Interesting People mailing list archives

IP: cdc guidlines on package handling


From: David Farber <dave () farber net>
Date: Wed, 17 Oct 2001 18:54:39 -0400


X-Mailer: Novell GroupWise 5.5.2
Date: Wed, 17 Oct 2001 13:59:39 -0400
From: "Paul Levy" <PLEVY () citizen org>
To: <dave () farber net>


More information similar to what you published from Tokyo

Paul Alan Levy
Public Citizen Litigation Group
1600 - 20th Street, N.W.
Washington, D.C. 20009
(202) 588-1000
http://www.citizen.org/litigation/litigation.html

>>> "Levy, Dan" <Dan.Levy () cfsan fda gov> 10/17/01 12:08PM >>>

I thought your organizations might find the CDC guidelines interesting.  The
original document is available at:
http://www.bt.cdc.gov/DocumentsApp/Anthrax/10122001Handle/10122001Handle.asp


This is an official
CDC Health Advisory

Distributed via Health Alert Network
October 12, 2001, 21:00 EDT (9:00 PM EDT)

HOW TO HANDLE ANTHRAX AND OTHER BIOLOGICAL AGENT THREATS

Many facilities in communities around the country have received anthrax
threat letters.  Most were empty envelopes; some have contained powdery
substances.  The purpose of these guidelines is to recommend procedures for
handling such incidents.

DO NOT PANIC
1. Anthrax organisms can cause infection in the skin, gastrointestinal
system, or the lungs.  To do, so the organism must be rubbed into abraded
skin, swallowed, or inhaled as a fine, aerosolized mist.  Disease can be
prevented after exposure to the anthrax spores by early treatment with the
appropriate antibiotics.  Anthrax is not spread from one person to another
person.
2. For anthrax to be effective as a covert agent, it must be aerosolized
into very small particles.  This is difficult to do, and requires a great
deal of technical skill and special equipment.  If these small particles are
inhaled, life-threatening lung infection can occur, but prompt recognition
and treatment are effective.

SUSPICIOUS UNOPENED LETTER OR PACKAGE MARKED WITH THREATENING MESSAGE SUCH
AS "ANTHRAX":
1.      Do not shake or empty the contents of any suspicious envelope or
package.
2.      PLACE the envelope or package in a plastic bag or some other type of
container to prevent leakage of contents.
3.      If you do not have any container, then COVER the envelope or package
with anything (e.g., clothing, paper, trash can, etc.) and do not remove
this cover.
4.      Then LEAVE the room and CLOSE the door, or section off the area to
prevent others from entering (i.e., keep others away).
5.      WASH your hands with soap and water to prevent spreading any powder
to your face.
6.      What to do next...
· If you are at HOME, then report the incident to local police.
· If you are at WORK, then report the incident to local police, and notify
your building security official or an available supervisor.
7.      LIST all people who were in the room or area when this suspicious
letter or package was recognized. Give this list to both the local public
health authorities and law enforcement officials for follow-up
investigations and advice.

ENVELOPE WITH POWDER AND POWDER SPILLS OUT ONTO SURFACE:
1.      DO NOT try to CLEAN UP the powder.  COVER the spilled contents
immediately with anything (e.g., clothing, paper, trash can, etc.) and do
not remove this cover!
2.      Then LEAVE the room and CLOSE the door, or section off the area to
prevent others from entering (i.e., keep others away).
3.      WASH your hands with soap and water to prevent spreading any powder
to your face.
4.      What to do next...
· If you are at HOME, then report the incident to local police.
· If you are at WORK, then report the incident to local police, and notify
your building security official or an available supervisor.
 5.     REMOVE heavily contaminated clothing as soon as possible and place
in a plastic bag, or some other container that can be sealed.  This clothing
bag should be given to the emergency responders for proper handling.
 6.     SHOWER with soap and water as soon as possible.  Do Not Use Bleach
Or Other Disinfectant On Your Skin.
 7.     If possible, list all people who were in the room or area,
especially those who had actual contact with the powder. Give this list to
both the local public health authorities so that proper instructions can be
given for medical follow-up, and to law enforcement officials for further
investigation.

 QUESTION OF ROOM CONTAMINATION BY AEROSOLIZATION:
 For example: small device triggered, warning that air handling system is
contaminated, or warning that a biological agent released in a public space.
 1.     Turn off local fans or ventilation units in the area.
 2.     LEAVE area immediately.
 3.     CLOSE the door, or section off the area to prevent others from
entering (i.e., keep others away).
 4.     What to do next...
 -      If you are at HOME, then dial "911" to report the incident to local
police and the local FBI field office.
 -      If you are at WORK, then dial "911" to report the incident to local
police and the local FBI field office, and notify your building security
official or an available supervisor.
 5.     SHUT down air handling system in the building, if possible.
 6.     If possible, list all people who were in the room or area. Give this
list to both the local public health authorities so that proper instructions
can be given for medical follow-up, and to law enforcement officials for
further investigation.

 HOW TO IDENTIFY SUSPICIOUS PACKAGES AND LETTERS

 Some characteristics of suspicious packages and letters include the
following...

· Excessive postage
· Handwritten or poorly typed addresses
· Incorrect titles
· Title, but no name
· Misspellings of common words
· Oily stains, discolorations or odor
· No return address
· Excessive weight
· Lopsided or uneven envelope
· Protruding wires or aluminum foil
· Excessive security material such as masking tape, string, etc.
· Visual distractions
· Ticking sound
· Marked with restrictive endorsements, such as "Personal" or "Confidential"
· Shows a city or state in the postmark that does not match the return
address


=======================================
You have received this message based upon the information contained within
our emergency notification data base. If you have a different or additional
e-mail or fax address that you would like us to use please notify us as soon
as possible by e-mail at healthalert () cdc gov.
=======================================



______________________________________________
                        Dan D. Levy, Ph.D.
                  U.S. Food and Drug Administration
         Center for Food Safety and Applied Nutrition
     HFS 237                       (202) 205 4817  voice
     200 C St. SW               (202) 205 4408    fax
     Washington DC 20204            dlevy () cfsan fda gov
______________________________________________


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