Early detection and surveillance for biopreparedness and emerging infectious diseases.

Biological weapons and emerging infectious diseases pose a significant risk to public health. A timely response is needed to effectively treat and contain a potential infectious disease outbreak. Detection and surveillance of biological agents needs to be sensitive and specific to allow providers to quickly and accurately identify the disease process and begin the necessary response procedures. This article addresses the importance of early detection and surveillance of both intentional and unintentional biological events. Challenges of bioterrorism and the nursing role in response are discussed. Epidemiological considerations, such as route of transmission and personal protective equipment, are presented. An overview of the major surveillance systems, including advances in computer-based technology, is provided to help health care providers become aware of current surveillance systems and clinical decision support tools designed to help diminish the impact of biological threats.