Appendix G

Appendix G:

Specimens for Laboratory Diagnosis
(continued)

Agent	Gold Standard	Antigen Capture	IgG	IgM	PCR	Animals
Aflatoxins	Mass spectroscopy
Alpha Toxin	ELISA	X
Alphaviruses	Virus isolation/ neutralization	X	X	X	X	X
Arboviruses	Virus isolation/IFA	X	X	X	X	X
Bacillus anthracis	IFA/Std. Microbiology	X (PA)	X	X	X	X
Bacillus globigii	Std. Microbiology				X
Bacillus thuringiensis	Std. Microbiology
Bot Toxin	Mouse neutralization	X (A Toxin)			*	X
Brucella sp.	IFA / Std. Microbiology	X	X	X	X	X
C. burnetii	IFA/Std. Microbiology/ serology				X	X
C. perfrigens
Clostridium sp.	Std. Microbiology
F. tularensis	IFA/Std. Microbiology	X			X	X

*Toxin gene detected

ELISA - enzyme-linked immunosorbent assays

IFA - indirect or direct immunofluorescence assays

Std. Micro./serology - standard microbiological techniques available, including electron microscopy

Nuclear

Biological

Chemical

Chemical

North Anna Power Station

Surry Power Station

UVA Nuclear Reactor Facility
Decommissioned in 1998

FEMA Fact Sheet:
Nuclear Power Plant Emergency

Introduction

Medical Management

History of Biological Warfare and Current Threat

Medical Aspects of the Biological Threat

Bacterial Agents
Anthrax
   Brucellosis
   Cholera
   Glanders
   Plague
   Tularemia
   Q Fever

Viruses
    Smallpox
    Venezuelan Equine Encephalitis
    Viral Hemorrhagic Fevers

Biological Toxins
Botulinum
   Staphylococcal Enterotoxin B
   Ricin
   T-2 Mycotoxins

Personal Protection

Decontamination

Appendix A:
Glossary of Medical Terms

Appendix B:
Patient and Precaution Levels

Appendix C:
Comparative Lethality: Toxins/Chemicals

Appendix D:
Aerosol Toxicity: Toxins

Appendix E:
Differential Diagnosis: Toxins/Nerve Agent

Appendix F:
Specimens for Lab Diagnosis

Appendix G:
BW Agents: Lab Identification

Appendix H:
BW Agents: Characteristics

Appendix I:
BW Agents: Vaccines, Therapeutics and Prophylactics

Appendix J:
Medical Sample Collection for Biological Threat Agents

Introduction

Nerve Agents

Mustard Agents

Hydrogen Cyanide

Psychotomimetic Agents

Potential CW Agents