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The health services will play a vital role in protection against covert releases
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Although the threat of bioterrorism in the United Kingdom is still considered to be low, concern has heightened in the wake of the terrorist outrages in the United States on 11 September and subsequent covert releases of anthrax. 1 2 Potential events can be considered in three groups: deliberate release of a "weaponised" biological agents such as anthrax; use of a common pathogen such as salmonella; and hoaxes or false alarms. Release could occur covertly, or a warning may be given, or a suspect device discovered.
Experience of such incidents is limited. The use of a common pathogen
is illustrated by deliberate contamination of salad bars in restaurants
with Salmonella typhimurium by the religious sect led by
Rajneesh in Oregon, United States, in 1984, causing illness in over 700 people.3 In 1995 the Aum Shinrikyo sect used sarin in the
Tokyo underground.4 Subsequent investigations found that
the sect was experimenting with Bacillus anthracis and
Clostridium botulinum
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