By Anthony D. Redmond, Peter F. Mahoney, James M. Ryan, Cara Macnab, David Owen

This ABC introduces drugs in components of clash or traditional catastrophe responding to the growing to be variety of areas affected.Chapters take care of matters akin to earthquakes and landslides in addition to nuclear incidents and organic struggle either nationally and internationally.It covers either logistical making plans and scientific relief in addition to post-conflict restoration, supplying mental in addition to scientific and public wellbeing and fitness support.It prepares reduction employees for a number of roles in all attainable occasions.

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Extra info for ABC of Conflict and Disaster (ABC Series)

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Liver damage, stillbirths, birth defects, cancer Blurred vision, difficulty swallowing, muscle weakness, paralysis of respiratory muscles Vomiting, nausea, diarrhoea, chest pain, headache, myalgia Fever, dyspnoea, nausea, pulmonary oedema Testing, removal of contaminated food Aerosol, contaminated 1-6 hours. Lethality < 1% food or water Aerosol, contaminated Hours to days. com Antitoxin effective if given early. Supportive care, ventilation No antidotes, vaccine, or antitoxins. Supportive care, ventilation No vaccine or antitoxins.

World politics: trends and transformation. London: Macmillan, 1999 x Médicins Sans Frontières. Refugee health: an approach to emergency situations. London: Macmillan, 1997 x Perrin P. War and public health. Geneva: ICRC, 1996 x Redmond T. How do you eat an elephant? BMJ 1999;319:1652-3 x Ryan JM. The neglected challenge of war and conflict. Health Exchange 2002;Feb:5-7 x Ryan JM, Fleggson M, Beavis J, Macnab C. Fast-track surgical referral in a population displaced by war and conflict. J R Soc Med 2003;96:56-9 James M Ryan is Leonard Cheshire professor, University College London, London, and international professor of surgery, Uniformed Services University of the Health Sciences (USUHS), Bethesda, MD, USA; Peter F Mahoney is honorary senior lecturer, Academic Department of Military Emergency Medicine, Royal Centre for Defence Medicine, Birmingham; Cara Macnab is research fellow, Leonard Cheshire Centre of Conflict Recovery, University College London, London.

For viral diseases, vaccination is the principal form of prophylaxis: the use of antiviral drugs might be useful, but effectiveness and safety have yet to be established. Smallpox is very contagious, and lack of natural resistance or vaccine means it would be highly lethal Biological agents of mass destruction Agents with direct person to person transmission x Include bacterial and viral diseases x Obviate the need for specialised weapons delivery systems x Many contacts may be infected and the disease widely disseminated before the outbreak is recognised Agents with no or rare person to person transmission x Include bacterial agents and biological toxins x Easily disseminated and can pose major threats, such as the risks to staff and the cost of decontaminating US government buildings after anthrax was released via the postal system x Toxins can be derived from diverse organisms and have a wide spectrum of effects varying from immediate lethality (botulinum toxin, ricin) to long term carcinogenicity (aflatoxin and other mycotoxins) Biological WMD agents (class A) and their properties Agent Transmission mode Incubation and lethality Direct person to person transmission Bacterial Plague (pneumonic Aerosol droplets or or bubonic) flea vectors Cholera Contaminated food or water Typhoid Contaminated food or water Viral Smallpox Direct contact, body fluids Viral haemorrhagic Nosocomial (possible animal reservoir) fevers (Ebola, Lassa, Marburg) No or rare person to person transmission Bacterial Anthrax Spores, aerosol, food Tularaemia Biological toxins Aflatoxin Botulinum toxin Staphylococcus enterotoxin B Ricin Symptoms Prophylaxis and treatment 1-6 days.

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