id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-021887-22lop0pk	Artenstein, Andrew W.	Biological Attack	2015-10-23		.txt	text/plain	7195	367	36	This trend culminated with the October 2001 anthrax attacks in the United States, which elevated bioterrorism to the forefront of international dialogue and heightened public concerns regarding systemic health care preparation against the threat of biological attacks. Physicians and other health care workers must therefore maintain a high index of suspicion of bioterrorism, and recognize suggestive epidemiologic clues and clinical features to enhance early recognition and guide initial management of casualties. Multiple features make smallpox an attractive biological weapon and ensure that any reintroduction into human populations would be a global public health catastrophe: it is stable in aerosol form, has a low infective dose, is associated with up to a 30% case-fatality rate, and has a large vulnerable target population because civilian vaccination was terminated in 1972. 42 Although not always clinically apparent, the psychological effect of a bioterrorism event is certainly a significant and important consideration for ongoing public health management strategies following any biological threat or terrorist attack.	./cache/cord-021887-22lop0pk.txt	./txt/cord-021887-22lop0pk.txt