Radosavljević V, Jakovljević B
Military Institute of Preventive Medecine, Belgrade, Serbia.
Public Health. 2007 Jul;121(7):549-57. doi: 10.1016/j.puhe.2006.12.010. Epub 2007 May 4.
Biological attacks can cause both an epidemic of infectious disease and of fear and panic. Epidemiological triangle chain models can be used to present both these types of epidemic. By merging these two triangles we suggest a new four-sided pyramidal model of bioterrorism attack and appropriate levels of prevention. Primordial prevention of biological attacks should comprise the impeding of access of both terrorists and biological agents to the territory. The primary prevention level should comprise internal surveillance of potential sources of agents and terrorists. Secondary prevention activities should be directed toward breaking both the epidemic of infectious disease and that of fear and panic. Tertiary prevention should include measures for repair following the attack. This is a task mainly for mental health professionals, curing and rehabilitating those affected by the epidemic of fear and panic. The suggested epidemiological model can be implemented into training programmes for detecting and responding to bioterrorist attacks around the world.
生物攻击可引发传染病的流行以及恐惧和恐慌。流行病学三角链模型可用于呈现这两种类型的流行。通过合并这两个三角形，我们提出了一种新的生物恐怖主义攻击的四面金字塔模型以及相应的预防级别。生物攻击的初级预防应包括阻止恐怖分子和生物制剂进入该地区。一级预防层面应包括对制剂和恐怖分子潜在来源的内部监测。二级预防活动应旨在打破传染病流行以及恐惧和恐慌的流行。三级预防应包括袭击后的修复措施。这主要是心理健康专业人员的任务，即治愈和康复那些受到恐惧和恐慌流行影响的人。所建议的流行病学模型可应用于世界各地检测和应对生物恐怖主义攻击的培训项目中。
