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Terrorism in America. An evolving threat

M S Slater¹, D D Trunkey

¹Department of Surgery, Oregon Health Sciences Center, Portland, USA.

Archives of Surgery (Chicago, Ill. : 1960)

|October 23, 1997

Summary

Terrorism poses a poorly defined, evolving threat to the US. Medical disaster planning requires modest changes to address conventional, nuclear, biological, chemical, and nonconventional weapons.

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Area of Science:

Public Health
Emergency Medicine
National Security

Background:

Public perception of terrorism contrasts with medical community's relative indifference.
Quantifying the evolving terrorist threat in the US is challenging due to poor definition and rapid changes.
Disaster medical planning needs enhancement to address terrorism.

Purpose of the Study:

Define terrorism and enumerate specific threats.
Outline recommendations for disaster medical planning.
Address the impact of nonconventional weapons on civilian medical communities.

Main Methods:

Commentary and analysis of existing data.
Review of threat types: conventional, nuclear, biological, chemical (NBC).
Focus on nonconventional weapon emergence and medical implications.

Main Results:

Terrorism threat is dichotomous: high public/media concern vs. low medical community engagement.
Specific threats include conventional, nuclear, biological, and chemical weapons.
Nonconventional weapons pose emerging challenges for civilian medical response.

Conclusions:

Modest changes in disaster medical planning can improve preparedness for terrorist threats.
The medical community must better understand and prepare for the diverse nature of terrorism.
Addressing nonconventional weapon use is critical for effective civilian medical response to terrorism.

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