Attacking anthrax anxiety

By Medicine Men

There they go again.

Nature abhors a vacuum. That’s why the media have to fill every second of air time and inch of page space. But where the talking heads and instant experts are concerned, nature apparently loves the vacuous and (what amounts to the same thing) the vaguely alarmist, the alarmingly vague and those genuine experts struggling to explain it all in 30 seconds or 750 words or less.

By now, no doubt, you’ve been utterly over-anthraxed by the media. (If only words could inoculate, we’d all be immune.) But chances are that you and yours, and everybody else’s, are still alive and well. Let’s put these bad bugs into perspective and try to separate fact from fairy tale.

First of all, don’t paralyze yourself with worry. Maintain perspective. WND’s Paul Sperry offered an excellent perspective recently. Even the 6,000 people killed directly by the suicidal airplane hijackers on Sept. 11 aren’t as many as the children who died that same day – and die every day – around the world from DDT-preventable malaria.

Please also remember that we Americans number almost 300,000,000. Only a minuscule fraction of us were even exposed during the events of the past two weeks. Even if terrorists attack America again, you’re still much more likely, statistically speaking, to suffer a serious heart attack or traffic accident than to fall victim to a terrorist attack. Driving while tired or distracted, not to mention yakking on your cell phone, is far more dangerous than what we’ve seen of germ warfare so far. There’s no way to know for sure, of course, but we suspect there will be more people dying from uncommon fatal complications to Cipro and vaccinations than from germs released by terrorists.

The germ du jour is anthrax because, ounce for ounce, it has the potential to be the most lethal of all germs, but if – and only if – the germs are prepared in just the right way. The recipe has to be just right – not too hot and not too cold; spread in just the right size, not too big and not too small; delivered with the wind just right, and without any rain. To cook up a batch requires laboratories and equipment costing hundreds of millions of dollars. Only a few countries have them.

The United States and Russia, for sure. Iran? Iraq? A cave somewhere in Talibania? Perhaps. This stuff is far from readily available. As Conrad Chester, a former Oak Ridge National Laboratory scientist and expert on biological weapons, titled his talk at a Doctors for Disaster Preparedness meeting: “Terrorists Have Problems, Too.”

Now the good news

With nearly all germs, as with other agents, the dosage determines the poison; almost anything is poisonous in large enough quantities. Many people – wool sorters, for example – are routinely exposed to small numbers of anthrax germs and don’t get sick.

You can’t catch anthrax from someone with an anthrax lung infection. Other anthrax infections, such as in the skin, are easily cured. As with all infections, avoid contact with an infected person. Don’t self-medicate.

Home sheltering

In case of a major biological or chemical attack, you cut your risk in half if you simply stay inside your house. You can cut the risk down by another factor of 10 by making a safe room. Select a room with essentials (bath, water, food, TV, radio, telephone, games for the kids). Duct tape the windows and have towels available to moisten and jam around the doors. “Don’t wait for the government to protect you,” urges Dr. Jane Orient, president of Doctors for Disaster Preparedness. “Your family’s safety is your responsibility.” DDP has additional information about many of these topics at the DDP website, including detailed sealed-room information and the federal government’s publication “Treatment of Biological Warfare Agent Casualties.”

If a situation does arise where you suspect exposure, call your physician or the nearest emergency personnel. Do not take two aspirins or wait until morning. But do take a deep breath – far away from the powder. Perhaps we all need one. And while we’re breathing, we might consider anew just how precious and fragile civilization is, and how great the evil of those who once again seek to destroy it.

Medicine Men

Michael Arnold Glueck, M.D., is a multiple award-winning writer who comments on medical-legal issues. Robert J. Cihak, M.D., is a former president of the Association of American Physicians and Surgeons. Both doctors are Harvard-trained diagnostic radiologists. Read more of Medicine Men's articles here.