Hwang Kun
Department of Plastic Surgery, Armed Forces Capital Hospital, Seongnam, Korea.
Department of Anatomy, College of Medicine, Ewha Womans University, Seoul, Korea.
Infect Chemother. 2024 Sep;56(3):300-307. doi: 10.3947/ic.2024.0068. Epub 2024 Jul 17.
This paper reviews the elements and infection mechanisms of bioterrorism, assess North Korea's capability for biological warfare, and propose strategies for South Korea to counter potential bioterrorist threats from the North. The four critical elements of bioterrorism include the biological agent, the weaponization of the agent, the delivery system, and the impact of weather conditions on the attack. The infection routes for biological agents in bioterrorism include inhalation, ingestion, dermal exposure, and injection. The potential agents under development could include anthrax, smallpox, plague, and botulinum toxin, which might be deployed using missiles, artillery shells, or through covert operations. Proximity to North Korea significantly increases vulnerability to biological attacks. Possible methods include contaminating water supplies, food sources, or densely populated areas. Anthrax, smallpox, plague, and botulinum toxin could theoretically be delivered using packages attached to balloons. Minimizing the impact of a bioterrorism event requires strategy that includes four key actions: detection, decision-making, distribution, and dispensation. By integrating these steps, authorities can effectively manage and mitigate the effects of a bioterrorism event. Civilian doctors play a role in the early detection, diagnosis, treatment, and management of biological agents. Educating medical professionals is crucial for preparing against potential biological warfare or bioterrorism threats.
本文回顾了生物恐怖主义的要素和感染机制,评估了朝鲜的生物战能力,并提出了韩国应对来自朝鲜潜在生物恐怖主义威胁的策略。生物恐怖主义的四个关键要素包括生物制剂、制剂的武器化、投放系统以及天气条件对袭击的影响。生物恐怖主义中生物制剂的感染途径包括吸入、摄入、皮肤接触和注射。正在研发的潜在制剂可能包括炭疽、天花、鼠疫和肉毒杆菌毒素,这些制剂可能通过导弹、炮弹或秘密行动进行投放。与朝鲜接壤大大增加了遭受生物袭击的脆弱性。可能的方法包括污染供水、食物来源或人口密集地区。理论上,炭疽、天花、鼠疫和肉毒杆菌毒素可以通过系在气球上的包裹进行投放。将生物恐怖主义事件的影响降至最低需要包括四个关键行动的策略:检测、决策、分发和配给。通过整合这些步骤,当局可以有效地管理和减轻生物恐怖主义事件的影响。平民医生在生物制剂的早期检测、诊断、治疗和管理中发挥作用。对医疗专业人员进行教育对于防范潜在的生物战或生物恐怖主义威胁至关重要。