917-z9wpjr0d 329 20 Box Box NNP cord-021917-z9wpjr0d 329 21 64.6 64.6 CD cord-021917-z9wpjr0d 329 22 ) ) -RRB- cord-021917-z9wpjr0d 329 23 . . . cord-021917-z9wpjr0d 330 1 These these DT cord-021917-z9wpjr0d 330 2 categories category NNS cord-021917-z9wpjr0d 330 3 have have VBP cord-021917-z9wpjr0d 330 4 been be VBN cord-021917-z9wpjr0d 330 5 described describe VBN cord-021917-z9wpjr0d 330 6 at at IN cord-021917-z9wpjr0d 330 7 length length NN cord-021917-z9wpjr0d 330 8 elsewhere elsewhere RB cord-021917-z9wpjr0d 330 9 but but CC cord-021917-z9wpjr0d 330 10 are be VBP cord-021917-z9wpjr0d 330 11 summarized summarize VBN cord-021917-z9wpjr0d 330 12 in in IN cord-021917-z9wpjr0d 330 13 the the DT cord-021917-z9wpjr0d 330 14 following follow VBG cord-021917-z9wpjr0d 330 15 sections section NNS cord-021917-z9wpjr0d 330 16 , , , cord-021917-z9wpjr0d 330 17 along along IN cord-021917-z9wpjr0d 330 18 with with IN cord-021917-z9wpjr0d 330 19 their -PRON- PRP$ cord-021917-z9wpjr0d 330 20 applicability applicability NN cord-021917-z9wpjr0d 330 21 to to IN cord-021917-z9wpjr0d 330 22 the the DT cord-021917-z9wpjr0d 330 23 category category NN cord-021917-z9wpjr0d 330 24 A a DT cord-021917-z9wpjr0d 330 25 biological biological JJ cord-021917-z9wpjr0d 330 26 agents agent NNS cord-021917-z9wpjr0d 330 27 . . . cord-021917-z9wpjr0d 331 1 Standard standard JJ cord-021917-z9wpjr0d 331 2 precautions precaution NNS cord-021917-z9wpjr0d 331 3 should should MD cord-021917-z9wpjr0d 331 4 be be VB cord-021917-z9wpjr0d 331 5 applied apply VBN cord-021917-z9wpjr0d 331 6 to to IN cord-021917-z9wpjr0d 331 7 all all DT cord-021917-z9wpjr0d 331 8 patients patient NNS cord-021917-z9wpjr0d 331 9 and and CC cord-021917-z9wpjr0d 331 10 include include VBP cord-021917-z9wpjr0d 331 11 measures measure NNS cord-021917-z9wpjr0d 331 12 designed design VBN cord-021917-z9wpjr0d 331 13 to to TO cord-021917-z9wpjr0d 331 14 prevent prevent VB cord-021917-z9wpjr0d 331 15 transmission transmission NN cord-021917-z9wpjr0d 331 16 of of IN cord-021917-z9wpjr0d 331 17 blood- blood- VBG cord-021917-z9wpjr0d 331 18 Smallpox smallpox NN cord-021917-z9wpjr0d 331 19 Viral viral JJ cord-021917-z9wpjr0d 331 20 hemorrhagic hemorrhagic JJ cord-021917-z9wpjr0d 331 21 fevers fever NNS cord-021917-z9wpjr0d 331 22 Pneumonic pneumonic JJ cord-021917-z9wpjr0d 331 23 plague plague NN cord-021917-z9wpjr0d 332 1 Cutaneous cutaneous JJ cord-021917-z9wpjr0d 332 2 anthrax anthrax NN cord-021917-z9wpjr0d 332 3 borne bear VBD cord-021917-z9wpjr0d 332 4 illnesses illness NNS cord-021917-z9wpjr0d 332 5 such such JJ cord-021917-z9wpjr0d 332 6 as as IN cord-021917-z9wpjr0d 332 7 HIV HIV NNP cord-021917-z9wpjr0d 332 8 and and CC cord-021917-z9wpjr0d 332 9 hepatitis hepatitis NNP cord-021917-z9wpjr0d 332 10 B B NNP cord-021917-z9wpjr0d 333 1 /C. /C. NFP cord-021917-z9wpjr0d 333 2 Most Most JJS cord-021917-z9wpjr0d 333 3 interactions interaction NNS cord-021917-z9wpjr0d 333 4 with with IN cord-021917-z9wpjr0d 333 5 patients patient NNS cord-021917-z9wpjr0d 333 6 do do VBP cord-021917-z9wpjr0d 333 7 not not RB cord-021917-z9wpjr0d 333 8 require require VB cord-021917-z9wpjr0d 333 9 any any DT cord-021917-z9wpjr0d 333 10 protective protective JJ cord-021917-z9wpjr0d 333 11 equipment equipment NN cord-021917-z9wpjr0d 333 12 , , , cord-021917-z9wpjr0d 333 13 but but CC cord-021917-z9wpjr0d 333 14 gloves glove NNS cord-021917-z9wpjr0d 333 15 , , , cord-021917-z9wpjr0d 333 16 gown gown NN cord-021917-z9wpjr0d 333 17 , , , cord-021917-z9wpjr0d 333 18 and and CC cord-021917-z9wpjr0d 333 19 face face NN cord-021917-z9wpjr0d 333 20 shield shield NN cord-021917-z9wpjr0d 333 21 should should MD cord-021917-z9wpjr0d 333 22 be be VB cord-021917-z9wpjr0d 333 23 used use VBN cord-021917-z9wpjr0d 333 24 for for IN cord-021917-z9wpjr0d 333 25 any any DT cord-021917-z9wpjr0d 333 26 activity activity NN cord-021917-z9wpjr0d 333 27 that that WDT cord-021917-z9wpjr0d 333 28 could could MD cord-021917-z9wpjr0d 333 29 potentially potentially RB cord-021917-z9wpjr0d 333 30 result result VB cord-021917-z9wpjr0d 333 31 in in IN cord-021917-z9wpjr0d 333 32 an an DT cord-021917-z9wpjr0d 333 33 exposure exposure NN cord-021917-z9wpjr0d 333 34 to to IN cord-021917-z9wpjr0d 333 35 blood blood NN cord-021917-z9wpjr0d 333 36 or or CC cord-021917-z9wpjr0d 333 37 bodily bodily JJ cord-021917-z9wpjr0d 333 38 fluids fluid NNS cord-021917-z9wpjr0d 333 39 . . . cord-021917-z9wpjr0d 334 1 Of of IN cord-021917-z9wpjr0d 334 2 the the DT cord-021917-z9wpjr0d 334 3 category category NN cord-021917-z9wpjr0d 334 4 A a DT cord-021917-z9wpjr0d 334 5 agents agent NNS cord-021917-z9wpjr0d 334 6 , , , cord-021917-z9wpjr0d 334 7 anthrax anthrax NN cord-021917-z9wpjr0d 334 8 , , , cord-021917-z9wpjr0d 334 9 tularemia tularemia NN cord-021917-z9wpjr0d 334 10 , , , cord-021917-z9wpjr0d 334 11 and and CC cord-021917-z9wpjr0d 334 12 botulinum botulinum NN cord-021917-z9wpjr0d 334 13 toxin toxin NN cord-021917-z9wpjr0d 334 14 require require VBP cord-021917-z9wpjr0d 334 15 only only JJ cord-021917-z9wpjr0d 334 16 standard standard JJ cord-021917-z9wpjr0d 334 17 precautions precaution NNS cord-021917-z9wpjr0d 334 18 because because IN cord-021917-z9wpjr0d 334 19 these these DT cord-021917-z9wpjr0d 334 20 diseases disease NNS cord-021917-z9wpjr0d 334 21 are be VBP cord-021917-z9wpjr0d 334 22 not not RB cord-021917-z9wpjr0d 334 23 transmissible transmissible JJ cord-021917-z9wpjr0d 334 24 from from IN cord-021917-z9wpjr0d 334 25 person person NN cord-021917-z9wpjr0d 334 26 to to IN cord-021917-z9wpjr0d 334 27 person person NN cord-021917-z9wpjr0d 334 28 . . . cord-021917-z9wpjr0d 335 1 Cutaneous cutaneous JJ cord-021917-z9wpjr0d 335 2 anthrax anthrax NN cord-021917-z9wpjr0d 335 3 should should MD cord-021917-z9wpjr0d 335 4 perhaps perhaps RB cord-021917-z9wpjr0d 335 5 be be VB cord-021917-z9wpjr0d 335 6 treated treat VBN cord-021917-z9wpjr0d 335 7 with with IN cord-021917-z9wpjr0d 335 8 contact contact NN cord-021917-z9wpjr0d 335 9 precautions precaution NNS cord-021917-z9wpjr0d 335 10 because because IN cord-021917-z9wpjr0d 335 11 transmission transmission NN cord-021917-z9wpjr0d 335 12 has have VBZ cord-021917-z9wpjr0d 335 13 been be VBN cord-021917-z9wpjr0d 335 14 suggested suggest VBN cord-021917-z9wpjr0d 335 15 following follow VBG cord-021917-z9wpjr0d 335 16 contact contact NN cord-021917-z9wpjr0d 335 17 with with IN cord-021917-z9wpjr0d 335 18 the the DT cord-021917-z9wpjr0d 335 19 lesions lesion NNS cord-021917-z9wpjr0d 335 20 of of IN cord-021917-z9wpjr0d 335 21 this this DT cord-021917-z9wpjr0d 335 22 type type NN cord-021917-z9wpjr0d 335 23 of of IN cord-021917-z9wpjr0d 335 24 anthrax anthrax NN cord-021917-z9wpjr0d 335 25 . . . cord-021917-z9wpjr0d 336 1 Contact contact NN cord-021917-z9wpjr0d 336 2 precautions precaution NNS cord-021917-z9wpjr0d 336 3 are be VBP cord-021917-z9wpjr0d 336 4 applicable applicable JJ cord-021917-z9wpjr0d 336 5 to to IN cord-021917-z9wpjr0d 336 6 diseases disease NNS cord-021917-z9wpjr0d 336 7 that that WDT cord-021917-z9wpjr0d 336 8 can can MD cord-021917-z9wpjr0d 336 9 be be VB cord-021917-z9wpjr0d 336 10 spread spread VBN cord-021917-z9wpjr0d 336 11 by by IN cord-021917-z9wpjr0d 336 12 touching touch VBG cord-021917-z9wpjr0d 336 13 the the DT cord-021917-z9wpjr0d 336 14 patient patient NN cord-021917-z9wpjr0d 336 15 directly directly RB cord-021917-z9wpjr0d 336 16 or or CC cord-021917-z9wpjr0d 336 17 indirectly indirectly RB cord-021917-z9wpjr0d 336 18 by by IN cord-021917-z9wpjr0d 336 19 coming come VBG cord-021917-z9wpjr0d 336 20 into into IN cord-021917-z9wpjr0d 336 21 contact contact NN cord-021917-z9wpjr0d 336 22 with with IN cord-021917-z9wpjr0d 336 23 contaminated contaminated JJ cord-021917-z9wpjr0d 336 24 objects object NNS cord-021917-z9wpjr0d 336 25 . . . cord-021917-z9wpjr0d 337 1 Common common JJ cord-021917-z9wpjr0d 337 2 examples example NNS cord-021917-z9wpjr0d 337 3 include include VBP cord-021917-z9wpjr0d 337 4 scabies scabie NNS cord-021917-z9wpjr0d 337 5 , , , cord-021917-z9wpjr0d 337 6 herpes herpes NN cord-021917-z9wpjr0d 337 7 , , , cord-021917-z9wpjr0d 337 8 Clostridium clostridium NN cord-021917-z9wpjr0d 337 9 difficile difficile NN cord-021917-z9wpjr0d 337 10 , , , cord-021917-z9wpjr0d 337 11 and and CC cord-021917-z9wpjr0d 337 12 methicillin methicillin NN cord-021917-z9wpjr0d 337 13 - - HYPH cord-021917-z9wpjr0d 337 14 resistant resistant JJ cord-021917-z9wpjr0d 337 15 Staphylococcus Staphylococcus NNP cord-021917-z9wpjr0d 337 16 aureus aureus NN cord-021917-z9wpjr0d 337 17 . . . cord-021917-z9wpjr0d 338 1 Contact contact NN cord-021917-z9wpjr0d 338 2 precautions precaution NNS cord-021917-z9wpjr0d 338 3 must must MD cord-021917-z9wpjr0d 338 4 be be VB cord-021917-z9wpjr0d 338 5 used use VBN cord-021917-z9wpjr0d 338 6 , , , cord-021917-z9wpjr0d 338 7 if if IN cord-021917-z9wpjr0d 338 8 applicable applicable JJ cord-021917-z9wpjr0d 338 9 , , , cord-021917-z9wpjr0d 338 10 during during IN cord-021917-z9wpjr0d 338 11 all all DT cord-021917-z9wpjr0d 338 12 patient patient JJ cord-021917-z9wpjr0d 338 13 interactions interaction NNS cord-021917-z9wpjr0d 338 14 , , , cord-021917-z9wpjr0d 338 15 regardless regardless RB cord-021917-z9wpjr0d 338 16 of of IN cord-021917-z9wpjr0d 338 17 whether whether IN cord-021917-z9wpjr0d 338 18 body body NN cord-021917-z9wpjr0d 338 19 fluid fluid NN cord-021917-z9wpjr0d 338 20 contact contact NN cord-021917-z9wpjr0d 338 21 is be VBZ cord-021917-z9wpjr0d 338 22 expected expect VBN cord-021917-z9wpjr0d 338 23 . . . cord-021917-z9wpjr0d 339 1 Protective protective JJ cord-021917-z9wpjr0d 339 2 equipment equipment NN cord-021917-z9wpjr0d 339 3 consists consist VBZ cord-021917-z9wpjr0d 339 4 of of IN cord-021917-z9wpjr0d 339 5 gloves glove NNS cord-021917-z9wpjr0d 339 6 and and CC cord-021917-z9wpjr0d 339 7 gown gown NN cord-021917-z9wpjr0d 339 8 , , , cord-021917-z9wpjr0d 339 9 and and CC cord-021917-z9wpjr0d 339 10 a a DT cord-021917-z9wpjr0d 339 11 face face NN cord-021917-z9wpjr0d 339 12 shield shield NN cord-021917-z9wpjr0d 339 13 is be VBZ cord-021917-z9wpjr0d 339 14 mandatory mandatory JJ cord-021917-z9wpjr0d 339 15 if if IN cord-021917-z9wpjr0d 339 16 splashing splash VBG cord-021917-z9wpjr0d 339 17 or or CC cord-021917-z9wpjr0d 339 18 spraying spraying NN cord-021917-z9wpjr0d 339 19 of of IN cord-021917-z9wpjr0d 339 20 body body NN cord-021917-z9wpjr0d 339 21 fluids fluid NNS cord-021917-z9wpjr0d 339 22 is be VBZ cord-021917-z9wpjr0d 339 23 possible possible JJ cord-021917-z9wpjr0d 339 24 . . . cord-021917-z9wpjr0d 340 1 Patients patient NNS cord-021917-z9wpjr0d 340 2 with with IN cord-021917-z9wpjr0d 340 3 smallpox smallpox NN cord-021917-z9wpjr0d 340 4 and and CC cord-021917-z9wpjr0d 340 5 VHFs vhf NNS cord-021917-z9wpjr0d 340 6 must must MD cord-021917-z9wpjr0d 340 7 be be VB cord-021917-z9wpjr0d 340 8 placed place VBN cord-021917-z9wpjr0d 340 9 in in IN cord-021917-z9wpjr0d 340 10 contact contact NN cord-021917-z9wpjr0d 340 11 precautions precaution NNS cord-021917-z9wpjr0d 340 12 . . . cord-021917-z9wpjr0d 341 1 Patient patient JJ cord-021917-z9wpjr0d 341 2 care care NN cord-021917-z9wpjr0d 341 3 equipment equipment NN cord-021917-z9wpjr0d 341 4 must must MD cord-021917-z9wpjr0d 341 5 also also RB cord-021917-z9wpjr0d 341 6 be be VB cord-021917-z9wpjr0d 341 7 dedicated dedicated JJ cord-021917-z9wpjr0d 341 8 to to IN cord-021917-z9wpjr0d 341 9 these these DT cord-021917-z9wpjr0d 341 10 patients patient NNS cord-021917-z9wpjr0d 341 11 and and CC cord-021917-z9wpjr0d 341 12 not not RB cord-021917-z9wpjr0d 341 13 used use VBN cord-021917-z9wpjr0d 341 14 on on IN cord-021917-z9wpjr0d 341 15 patients patient NNS cord-021917-z9wpjr0d 341 16 not not RB cord-021917-z9wpjr0d 341 17 suffering suffer VBG cord-021917-z9wpjr0d 341 18 from from IN cord-021917-z9wpjr0d 341 19 these these DT cord-021917-z9wpjr0d 341 20 diseases disease NNS cord-021917-z9wpjr0d 341 21 . . . cord-021917-z9wpjr0d 342 1 Droplet droplet NN cord-021917-z9wpjr0d 342 2 precautions precaution NNS cord-021917-z9wpjr0d 342 3 apply apply VBP cord-021917-z9wpjr0d 342 4 to to IN cord-021917-z9wpjr0d 342 5 diseases disease NNS cord-021917-z9wpjr0d 342 6 that that WDT cord-021917-z9wpjr0d 342 7 are be VBP cord-021917-z9wpjr0d 342 8 transmissible transmissible JJ cord-021917-z9wpjr0d 342 9 by by IN cord-021917-z9wpjr0d 342 10 large large JJ cord-021917-z9wpjr0d 342 11 - - HYPH cord-021917-z9wpjr0d 342 12 particle particle NN cord-021917-z9wpjr0d 342 13 droplets droplet NNS cord-021917-z9wpjr0d 342 14 , , , cord-021917-z9wpjr0d 342 15 defined define VBN cord-021917-z9wpjr0d 342 16 as as IN cord-021917-z9wpjr0d 342 17 those those DT cord-021917-z9wpjr0d 342 18 greater great JJR cord-021917-z9wpjr0d 342 19 than than IN cord-021917-z9wpjr0d 342 20 5 5 CD cord-021917-z9wpjr0d 342 21 mm mm NNS cord-021917-z9wpjr0d 342 22 . . . cord-021917-z9wpjr0d 343 1 Due due IN cord-021917-z9wpjr0d 343 2 to to IN cord-021917-z9wpjr0d 343 3 the the DT cord-021917-z9wpjr0d 343 4 size size NN cord-021917-z9wpjr0d 343 5 of of IN cord-021917-z9wpjr0d 343 6 the the DT cord-021917-z9wpjr0d 343 7 droplets droplet NNS cord-021917-z9wpjr0d 343 8 , , , cord-021917-z9wpjr0d 343 9 transmission transmission NN cord-021917-z9wpjr0d 343 10 is be VBZ cord-021917-z9wpjr0d 343 11 highest high JJS cord-021917-z9wpjr0d 343 12 over over IN cord-021917-z9wpjr0d 343 13 short short JJ cord-021917-z9wpjr0d 343 14 distances distance NNS cord-021917-z9wpjr0d 343 15 ( ( -LRB- cord-021917-z9wpjr0d 343 16 < < NNP cord-021917-z9wpjr0d 343 17 1 1 CD cord-021917-z9wpjr0d 343 18 m m NNP cord-021917-z9wpjr0d 343 19 ) ) -RRB- cord-021917-z9wpjr0d 343 20 and and CC cord-021917-z9wpjr0d 343 21 does do VBZ cord-021917-z9wpjr0d 343 22 not not RB cord-021917-z9wpjr0d 343 23 occur occur VB cord-021917-z9wpjr0d 343 24 through through IN cord-021917-z9wpjr0d 343 25 ventilation ventilation NN cord-021917-z9wpjr0d 343 26 systems system NNS cord-021917-z9wpjr0d 343 27 . . . cord-021917-z9wpjr0d 344 1 Necessary necessary JJ cord-021917-z9wpjr0d 344 2 equipment equipment NN cord-021917-z9wpjr0d 344 3 includes include VBZ cord-021917-z9wpjr0d 344 4 a a DT cord-021917-z9wpjr0d 344 5 face face NN cord-021917-z9wpjr0d 344 6 shield shield NN cord-021917-z9wpjr0d 344 7 or or CC cord-021917-z9wpjr0d 344 8 surgical surgical JJ cord-021917-z9wpjr0d 344 9 mask mask NN cord-021917-z9wpjr0d 344 10 with with IN cord-021917-z9wpjr0d 344 11 eye eye NN cord-021917-z9wpjr0d 344 12 protection protection NN cord-021917-z9wpjr0d 344 13 , , , cord-021917-z9wpjr0d 344 14 gown gown NN cord-021917-z9wpjr0d 344 15 , , , cord-021917-z9wpjr0d 344 16 and and CC cord-021917-z9wpjr0d 344 17 gloves glove NNS cord-021917-z9wpjr0d 344 18 . . . cord-021917-z9wpjr0d 345 1 Pneumonic pneumonic JJ cord-021917-z9wpjr0d 345 2 plague plague NN cord-021917-z9wpjr0d 345 3 requires require VBZ cord-021917-z9wpjr0d 345 4 droplet droplet NN cord-021917-z9wpjr0d 345 5 precautions precaution NNS cord-021917-z9wpjr0d 345 6 . . . cord-021917-z9wpjr0d 346 1 Airborne airborne JJ cord-021917-z9wpjr0d 346 2 precautions precaution NNS cord-021917-z9wpjr0d 346 3 are be VBP cord-021917-z9wpjr0d 346 4 required require VBN cord-021917-z9wpjr0d 346 5 for for IN cord-021917-z9wpjr0d 346 6 diseases disease NNS cord-021917-z9wpjr0d 346 7 that that WDT cord-021917-z9wpjr0d 346 8 are be VBP cord-021917-z9wpjr0d 346 9 spread spread VBN cord-021917-z9wpjr0d 346 10 via via IN cord-021917-z9wpjr0d 346 11 droplet droplet NN cord-021917-z9wpjr0d 346 12 nuclei nucleus NNS cord-021917-z9wpjr0d 346 13 , , , cord-021917-z9wpjr0d 346 14 which which WDT cord-021917-z9wpjr0d 346 15 are be VBP cord-021917-z9wpjr0d 346 16 less less JJR cord-021917-z9wpjr0d 346 17 than than IN cord-021917-z9wpjr0d 346 18 5 5 CD cord-021917-z9wpjr0d 346 19 mm mm NNS cord-021917-z9wpjr0d 346 20 . . . cord-021917-z9wpjr0d 347 1 Tuberculosis tuberculosis NN cord-021917-z9wpjr0d 347 2 is be VBZ cord-021917-z9wpjr0d 347 3 the the DT cord-021917-z9wpjr0d 347 4 most most RBS cord-021917-z9wpjr0d 347 5 familiar familiar JJ cord-021917-z9wpjr0d 347 6 of of IN cord-021917-z9wpjr0d 347 7 airborne airborne JJ cord-021917-z9wpjr0d 347 8 infectious infectious JJ cord-021917-z9wpjr0d 347 9 agents agent NNS cord-021917-z9wpjr0d 347 10 , , , cord-021917-z9wpjr0d 347 11 but but CC cord-021917-z9wpjr0d 347 12 of of IN cord-021917-z9wpjr0d 347 13 the the DT cord-021917-z9wpjr0d 347 14 category category NN cord-021917-z9wpjr0d 348 1 A a DT cord-021917-z9wpjr0d 348 2 agents agent NNS cord-021917-z9wpjr0d 348 3 , , , cord-021917-z9wpjr0d 348 4 both both CC cord-021917-z9wpjr0d 348 5 smallpox smallpox NN cord-021917-z9wpjr0d 348 6 and and CC cord-021917-z9wpjr0d 348 7 VHFs vhf NNS cord-021917-z9wpjr0d 348 8 fit fit JJ cord-021917-z9wpjr0d 348 9 into into IN cord-021917-z9wpjr0d 348 10 this this DT cord-021917-z9wpjr0d 348 11 category category NN cord-021917-z9wpjr0d 348 12 . . . cord-021917-z9wpjr0d 349 1 Droplet droplet NN cord-021917-z9wpjr0d 349 2 nuclei nucleus NNS cord-021917-z9wpjr0d 349 3 may may MD cord-021917-z9wpjr0d 349 4 travel travel VB cord-021917-z9wpjr0d 349 5 through through IN cord-021917-z9wpjr0d 349 6 ventilation ventilation NN cord-021917-z9wpjr0d 349 7 systems system NNS cord-021917-z9wpjr0d 349 8 , , , cord-021917-z9wpjr0d 349 9 underscoring underscore VBG cord-021917-z9wpjr0d 349 10 the the DT cord-021917-z9wpjr0d 349 11 importance importance NN cord-021917-z9wpjr0d 349 12 of of IN cord-021917-z9wpjr0d 349 13 placing place VBG cord-021917-z9wpjr0d 349 14 patients patient NNS cord-021917-z9wpjr0d 349 15 with with IN cord-021917-z9wpjr0d 349 16 these these DT cord-021917-z9wpjr0d 349 17 diseases disease NNS cord-021917-z9wpjr0d 349 18 in in IN cord-021917-z9wpjr0d 349 19 negativepressure negativepressure JJ cord-021917-z9wpjr0d 349 20 rooms room NNS cord-021917-z9wpjr0d 349 21 with with IN cord-021917-z9wpjr0d 349 22 HEPA HEPA NNP cord-021917-z9wpjr0d 349 23 filters filter NNS cord-021917-z9wpjr0d 349 24 and and CC cord-021917-z9wpjr0d 349 25 exhaust exhaust NN cord-021917-z9wpjr0d 349 26 of of IN cord-021917-z9wpjr0d 349 27 air air NN cord-021917-z9wpjr0d 349 28 to to IN cord-021917-z9wpjr0d 349 29 the the DT cord-021917-z9wpjr0d 349 30 outside outside NN cord-021917-z9wpjr0d 349 31 . . . cord-021917-z9wpjr0d 350 1 Required required JJ cord-021917-z9wpjr0d 350 2 equipment equipment NN cord-021917-z9wpjr0d 350 3 includes include VBZ cord-021917-z9wpjr0d 350 4 gown gown NN cord-021917-z9wpjr0d 350 5 , , , cord-021917-z9wpjr0d 350 6 gloves glove NNS cord-021917-z9wpjr0d 350 7 , , , cord-021917-z9wpjr0d 350 8 and and CC cord-021917-z9wpjr0d 350 9 adequate adequate JJ cord-021917-z9wpjr0d 350 10 respiratory respiratory JJ cord-021917-z9wpjr0d 350 11 protection protection NN cord-021917-z9wpjr0d 350 12 . . . cord-021917-z9wpjr0d 351 1 Either either CC cord-021917-z9wpjr0d 351 2 an an DT cord-021917-z9wpjr0d 351 3 N95 N95 NNP cord-021917-z9wpjr0d 351 4 respirator respirator NN cord-021917-z9wpjr0d 351 5 ( ( -LRB- cord-021917-z9wpjr0d 351 6 specifications specification NNS cord-021917-z9wpjr0d 351 7 are be VBP cord-021917-z9wpjr0d 351 8 described describe VBN cord-021917-z9wpjr0d 351 9 elsewhere elsewhere RB cord-021917-z9wpjr0d 351 10 ) ) -RRB- cord-021917-z9wpjr0d 351 11 with with IN cord-021917-z9wpjr0d 351 12 eye eye NN cord-021917-z9wpjr0d 351 13 protection protection NN cord-021917-z9wpjr0d 351 14 or or CC cord-021917-z9wpjr0d 351 15 a a DT cord-021917-z9wpjr0d 351 16 powered powered JJ cord-021917-z9wpjr0d 351 17 air air NN cord-021917-z9wpjr0d 351 18 purifying purify VBG cord-021917-z9wpjr0d 351 19 respirator respirator NN cord-021917-z9wpjr0d 351 20 ( ( -LRB- cord-021917-z9wpjr0d 351 21 PAPR PAPR NNP cord-021917-z9wpjr0d 351 22 ) ) -RRB- cord-021917-z9wpjr0d 351 23 is be VBZ cord-021917-z9wpjr0d 351 24 acceptable acceptable JJ cord-021917-z9wpjr0d 351 25 . . . cord-021917-z9wpjr0d 352 1 A a DT cord-021917-z9wpjr0d 352 2 misconception misconception NN cord-021917-z9wpjr0d 352 3 exists exist VBZ cord-021917-z9wpjr0d 352 4 that that IN cord-021917-z9wpjr0d 352 5 once once RB cord-021917-z9wpjr0d 352 6 a a DT cord-021917-z9wpjr0d 352 7 patient patient NN cord-021917-z9wpjr0d 352 8 is be VBZ cord-021917-z9wpjr0d 352 9 intubated intubate VBN cord-021917-z9wpjr0d 352 10 and and CC cord-021917-z9wpjr0d 352 11 mechanically mechanically RB cord-021917-z9wpjr0d 352 12 ventilated ventilate VBN cord-021917-z9wpjr0d 352 13 , , , cord-021917-z9wpjr0d 352 14 both both DT cord-021917-z9wpjr0d 352 15 large large JJ cord-021917-z9wpjr0d 352 16 droplets droplet NNS cord-021917-z9wpjr0d 352 17 and and CC cord-021917-z9wpjr0d 352 18 droplet droplet NN cord-021917-z9wpjr0d 352 19 nuclei nucleus NNS cord-021917-z9wpjr0d 352 20 are be VBP cord-021917-z9wpjr0d 352 21 no no RB cord-021917-z9wpjr0d 352 22 longer long RBR cord-021917-z9wpjr0d 352 23 expelled expel VBN cord-021917-z9wpjr0d 352 24 into into IN cord-021917-z9wpjr0d 352 25 the the DT cord-021917-z9wpjr0d 352 26 air air NN cord-021917-z9wpjr0d 352 27 . . . cord-021917-z9wpjr0d 353 1 This this DT cord-021917-z9wpjr0d 353 2 is be VBZ cord-021917-z9wpjr0d 353 3 true true JJ cord-021917-z9wpjr0d 353 4 only only RB cord-021917-z9wpjr0d 353 5 if if IN cord-021917-z9wpjr0d 353 6 the the DT cord-021917-z9wpjr0d 353 7 ven ven NNP cord-021917-z9wpjr0d 353 8 - - HYPH cord-021917-z9wpjr0d 353 9 tilator tilator NNP cord-021917-z9wpjr0d 353 10 expiratory expiratory NNP cord-021917-z9wpjr0d 353 11 circuit circuit NNP cord-021917-z9wpjr0d 353 12 is be VBZ cord-021917-z9wpjr0d 353 13 fitted fit VBN cord-021917-z9wpjr0d 353 14 with with IN cord-021917-z9wpjr0d 353 15 a a DT cord-021917-z9wpjr0d 353 16 filter filter NN cord-021917-z9wpjr0d 353 17 that that WDT cord-021917-z9wpjr0d 353 18 meets meet VBZ cord-021917-z9wpjr0d 353 19 HEPA HEPA NNP cord-021917-z9wpjr0d 353 20 guidelines guideline NNS cord-021917-z9wpjr0d 353 21 . . . cord-021917-z9wpjr0d 354 1 Unfortunately unfortunately RB cord-021917-z9wpjr0d 354 2 , , , cord-021917-z9wpjr0d 354 3 many many JJ cord-021917-z9wpjr0d 354 4 of of IN cord-021917-z9wpjr0d 354 5 the the DT cord-021917-z9wpjr0d 354 6 filters filter NNS cord-021917-z9wpjr0d 354 7 and and CC cord-021917-z9wpjr0d 354 8 heat heat NN cord-021917-z9wpjr0d 354 9 / / SYM cord-021917-z9wpjr0d 354 10 moisture moisture NN cord-021917-z9wpjr0d 354 11 exchanging exchange VBG cord-021917-z9wpjr0d 354 12 filters filter NNS cord-021917-z9wpjr0d 354 13 commonly commonly RB cord-021917-z9wpjr0d 354 14 used use VBN cord-021917-z9wpjr0d 354 15 do do VBP cord-021917-z9wpjr0d 354 16 not not RB cord-021917-z9wpjr0d 354 17 meet meet VB cord-021917-z9wpjr0d 354 18 HEPA HEPA NNP cord-021917-z9wpjr0d 354 19 criteria criterion NNS cord-021917-z9wpjr0d 354 20 . . . cord-021917-z9wpjr0d 355 1 This this DT cord-021917-z9wpjr0d 355 2 poses pose VBZ cord-021917-z9wpjr0d 355 3 dangers danger NNS cord-021917-z9wpjr0d 355 4 to to IN cord-021917-z9wpjr0d 355 5 health health NN cord-021917-z9wpjr0d 355 6 care care NN cord-021917-z9wpjr0d 355 7 personnel personnel NNS cord-021917-z9wpjr0d 355 8 , , , cord-021917-z9wpjr0d 355 9 visitors visitor NNS cord-021917-z9wpjr0d 355 10 , , , cord-021917-z9wpjr0d 355 11 and and CC cord-021917-z9wpjr0d 355 12 other other JJ cord-021917-z9wpjr0d 355 13 patients patient NNS cord-021917-z9wpjr0d 355 14 not not RB cord-021917-z9wpjr0d 355 15 only only RB cord-021917-z9wpjr0d 355 16 for for IN cord-021917-z9wpjr0d 355 17 bioterrorist bioterrorist NN cord-021917-z9wpjr0d 355 18 agents agent NNS cord-021917-z9wpjr0d 355 19 but but CC cord-021917-z9wpjr0d 355 20 also also RB cord-021917-z9wpjr0d 355 21 for for IN cord-021917-z9wpjr0d 355 22 tuberculosis tuberculosis NN cord-021917-z9wpjr0d 355 23 , , , cord-021917-z9wpjr0d 355 24 SARS SARS NNP cord-021917-z9wpjr0d 355 25 , , , cord-021917-z9wpjr0d 355 26 and and CC cord-021917-z9wpjr0d 355 27 other other JJ cord-021917-z9wpjr0d 355 28 emerging emerge VBG cord-021917-z9wpjr0d 355 29 infections infection NNS cord-021917-z9wpjr0d 355 30 . . . cord-021917-z9wpjr0d 356 1 Hospitals hospital NNS cord-021917-z9wpjr0d 356 2 would would MD cord-021917-z9wpjr0d 356 3 be be VB cord-021917-z9wpjr0d 356 4 well well RB cord-021917-z9wpjr0d 356 5 advised advise VBN cord-021917-z9wpjr0d 356 6 to to TO cord-021917-z9wpjr0d 356 7 stockpile stockpile VB cord-021917-z9wpjr0d 356 8 HEPA HEPA NNP cord-021917-z9wpjr0d 356 9 - - HYPH cord-021917-z9wpjr0d 356 10 grade grade NN cord-021917-z9wpjr0d 356 11 filters filter NNS cord-021917-z9wpjr0d 356 12 for for IN cord-021917-z9wpjr0d 356 13 ventilator ventilator NN cord-021917-z9wpjr0d 356 14 expiratory expiratory NNP cord-021917-z9wpjr0d 356 15 circuits circuit NNS cord-021917-z9wpjr0d 356 16 . . . cord-021917-z9wpjr0d 357 1 Correct correct JJ cord-021917-z9wpjr0d 357 2 hand hand NN cord-021917-z9wpjr0d 357 3 washing washing NN cord-021917-z9wpjr0d 357 4 is be VBZ cord-021917-z9wpjr0d 357 5 an an DT cord-021917-z9wpjr0d 357 6 essential essential JJ cord-021917-z9wpjr0d 357 7 component component NN cord-021917-z9wpjr0d 357 8 of of IN cord-021917-z9wpjr0d 357 9 hospital hospital NN cord-021917-z9wpjr0d 357 10 infection infection NN cord-021917-z9wpjr0d 357 11 control control NN cord-021917-z9wpjr0d 357 12 in in IN cord-021917-z9wpjr0d 357 13 all all DT cord-021917-z9wpjr0d 357 14 circumstances circumstance NNS cord-021917-z9wpjr0d 357 15 . . . cord-021917-z9wpjr0d 358 1 This this DT cord-021917-z9wpjr0d 358 2 is be VBZ cord-021917-z9wpjr0d 358 3 perhaps perhaps RB cord-021917-z9wpjr0d 358 4 even even RB cord-021917-z9wpjr0d 358 5 more more RBR cord-021917-z9wpjr0d 358 6 true true JJ cord-021917-z9wpjr0d 358 7 in in IN cord-021917-z9wpjr0d 358 8 the the DT cord-021917-z9wpjr0d 358 9 circumstances circumstance NNS cord-021917-z9wpjr0d 358 10 of of IN cord-021917-z9wpjr0d 358 11 an an DT cord-021917-z9wpjr0d 358 12 outbreak outbreak NN cord-021917-z9wpjr0d 358 13 of of IN cord-021917-z9wpjr0d 358 14 an an DT cord-021917-z9wpjr0d 358 15 emerging emerge VBG cord-021917-z9wpjr0d 358 16 infectious infectious JJ cord-021917-z9wpjr0d 358 17 disease disease NN cord-021917-z9wpjr0d 358 18 or or CC cord-021917-z9wpjr0d 358 19 possible possible JJ cord-021917-z9wpjr0d 358 20 agent agent NN cord-021917-z9wpjr0d 358 21 of of IN cord-021917-z9wpjr0d 358 22 bioterrorism bioterrorism NN cord-021917-z9wpjr0d 358 23 . . . cord-021917-z9wpjr0d 359 1 Hands hand NNS cord-021917-z9wpjr0d 359 2 must must MD cord-021917-z9wpjr0d 359 3 be be VB cord-021917-z9wpjr0d 359 4 washed wash VBN cord-021917-z9wpjr0d 359 5 after after IN cord-021917-z9wpjr0d 359 6 each each DT cord-021917-z9wpjr0d 359 7 patient patient JJ cord-021917-z9wpjr0d 359 8 contact contact NN cord-021917-z9wpjr0d 359 9 even even RB cord-021917-z9wpjr0d 359 10 when when WRB cord-021917-z9wpjr0d 359 11 protective protective JJ cord-021917-z9wpjr0d 359 12 gloves glove NNS cord-021917-z9wpjr0d 359 13 are be VBP cord-021917-z9wpjr0d 359 14 used use VBN cord-021917-z9wpjr0d 359 15 because because IN cord-021917-z9wpjr0d 359 16 a a DT cord-021917-z9wpjr0d 359 17 surprisingly surprisingly RB cord-021917-z9wpjr0d 359 18 high high JJ cord-021917-z9wpjr0d 359 19 percentage percentage NN cord-021917-z9wpjr0d 359 20 of of IN cord-021917-z9wpjr0d 359 21 protective protective JJ cord-021917-z9wpjr0d 359 22 gloves glove NNS cord-021917-z9wpjr0d 359 23 contain contain VBP cord-021917-z9wpjr0d 359 24 microscopic microscopic JJ cord-021917-z9wpjr0d 359 25 holes hole NNS cord-021917-z9wpjr0d 359 26 , , , cord-021917-z9wpjr0d 359 27 and and CC cord-021917-z9wpjr0d 359 28 holes hole NNS cord-021917-z9wpjr0d 359 29 may may MD cord-021917-z9wpjr0d 359 30 develop develop VB cord-021917-z9wpjr0d 359 31 during during IN cord-021917-z9wpjr0d 359 32 the the DT cord-021917-z9wpjr0d 359 33 activities activity NNS cord-021917-z9wpjr0d 359 34 of of IN cord-021917-z9wpjr0d 359 35 routine routine JJ cord-021917-z9wpjr0d 359 36 patient patient NN cord-021917-z9wpjr0d 359 37 care care NN cord-021917-z9wpjr0d 359 38 . . . cord-021917-z9wpjr0d 360 1 Failure failure NN cord-021917-z9wpjr0d 360 2 to to TO cord-021917-z9wpjr0d 360 3 thoroughly thoroughly RB cord-021917-z9wpjr0d 360 4 wash wash VB cord-021917-z9wpjr0d 360 5 hands hand NNS cord-021917-z9wpjr0d 360 6 following follow VBG cord-021917-z9wpjr0d 360 7 patient patient NN cord-021917-z9wpjr0d 360 8 contact contact NN cord-021917-z9wpjr0d 360 9 places place NNS cord-021917-z9wpjr0d 360 10 other other JJ cord-021917-z9wpjr0d 360 11 patients patient NNS cord-021917-z9wpjr0d 360 12 and and CC cord-021917-z9wpjr0d 360 13 health health NN cord-021917-z9wpjr0d 360 14 care care NN cord-021917-z9wpjr0d 360 15 workers worker NNS cord-021917-z9wpjr0d 360 16 at at IN cord-021917-z9wpjr0d 360 17 risk risk NN cord-021917-z9wpjr0d 360 18 . . . cord-021917-z9wpjr0d 361 1 There there EX cord-021917-z9wpjr0d 361 2 has have VBZ cord-021917-z9wpjr0d 361 3 been be VBN cord-021917-z9wpjr0d 361 4 an an DT cord-021917-z9wpjr0d 361 5 increase increase NN cord-021917-z9wpjr0d 361 6 in in IN cord-021917-z9wpjr0d 361 7 the the DT cord-021917-z9wpjr0d 361 8 use use NN cord-021917-z9wpjr0d 361 9 of of IN cord-021917-z9wpjr0d 361 10 waterless waterless JJ cord-021917-z9wpjr0d 361 11 alcohol alcohol NN cord-021917-z9wpjr0d 361 12 rubs rub NNS cord-021917-z9wpjr0d 361 13 in in IN cord-021917-z9wpjr0d 361 14 ICUs ICUs NNP cord-021917-z9wpjr0d 361 15 rather rather RB cord-021917-z9wpjr0d 361 16 than than IN cord-021917-z9wpjr0d 361 17 soap soap NN cord-021917-z9wpjr0d 361 18 and and CC cord-021917-z9wpjr0d 361 19 water water NN cord-021917-z9wpjr0d 361 20 . . . cord-021917-z9wpjr0d 362 1 Although although IN cord-021917-z9wpjr0d 362 2 these these DT cord-021917-z9wpjr0d 362 3 gels gel NNS cord-021917-z9wpjr0d 362 4 are be VBP cord-021917-z9wpjr0d 362 5 generally generally RB cord-021917-z9wpjr0d 362 6 effective effective JJ cord-021917-z9wpjr0d 362 7 against against IN cord-021917-z9wpjr0d 362 8 bacteria bacteria NNS cord-021917-z9wpjr0d 362 9 and and CC cord-021917-z9wpjr0d 362 10 viruses virus NNS cord-021917-z9wpjr0d 362 11 , , , cord-021917-z9wpjr0d 362 12 they -PRON- PRP cord-021917-z9wpjr0d 362 13 have have VBP cord-021917-z9wpjr0d 362 14 been be VBN cord-021917-z9wpjr0d 362 15 shown show VBN cord-021917-z9wpjr0d 362 16 to to TO cord-021917-z9wpjr0d 362 17 be be VB cord-021917-z9wpjr0d 362 18 ineffective ineffective JJ cord-021917-z9wpjr0d 362 19 against against IN cord-021917-z9wpjr0d 362 20 bacterial bacterial JJ cord-021917-z9wpjr0d 362 21 spores spore NNS cord-021917-z9wpjr0d 362 22 such such JJ cord-021917-z9wpjr0d 362 23 as as IN cord-021917-z9wpjr0d 362 24 anthrax anthrax NN cord-021917-z9wpjr0d 362 25 . . . cord-021917-z9wpjr0d 363 1 Soap soap NN cord-021917-z9wpjr0d 363 2 and and CC cord-021917-z9wpjr0d 363 3 water water NN cord-021917-z9wpjr0d 363 4 , , , cord-021917-z9wpjr0d 363 5 antimicrobial antimicrobial JJ cord-021917-z9wpjr0d 363 6 or or CC cord-021917-z9wpjr0d 363 7 not not RB cord-021917-z9wpjr0d 363 8 , , , cord-021917-z9wpjr0d 363 9 are be VBP cord-021917-z9wpjr0d 363 10 effective effective JJ cord-021917-z9wpjr0d 363 11 at at IN cord-021917-z9wpjr0d 363 12 removing remove VBG cord-021917-z9wpjr0d 363 13 anthrax anthrax NN cord-021917-z9wpjr0d 363 14 spores spore NNS cord-021917-z9wpjr0d 363 15 from from IN cord-021917-z9wpjr0d 363 16 hands hand NNS cord-021917-z9wpjr0d 363 17 . . . cord-021917-z9wpjr0d 364 1 Accordingly accordingly RB cord-021917-z9wpjr0d 364 2 , , , cord-021917-z9wpjr0d 364 3 we -PRON- PRP cord-021917-z9wpjr0d 364 4 recommend recommend VBP cord-021917-z9wpjr0d 364 5 the the DT cord-021917-z9wpjr0d 364 6 use use NN cord-021917-z9wpjr0d 364 7 of of IN cord-021917-z9wpjr0d 364 8 antimicrobial antimicrobial JJ cord-021917-z9wpjr0d 364 9 soap soap NN cord-021917-z9wpjr0d 364 10 and and CC cord-021917-z9wpjr0d 364 11 water water NN cord-021917-z9wpjr0d 364 12 for for IN cord-021917-z9wpjr0d 364 13 the the DT cord-021917-z9wpjr0d 364 14 washing washing NN cord-021917-z9wpjr0d 364 15 of of IN cord-021917-z9wpjr0d 364 16 hands hand NNS cord-021917-z9wpjr0d 364 17 after after IN cord-021917-z9wpjr0d 364 18 patient patient JJ cord-021917-z9wpjr0d 364 19 contact contact NN cord-021917-z9wpjr0d 364 20 . . . cord-021917-z9wpjr0d 365 1 Complete complete JJ cord-021917-z9wpjr0d 365 2 recommendations recommendation NNS cord-021917-z9wpjr0d 365 3 for for IN cord-021917-z9wpjr0d 365 4 postexposure postexposure NN cord-021917-z9wpjr0d 365 5 prophylaxis prophylaxis NN cord-021917-z9wpjr0d 365 6 are be VBP cord-021917-z9wpjr0d 365 7 given give VBN cord-021917-z9wpjr0d 365 8 in in IN cord-021917-z9wpjr0d 365 9 Table Table NNP cord-021917-z9wpjr0d 365 10 64 64 CD cord-021917-z9wpjr0d 365 11 .1 .1 NNS cord-021917-z9wpjr0d 365 12 . . . cord-021917-z9wpjr0d 366 1 In in IN cord-021917-z9wpjr0d 366 2 the the DT cord-021917-z9wpjr0d 366 3 case case NN cord-021917-z9wpjr0d 366 4 of of IN cord-021917-z9wpjr0d 366 5 anthrax anthrax NN cord-021917-z9wpjr0d 366 6 and and CC cord-021917-z9wpjr0d 366 7 tularemia tularemia NN cord-021917-z9wpjr0d 366 8 , , , cord-021917-z9wpjr0d 366 9 postexposure postexposure NN cord-021917-z9wpjr0d 366 10 prophylaxis prophylaxis NN cord-021917-z9wpjr0d 366 11 with with IN cord-021917-z9wpjr0d 366 12 vaccination vaccination NN cord-021917-z9wpjr0d 366 13 has have VBZ cord-021917-z9wpjr0d 366 14 not not RB cord-021917-z9wpjr0d 366 15 been be VBN cord-021917-z9wpjr0d 366 16 proven prove VBN cord-021917-z9wpjr0d 366 17 effective effective JJ cord-021917-z9wpjr0d 366 18 . . . cord-021917-z9wpjr0d 367 1 There there EX cord-021917-z9wpjr0d 367 2 is be VBZ cord-021917-z9wpjr0d 367 3 no no DT cord-021917-z9wpjr0d 367 4 need need NN cord-021917-z9wpjr0d 367 5 for for IN cord-021917-z9wpjr0d 367 6 prophylactic prophylactic JJ cord-021917-z9wpjr0d 367 7 antibiotic antibiotic JJ cord-021917-z9wpjr0d 367 8 therapy therapy NN cord-021917-z9wpjr0d 367 9 for for IN cord-021917-z9wpjr0d 367 10 health health NN cord-021917-z9wpjr0d 367 11 care care NN cord-021917-z9wpjr0d 367 12 workers worker NNS cord-021917-z9wpjr0d 367 13 unless unless IN cord-021917-z9wpjr0d 367 14 they -PRON- PRP cord-021917-z9wpjr0d 367 15 were be VBD cord-021917-z9wpjr0d 367 16 potentially potentially RB cord-021917-z9wpjr0d 367 17 exposed expose VBN cord-021917-z9wpjr0d 367 18 in in IN cord-021917-z9wpjr0d 367 19 the the DT cord-021917-z9wpjr0d 367 20 initial initial JJ cord-021917-z9wpjr0d 367 21 attack attack NN cord-021917-z9wpjr0d 367 22 . . . cord-021917-z9wpjr0d 368 1 Vaccination vaccination NN cord-021917-z9wpjr0d 368 2 does do VBZ cord-021917-z9wpjr0d 368 3 not not RB cord-021917-z9wpjr0d 368 4 confer confer VB cord-021917-z9wpjr0d 368 5 protection protection NN cord-021917-z9wpjr0d 368 6 against against IN cord-021917-z9wpjr0d 368 7 pneumonic pneumonic JJ cord-021917-z9wpjr0d 368 8 plague plague NN cord-021917-z9wpjr0d 368 9 . . . cord-021917-z9wpjr0d 369 1 Health health NN cord-021917-z9wpjr0d 369 2 care care NN cord-021917-z9wpjr0d 369 3 workers worker NNS cord-021917-z9wpjr0d 369 4 caring care VBG cord-021917-z9wpjr0d 369 5 for for IN cord-021917-z9wpjr0d 369 6 patients patient NNS cord-021917-z9wpjr0d 369 7 with with IN cord-021917-z9wpjr0d 369 8 pneumonic pneumonic JJ cord-021917-z9wpjr0d 369 9 plague plague NN cord-021917-z9wpjr0d 369 10 should should MD cord-021917-z9wpjr0d 369 11 , , , cord-021917-z9wpjr0d 369 12 however however RB cord-021917-z9wpjr0d 369 13 , , , cord-021917-z9wpjr0d 369 14 receive receive VBP cord-021917-z9wpjr0d 369 15 prophylaxis prophylaxis NN cord-021917-z9wpjr0d 369 16 with with IN cord-021917-z9wpjr0d 369 17 7 7 CD cord-021917-z9wpjr0d 369 18 days day NNS cord-021917-z9wpjr0d 369 19 of of IN cord-021917-z9wpjr0d 369 20 oral oral JJ cord-021917-z9wpjr0d 369 21 doxycycline doxycycline NN cord-021917-z9wpjr0d 369 22 . . . cord-021917-z9wpjr0d 370 1 If if IN cord-021917-z9wpjr0d 370 2 symptoms symptom NNS cord-021917-z9wpjr0d 370 3 such such JJ cord-021917-z9wpjr0d 370 4 as as IN cord-021917-z9wpjr0d 370 5 fever fever NN cord-021917-z9wpjr0d 370 6 develop develop NN cord-021917-z9wpjr0d 370 7 , , , cord-021917-z9wpjr0d 370 8 they -PRON- PRP cord-021917-z9wpjr0d 370 9 should should MD cord-021917-z9wpjr0d 370 10 be be VB cord-021917-z9wpjr0d 370 11 aggressively aggressively RB cord-021917-z9wpjr0d 370 12 treated treat VBN cord-021917-z9wpjr0d 370 13 with with IN cord-021917-z9wpjr0d 370 14 parenteral parenteral JJ cord-021917-z9wpjr0d 370 15 antibiotics antibiotic NNS cord-021917-z9wpjr0d 370 16 . . . cord-021917-z9wpjr0d 371 1 Health health NN cord-021917-z9wpjr0d 371 2 care care NN cord-021917-z9wpjr0d 371 3 workers worker NNS cord-021917-z9wpjr0d 371 4 caring care VBG cord-021917-z9wpjr0d 371 5 for for IN cord-021917-z9wpjr0d 371 6 patients patient NNS cord-021917-z9wpjr0d 371 7 with with IN cord-021917-z9wpjr0d 371 8 smallpox smallpox NN cord-021917-z9wpjr0d 371 9 should should MD cord-021917-z9wpjr0d 371 10 be be VB cord-021917-z9wpjr0d 371 11 vaccinated vaccinate VBN cord-021917-z9wpjr0d 371 12 as as RB cord-021917-z9wpjr0d 371 13 soon soon RB cord-021917-z9wpjr0d 371 14 as as IN cord-021917-z9wpjr0d 371 15 possible possible JJ cord-021917-z9wpjr0d 371 16 because because IN cord-021917-z9wpjr0d 371 17 vaccination vaccination NN cord-021917-z9wpjr0d 371 18 within within IN cord-021917-z9wpjr0d 371 19 4 4 CD cord-021917-z9wpjr0d 371 20 days day NNS cord-021917-z9wpjr0d 371 21 of of IN cord-021917-z9wpjr0d 371 22 exposure exposure NN cord-021917-z9wpjr0d 371 23 can can MD cord-021917-z9wpjr0d 371 24 prevent prevent VB cord-021917-z9wpjr0d 371 25 or or CC cord-021917-z9wpjr0d 371 26 limit limit VB cord-021917-z9wpjr0d 371 27 the the DT cord-021917-z9wpjr0d 371 28 severity severity NN cord-021917-z9wpjr0d 371 29 of of IN cord-021917-z9wpjr0d 371 30 subsequent subsequent JJ cord-021917-z9wpjr0d 371 31 illness illness NN cord-021917-z9wpjr0d 371 32 . . . cord-021917-z9wpjr0d 372 1 Immediate immediate JJ cord-021917-z9wpjr0d 372 2 isolation isolation NN cord-021917-z9wpjr0d 372 3 must must MD cord-021917-z9wpjr0d 372 4 follow follow VB cord-021917-z9wpjr0d 372 5 the the DT cord-021917-z9wpjr0d 372 6 development development NN cord-021917-z9wpjr0d 372 7 of of IN cord-021917-z9wpjr0d 372 8 fever fever NN cord-021917-z9wpjr0d 372 9 after after IN cord-021917-z9wpjr0d 372 10 exposure exposure NN cord-021917-z9wpjr0d 372 11 to to IN cord-021917-z9wpjr0d 372 12 smallpox smallpox NN cord-021917-z9wpjr0d 372 13 . . . cord-021917-z9wpjr0d 373 1 No no DT cord-021917-z9wpjr0d 373 2 postexposure postexposure NN cord-021917-z9wpjr0d 373 3 prophylaxis prophylaxis NN cord-021917-z9wpjr0d 373 4 exists exist VBZ cord-021917-z9wpjr0d 373 5 for for IN cord-021917-z9wpjr0d 373 6 VHFs vhf NNS cord-021917-z9wpjr0d 373 7 . . . cord-021917-z9wpjr0d 374 1 Although although IN cord-021917-z9wpjr0d 374 2 decontamination decontamination NN cord-021917-z9wpjr0d 374 3 of of IN cord-021917-z9wpjr0d 374 4 victims victim NNS cord-021917-z9wpjr0d 374 5 of of IN cord-021917-z9wpjr0d 374 6 a a DT cord-021917-z9wpjr0d 374 7 biological biological JJ cord-021917-z9wpjr0d 374 8 attack attack NN cord-021917-z9wpjr0d 374 9 is be VBZ cord-021917-z9wpjr0d 374 10 rarely rarely RB cord-021917-z9wpjr0d 374 11 necessary necessary JJ cord-021917-z9wpjr0d 374 12 , , , cord-021917-z9wpjr0d 374 13 the the DT cord-021917-z9wpjr0d 374 14 rooms room NNS cord-021917-z9wpjr0d 374 15 in in IN cord-021917-z9wpjr0d 374 16 which which WDT cord-021917-z9wpjr0d 374 17 they -PRON- PRP cord-021917-z9wpjr0d 374 18 are be VBP cord-021917-z9wpjr0d 374 19 treated treat VBN cord-021917-z9wpjr0d 374 20 can can MD cord-021917-z9wpjr0d 374 21 become become VB cord-021917-z9wpjr0d 374 22 contaminated contaminate VBN cord-021917-z9wpjr0d 374 23 with with IN cord-021917-z9wpjr0d 374 24 infectious infectious JJ cord-021917-z9wpjr0d 374 25 organisms organism NNS cord-021917-z9wpjr0d 374 26 , , , cord-021917-z9wpjr0d 374 27 particularly particularly RB cord-021917-z9wpjr0d 374 28 if if IN cord-021917-z9wpjr0d 374 29 sprays spray NNS cord-021917-z9wpjr0d 374 30 of of IN cord-021917-z9wpjr0d 374 31 bodily bodily JJ cord-021917-z9wpjr0d 374 32 fluids fluid NNS cord-021917-z9wpjr0d 374 33 or or CC cord-021917-z9wpjr0d 374 34 respiratory respiratory JJ cord-021917-z9wpjr0d 374 35 aerosols aerosol NNS cord-021917-z9wpjr0d 374 36 are be VBP cord-021917-z9wpjr0d 374 37 produced produce VBN cord-021917-z9wpjr0d 374 38 . . . cord-021917-z9wpjr0d 375 1 Virions Virions NNP cord-021917-z9wpjr0d 375 2 of of IN cord-021917-z9wpjr0d 375 3 smallpox smallpox NN cord-021917-z9wpjr0d 375 4 , , , cord-021917-z9wpjr0d 375 5 in in IN cord-021917-z9wpjr0d 375 6 particular particular JJ cord-021917-z9wpjr0d 375 7 , , , cord-021917-z9wpjr0d 375 8 can can MD cord-021917-z9wpjr0d 375 9 persist persist VB cord-021917-z9wpjr0d 375 10 in in IN cord-021917-z9wpjr0d 375 11 linens linen NNS cord-021917-z9wpjr0d 375 12 for for IN cord-021917-z9wpjr0d 375 13 extended extended JJ cord-021917-z9wpjr0d 375 14 periods period NNS cord-021917-z9wpjr0d 375 15 of of IN cord-021917-z9wpjr0d 375 16 time time NN cord-021917-z9wpjr0d 375 17 ; ; , cord-021917-z9wpjr0d 375 18 documented document VBN cord-021917-z9wpjr0d 375 19 cases case NNS cord-021917-z9wpjr0d 375 20 exist exist VBP cord-021917-z9wpjr0d 375 21 in in IN cord-021917-z9wpjr0d 375 22 which which WDT cord-021917-z9wpjr0d 375 23 laundry laundry JJ cord-021917-z9wpjr0d 375 24 workers worker NNS cord-021917-z9wpjr0d 375 25 contracted contract VBD cord-021917-z9wpjr0d 375 26 smallpox smallpox NN cord-021917-z9wpjr0d 375 27 from from IN cord-021917-z9wpjr0d 375 28 handling handle VBG cord-021917-z9wpjr0d 375 29 contaminated contaminate VBN cord-021917-z9wpjr0d 375 30 bedding bedding NN cord-021917-z9wpjr0d 375 31 and and CC cord-021917-z9wpjr0d 375 32 clothing clothing NN cord-021917-z9wpjr0d 375 33 . . . cord-021917-z9wpjr0d 376 1 The the DT cord-021917-z9wpjr0d 376 2 causal causal JJ cord-021917-z9wpjr0d 376 3 agents agent NNS cord-021917-z9wpjr0d 376 4 of of IN cord-021917-z9wpjr0d 376 5 VHFs vhf NNS cord-021917-z9wpjr0d 376 6 may may MD cord-021917-z9wpjr0d 376 7 also also RB cord-021917-z9wpjr0d 376 8 be be VB cord-021917-z9wpjr0d 376 9 transmitted transmit VBN cord-021917-z9wpjr0d 376 10 via via IN cord-021917-z9wpjr0d 376 11 contaminated contaminate VBN cord-021917-z9wpjr0d 376 12 linens linen NNS cord-021917-z9wpjr0d 376 13 . . . cord-021917-z9wpjr0d 377 1 Commercial commercial JJ cord-021917-z9wpjr0d 377 2 hospital hospital NN cord-021917-z9wpjr0d 377 3 disinfectants disinfectant NNS cord-021917-z9wpjr0d 377 4 and and CC cord-021917-z9wpjr0d 377 5 household household NN cord-021917-z9wpjr0d 377 6 bleach bleach NN cord-021917-z9wpjr0d 377 7 at at IN cord-021917-z9wpjr0d 377 8 a a DT cord-021917-z9wpjr0d 377 9 1:10 1:10 CD cord-021917-z9wpjr0d 377 10 dilution dilution NN cord-021917-z9wpjr0d 377 11 are be VBP cord-021917-z9wpjr0d 377 12 effective effective JJ cord-021917-z9wpjr0d 377 13 at at IN cord-021917-z9wpjr0d 377 14 eliminating eliminate VBG cord-021917-z9wpjr0d 377 15 surface surface NN cord-021917-z9wpjr0d 377 16 contamination contamination NN cord-021917-z9wpjr0d 377 17 with with IN cord-021917-z9wpjr0d 377 18 anthrax anthrax NN cord-021917-z9wpjr0d 377 19 , , , cord-021917-z9wpjr0d 377 20 smallpox smallpox NN cord-021917-z9wpjr0d 377 21 , , , cord-021917-z9wpjr0d 377 22 Ebola Ebola NNP cord-021917-z9wpjr0d 377 23 and and CC cord-021917-z9wpjr0d 377 24 Marburg Marburg NNP cord-021917-z9wpjr0d 377 25 viruses virus NNS cord-021917-z9wpjr0d 377 26 , , , cord-021917-z9wpjr0d 377 27 tularemia tularemia NN cord-021917-z9wpjr0d 377 28 , , , cord-021917-z9wpjr0d 377 29 and and CC cord-021917-z9wpjr0d 377 30 plague plague NN cord-021917-z9wpjr0d 377 31 . . . cord-021917-z9wpjr0d 378 1 Linens linen NNS cord-021917-z9wpjr0d 378 2 from from IN cord-021917-z9wpjr0d 378 3 infected infected JJ cord-021917-z9wpjr0d 378 4 patients patient NNS cord-021917-z9wpjr0d 378 5 should should MD cord-021917-z9wpjr0d 378 6 be be VB cord-021917-z9wpjr0d 378 7 incinerated incinerate VBN cord-021917-z9wpjr0d 378 8 , , , cord-021917-z9wpjr0d 378 9 autoclaved autoclave VBN cord-021917-z9wpjr0d 378 10 , , , cord-021917-z9wpjr0d 378 11 or or CC cord-021917-z9wpjr0d 378 12 _SP cord-021917-z9wpjr0d 378 13 The the DT cord-021917-z9wpjr0d 378 14 bodies body NNS cord-021917-z9wpjr0d 378 15 of of IN cord-021917-z9wpjr0d 378 16 deceased deceased JJ cord-021917-z9wpjr0d 378 17 patients patient NNS cord-021917-z9wpjr0d 378 18 with with IN cord-021917-z9wpjr0d 378 19 smallpox smallpox NN cord-021917-z9wpjr0d 378 20 , , , cord-021917-z9wpjr0d 378 21 plague plague NN cord-021917-z9wpjr0d 378 22 , , , cord-021917-z9wpjr0d 378 23 or or CC cord-021917-z9wpjr0d 378 24 VHFs vhf NNS cord-021917-z9wpjr0d 378 25 continue continue VBP cord-021917-z9wpjr0d 378 26 to to TO cord-021917-z9wpjr0d 378 27 pose pose VB cord-021917-z9wpjr0d 378 28 an an DT cord-021917-z9wpjr0d 378 29 infectious infectious JJ cord-021917-z9wpjr0d 378 30 risk risk NN cord-021917-z9wpjr0d 378 31 . . . cord-021917-z9wpjr0d 379 1 Autopsies autopsy NNS cord-021917-z9wpjr0d 379 2 or or CC cord-021917-z9wpjr0d 379 3 postmortem postmortem JJ cord-021917-z9wpjr0d 379 4 examinations examination NNS cord-021917-z9wpjr0d 379 5 should should MD cord-021917-z9wpjr0d 379 6 be be VB cord-021917-z9wpjr0d 379 7 avoided avoid VBN cord-021917-z9wpjr0d 379 8 if if IN cord-021917-z9wpjr0d 379 9 possible possible JJ cord-021917-z9wpjr0d 379 10 . . . cord-021917-z9wpjr0d 380 1 The the DT cord-021917-z9wpjr0d 380 2 bodies body NNS cord-021917-z9wpjr0d 380 3 of of IN cord-021917-z9wpjr0d 380 4 victims victim NNS cord-021917-z9wpjr0d 380 5 of of IN cord-021917-z9wpjr0d 380 6 smallpox smallpox NN cord-021917-z9wpjr0d 380 7 should should MD cord-021917-z9wpjr0d 380 8 be be VB cord-021917-z9wpjr0d 380 9 cremated cremate VBN cord-021917-z9wpjr0d 380 10 . . . cord-021917-z9wpjr0d 381 1 People People NNS cord-021917-z9wpjr0d 381 2 who who WP cord-021917-z9wpjr0d 381 3 have have VBP cord-021917-z9wpjr0d 381 4 died die VBN cord-021917-z9wpjr0d 381 5 of of IN cord-021917-z9wpjr0d 381 6 a a DT cord-021917-z9wpjr0d 381 7 VHF vhf NN cord-021917-z9wpjr0d 381 8 should should MD cord-021917-z9wpjr0d 381 9 preferably preferably RB cord-021917-z9wpjr0d 381 10 be be VB cord-021917-z9wpjr0d 381 11 cremated cremate VBN cord-021917-z9wpjr0d 381 12 , , , cord-021917-z9wpjr0d 381 13 although although IN cord-021917-z9wpjr0d 381 14 prompt prompt JJ cord-021917-z9wpjr0d 381 15 burial burial NN cord-021917-z9wpjr0d 381 16 without without IN cord-021917-z9wpjr0d 381 17 embalmment embalmment NN cord-021917-z9wpjr0d 381 18 is be VBZ cord-021917-z9wpjr0d 381 19 a a DT cord-021917-z9wpjr0d 381 20 secondary secondary JJ cord-021917-z9wpjr0d 381 21 option option NN cord-021917-z9wpjr0d 381 22 . . . cord-021917-z9wpjr0d 382 1 Proper proper JJ cord-021917-z9wpjr0d 382 2 use use NN cord-021917-z9wpjr0d 382 3 of of IN cord-021917-z9wpjr0d 382 4 personal personal JJ cord-021917-z9wpjr0d 382 5 protective protective JJ cord-021917-z9wpjr0d 382 6 equipment equipment NN cord-021917-z9wpjr0d 382 7 is be VBZ cord-021917-z9wpjr0d 382 8 essential essential JJ cord-021917-z9wpjr0d 382 9 in in IN cord-021917-z9wpjr0d 382 10 order order NN cord-021917-z9wpjr0d 382 11 to to TO cord-021917-z9wpjr0d 382 12 protect protect VB cord-021917-z9wpjr0d 382 13 staff staff NN cord-021917-z9wpjr0d 382 14 from from IN cord-021917-z9wpjr0d 382 15 infectious infectious JJ cord-021917-z9wpjr0d 382 16 disease disease NN cord-021917-z9wpjr0d 382 17 . . . cord-021917-z9wpjr0d 383 1 The the DT cord-021917-z9wpjr0d 383 2 equipment equipment NN cord-021917-z9wpjr0d 383 3 required require VBN cord-021917-z9wpjr0d 383 4 depends depend VBZ cord-021917-z9wpjr0d 383 5 on on IN cord-021917-z9wpjr0d 383 6 the the DT cord-021917-z9wpjr0d 383 7 particular particular JJ cord-021917-z9wpjr0d 383 8 disease disease NN cord-021917-z9wpjr0d 383 9 , , , cord-021917-z9wpjr0d 383 10 as as IN cord-021917-z9wpjr0d 383 11 described describe VBN cord-021917-z9wpjr0d 383 12 previously previously RB cord-021917-z9wpjr0d 383 13 . . . cord-021917-z9wpjr0d 384 1 Effort effort NN cord-021917-z9wpjr0d 384 2 must must MD cord-021917-z9wpjr0d 384 3 be be VB cord-021917-z9wpjr0d 384 4 made make VBN cord-021917-z9wpjr0d 384 5 to to TO cord-021917-z9wpjr0d 384 6 ensure ensure VB cord-021917-z9wpjr0d 384 7 that that IN cord-021917-z9wpjr0d 384 8 adequate adequate JJ cord-021917-z9wpjr0d 384 9 supplies supply NNS cord-021917-z9wpjr0d 384 10 of of IN cord-021917-z9wpjr0d 384 11 equipment equipment NN cord-021917-z9wpjr0d 384 12 exist exist VBP cord-021917-z9wpjr0d 384 13 , , , cord-021917-z9wpjr0d 384 14 and and CC cord-021917-z9wpjr0d 384 15 requirements requirement NNS cord-021917-z9wpjr0d 384 16 will will MD cord-021917-z9wpjr0d 384 17 likely likely RB cord-021917-z9wpjr0d 384 18 be be VB cord-021917-z9wpjr0d 384 19 far far RB cord-021917-z9wpjr0d 384 20 greater great JJR cord-021917-z9wpjr0d 384 21 than than IN cord-021917-z9wpjr0d 384 22 expected expect VBN cord-021917-z9wpjr0d 384 23 . . . cord-021917-z9wpjr0d 385 1 Calculations calculation NNS cord-021917-z9wpjr0d 385 2 estimating estimate VBG cord-021917-z9wpjr0d 385 3 the the DT cord-021917-z9wpjr0d 385 4 amount amount NN cord-021917-z9wpjr0d 385 5 of of IN cord-021917-z9wpjr0d 385 6 equipment equipment NN cord-021917-z9wpjr0d 385 7 necessary necessary JJ cord-021917-z9wpjr0d 385 8 for for IN cord-021917-z9wpjr0d 385 9 one one CD cord-021917-z9wpjr0d 385 10 nurse nurse NN cord-021917-z9wpjr0d 385 11 caring care VBG cord-021917-z9wpjr0d 385 12 for for IN cord-021917-z9wpjr0d 385 13 four four CD cord-021917-z9wpjr0d 385 14 patients patient NNS cord-021917-z9wpjr0d 385 15 with with IN cord-021917-z9wpjr0d 385 16 a a DT cord-021917-z9wpjr0d 385 17 communicable communicable JJ cord-021917-z9wpjr0d 385 18 disease disease NN cord-021917-z9wpjr0d 385 19 are be VBP cord-021917-z9wpjr0d 385 20 striking strike VBG cord-021917-z9wpjr0d 385 21 and and CC cord-021917-z9wpjr0d 385 22 sobering sobering JJ cord-021917-z9wpjr0d 385 23 . . . cord-021917-z9wpjr0d 386 1 During during IN cord-021917-z9wpjr0d 386 2 an an DT cord-021917-z9wpjr0d 386 3 8-hour 8-hour CD cord-021917-z9wpjr0d 386 4 shift shift NN cord-021917-z9wpjr0d 386 5 , , , cord-021917-z9wpjr0d 386 6 one one CD cord-021917-z9wpjr0d 386 7 nurse nurse NN cord-021917-z9wpjr0d 386 8 would would MD cord-021917-z9wpjr0d 386 9 likely likely RB cord-021917-z9wpjr0d 386 10 require require VB cord-021917-z9wpjr0d 386 11 64 64 CD cord-021917-z9wpjr0d 386 12 sets set NNS cord-021917-z9wpjr0d 386 13 of of IN cord-021917-z9wpjr0d 386 14 personal personal JJ cord-021917-z9wpjr0d 386 15 protective protective JJ cord-021917-z9wpjr0d 386 16 equipment equipment NN cord-021917-z9wpjr0d 386 17 : : : cord-021917-z9wpjr0d 386 18 64 64 CD cord-021917-z9wpjr0d 386 19 pairs pair NNS cord-021917-z9wpjr0d 386 20 of of IN cord-021917-z9wpjr0d 386 21 gloves glove NNS cord-021917-z9wpjr0d 386 22 ; ; : cord-021917-z9wpjr0d 386 23 64 64 CD cord-021917-z9wpjr0d 386 24 gowns gown NNS cord-021917-z9wpjr0d 386 25 ; ; : cord-021917-z9wpjr0d 386 26 64 64 CD cord-021917-z9wpjr0d 386 27 surgical surgical JJ cord-021917-z9wpjr0d 386 28 masks mask NNS cord-021917-z9wpjr0d 386 29 , , , cord-021917-z9wpjr0d 386 30 N95 N95 NNP cord-021917-z9wpjr0d 386 31 masks mask NNS cord-021917-z9wpjr0d 386 32 , , , cord-021917-z9wpjr0d 386 33 or or CC cord-021917-z9wpjr0d 386 34 PAPR PAPR NNP cord-021917-z9wpjr0d 386 35 hoods hood NNS cord-021917-z9wpjr0d 386 36 ; ; : cord-021917-z9wpjr0d 386 37 and and CC cord-021917-z9wpjr0d 386 38 64 64 CD cord-021917-z9wpjr0d 386 39 face face NN cord-021917-z9wpjr0d 386 40 shields shield NNS cord-021917-z9wpjr0d 386 41 . . . cord-021917-z9wpjr0d 387 1 Providing provide VBG cord-021917-z9wpjr0d 387 2 for for IN cord-021917-z9wpjr0d 387 3 the the DT cord-021917-z9wpjr0d 387 4 needs need NNS cord-021917-z9wpjr0d 387 5 of of IN cord-021917-z9wpjr0d 387 6 physicians physician NNS cord-021917-z9wpjr0d 387 7 , , , cord-021917-z9wpjr0d 387 8 respiratory respiratory JJ cord-021917-z9wpjr0d 387 9 therapists therapist NNS cord-021917-z9wpjr0d 387 10 , , , cord-021917-z9wpjr0d 387 11 and and CC cord-021917-z9wpjr0d 387 12 other other JJ cord-021917-z9wpjr0d 387 13 ancillary ancillary JJ cord-021917-z9wpjr0d 387 14 personnel personnel NNS cord-021917-z9wpjr0d 387 15 increases increase VBZ cord-021917-z9wpjr0d 387 16 this this DT cord-021917-z9wpjr0d 387 17 equipment equipment NN cord-021917-z9wpjr0d 387 18 need need VBP cord-021917-z9wpjr0d 387 19 markedly markedly RB cord-021917-z9wpjr0d 387 20 . . . cord-021917-z9wpjr0d 388 1 Beyond beyond IN cord-021917-z9wpjr0d 388 2 the the DT cord-021917-z9wpjr0d 388 3 availability availability NN cord-021917-z9wpjr0d 388 4 of of IN cord-021917-z9wpjr0d 388 5 adequate adequate JJ cord-021917-z9wpjr0d 388 6 stocks stock NNS cord-021917-z9wpjr0d 388 7 of of IN cord-021917-z9wpjr0d 388 8 equipment equipment NN cord-021917-z9wpjr0d 388 9 , , , cord-021917-z9wpjr0d 388 10 health health NN cord-021917-z9wpjr0d 388 11 care care NN cord-021917-z9wpjr0d 388 12 workers worker NNS cord-021917-z9wpjr0d 388 13 must must MD cord-021917-z9wpjr0d 388 14 be be VB cord-021917-z9wpjr0d 388 15 adequately adequately RB cord-021917-z9wpjr0d 388 16 trained train VBN cord-021917-z9wpjr0d 388 17 in in IN cord-021917-z9wpjr0d 388 18 their -PRON- PRP$ cord-021917-z9wpjr0d 388 19 uses use NNS cord-021917-z9wpjr0d 388 20 . . . cord-021917-z9wpjr0d 389 1 N95 N95 NNP cord-021917-z9wpjr0d 389 2 respirators respirator NNS cord-021917-z9wpjr0d 389 3 require require VBP cord-021917-z9wpjr0d 389 4 fit fit JJ cord-021917-z9wpjr0d 389 5 testing testing NN cord-021917-z9wpjr0d 389 6 annually annually RB cord-021917-z9wpjr0d 389 7 . . . cord-021917-z9wpjr0d 390 1 The the DT cord-021917-z9wpjr0d 390 2 equipment equipment NN cord-021917-z9wpjr0d 390 3 must must MD cord-021917-z9wpjr0d 390 4 be be VB cord-021917-z9wpjr0d 390 5 used use VBN cord-021917-z9wpjr0d 390 6 as as IN cord-021917-z9wpjr0d 390 7 designed design VBN cord-021917-z9wpjr0d 390 8 , , , cord-021917-z9wpjr0d 390 9 including include VBG cord-021917-z9wpjr0d 390 10 donning don VBG cord-021917-z9wpjr0d 390 11 and and CC cord-021917-z9wpjr0d 390 12 removing remove VBG cord-021917-z9wpjr0d 390 13 it -PRON- PRP cord-021917-z9wpjr0d 390 14 correctly correctly RB cord-021917-z9wpjr0d 390 15 . . . cord-021917-z9wpjr0d 391 1 Removing remove VBG cord-021917-z9wpjr0d 391 2 equipment equipment NN cord-021917-z9wpjr0d 391 3 in in IN cord-021917-z9wpjr0d 391 4 the the DT cord-021917-z9wpjr0d 391 5 proper proper JJ cord-021917-z9wpjr0d 391 6 order order NN cord-021917-z9wpjr0d 391 7 is be VBZ cord-021917-z9wpjr0d 391 8 particularly particularly RB cord-021917-z9wpjr0d 391 9 important important JJ cord-021917-z9wpjr0d 391 10 : : : cord-021917-z9wpjr0d 391 11 The the DT cord-021917-z9wpjr0d 391 12 gloves glove NNS cord-021917-z9wpjr0d 391 13 must must MD cord-021917-z9wpjr0d 391 14 be be VB cord-021917-z9wpjr0d 391 15 removed remove VBN cord-021917-z9wpjr0d 391 16 first first RB cord-021917-z9wpjr0d 391 17 to to TO cord-021917-z9wpjr0d 391 18 avoid avoid VB cord-021917-z9wpjr0d 391 19 contamination contamination NN cord-021917-z9wpjr0d 391 20 of of IN cord-021917-z9wpjr0d 391 21 the the DT cord-021917-z9wpjr0d 391 22 face face NN cord-021917-z9wpjr0d 391 23 or or CC cord-021917-z9wpjr0d 391 24 clothing clothing NN cord-021917-z9wpjr0d 391 25 when when WRB cord-021917-z9wpjr0d 391 26 removing remove VBG cord-021917-z9wpjr0d 391 27 the the DT cord-021917-z9wpjr0d 391 28 gown gown NN cord-021917-z9wpjr0d 391 29 , , , cord-021917-z9wpjr0d 391 30 mask mask NN cord-021917-z9wpjr0d 391 31 , , , cord-021917-z9wpjr0d 391 32 and and CC cord-021917-z9wpjr0d 391 33 eye eye NN cord-021917-z9wpjr0d 391 34 shield shield NN cord-021917-z9wpjr0d 391 35 . . . cord-021917-z9wpjr0d 392 1 Unfortunately unfortunately RB cord-021917-z9wpjr0d 392 2 , , , cord-021917-z9wpjr0d 392 3 this this DT cord-021917-z9wpjr0d 392 4 correct correct JJ cord-021917-z9wpjr0d 392 5 sequence sequence NN cord-021917-z9wpjr0d 392 6 is be VBZ cord-021917-z9wpjr0d 392 7 not not RB cord-021917-z9wpjr0d 392 8 widely widely RB cord-021917-z9wpjr0d 392 9 appreciated appreciate VBN cord-021917-z9wpjr0d 392 10 by by IN cord-021917-z9wpjr0d 392 11 health health NN cord-021917-z9wpjr0d 392 12 care care NN cord-021917-z9wpjr0d 392 13 workers worker NNS cord-021917-z9wpjr0d 392 14 . . . cord-021917-z9wpjr0d 393 1 Given give VBN cord-021917-z9wpjr0d 393 2 the the DT cord-021917-z9wpjr0d 393 3 complexity complexity NN cord-021917-z9wpjr0d 393 4 of of IN cord-021917-z9wpjr0d 393 5 caring care VBG cord-021917-z9wpjr0d 393 6 for for IN cord-021917-z9wpjr0d 393 7 victims victim NNS cord-021917-z9wpjr0d 393 8 of of IN cord-021917-z9wpjr0d 393 9 a a DT cord-021917-z9wpjr0d 393 10 BT BT NNP cord-021917-z9wpjr0d 393 11 attack attack NN cord-021917-z9wpjr0d 393 12 or or CC cord-021917-z9wpjr0d 393 13 an an DT cord-021917-z9wpjr0d 393 14 emerging emerge VBG cord-021917-z9wpjr0d 393 15 infectious infectious JJ cord-021917-z9wpjr0d 393 16 disease disease NN cord-021917-z9wpjr0d 393 17 , , , cord-021917-z9wpjr0d 393 18 early early JJ cord-021917-z9wpjr0d 393 19 planning planning NN cord-021917-z9wpjr0d 393 20 for for IN cord-021917-z9wpjr0d 393 21 such such PDT cord-021917-z9wpjr0d 393 22 an an DT cord-021917-z9wpjr0d 393 23 incident incident NN cord-021917-z9wpjr0d 393 24 must must MD cord-021917-z9wpjr0d 393 25 be be VB cord-021917-z9wpjr0d 393 26 carried carry VBN cord-021917-z9wpjr0d 393 27 out out RP cord-021917-z9wpjr0d 393 28 at at IN cord-021917-z9wpjr0d 393 29 the the DT cord-021917-z9wpjr0d 393 30 institutional institutional JJ cord-021917-z9wpjr0d 393 31 and and CC cord-021917-z9wpjr0d 393 32 ICU ICU NNP cord-021917-z9wpjr0d 393 33 levels level NNS cord-021917-z9wpjr0d 393 34 . . . cord-021917-z9wpjr0d 394 1 How how WRB cord-021917-z9wpjr0d 394 2 will will MD cord-021917-z9wpjr0d 394 3 a a DT cord-021917-z9wpjr0d 394 4 hospital hospital NN cord-021917-z9wpjr0d 394 5 , , , cord-021917-z9wpjr0d 394 6 or or CC cord-021917-z9wpjr0d 394 7 an an DT cord-021917-z9wpjr0d 394 8 ICU ICU NNP cord-021917-z9wpjr0d 394 9 , , , cord-021917-z9wpjr0d 394 10 care care VB cord-021917-z9wpjr0d 394 11 for for IN cord-021917-z9wpjr0d 394 12 a a DT cord-021917-z9wpjr0d 394 13 potentially potentially RB cord-021917-z9wpjr0d 394 14 massive massive JJ cord-021917-z9wpjr0d 394 15 influx influx NN cord-021917-z9wpjr0d 394 16 of of IN cord-021917-z9wpjr0d 394 17 patients patient NNS cord-021917-z9wpjr0d 394 18 with with IN cord-021917-z9wpjr0d 394 19 communicable communicable JJ cord-021917-z9wpjr0d 394 20 disease disease NN cord-021917-z9wpjr0d 394 21 or or CC cord-021917-z9wpjr0d 394 22 specific specific JJ cord-021917-z9wpjr0d 394 23 requirements requirement NNS cord-021917-z9wpjr0d 394 24 ? ? . cord-021917-z9wpjr0d 395 1 Plans plan NNS cord-021917-z9wpjr0d 395 2 will will MD cord-021917-z9wpjr0d 395 3 differ differ VB cord-021917-z9wpjr0d 395 4 in in IN cord-021917-z9wpjr0d 395 5 their -PRON- PRP$ cord-021917-z9wpjr0d 395 6 specifics specific NNS cord-021917-z9wpjr0d 395 7 depending depend VBG cord-021917-z9wpjr0d 395 8 on on IN cord-021917-z9wpjr0d 395 9 each each DT cord-021917-z9wpjr0d 395 10 hospital hospital NN cord-021917-z9wpjr0d 395 11 and and CC cord-021917-z9wpjr0d 395 12 each each DT cord-021917-z9wpjr0d 395 13 ICU ICU NNP cord-021917-z9wpjr0d 395 14 's 's POS cord-021917-z9wpjr0d 395 15 architecture architecture NN cord-021917-z9wpjr0d 395 16 and and CC cord-021917-z9wpjr0d 395 17 capabilities capability NNS cord-021917-z9wpjr0d 395 18 . . . cord-021917-z9wpjr0d 396 1 General general JJ cord-021917-z9wpjr0d 396 2 principles principle NNS cord-021917-z9wpjr0d 396 3 include include VBP cord-021917-z9wpjr0d 396 4 the the DT cord-021917-z9wpjr0d 396 5 following follow VBG cord-021917-z9wpjr0d 396 6 : : : cord-021917-z9wpjr0d 396 7 Patients patient NNS cord-021917-z9wpjr0d 396 8 should should MD cord-021917-z9wpjr0d 396 9 be be VB cord-021917-z9wpjr0d 396 10 grouped group VBN cord-021917-z9wpjr0d 396 11 according accord VBG cord-021917-z9wpjr0d 396 12 to to IN cord-021917-z9wpjr0d 396 13 infection infection NN cord-021917-z9wpjr0d 396 14 , , , cord-021917-z9wpjr0d 396 15 not not RB cord-021917-z9wpjr0d 396 16 necessarily necessarily RB cord-021917-z9wpjr0d 396 17 by by IN cord-021917-z9wpjr0d 396 18 need need NN cord-021917-z9wpjr0d 396 19 . . . cord-021917-z9wpjr0d 397 1 These these DT cord-021917-z9wpjr0d 397 2 patients patient NNS cord-021917-z9wpjr0d 397 3 should should MD cord-021917-z9wpjr0d 397 4 then then RB cord-021917-z9wpjr0d 397 5 be be VB cord-021917-z9wpjr0d 397 6 isolated isolate VBN cord-021917-z9wpjr0d 397 7 from from IN cord-021917-z9wpjr0d 397 8 the the DT cord-021917-z9wpjr0d 397 9 remaining remain VBG cord-021917-z9wpjr0d 397 10 hospital hospital NN cord-021917-z9wpjr0d 397 11 population population NN cord-021917-z9wpjr0d 397 12 and and CC cord-021917-z9wpjr0d 397 13 staff staff NN cord-021917-z9wpjr0d 397 14 . . . cord-021917-z9wpjr0d 398 1 Dedicated dedicated JJ cord-021917-z9wpjr0d 398 2 physicians physician NNS cord-021917-z9wpjr0d 398 3 , , , cord-021917-z9wpjr0d 398 4 nurses nurse NNS cord-021917-z9wpjr0d 398 5 , , , cord-021917-z9wpjr0d 398 6 ancillary ancillary JJ cord-021917-z9wpjr0d 398 7 personnel personnel NNS cord-021917-z9wpjr0d 398 8 , , , cord-021917-z9wpjr0d 398 9 and and CC cord-021917-z9wpjr0d 398 10 equipment equipment NN cord-021917-z9wpjr0d 398 11 should should MD cord-021917-z9wpjr0d 398 12 be be VB cord-021917-z9wpjr0d 398 13 used use VBN cord-021917-z9wpjr0d 398 14 so so IN cord-021917-z9wpjr0d 398 15 as as IN cord-021917-z9wpjr0d 398 16 to to TO cord-021917-z9wpjr0d 398 17 prevent prevent VB cord-021917-z9wpjr0d 398 18 exposure exposure NN cord-021917-z9wpjr0d 398 19 to to IN cord-021917-z9wpjr0d 398 20 other other JJ cord-021917-z9wpjr0d 398 21 patients patient NNS cord-021917-z9wpjr0d 398 22 and and CC cord-021917-z9wpjr0d 398 23 keep keep VB cord-021917-z9wpjr0d 398 24 the the DT cord-021917-z9wpjr0d 398 25 numbers number NNS cord-021917-z9wpjr0d 398 26 of of IN cord-021917-z9wpjr0d 398 27 exposed expose VBN cord-021917-z9wpjr0d 398 28 health health NN cord-021917-z9wpjr0d 398 29 care care NN cord-021917-z9wpjr0d 398 30 workers worker NNS cord-021917-z9wpjr0d 398 31 to to IN cord-021917-z9wpjr0d 398 32 a a DT cord-021917-z9wpjr0d 398 33 minimum minimum NN cord-021917-z9wpjr0d 398 34 . . . cord-021917-z9wpjr0d 399 1 The the DT cord-021917-z9wpjr0d 399 2 scale scale NN cord-021917-z9wpjr0d 399 3 of of IN cord-021917-z9wpjr0d 399 4 a a DT cord-021917-z9wpjr0d 399 5 bioterrorist bioterrorist NN cord-021917-z9wpjr0d 399 6 attack attack NN cord-021917-z9wpjr0d 399 7 could could MD cord-021917-z9wpjr0d 399 8 potentially potentially RB cord-021917-z9wpjr0d 399 9 be be VB cord-021917-z9wpjr0d 399 10 enormous enormous JJ cord-021917-z9wpjr0d 399 11 . . . cord-021917-z9wpjr0d 400 1 As as IN cord-021917-z9wpjr0d 400 2 described describe VBN cord-021917-z9wpjr0d 400 3 previously previously RB cord-021917-z9wpjr0d 400 4 , , , cord-021917-z9wpjr0d 400 5 many many JJ cord-021917-z9wpjr0d 400 6 of of IN cord-021917-z9wpjr0d 400 7 the the DT cord-021917-z9wpjr0d 400 8 category category NN cord-021917-z9wpjr0d 400 9 A a DT cord-021917-z9wpjr0d 400 10 agents agent NNS cord-021917-z9wpjr0d 400 11 could could MD cord-021917-z9wpjr0d 400 12 produce produce VB cord-021917-z9wpjr0d 400 13 the the DT cord-021917-z9wpjr0d 400 14 same same JJ cord-021917-z9wpjr0d 400 15 lethality lethality NN cord-021917-z9wpjr0d 400 16 as as IN cord-021917-z9wpjr0d 400 17 a a DT cord-021917-z9wpjr0d 400 18 nuclear nuclear JJ cord-021917-z9wpjr0d 400 19 explosion explosion NN cord-021917-z9wpjr0d 400 20 . . . cord-021917-z9wpjr0d 401 1 The the DT cord-021917-z9wpjr0d 401 2 number number NN cord-021917-z9wpjr0d 401 3 of of IN cord-021917-z9wpjr0d 401 4 casualties casualty NNS cord-021917-z9wpjr0d 401 5 could could MD cord-021917-z9wpjr0d 401 6 rapidly rapidly RB cord-021917-z9wpjr0d 401 7 overwhelm overwhelm VB cord-021917-z9wpjr0d 401 8 any any DT cord-021917-z9wpjr0d 401 9 one one CD cord-021917-z9wpjr0d 401 10 hospital hospital NN cord-021917-z9wpjr0d 401 11 or or CC cord-021917-z9wpjr0d 401 12 even even RB cord-021917-z9wpjr0d 401 13 all all DT cord-021917-z9wpjr0d 401 14 of of IN cord-021917-z9wpjr0d 401 15 the the DT cord-021917-z9wpjr0d 401 16 hospitals hospital NNS cord-021917-z9wpjr0d 401 17 in in IN cord-021917-z9wpjr0d 401 18 a a DT cord-021917-z9wpjr0d 401 19 community community NN cord-021917-z9wpjr0d 401 20 . . . cord-021917-z9wpjr0d 402 1 Staff staff NN cord-021917-z9wpjr0d 402 2 safety safety NN cord-021917-z9wpjr0d 402 3 must must MD cord-021917-z9wpjr0d 402 4 be be VB cord-021917-z9wpjr0d 402 5 paramount paramount JJ cord-021917-z9wpjr0d 402 6 ; ; : cord-021917-z9wpjr0d 402 7 if if IN cord-021917-z9wpjr0d 402 8 staff staff NN cord-021917-z9wpjr0d 402 9 members member NNS cord-021917-z9wpjr0d 402 10 believe believe VBP cord-021917-z9wpjr0d 402 11 themselves -PRON- PRP cord-021917-z9wpjr0d 402 12 to to TO cord-021917-z9wpjr0d 402 13 be be VB cord-021917-z9wpjr0d 402 14 at at IN cord-021917-z9wpjr0d 402 15 risk risk NN cord-021917-z9wpjr0d 402 16 , , , cord-021917-z9wpjr0d 402 17 large large JJ cord-021917-z9wpjr0d 402 18 numbers number NNS cord-021917-z9wpjr0d 402 19 of of IN cord-021917-z9wpjr0d 402 20 nurses nurse NNS cord-021917-z9wpjr0d 402 21 , , , cord-021917-z9wpjr0d 402 22 physicians physician NNS cord-021917-z9wpjr0d 402 23 , , , cord-021917-z9wpjr0d 402 24 and and CC cord-021917-z9wpjr0d 402 25 others other NNS cord-021917-z9wpjr0d 402 26 may may MD cord-021917-z9wpjr0d 402 27 not not RB cord-021917-z9wpjr0d 402 28 show show VB cord-021917-z9wpjr0d 402 29 up up RP cord-021917-z9wpjr0d 402 30 to to IN cord-021917-z9wpjr0d 402 31 work work NN cord-021917-z9wpjr0d 402 32 , , , cord-021917-z9wpjr0d 402 33 crippling crippling JJ cord-021917-z9wpjr0d 402 34 or or CC cord-021917-z9wpjr0d 402 35 even even RB cord-021917-z9wpjr0d 402 36 forcing force VBG cord-021917-z9wpjr0d 402 37 the the DT cord-021917-z9wpjr0d 402 38 closure closure NN cord-021917-z9wpjr0d 402 39 of of IN cord-021917-z9wpjr0d 402 40 a a DT cord-021917-z9wpjr0d 402 41 hospital hospital NN cord-021917-z9wpjr0d 402 42 . . . cord-021917-z9wpjr0d 403 1 Although although IN cord-021917-z9wpjr0d 403 2 all all DT cord-021917-z9wpjr0d 403 3 risk risk NN cord-021917-z9wpjr0d 403 4 can can MD cord-021917-z9wpjr0d 403 5 not not RB cord-021917-z9wpjr0d 403 6 be be VB cord-021917-z9wpjr0d 403 7 avoided avoid VBN cord-021917-z9wpjr0d 403 8 , , , cord-021917-z9wpjr0d 403 9 all all DT cord-021917-z9wpjr0d 403 10 possible possible JJ cord-021917-z9wpjr0d 403 11 provisions provision NNS cord-021917-z9wpjr0d 403 12 must must MD cord-021917-z9wpjr0d 403 13 be be VB cord-021917-z9wpjr0d 403 14 made make VBN cord-021917-z9wpjr0d 403 15 . . . cord-021917-z9wpjr0d 404 1 All all DT cord-021917-z9wpjr0d 404 2 staff staff NN cord-021917-z9wpjr0d 404 3 members member NNS cord-021917-z9wpjr0d 404 4 must must MD cord-021917-z9wpjr0d 404 5 be be VB cord-021917-z9wpjr0d 404 6 trained train VBN cord-021917-z9wpjr0d 404 7 in in IN cord-021917-z9wpjr0d 404 8 the the DT cord-021917-z9wpjr0d 404 9 proper proper JJ cord-021917-z9wpjr0d 404 10 use use NN cord-021917-z9wpjr0d 404 11 of of IN cord-021917-z9wpjr0d 404 12 personal personal JJ cord-021917-z9wpjr0d 404 13 protective protective JJ cord-021917-z9wpjr0d 404 14 equipment equipment NN cord-021917-z9wpjr0d 404 15 . . . cord-021917-z9wpjr0d 405 1 Beyond beyond IN cord-021917-z9wpjr0d 405 2 that that DT cord-021917-z9wpjr0d 405 3 , , , cord-021917-z9wpjr0d 405 4 training training NN cord-021917-z9wpjr0d 405 5 should should MD cord-021917-z9wpjr0d 405 6 be be VB cord-021917-z9wpjr0d 405 7 provided provide VBN cord-021917-z9wpjr0d 405 8 in in IN cord-021917-z9wpjr0d 405 9 specific specific JJ cord-021917-z9wpjr0d 405 10 plans plan NNS cord-021917-z9wpjr0d 405 11 for for IN cord-021917-z9wpjr0d 405 12 the the DT cord-021917-z9wpjr0d 405 13 response response NN cord-021917-z9wpjr0d 405 14 to to IN cord-021917-z9wpjr0d 405 15 an an DT cord-021917-z9wpjr0d 405 16 infective infective JJ cord-021917-z9wpjr0d 405 17 or or CC cord-021917-z9wpjr0d 405 18 BT BT NNP cord-021917-z9wpjr0d 405 19 incident incident NN cord-021917-z9wpjr0d 405 20 . . . cord-021917-z9wpjr0d 406 1 Physicians physician NNS cord-021917-z9wpjr0d 406 2 and and CC cord-021917-z9wpjr0d 406 3 nurses nurse NNS cord-021917-z9wpjr0d 406 4 in in IN cord-021917-z9wpjr0d 406 5 particular particular JJ cord-021917-z9wpjr0d 406 6 should should MD cord-021917-z9wpjr0d 406 7 be be VB cord-021917-z9wpjr0d 406 8 educated educate VBN cord-021917-z9wpjr0d 406 9 with with IN cord-021917-z9wpjr0d 406 10 regard regard NN cord-021917-z9wpjr0d 406 11 to to IN cord-021917-z9wpjr0d 406 12 possible possible JJ cord-021917-z9wpjr0d 406 13 agents agent NNS cord-021917-z9wpjr0d 406 14 of of IN cord-021917-z9wpjr0d 406 15 BT BT NNP cord-021917-z9wpjr0d 406 16 and and CC cord-021917-z9wpjr0d 406 17 presented present VBN cord-021917-z9wpjr0d 406 18 with with IN cord-021917-z9wpjr0d 406 19 disease disease NN cord-021917-z9wpjr0d 406 20 - - HYPH cord-021917-z9wpjr0d 406 21 specific specific JJ cord-021917-z9wpjr0d 406 22 issues issue NNS cord-021917-z9wpjr0d 406 23 . . . cord-021917-z9wpjr0d 407 1 Contingency contingency NN cord-021917-z9wpjr0d 407 2 plans plan NNS cord-021917-z9wpjr0d 407 3 must must MD cord-021917-z9wpjr0d 407 4 be be VB cord-021917-z9wpjr0d 407 5 made make VBN cord-021917-z9wpjr0d 407 6 in in IN cord-021917-z9wpjr0d 407 7 advance advance NN cord-021917-z9wpjr0d 407 8 for for IN cord-021917-z9wpjr0d 407 9 postexposure postexposure NN cord-021917-z9wpjr0d 407 10 prophylaxis prophylaxis NN cord-021917-z9wpjr0d 407 11 , , , cord-021917-z9wpjr0d 407 12 either either CC cord-021917-z9wpjr0d 407 13 with with IN cord-021917-z9wpjr0d 407 14 antibiotics antibiotic NNS cord-021917-z9wpjr0d 407 15 or or CC cord-021917-z9wpjr0d 407 16 vaccinations vaccination NNS cord-021917-z9wpjr0d 407 17 , , , cord-021917-z9wpjr0d 407 18 as as IN cord-021917-z9wpjr0d 407 19 indicated indicate VBN cord-021917-z9wpjr0d 407 20 . . . cord-021917-z9wpjr0d 408 1 Given give VBN cord-021917-z9wpjr0d 408 2 the the DT cord-021917-z9wpjr0d 408 3 critical critical JJ cord-021917-z9wpjr0d 408 4 and and CC cord-021917-z9wpjr0d 408 5 limited limited JJ cord-021917-z9wpjr0d 408 6 time time NN cord-021917-z9wpjr0d 408 7 windows window NNS cord-021917-z9wpjr0d 408 8 to to TO cord-021917-z9wpjr0d 408 9 initiate initiate VB cord-021917-z9wpjr0d 408 10 effective effective JJ cord-021917-z9wpjr0d 408 11 prophylaxis prophylaxis NN cord-021917-z9wpjr0d 408 12 , , , cord-021917-z9wpjr0d 408 13 plans plan NNS cord-021917-z9wpjr0d 408 14 for for IN cord-021917-z9wpjr0d 408 15 distribution distribution NN cord-021917-z9wpjr0d 408 16 of of IN cord-021917-z9wpjr0d 408 17 medication medication NN cord-021917-z9wpjr0d 408 18 or or CC cord-021917-z9wpjr0d 408 19 vaccine vaccine NN cord-021917-z9wpjr0d 408 20 must must MD cord-021917-z9wpjr0d 408 21 be be VB cord-021917-z9wpjr0d 408 22 thought think VBN cord-021917-z9wpjr0d 408 23 through through IN cord-021917-z9wpjr0d 408 24 in in IN cord-021917-z9wpjr0d 408 25 advance advance NN cord-021917-z9wpjr0d 408 26 and and CC cord-021917-z9wpjr0d 408 27 not not RB cord-021917-z9wpjr0d 408 28 made make VBN cord-021917-z9wpjr0d 408 29 in in IN cord-021917-z9wpjr0d 408 30 an an DT cord-021917-z9wpjr0d 408 31 ad ad FW cord-021917-z9wpjr0d 408 32 hoc hoc FW cord-021917-z9wpjr0d 408 33 manner manner NN cord-021917-z9wpjr0d 408 34 . . . cord-021917-z9wpjr0d 409 1 A a DT cord-021917-z9wpjr0d 409 2 large large JJ cord-021917-z9wpjr0d 409 3 - - HYPH cord-021917-z9wpjr0d 409 4 scale scale NN cord-021917-z9wpjr0d 409 5 bioterrorist bioterrorist NN cord-021917-z9wpjr0d 409 6 incident incident NN cord-021917-z9wpjr0d 409 7 could could MD cord-021917-z9wpjr0d 409 8 rapidly rapidly RB cord-021917-z9wpjr0d 409 9 exhaust exhaust VB cord-021917-z9wpjr0d 409 10 the the DT cord-021917-z9wpjr0d 409 11 resources resource NNS cord-021917-z9wpjr0d 409 12 of of IN cord-021917-z9wpjr0d 409 13 individual individual JJ cord-021917-z9wpjr0d 409 14 hospitals hospital NNS cord-021917-z9wpjr0d 409 15 or or CC cord-021917-z9wpjr0d 409 16 even even RB cord-021917-z9wpjr0d 409 17 whole whole JJ cord-021917-z9wpjr0d 409 18 communities community NNS cord-021917-z9wpjr0d 409 19 in in IN cord-021917-z9wpjr0d 409 20 a a DT cord-021917-z9wpjr0d 409 21 number number NN cord-021917-z9wpjr0d 409 22 of of IN cord-021917-z9wpjr0d 409 23 respects respect NNS cord-021917-z9wpjr0d 409 24 . . . cord-021917-z9wpjr0d 410 1 The the DT cord-021917-z9wpjr0d 410 2 demand demand NN cord-021917-z9wpjr0d 410 3 for for IN cord-021917-z9wpjr0d 410 4 personal personal JJ cord-021917-z9wpjr0d 410 5 protective protective JJ cord-021917-z9wpjr0d 410 6 equipment equipment NN cord-021917-z9wpjr0d 410 7 will will MD cord-021917-z9wpjr0d 410 8 be be VB cord-021917-z9wpjr0d 410 9 enormous enormous JJ cord-021917-z9wpjr0d 410 10 . . . cord-021917-z9wpjr0d 411 1 Beyond beyond IN cord-021917-z9wpjr0d 411 2 that that DT cord-021917-z9wpjr0d 411 3 , , , cord-021917-z9wpjr0d 411 4 there there EX cord-021917-z9wpjr0d 411 5 will will MD cord-021917-z9wpjr0d 411 6 be be VB cord-021917-z9wpjr0d 411 7 a a DT cord-021917-z9wpjr0d 411 8 need need NN cord-021917-z9wpjr0d 411 9 for for IN cord-021917-z9wpjr0d 411 10 pharmaceuticals pharmaceutical NNS cord-021917-z9wpjr0d 411 11 of of IN cord-021917-z9wpjr0d 411 12 all all DT cord-021917-z9wpjr0d 411 13 types type NNS cord-021917-z9wpjr0d 411 14 . . . cord-021917-z9wpjr0d 412 1 Antibiotics antibiotic NNS cord-021917-z9wpjr0d 412 2 will will MD cord-021917-z9wpjr0d 412 3 be be VB cord-021917-z9wpjr0d 412 4 essential essential JJ cord-021917-z9wpjr0d 412 5 , , , cord-021917-z9wpjr0d 412 6 but but CC cord-021917-z9wpjr0d 412 7 so so RB cord-021917-z9wpjr0d 412 8 will will MD cord-021917-z9wpjr0d 412 9 medications medication NNS cord-021917-z9wpjr0d 412 10 regularly regularly RB cord-021917-z9wpjr0d 412 11 employed employ VBN cord-021917-z9wpjr0d 412 12 in in IN cord-021917-z9wpjr0d 412 13 the the DT cord-021917-z9wpjr0d 412 14 ICU ICU NNP cord-021917-z9wpjr0d 412 15 setting setting NN cord-021917-z9wpjr0d 412 16 : : : cord-021917-z9wpjr0d 412 17 vasopressors vasopressor NNS cord-021917-z9wpjr0d 412 18 , , , cord-021917-z9wpjr0d 412 19 sedatives sedative NNS cord-021917-z9wpjr0d 412 20 , , , cord-021917-z9wpjr0d 412 21 narcotics narcotic NNS cord-021917-z9wpjr0d 412 22 , , , cord-021917-z9wpjr0d 412 23 and and CC cord-021917-z9wpjr0d 412 24 others other NNS cord-021917-z9wpjr0d 412 25 . . . cord-021917-z9wpjr0d 413 1 Mechanical mechanical JJ cord-021917-z9wpjr0d 413 2 ventilators ventilator NNS cord-021917-z9wpjr0d 413 3 may may MD cord-021917-z9wpjr0d 413 4 be be VB cord-021917-z9wpjr0d 413 5 at at IN cord-021917-z9wpjr0d 413 6 a a DT cord-021917-z9wpjr0d 413 7 premium premium NN cord-021917-z9wpjr0d 413 8 for for IN cord-021917-z9wpjr0d 413 9 patients patient NNS cord-021917-z9wpjr0d 413 10 with with IN cord-021917-z9wpjr0d 413 11 acute acute JJ cord-021917-z9wpjr0d 413 12 respiratory respiratory JJ cord-021917-z9wpjr0d 413 13 distress distress NN cord-021917-z9wpjr0d 413 14 syndrome syndrome NN cord-021917-z9wpjr0d 413 15 , , , cord-021917-z9wpjr0d 413 16 pneumonia pneumonia NN cord-021917-z9wpjr0d 413 17 , , , cord-021917-z9wpjr0d 413 18 or or CC cord-021917-z9wpjr0d 413 19 ventilatory ventilatory JJ cord-021917-z9wpjr0d 413 20 failure failure NN cord-021917-z9wpjr0d 413 21 secondary secondary JJ cord-021917-z9wpjr0d 413 22 to to IN cord-021917-z9wpjr0d 413 23 botulism botulism NN cord-021917-z9wpjr0d 413 24 . . . cord-021917-z9wpjr0d 414 1 Although although IN cord-021917-z9wpjr0d 414 2 in in IN cord-021917-z9wpjr0d 414 3 the the DT cord-021917-z9wpjr0d 414 4 United United NNP cord-021917-z9wpjr0d 414 5 States States NNP cord-021917-z9wpjr0d 414 6 , , , cord-021917-z9wpjr0d 414 7 and and CC cord-021917-z9wpjr0d 414 8 likely likely RB cord-021917-z9wpjr0d 414 9 in in IN cord-021917-z9wpjr0d 414 10 other other JJ cord-021917-z9wpjr0d 414 11 countries country NNS cord-021917-z9wpjr0d 414 12 , , , cord-021917-z9wpjr0d 414 13 the the DT cord-021917-z9wpjr0d 414 14 federal federal JJ cord-021917-z9wpjr0d 414 15 government government NN cord-021917-z9wpjr0d 414 16 has have VBZ cord-021917-z9wpjr0d 414 17 assembled assemble VBN cord-021917-z9wpjr0d 414 18 stockpiles stockpile NNS cord-021917-z9wpjr0d 414 19 of of IN cord-021917-z9wpjr0d 414 20 antibiotics antibiotic NNS cord-021917-z9wpjr0d 414 21 , , , cord-021917-z9wpjr0d 414 22 smallpox smallpox NN cord-021917-z9wpjr0d 414 23 vaccine vaccine NN cord-021917-z9wpjr0d 414 24 , , , cord-021917-z9wpjr0d 414 25 and and CC cord-021917-z9wpjr0d 414 26 mechanical mechanical JJ cord-021917-z9wpjr0d 414 27 ventilators ventilator NNS cord-021917-z9wpjr0d 414 28 , , , cord-021917-z9wpjr0d 414 29 it -PRON- PRP cord-021917-z9wpjr0d 414 30 will will MD cord-021917-z9wpjr0d 414 31 take take VB cord-021917-z9wpjr0d 414 32 time time NN cord-021917-z9wpjr0d 414 33 for for IN cord-021917-z9wpjr0d 414 34 these these DT cord-021917-z9wpjr0d 414 35 to to TO cord-021917-z9wpjr0d 414 36 be be VB cord-021917-z9wpjr0d 414 37 deployed deploy VBN cord-021917-z9wpjr0d 414 38 , , , cord-021917-z9wpjr0d 414 39 and and CC cord-021917-z9wpjr0d 414 40 they -PRON- PRP cord-021917-z9wpjr0d 414 41 may may MD cord-021917-z9wpjr0d 414 42 not not RB cord-021917-z9wpjr0d 414 43 contain contain VB cord-021917-z9wpjr0d 414 44 all all DT cord-021917-z9wpjr0d 414 45 essentials essential NNS cord-021917-z9wpjr0d 414 46 . . . cord-021917-z9wpjr0d 415 1 The the DT cord-021917-z9wpjr0d 415 2 prospect prospect NN cord-021917-z9wpjr0d 415 3 of of IN cord-021917-z9wpjr0d 415 4 bioterrorism bioterrorism NN cord-021917-z9wpjr0d 415 5 is be VBZ cord-021917-z9wpjr0d 415 6 not not RB cord-021917-z9wpjr0d 415 7 an an DT cord-021917-z9wpjr0d 415 8 abstract abstract JJ cord-021917-z9wpjr0d 415 9 one one NN cord-021917-z9wpjr0d 415 10 . . . cord-021917-z9wpjr0d 416 1 It -PRON- PRP cord-021917-z9wpjr0d 416 2 has have VBZ cord-021917-z9wpjr0d 416 3 been be VBN cord-021917-z9wpjr0d 416 4 attempted attempt VBN cord-021917-z9wpjr0d 416 5 before before RB cord-021917-z9wpjr0d 416 6 , , , cord-021917-z9wpjr0d 416 7 and and CC cord-021917-z9wpjr0d 416 8 it -PRON- PRP cord-021917-z9wpjr0d 416 9 will will MD cord-021917-z9wpjr0d 416 10 certainly certainly RB cord-021917-z9wpjr0d 416 11 be be VB cord-021917-z9wpjr0d 416 12 attempted attempt VBN cord-021917-z9wpjr0d 416 13 again again RB cord-021917-z9wpjr0d 416 14 . . . cord-021917-z9wpjr0d 417 1 That that IN cord-021917-z9wpjr0d 417 2 it -PRON- PRP cord-021917-z9wpjr0d 417 3 has have VBZ cord-021917-z9wpjr0d 417 4 not not RB cord-021917-z9wpjr0d 417 5 happened happen VBN cord-021917-z9wpjr0d 417 6 is be VBZ cord-021917-z9wpjr0d 417 7 not not RB cord-021917-z9wpjr0d 417 8 reason reason NN cord-021917-z9wpjr0d 417 9 for for IN cord-021917-z9wpjr0d 417 10 complacency complacency NN cord-021917-z9wpjr0d 417 11 . . . cord-021917-z9wpjr0d 418 1 Adequate adequate JJ cord-021917-z9wpjr0d 418 2 response response NN cord-021917-z9wpjr0d 418 3 to to IN cord-021917-z9wpjr0d 418 4 a a DT cord-021917-z9wpjr0d 418 5 bioterrorist bioterrorist NN cord-021917-z9wpjr0d 418 6 incident incident NN cord-021917-z9wpjr0d 418 7 is be VBZ cord-021917-z9wpjr0d 418 8 possible possible JJ cord-021917-z9wpjr0d 418 9 , , , cord-021917-z9wpjr0d 418 10 but but CC cord-021917-z9wpjr0d 418 11 it -PRON- PRP cord-021917-z9wpjr0d 418 12 requires require VBZ cord-021917-z9wpjr0d 418 13 careful careful JJ cord-021917-z9wpjr0d 418 14 and and CC cord-021917-z9wpjr0d 418 15 thoughtful thoughtful JJ cord-021917-z9wpjr0d 418 16 preparation preparation NN cord-021917-z9wpjr0d 418 17 . . . cord-021917-z9wpjr0d 419 1 Also also RB cord-021917-z9wpjr0d 419 2 , , , cord-021917-z9wpjr0d 419 3 the the DT cord-021917-z9wpjr0d 419 4 preparation preparation NN cord-021917-z9wpjr0d 419 5 is be VBZ cord-021917-z9wpjr0d 419 6 hardly hardly RB cord-021917-z9wpjr0d 419 7 specific specific JJ cord-021917-z9wpjr0d 419 8 to to IN cord-021917-z9wpjr0d 419 9 the the DT cord-021917-z9wpjr0d 419 10 potential potential JJ cord-021917-z9wpjr0d 419 11 agents agent NNS cord-021917-z9wpjr0d 419 12 of of IN cord-021917-z9wpjr0d 419 13 bioterrorism bioterrorism NN cord-021917-z9wpjr0d 419 14 . . . cord-021917-z9wpjr0d 420 1 The the DT cord-021917-z9wpjr0d 420 2 principles principle NNS cord-021917-z9wpjr0d 420 3 of of IN cord-021917-z9wpjr0d 420 4 providing provide VBG cord-021917-z9wpjr0d 420 5 safe safe JJ cord-021917-z9wpjr0d 420 6 and and CC cord-021917-z9wpjr0d 420 7 effective effective JJ cord-021917-z9wpjr0d 420 8 care care NN cord-021917-z9wpjr0d 420 9 to to IN cord-021917-z9wpjr0d 420 10 victims victim NNS cord-021917-z9wpjr0d 420 11 of of IN cord-021917-z9wpjr0d 420 12 a a DT cord-021917-z9wpjr0d 420 13 BT BT NNP cord-021917-z9wpjr0d 420 14 incident incident NN cord-021917-z9wpjr0d 420 15 are be VBP cord-021917-z9wpjr0d 420 16 wholly wholly RB cord-021917-z9wpjr0d 420 17 applicable applicable JJ cord-021917-z9wpjr0d 420 18 to to IN cord-021917-z9wpjr0d 420 19 the the DT cord-021917-z9wpjr0d 420 20 management management NN cord-021917-z9wpjr0d 420 21 of of IN cord-021917-z9wpjr0d 420 22 patients patient NNS cord-021917-z9wpjr0d 420 23 suffering suffer VBG cord-021917-z9wpjr0d 420 24 from from IN cord-021917-z9wpjr0d 420 25 naturally naturally RB cord-021917-z9wpjr0d 420 26 acquired acquire VBN cord-021917-z9wpjr0d 420 27 emerging emerge VBG cord-021917-z9wpjr0d 420 28 infectious infectious JJ cord-021917-z9wpjr0d 420 29 diseases disease NNS cord-021917-z9wpjr0d 420 30 . . . cord-021917-z9wpjr0d 421 1 The the DT cord-021917-z9wpjr0d 421 2 age age NN cord-021917-z9wpjr0d 421 3 of of IN cord-021917-z9wpjr0d 421 4 bioterrorism bioterrorism NN cord-021917-z9wpjr0d 421 5 is be VBZ cord-021917-z9wpjr0d 421 6 also also RB cord-021917-z9wpjr0d 421 7 that that DT cord-021917-z9wpjr0d 421 8 of of IN cord-021917-z9wpjr0d 421 9 SARS SARS NNP cord-021917-z9wpjr0d 421 10 , , , cord-021917-z9wpjr0d 421 11 coronavirus coronavirus NN cord-021917-z9wpjr0d 421 12 , , , cord-021917-z9wpjr0d 421 13 avian avian JJ cord-021917-z9wpjr0d 421 14 influenza influenza NN cord-021917-z9wpjr0d 421 15 , , , cord-021917-z9wpjr0d 421 16 Ebola Ebola NNP cord-021917-z9wpjr0d 421 17 virus virus NN cord-021917-z9wpjr0d 421 18 , , , cord-021917-z9wpjr0d 421 19 and and CC cord-021917-z9wpjr0d 421 20 , , , cord-021917-z9wpjr0d 421 21 significantly significantly RB cord-021917-z9wpjr0d 421 22 , , , cord-021917-z9wpjr0d 421 23 global global JJ cord-021917-z9wpjr0d 421 24 travel travel NN cord-021917-z9wpjr0d 421 25 . . . cord-021917-z9wpjr0d 422 1 The the DT cord-021917-z9wpjr0d 422 2 potential potential NN cord-021917-z9wpjr0d 422 3 for for IN cord-021917-z9wpjr0d 422 4 patients patient NNS cord-021917-z9wpjr0d 422 5 to to TO cord-021917-z9wpjr0d 422 6 present present VB cord-021917-z9wpjr0d 422 7 acutely acutely RB cord-021917-z9wpjr0d 422 8 ill ill JJ cord-021917-z9wpjr0d 422 9 with with IN cord-021917-z9wpjr0d 422 10 rare rare JJ cord-021917-z9wpjr0d 422 11 , , , cord-021917-z9wpjr0d 422 12 unknown unknown JJ cord-021917-z9wpjr0d 422 13 , , , cord-021917-z9wpjr0d 422 14 and and CC cord-021917-z9wpjr0d 422 15 infectious infectious JJ cord-021917-z9wpjr0d 422 16 diseases disease NNS cord-021917-z9wpjr0d 422 17 , , , cord-021917-z9wpjr0d 422 18 whether whether IN cord-021917-z9wpjr0d 422 19 naturally naturally RB cord-021917-z9wpjr0d 422 20 acquired acquire VBN cord-021917-z9wpjr0d 422 21 or or CC cord-021917-z9wpjr0d 422 22 unleashed unleash VBN cord-021917-z9wpjr0d 422 23 by by IN cord-021917-z9wpjr0d 422 24 criminals criminal NNS cord-021917-z9wpjr0d 422 25 , , , cord-021917-z9wpjr0d 422 26 has have VBZ cord-021917-z9wpjr0d 422 27 never never RB cord-021917-z9wpjr0d 422 28 been be VBN cord-021917-z9wpjr0d 422 29 higher high JJR cord-021917-z9wpjr0d 422 30 . . . cord-021917-z9wpjr0d 423 1 Planning planning NN cord-021917-z9wpjr0d 423 2 and and CC cord-021917-z9wpjr0d 423 3 preparation preparation NN cord-021917-z9wpjr0d 423 4 are be VBP cord-021917-z9wpjr0d 423 5 essential essential JJ cord-021917-z9wpjr0d 423 6 . . . cord-021917-z9wpjr0d 424 1 Botulinum botulinum NN cord-021917-z9wpjr0d 424 2 toxin toxin NN cord-021917-z9wpjr0d 424 3 as as IN cord-021917-z9wpjr0d 424 4 a a DT cord-021917-z9wpjr0d 424 5 biological biological JJ cord-021917-z9wpjr0d 424 6 weapon weapon NN cord-021917-z9wpjr0d 424 7 . . . cord-021917-z9wpjr0d 425 1 Medical medical JJ cord-021917-z9wpjr0d 425 2 and and CC cord-021917-z9wpjr0d 425 3 public public JJ cord-021917-z9wpjr0d 425 4 health health NN cord-021917-z9wpjr0d 425 5 management management NN cord-021917-z9wpjr0d 425 6 Hemorrhagic hemorrhagic JJ cord-021917-z9wpjr0d 425 7 fever fever NN cord-021917-z9wpjr0d 425 8 viruses virus NNS cord-021917-z9wpjr0d 425 9 as as IN cord-021917-z9wpjr0d 425 10 biological biological JJ cord-021917-z9wpjr0d 425 11 weapons weapon NNS cord-021917-z9wpjr0d 425 12 . . . cord-021917-z9wpjr0d 426 1 Medical medical JJ cord-021917-z9wpjr0d 426 2 and and CC cord-021917-z9wpjr0d 426 3 public public JJ cord-021917-z9wpjr0d 426 4 health health NN cord-021917-z9wpjr0d 426 5 management management NN cord-021917-z9wpjr0d 426 6 Tularemia Tularemia NNP cord-021917-z9wpjr0d 426 7 as as IN cord-021917-z9wpjr0d 426 8 a a DT cord-021917-z9wpjr0d 426 9 biological biological JJ cord-021917-z9wpjr0d 426 10 weapon weapon NN cord-021917-z9wpjr0d 426 11 . . . cord-021917-z9wpjr0d 427 1 Medical medical JJ cord-021917-z9wpjr0d 427 2 and and CC cord-021917-z9wpjr0d 427 3 public public JJ cord-021917-z9wpjr0d 427 4 health health NN cord-021917-z9wpjr0d 427 5 management management NN cord-021917-z9wpjr0d 428 1 The the DT cord-021917-z9wpjr0d 428 2 challenge challenge NN cord-021917-z9wpjr0d 428 3 of of IN cord-021917-z9wpjr0d 428 4 hospital hospital NN cord-021917-z9wpjr0d 428 5 infection infection NN cord-021917-z9wpjr0d 428 6 control control NN cord-021917-z9wpjr0d 428 7 during during IN cord-021917-z9wpjr0d 428 8 a a DT cord-021917-z9wpjr0d 428 9 response response NN cord-021917-z9wpjr0d 428 10 to to IN cord-021917-z9wpjr0d 428 11 bioterrorist bioterrorist NN cord-021917-z9wpjr0d 428 12 attacks attack NNS cord-021917-z9wpjr0d 428 13 Smallpox Smallpox NNP cord-021917-z9wpjr0d 428 14 as as IN cord-021917-z9wpjr0d 428 15 a a DT cord-021917-z9wpjr0d 428 16 biological biological JJ cord-021917-z9wpjr0d 428 17 weapon weapon NN cord-021917-z9wpjr0d 428 18 . . . cord-021917-z9wpjr0d 429 1 Medical medical JJ cord-021917-z9wpjr0d 429 2 and and CC cord-021917-z9wpjr0d 429 3 public public JJ cord-021917-z9wpjr0d 429 4 health health NN cord-021917-z9wpjr0d 429 5 management management NN cord-021917-z9wpjr0d 429 6 Plague Plague NNP cord-021917-z9wpjr0d 429 7 as as IN cord-021917-z9wpjr0d 429 8 a a DT cord-021917-z9wpjr0d 429 9 biological biological JJ cord-021917-z9wpjr0d 429 10 weapon weapon NN cord-021917-z9wpjr0d 429 11 . . . cord-021917-z9wpjr0d 430 1 Medical medical JJ cord-021917-z9wpjr0d 430 2 and and CC cord-021917-z9wpjr0d 430 3 public public JJ cord-021917-z9wpjr0d 430 4 health health NN cord-021917-z9wpjr0d 430 5 management management NN cord-021917-z9wpjr0d 430 6 Updated update VBN cord-021917-z9wpjr0d 430 7 recommendations recommendation NNS cord-021917-z9wpjr0d 430 8 for for IN cord-021917-z9wpjr0d 430 9 management management NN